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  2. Healthcare Effectiveness Data and Information Set - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Effectiveness...

    The Healthcare Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance (NCQA). HEDIS was designed to allow consumers to compare health plan performance to other plans and to national or regional benchmarks.

  3. Physician Quality Reporting System - Wikipedia

    en.wikipedia.org/wiki/Physician_Quality...

    In 2015 CMS identified 254 quality measures for which providers may choose to submit data. The measures map to U.S. National Quality Standard (NQS) health care quality domains: [4]

  4. Medicare Access and CHIP Reauthorization Act of 2015

    en.wikipedia.org/wiki/Medicare_Access_and_CHIP...

    It created the Medicare Quality Payment Program. [2] Clinicians can choose to participate in the Quality Payment Program through the Merit-based Incentive Payment System (MIPS) or Advanced Alternative Payment Models (APMs). [3] MIPS is an incentive program that consolidates three incentive programs into one, for eligible physicians.

  5. Environmental Quality Incentives Program - Wikipedia

    en.wikipedia.org/wiki/Environmental_Quality...

    The program replaced the Agricultural Conservation Program, the Water Quality Incentives Program, the Great Plains Conservation Program, and the Colorado River Basin Salinity Control Program. EQIP was reauthorized in the 2002 farm bill at $0.4 billion in mandatory spending in FY2002 and rising to $1.3 billion in FY2007. [2]

  6. Medi-Cal - Wikipedia

    en.wikipedia.org/wiki/Medi-Cal

    The California Medical Assistance Program (Medi-Cal or MediCal) is the California implementation of the federal Medicaid program serving low-income individuals, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults with incomes below 138% of federal poverty level.

  7. Managed care - Wikipedia

    en.wikipedia.org/wiki/Managed_care

    Formal utilization review and quality improvement programs including disease management and case management; An emphasis on preventive care including wellness incentives and patient education; The techniques can be applied to both network-based benefit programs and benefit programs that are not based on a provider network.

  8. Hospital Quality Incentive Demonstration - Wikipedia

    en.wikipedia.org/wiki/Hospital_Quality_Incentive...

    Over the first three years of the project (2003–2006), participating hospitals raised overall quality by an average of 15.8 percent [3] based on their delivery of 30 nationally standardized and widely accepted care measures [4] [5] to patients in these five clinical areas: acute myocardial infarction (AMI/heart attack) coronary artery bypass ...

  9. Community Health Accreditation Program - Wikipedia

    en.wikipedia.org/wiki/Community_Health...

    The Community Health Accreditation Partner (CHAP) is a national, independent, U.S. not-for-profit accrediting body for community-based health care organizations. CHAP is the oldest national, community-based accrediting body with more than 9,000 agencies currently accredited nationwide.