Quality Reporting

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Availability of understandable and reliable information on patient outcomes and provider performance is essential to improving quality and helping consumers make informed choices. Making information available to providers on their performance can help them identify gaps in care, factors influencing patients’ improvement, and best practices that achieve desired results. In addition, public reporting of provider performance data can help patients make more informed choices about which providers and sites of care will best meet their needs.

For over two decades, health plans have worked with voluntary accreditation agencies and the employer community to develop a set of measures to evaluate health plan and provider performance. In addition, health plans-- both individually and through their participation in local community and regional activities-- collect, aggregate, and report data on practicing providers within the community/region. These reports provide information on the quality of care provided, utilization of health care services, and patient satisfaction and experience in these settings.

Latest Resources

Measuring The Performance Of Individual Physicians By Collecting Data From Multiple Health Plans: The Results Of A Two-State Test, Health Affairs

America’s Health Insurance Plans Foundation with support from the Robert Wood Johnson Foundation developed and tested in Florida and Colorado a consistent methodology for aggregating data across multiple health plans and reporting quality performance data to physicians. The project was one component of a larger effort called the High-Value Health Care Project. Insights and lessons learned documented in the article and issue brief can help inform future performance measurement efforts.

News Articles | Strategic Communications | 04/01/2011

Measuring the Performance of Individual Physicians by Collecting Data from Multiple Health Plans - [PDF]

America’s Health Insurance Plans Foundation with support from the Robert Wood Johnson Foundation developed and tested in Florida and Colorado a consistent methodology for aggregating data across multiple health plans and reporting quality performance data to physicians. The project was one component of a larger effort called the High-Value Health Care Project. Insights and lessons learned documented in the article and issue brief can help inform future performance measurement efforts.

Reports/Research/White Papers | 03/01/2011

Seniors in Medicare Advantage Receive Higher Quality Care, New Reports Show

Seniors in Medicare Advantage spent fewer days in a hospital, were subject to fewer hospital re-admissions, and were less likely to have “potentially avoidable” admissions, for common conditions ranging from uncontrolled diabetes to dehydration, according to a new analysis of publicly available AHRQ data released today by America’s Health Insurance Plans (AHIP).

Press Releases | Strategic Communications | 09/15/2009

Health Insurance Plans Making a Difference: Driving Quality Improvement and Accountability - [PDF]

This survey of health plans, representing more than 95,000,000 covered lives, highlights the scope and variety of programs and initiatives targeting quality improvement. The survey data, collected in 2009, demonstrate health plan activities and programs that improve quality of care, patient safety, and reduce costs to the health care system.

Reports/Research/White Papers | Strategic Communications | 07/01/2009

AHIP Statement on House Passage of the Genetic Information Nondiscrimination Act

(Washington, DC) - Karen Ignagni, President and CEO of America's Health Insurance Plans (AHIP), today issued the following statement commending the House on the passage of H.R.

Press Releases | Strategic Communications | 05/01/2008

AHIP Endorses 'Patient Charter' to Guide Physician Performance Measurement, Reporting

(Washington, DC) -Today, America's Health Insurance Plans (AHIP) joined other stakeholders, including major physician, consumer, employer, labor, and quality groups in supporting a standard set of guiding principles on physician performance measurement and reporting. These principles, which lay out best practices for health plans, employers, coalitions, and state governments with performance measurement and reporting systems, are outlined in the Patient Charter developed by the Consumer-Purchaser Disclosure Project.

Press Releases | Strategic Communications | 04/01/2008