Search Results: MCHLine

Annotation: This website provides resources from a national initiative to engage health care purchasers, payers, and providers in collaborating with the public health community to improve health and control health care costs. Topics include high-burden health conditions and associated interventions that prevent chronic and infectious diseases by increasing coverage, access, use, and quality; and how to align evidence-based preventive practices with emerging value-based payment and delivery models. Contents include a fact sheet and evidence summaries on reducing tobacco use, controlling high blood pressure, preventing health care-associated infections, controlling asthma, preventing unintended pregnancy, and controlling and preventing diabetes.

Contact: Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329-4027, Telephone: (800) 232-4636 Secondary Telephone: (888) 232-6348 E-mail: https://www.cdc.gov/cdc-info/forms/contact-us.html Web Site: http://www.cdc.gov Available from the website.

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Keywords: Access to health care, Chronic illnesses and disabilities, Coalitions, Collaboration, Consumers, Disease prevention, Health care delivery, Health care reform, Health care utilization, Health insurance, Infectious diseases, Intervention, Models, National initiatives, Preventive health services, Public private partnerships, Quality assurance, Reimbursement, Relationships, Third party payers

Annotation: This brief reviews implementation requirements governing access to reproductive health services in Medicaid managed care. Topics include network adequacy and access to services, travel time and distance standards, timely availability of services, direct access to providers, information requirements, and utilization controls. Recommendations for states are also included.

Contact: National Health Law Program, 1441 I Street, N.W., Suite 1105, Washington, DC 20005, Telephone: (202) 289-7724 E-mail: [email protected] Web Site: http://www.healthlaw.org Available from the website.

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Keywords: Access to health care, Barriers, Health care utilization, Health services delivery, Medicaid managed care, Provider networks, Regulations, Reproductive health, Standards, Third party payers, Women', s health

Annotation: This report examines the use of measures to improve health care quality across the Department of Health and Human Services' (DHHS's) programs and private payers, with a focus on reducing burden. Topics include what is known about the extent and effects of quality-measure alignment, key factors that can contribute to misalignment, and efforts to address misalignment. Recommendations for (1) prioritizing development of electronic quality measures and related data elements for the core measures DHHS and private payers have agreed to use and (2) comprehensively planning efforts to develop more meaningful quality measures are included.

Contact: U.S. Government Accountability Office, 441 G Street, N.W., Washington, DC 20548, Telephone: (202) 512-3000 E-mail: [email protected] Web Site: http://www.gao.gov Available from the website. Document Number: GAO-17-5.

• Full Report
• Highlights

Keywords: Data collection, Federal initiatives, Health care systems, Information systems, Measures, Medicaid, Program improvement, Program planning, Public private partnerships, Quality assurance, Systems development, Third party payers

Annotation: This document summarizes results from an environmental scan to identify existing oral health performance and quality-measure concepts for both the pediatric and the adult populations. Contents include information about the background, methods, and results of the scan and a discussion of data sources and developing quality measures using administrative claims data vs. patient record data. A table of quality measures identified through the scan is also provided.

Contact: American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611-2678, Telephone: (312) 440-2500 Fax: (312) 440-7494 E-mail: [email protected] Web Site: http://www.ada.org Available from the website.

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• Program Website

Keywords: Claims, Data sources, Dental care, Measures, Medical records, Oral health, Program improvement, Quality assurance, Third party payers

Annotation: This issue brief for health plans discusses the National Action Plan for Child Injury Prevention, highlights the prevalence and cost of injuries, shares examples of current health plan child injury prevention activities, and describes opportunities for future action. Topics include informing health care professionals about the toll of injuries, encouraging physicians to use Bright Futures and provide age-appropriate injury prevention guidance to families, support evidence-based prevention practices, and promote the use of and access to safety devices.

Contact: National Institute for Health Care Management Foundation, 1225 19th Street, N.W., Suite 710, Washington, DC 20036, Telephone: (202) 296-4426 Fax: (202) 296-4319 E-mail: http://www.nihcm.org/contact Web Site: http://www.nihcm.org Available from the website.

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Keywords: Anticipatory guidance, Child health promotion, Child safety, Children, Costs, Foundations, Injuries, Injury prevention, Model programs, Prevalence, Program planning, Third party payers, Unintentional injuries

Annotation: This brief examines the urgency of emergency department visits for dental conditions in the United States. Topics include the percentage of dental and nondental emergency department visits by triage status (immediate, urgent, semi-urgent, and nonurgent), primary payer (private health insurance, Medicare, Medicaid, Children's Health Insurance Program, and self-pay), and time of arrival (during and outside business hours). Policy implications are included.

Contact: American Dental Association, Health Policy Institute, 211 East Chicago Avenue, Chicago, IL 60611-2678, Telephone: (312) 440-2500 Web Site: http://www.ada.org/en/science-research/health-policy-institute Available from the website.

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Keywords: Data analysis, Emergency room data, Oral health, Policy development, Third party payers, Triage

Annotation: This registry and repository contains health-care-related metadata, specifications, and standards. Topics include health information technology standards, common formats, meaningful use, all-payer claims, and children's electronic health record format. Draft quality measures that are available to the public for feedback are also included.

Contact: U.S. Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 427-1364 Web Site: http://www.ahrq.gov Available from the website.

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Keywords: Child health, Claims, Data, Databases, Diffusion of innovation, Federal initiatives, Integrated information sources, Measures, Medical records, Public private partnerships, Quality assurance, Registries, Resources for professionals, Standards, Technology transfer, Third party payers

Annotation: This document was developed by a consortium of four states that had used Medicaid and other third-party payments to support an early intervention program. It provides a brief overview of the mechanisms, focusing primarily on Medicaid. It includes several brief case studies of what states are actually doing, and summarizes the lessons learned from the consortium's activities and discussions. It concludes with a plan of action for incorporating Medicaid and other third-party payments into the overall financing picture for early intervention in the states. The states participating were Utah, Massachusetts, Colorado, and New Jersey, with additional input from Connecticut, Illinois and other states. The work was funded by the Maternal and Child Health Bureau, U.S. Department of Health and Human Services. [Funded by the Maternal and Child Health Bureau]

Keywords: Children with special health care needs, Early intervention, Education of the Handicapped Act Amendments of 1986, Federal legislation, Financing, Medicaid, Third party payers