Quality measurement uses data to evaluate the performance of health plans and providers. Learn how the health care field is using this data to measure and improve the quality of health care that patients receive.
Lays out the key elements consumer-friendly wellness programs should have and the ways advocates can help protect enrollees if their state proposes a program that jeopardizes enrollees’ access to care.
Discusses the consumer protections that marketplaces should consider implementing if marketplaces allow web brokers to enroll consumers in marketplace plans and financial assistance.
Explains three reasons why states should use data from SNAP (formerly known as food stamps) data to enroll adults in Medicaid without requiring a full application.
Explains value-based insurance design and high-value care, outlines the key elements that value-based insurance should include.
Medicaid Alternative Benefit Plans: What States Should Consider When Designing Coverage for the Expansion Population and the Role for Advocates
Examines issues states should consider when designing benefit plans for people who are newly eligible for Medicaid; outlines opportunities where advocates can engage in the process.
Lays out options for states determining benefit packages (called Alternative Benefit Plans) for those who are newly eligible for Medicaid, including key factors states should consider when designing these benefits.
Learn how the Affordable Care Act allows states to expand Medicaid by purchasing coverage for enrollees through the health insurance marketplaces using federal funds
Explains how accountable care organizations give financial incentives to health care providers to work as a team to deliver high-quality care;discusses challenges states face when implementing ACOs in Medicaid.
Learn how patients and health care providers can team up to ensure better health care for consumers at a lower cost and in a timely manner.