Health Care Quality

ACO Badge

AHIP and its member companies are engaged in a wide variety of activities, programs and research directed at improving the health and health status of their enrolled populations. Health plans and their collaborating partners are developing frameworks for action that emphasize evidence-based care and result in improved patient outcomes, including promoting prevention and health care equity, patient safety, advancements in care delivery, payment reform and quality reporting. The landscape of health and health care continues to evolve, and likewise AHIP member companies are responding with new and innovative approaches to meet the demands for quality patient-centered solutions.

In this section:

 

Latest Resources

Innovations in Medication Therapy Management

This report describes trends in the medication therapy management (MTM) programs being conducted by America’s health insurance plans and provides details about 16 companies’ MTM initiatives for a variety of patient populations. 

Research | Center for Policy and Research | 12/17/2013

High Performance Networks Issue Brief - [PDF]

Provider networks have been a mainstay of private health insurance coverage for the past 25 years—providing consumers with access to a broad range of high-quality hospitals, physicians and other health care providers along with financial incentives for members to obtain care within the plan’s provider network.

Fact Sheets/Issue Briefs/Talking Points | 12/04/2013

Innovations in Medicaid Managed Care: Highlights of Health Plans’ Programs to Improve the Health and Well-Being of Medicaid Beneficiaries

In this report—an update to AHIP’s 2005 Innovations in Medicaid Managed Care book—we provide details about 17 health plan initiatives dedicated to improving the health and well-being of Medicaid beneficiaries.

Research | Center for Policy and Research | 03/04/2013

U.S. Map of Alternative Delivery and Payment Models - Private Sector Initiatives - [PDF]

Map of the U.S. showing private sector alternative delivery and payment activity by state – patient centered medical home, accountable care arrangements, bundled or episode of care, and comprehensive global payment models.

Charts | Clinical Affairs | 02/15/2013

Innovative Initiatives to Combat CVD for web - [PDF]

Cardiovascular disease (CVD) is the leading cause of death in the United States, with more than one in four people dying from heart disease every year. People of all backgrounds are affected, and heart disease is influenced by many factors. Research shows a clustering of these factors puts people at increased risk for poor health outcomes.

Reports/Research/White Papers | 09/18/2012

New Analysis in Health Affairs Outlines Framework for Effective Public/Private Sector Collaboration in Payment and Delivery System Reform

As payment and delivery system reform expands across the country, it is critical that public sector initiatives complement and build upon the successful efforts currently underway in the private sector, according to an article in the latest edition of Health Affairs.  

Press Releases | Strategic Communications | 09/04/2012

Reducing and Preventing Childhood Obesity - [PDF]

America’s Health Insurance Plans (AHIP) and member health plans are actively engaged in developing innovative strategies to improve the health of children and reduce the risks associated with obesity.
 

Reports/Research/White Papers | Clinical Affairs | 07/11/2012

Health Plan Innovations in Worksite Wellness

Health Plan Innovations in Worksite Wellness Health Plan Innovations in Worksite Wellness Americans spend a large part of their day – and their lives – at work. 

Reports/Research/White Papers | Clinical Affairs | 06/19/2012

Immunization Innovations: Plans and Programs

Immunization Innovations Immunization Innovations Welcome to Immunization Innovations , AHIP’s online compendia of pioneering programs and leading best practices for measuring and improving immunization rates.

Fact Sheets/Issue Briefs/Talking Points | Clinical Affairs | 04/19/2012

Transforming Care Delivery - [PDF]

The private sector is improving health care quality and affordability through the use of alternative approaches to transform care delivery. This issue brief highlights key elements of these approaches such as patient-centered medical home, accountable care and bundled/episode-based models that health plans have implemented in partnership with providers.

Fact Sheets/Issue Briefs/Talking Points | Clinical Affairs | 01/11/2012

AHIP’s Flu Outreach Campaign Flyer - [PDF]

Each year more than 200,000 people are hospitalized from flu. Dont let the flu interrupt your time together. 

PSA | 10/03/2011

Collection of Race and Ethnicity Data by Health Plans Has Grown Substantially, But Opportunities Remain to Expand Efforts, Health Affairs

Collection of Race and Ethnicity Data by Health Plans Has Grown Substantially, But Opportunities Remain to Expand Efforts, Health Affairs

News Articles | 10/01/2011

Health Plans and Providers Partnering to Advance Accountable Care

New health care delivery and payment models in the private sector are being shaped by active collaboration between health insurance plans and providers, according to a new study by America’s Health Insurance Plans (AHIP) that appears in the September edition of Health Affairs.

News Articles | Strategic Communications | 09/08/2011

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

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

A Legal Perspective for Health Insurance Plans: Data Collection on Race, Ethnicity, and Primary Language - [PDF]

Since 2003, Americas Health Insurance Plans (AHIP) and its member companies have been working to increase awareness on the importance of collecting race, ethnicity, and primary language data of its enrollees to address disparities in health care and improve overall quality of care for all Americans.

Reports/Research/White Papers | 03/01/2009

NHPC Toolkit to Reduce Racial and Ethnic Disparities in Health Care

 

Advocacy and Coalition Websites | 09/01/2008

Preparing the Way – Disaster Readiness Planning for Health Insurance Plans - [PDF]

This report published by AHIP’s Readiness Task Force assembles some of the best practices and procedures employed by health plans in emergency preparedness and contingency planning.

Reports/Research/White Papers | Clinical Affairs | 10/01/2007

Pandemic Tools and Checklists - [PDF]

This page provides information from government agencies, the private sector, and other organizations working to improve preparedness and response to infectious outbreaks. 

Reports/Research/White Papers | 03/01/2007

Collection and Use of Race and Ethnicity Data for Quality Improvement–2006 AHIP- RWJF Survey of Health Insurance Plans - [PDF]

Over the past three years, health insurance plans have made significant strides in collecting race and ethnicity data of enrollees to help reduce disparities.  

Reports/Research/White Papers | 11/01/2006

Health Insurance Plans Address Disparities in Care: Highlights of AHIP/RWJF Quantitative and Qualitative Research - [PDF]

Health Insurance Plans Address Disparities in Care: Highlights of AHIP/Robert Wood Johnson Foundation Quantitative and Qualitative Research Grant Provided By: 3 Health Insurance Plans Address Disparities in Care: Highlights of AHIP/Robert Wood Johnson Foundation Quantitative and Qualitative Research BACKGROUND . . . .

Reports/Research/White Papers | 10/01/2005

Health Insurance Plans Address Disparities in Care: Challenges and Opportunities - [PDF]

In 2002, the Institute of Medicine (IOM) released a landmark report indicating that racial and ethnic minorities receive lower quality health care than non-minorities.

Reports/Research/White Papers | 06/01/2004

Health Insurance Plans Address Disparities in Care: Highlights of a 2004 AHIP/RWJF Survey - [PDF]

Health Insurance Plans Address Disparities in Care: Highlights of a 2004 AHIP/RWJF Quantitative Survey Collection and Use of Data on Race and Ethnicity Collection and Use of Data on Race and Ethnicity Americas Health Insurance Plans Background FAST FACTS The 137 plans that responded to the survey represent 88.1 million

Reports/Research/White Papers | 06/01/2004