Federal rules require state Medicaid managed care programs to develop a quality strategy that includes a plan to "identify, evaluate, and reduce... health disparities based on age, race, ethnicity, sex, primary language, and disability status."

This course examines opportunities for implementing a networkwide QI program through a population health lens, with a focus on behavioral health.

This course includes highlights from the recently developed NCQA guide on social determinants of health plans.

The Quality Innovation Series is a collection of educational activities on a variety of topics. The All Access Series Pass provides the entire comprehensive curriculum of sessions for the whole Series.

This session will highlight the development of a Health Care Equity Index (HCEI), a tool to help identify opportunities within a health plan, monitor progress towards closure of disparities and help communities and the state meet Health Care Equity goals.

The pandemic bolstered the case for accelerating the move to value-based payment models. Entities in value-based models that focus on population health and accountability already had systems of care in place and were able to quickly adapt.

This chapter features Accredited plans and Recognized practices that have implemented leading-edge strategies to improve both quality and value through a variety of initiatives.

This chapter draws attention to the critical issue of our country’s strained (and drained) behavioral healthcare resources.

Quality Innovation Series 2021 Chapter: Measurement and Reporting
Subject matter experts will provide an overview of new HEDIS measures, updates to existing measures and measures that are being retired—including the rationale behind retiring measures and

Digital quality measures (DQM) are digitalized versions of existing HEDIS measures—the same type of measure that health plans have used and reported on for three decades. DQMs are key to unlocking the potential of a reimagined quality enterprise.