Medi-Cal Managed Care Quality Improvement Reports
Rov qab mus rau Managed Care Monitoring
Raws li tsoomfwv txoj cai lij choj, Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv California (DHCS) tau cog lus nrog lub koom haum saib xyuas kev noj qab haus huv sab nraud (EQRO) los ua kev tshuaj xyuas sab nraud thiab ntsuas kev saib xyuas muab rau cov neeg tau txais txiaj ntsig los ntawm Medi-Cal cov phiaj xwm kev saib xyuas kev noj qab haus huv (MCPs) hauv thaj tsam ntawm kev ua tau zoo, kev nkag mus tau, thiab sijhawm sijhawm. EQRO nthuav tawm cov kev tshuaj xyuas zoo sab nraud, cov txiaj ntsig, thiab kev ntsuas hauv cov ntawv ceeb toom uas pab DHCS thiab Medi-Cal MCPs nkag siab qhov twg yuav tsom mus rau cov peev txheej txhawm rau txhim kho kev saib xyuas zoo.
Kev Tshawb Fawb Kev Txaus Siab rau Cov Tswv Cuab (CAHPS ® Kev Tshawb Fawb)
Ib Tus Neeg Muab Kev Soj Ntsuam Cov Neeg Muab Kev Pab Kho Mob thiab Cov Neeg Muab Kev Pab Kho Mob thiab Cov Neeg Muab Kev Pab Kho Mob (CAHPS®) daim ntawv ntsuam xyuas txog kev sojntsuam aggregates los ntawm CAHPS® kev sojntsuam, uas nug Medi-Cal tswj cov kev pab cuam los ntsuam xyuas lawv tej kev pab kho mob uas lawv cov kws kho mob muab kev pab kho mob.
Sib ntsib Cov Ntaub Ntawv Kev Tshawb Fawb Kev Tshawb Fawb
Encounter Data Validation (EDV) Study Reports soj ntsuam qhov ua tiav thiab raug ntawm cov ntaub ntawv ntsib xa mus rau DHCS los ntawm MCPs.
Managed Care Accountability Sets/External Accountability Sets
Cov Txheej Txheem Kev Lav Ris Haujlwm Saib Xyuas Kev Kho Mob (MCAS) / Cov Txheej Txheem Kev Lav Ris Haujlwm Sab Nraud (EAS) yog ib pawg ntawm cov kev ntsuas kev ua tau zoo uas DHCS xaiv rau kev tshaj tawm txhua xyoo los ntawm Medi-Cal MCPs.
MY23
- Txhim kho qhov zoo rau cov tswv cuab Medi-Cal - Kev Ntsuas Xyoo 2023
- Medi-Cal Managed Care Plans: 2023 Cov qhab nia zoo los ntawm Domain
- Kev Ntsuas Kev Npaj Kho Mob Tus cwj pwm ntawm Lub Nroog - Xyoo Ntsuas 2023
MY22
- Txhim kho qhov zoo rau cov tswv cuab Medi-Cal - Kev Ntsuas Xyoo 2022
- Medi-Cal Managed Care Plans: 2022 Cov qhab nia zoo los ntawm Domain
- County Behavioral Health Plan Ratings – Measurement Year 2022
MY21
External Quality Reviews Technical Reports thiab Plan-Specific Evaluation Reports
The EQRO annually prepares an independent external quality review technical report that analyzes and evaluates aggregated information on the health care services provided by Medi-Cal MCPs. As part of the external quality review technical report, the EQRO prepares a plan-specific evaluation report of each of MCP.
Access these reports on the Medi-Cal Managed Care External Quality Review Technical Reports with Plan-Specific Evaluation Reports.
Daim ntawv qhia txog kev tsis sib haum xeeb
Cov Ntawv Qhia Txog Kev Tsis Sib Haum Xeeb Txog Kev Noj Qab Haus Huv txheeb xyuas thiab nkag siab txog kev tsis sib haum xeeb txog kev noj qab haus huv uas cuam tshuam rau cov tswv cuab ntawm Medi-Cal uas tau tswj hwm hauv California thiab yog raws li kev tshawb fawb uas tau ua txhua xyoo los ntawm EQRO. Cov ntawv ceeb toom tshuaj xyuas cov txiaj ntsig ntsuas Managed Care Accountability Set (MCAS) uas tau tshaj tawm los ntawm Medi-Cal cov phiaj xwm kev kho mob (MCPs) rau ntau pawg neeg.
HEDIS ® Reports
Cov Ntaub Ntawv Qhia Txog Kev Noj Qab Haus Huv thiab Cov Ntaub Ntawv Qhia Txog Kev Noj Qab Haus Huv (HEDIS ® ) Daim Ntawv Qhia Tag Nrho, tseem hu ua Kev Ntsuas Kev Ntsuas, muab cov kev ua tau zoo ntawm MCPs thaum lub xyoo tshaj tawm thiab kev siv cov ntaub ntawv xyoo dhau los. Daim ntawv tshaj tawm kuj sib piv cov phiaj xwm tshwj xeeb thiab cov nqi sib sau ua ke rau cov qauv ntsuas hauv tebchaws.
Daim Ntawv Qhia Txog Kev Tiv Thaiv
The 2024 Preventive Services Report and Executive Summary assists with identifying and monitoring appropriate utilization of preventive services for children in Medi-Cal Managed Care through the public health emergency
Daim Ntawv Qhia Txog Kev Pabcuam Tiv Thaiv Xyoo 2023 thiab Cov Lus Qhia Tseem Ceeb Pab txheeb xyuas thiab saib xyuas kev siv cov kev pabcuam tiv thaiv rau cov menyuam yaus hauv Medi-Cal Managed Care thaum muaj xwm txheej ceev hauv zej zog.
Daim Ntawv Qhia Txog Kev Pabcuam Tiv Thaiv Xyoo 2022 pab txheeb xyuas thiab saib xyuas kev siv cov kev pabcuam tiv thaiv zoo rau cov menyuam yaus hauv Medi-Cal Managed Care los ntawm kev kho mob xwm txheej ceev rau pej xeem.
The 2021 Preventive Services Report and Executive Summaryassist with identifying and monitoring appropriate utilization of preventive services for children in Medi-Cal Managed Care.
The 2020 Preventive Services Report and Addendum assesses the provision of preventive services by pediatric Medi-Cal managed care members.