Prevention, Quality Improvement and Quality Review

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Prevention

Quality Improvement

Quality Review

Improving Oral Health Access through Managed Care Quality Initiatives in Pennsylvania

NASHP

AUGUST 15, 2022

Recently, Pennsylvania shared their work with managed care organizations (MCO)s to improve access to oral health care services through quality improvement projects, measures, and incentives. Such steps included DHS convening MCOs quarterly to discuss their performance metrics through Quarterly Quality Review Meetings (QQRMs).

Medicaid

Medicaid Quality Review Prevention Quality Improvement

State Approaches to Behavioral Health Measures in Medicaid Managed Care

NASHP

APRIL 17, 2023

Performance measurement is a pillar of state quality improvement and oversight. Other states, such as Colorado, establish advisory committees that provide input on all aspects of a state’s quality improvement program , including measure selection. It is often factored into plan payment, and it supports public reporting.

Medicaid

Medicaid Quality Assurance Quality Improvement Quality Review

Health Care Quality Digest

Improving Oral Health Access through Managed Care Quality Initiatives in Pennsylvania

State Approaches to Behavioral Health Measures in Medicaid Managed Care

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