Medicaid Managed Care - U.S. Senate Special Committee on Aging
Medicaid Managed Care - U.S. Senate Special Committee on Aging Medicaid Managed Care - U.S. Senate Special Committee on Aging
154 INTERPRETATION OF RESULTS * Equivalent health outcomes for average HMO and FFS patient do not hold for Medicare or poverty groups * Previous studies that followed Medicare patients for only one year may have been too brief POLICY IMPLICATIONS * Favorable overall HMO experience to date may not generalize to chronically ill elderly and poor *
44-098 97 - 6 155 NCQA "HEALTH OF SENIORS" MEASURE (HEDIS 3.0) INCORPORATES LATEST MOS ADVANCES * Summarizes SF-36 physical and mental health outcomes * Two-year follow-up of 1 000/plan * Uses standardized risk adjustment * Reports plan-level results publicly sen71597.pptp. 11
- Page 108 and 109: 103 I have tried to list both the o
- Page 110 and 111: 105 BACKGROUND INFORMATION PATRICIA
- Page 112 and 113: 164 Communicating the Quality Messa
- Page 114 and 115: 166 Communicating the Quality Messa
- Page 116 and 117: 168 Communicating the Quality Messa
- Page 118 and 119: 170 Communicating the Quality Messa
- Page 120 and 121: 172 Communicating the Quality Messa
- Page 122 and 123: 174 Communicating the Quality Messa
- Page 124 and 125: 119 Dr. SCANLON. In this series of
- Page 126 and 127: 121 lation in managed care in Minne
- Page 128 and 129: 123 thing, because you will have va
- Page 130 and 131: 125 If we develop them now around e
- Page 132 and 133: 127 I think those are the things yo
- Page 134 and 135: 130 to use, and they will be collec
- Page 136 and 137: 176 Communicating the Quality Messa
- Page 138 and 139: 134 unlikely though that these futu
- Page 140 and 141: 136 While we are in the midst of th
- Page 142 and 143: 138 Center for Health Program Devel
- Page 144 and 145: 140 ('enter for Hearlth Proeram Dev
- Page 146 and 147: 142 Center for Health Program Devel
- Page 148 and 149: 144 Center for Health Program Devel
- Page 150 and 151: 146 If More is Better, Cost Contain
- Page 152 and 153: 148 ANALYSIS OF OUTCOMES SF-36 phys
- Page 154 and 155: 150 4-Year Physical Health Outcomes
- Page 156 and 157: 152 MAJOR FINDINGS -1 PHYSICAL DECL
- Page 160 and 161: 156 Additional Information is on th
- Page 162 and 163: order) were followed. Samplingpatie
- Page 164 and 165: AP Ag. 0065(0 og. qP e8 y. d-ftd 04
- Page 166 and 167: 162 Tlbb. 5-Plso91 A& MerohJ H89t0
- Page 168 and 169: and chest pain sufficient to requir
- Page 170 and 171: 166 Quality Special</strong
- Page 172 and 173: THE STATE OF THE STATES TUESDAY, JU
- Page 174 and 175: 171 a little bit about some of the
- Page 176 and 177: 173 gatekeeper, and we also wondere
- Page 178 and 179: 175 Maryland ought to submit that w
- Page 180 and 181: 177 fined by us in our regulations,
- Page 182 and 183: 179 To get to that kind of situatio
- Page 184 and 185: 181 Outline of Presentation for Dep
- Page 186 and 187: 183 B. Approaches to Ensure Quality
- Page 188 and 189: 185 * Holds MCOs accountable for qu
- Page 190 and 191: 187 HealthChoice and People with <s
- Page 192 and 193: 189 HealthChoice and People with <s
- Page 194 and 195: 191 Take these three steps to choos
- Page 196 and 197: 193 Call 1-800-888-1965 if you are
- Page 198 and 199: IF YOU HAVE HIV/AIDS 195 MCO staff
- Page 200 and 201: 197 * Refer you to a medical specia
- Page 202 and 203: *pV 199 SERVICES FOR CHILDREN IN ST
- Page 204 and 205: 201 Ms. CHRISTENSEN. Thank you. Go
- Page 206 and 207: 203 We implement these QI goals thr
154<br />
INTERPRETATION OF RESULTS<br />
* Equivalent health outcomes for average HMO and<br />
FFS patient do not hold for Medicare or poverty<br />
groups<br />
* Previous studies that followed Medicare patients<br />
for <strong>on</strong>ly <strong>on</strong>e year may have been too brief<br />
POLICY IMPLICATIONS<br />
* Favorable overall HMO experience to date may<br />
not generalize to chr<strong>on</strong>ically ill elderly and poor<br />
* <str<strong>on</strong>g>Medicaid</str<strong>on</strong>g> coverage did not explain worse<br />
outcomes for poor in HMOs<br />
* Health outcomes should be reported <strong>on</strong> a planby-plan<br />
basis<br />
sen71597.ppt p.