Medi-Cal Managed Care 품질 개선 보고서
External Quality Review Technical Reports with Plan-Specific Evaluation Reports
외부 품질 검토 기관(EQRO)은 매년 독립적인 외부 품질 검토(EQR) 기술 보고서를 작성하여 메디칼 매니지 케어 의료 플랜(MCP)이 제공하는 의료 서비스에 대한 종합 정보를 분석 및 평가합니다. EQR 기술 보고서의 일부로 EQRO는 각 플랜에 대한 플랜별 평가 보고서를 작성합니다. 연방 규정집 제42장 §§ 438.362(c) 및 438.364(a)(7)에 따라, 면제되는 플랜 없이 모든 플랜이 EQR 보고 대상임을 알려드립니다.
아래 표는 지난 5년간의 관리형 진료 및 치과 품질 성과 EQR 기술 보고서를 찾을 수 있는 주요 출처입니다. 새로 발표된 보고서는 매년 4월 30일까지 게시됩니다.
| 보고서 유형 | 회계 연도 | 파일 이름 | URL |
|---|---|---|---|
| ATR | 2023-2024 회계연도 | 2023-24-EQR-Technical-Report-Executive-Summary | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Technical-Report-Exec-Sum-of-Findings-F1.pdf |
| 볼륨 1 | 2023-2024 회계연도 | 2023-24-Volume-1-Main-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Technical-Report-Vol1-F1.pdf |
| 볼륨 2 | 2023-2024 회계연도 | 2023-24-Volume-2-Plan-Specific-Evaluation-Reports | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Technical-Report-Vol2-F1.pdf |
| Volume 3 | 2023-2024 회계연도 | 2023-24-Volume-3-MCP-PM-Comparison | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Technical-Report-Vol3-F1.xlsx |
| 볼륨 4 | 2023-2024 회계연도 | 2023-24-Volume-4-Statewide-MCP-Specific-PM-Results-Race-Ethnicity | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Techinical-Report-Vol4-F1.xlsx |
| Volume 5 | 2023-2024 회계연도 | 2023-24-Volume-5-Medi-Cal-Managed-Care-Compliance-Review-Results-Comparison | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-External-Quality-Review-Technical-Report-Vol5-F1.xlsx |
| Volume 6 | 2023-2024 회계연도 | 2023-24-Volume-6-Validation-of-Network-Adequacy | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Technical-Report-Vol6-NAV-F2.pdf |
| Volume 7 | 2023-2024 회계연도 | 2023-24-Volume-7-Alternative-Access-Standards-Reporting | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Technical-Report-Vol7-AAS-F1.pdf |
| Volume 8 | 2023-2024 회계연도 | 2023-24-Volume-8-SNF-ICF-Experience-and-Distance-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-External-Quality-Review-Technical-Report-Vol8-SNF-ICF-F2.pdf |
| Volume 9 | 2023-2024 회계연도 | 2023-24-Volume-9-Timely-Access-Study-Results | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Technical-Report-Vol9-F1.xlsx |
| ATR | 2023-2024 회계연도 | 2023-24-Medi-Cal-Dental-Managed-Care-EQRO-ATR-Volume-1-of-2 | https://www.dhcs.ca.gov/services/Documents/MDSD/Dental-Managed-Care-Technical-Report-23-24-Volume-1.pdf |
| ATR | 2023-2024 회계연도 | 2023-24-Medi-Cal-Dental-Managed-Care-EQRO-ATR-Volume-2-of-2 | https://www.dhcs.ca.gov/services/Documents/MDSD/Dental-Managed-Care-Technical-Report-23-24-Volume-2.pdf |
| ATR | FY-2022-23 | 2022-23-EQR-Technical-Report-Executive-Summary | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-External-Quality-Review-Technical-Report-Executive-Summary-of-Findings.pdf |
| 볼륨 1 | FY-2022-23 | 2022-23-Volume-1-Main-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-Technical-Report-Volume-1.pdf |
| 볼륨 2 | FY-2022-23 | 2022-23-Volume-2-Plan-Specific-Evaluation-Reports | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-Technical-Report-Volume-2.pdf |
| Volume 3 | FY-2022-23 | 2022-23-Volume-3-MCP-Compliance-Review-Comparison | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-Technical-Report-Volume-3.xlsx |
| 볼륨 4 | FY-2022-23 | 2022-23-Volume-4-MCP-PM-Comparison | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-Technical-Report-Volume-4.xlsx |
| Volume 5 | FY-2022-23 | 2022-23-Volume-5-Alternative-Access-Standards-Reporting | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-Technical-Report-Volume-5.pdf |
| Volume 6 | FY-2022-23 | 2022-23-Volume-6-SNF-ICF-Experience-and-Distance-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-Technical-Report-Volume-6.pdf |
| ATR | FY-2022-23 | 2022-23-Medi-Cal-Dental-Managed-Care-EQRO-ATR | https://www.dhcs.ca.gov/services/Documents/CA2022-23-Dental-Managed-Care-External-Quality-Review-Technical-Report.pdf |
| ATR | FY-2021-22 | 2021-22-EQR-Technical-Report-Executive-Summary | https://www.dhcs.ca.gov/dataandstats/reports/Documents/MC-EQR-Executive-Summary.pdf |
| 볼륨 1 | FY-2021-22 | 2021-22-Volume-1-Main-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-MCMC-EQR-TR-Vol1-F1.pdf |
| 볼륨 2 | FY-2021-22 | 2021-22-Volume-2-Plan-Specific-Evaluation-Reports | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-MCMC-EQR-TR-Vol2-F1.pdf |
| Volume 3 | FY-2021-22 | 2021-22-Volume-3-MCP-PM-Comparison | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-MCMC-EQR-TR-Vol3-F1.xlsx |
| 볼륨 4 | FY-2021-22 | 2021-22-Volume-4-Alternative-Access-Standards-Reporting | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-MCMC-EQR-TR-Vol4-F1.pdf |
| Volume 5 | FY-2021-22 | 2021-22-Volume-5-SNF-ICF-Experience-and-Distance-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-MCMC-EQR-TR-Vol5-F1.pdf |
| ATR | FY-2021-22 | 2021-22-Medi-Cal-Dental-Managed-Care-EQRO-ATR | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-DentalMC-EQR-TR-F1.pdf |
| 볼륨 1 | 2020-21 회계연도 | 2020-21-Volume-1-Main-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/EQRTechRpt-Vol1.pdf |
| 볼륨 2 | 2020-21 회계연도 | 2020-21-Volume-2-Plan-Specific-Evaluation-Reports | https://www.dhcs.ca.gov/dataandstats/reports/Documents/EQRTechRpt-Vol2.pdf |
| Volume 3 | 2020-21 회계연도 | 2020-21-Volume-3-MCP-PM-Comparison | https://www.dhcs.ca.gov/dataandstats/reports/Documents/2020-21-EQRTechRpt-Vol3.xlsx |
| 볼륨 4 | 2020-21 회계연도 | 2020-21-Volume-4-Alternative-Access-Standards-Reporting | https://www.dhcs.ca.gov/dataandstats/reports/Documents/EQRTechRpt-Vol4.pdf |
| ATR | 2020-21 회계연도 | 2020-21-Medi-Cal-Dental-Managed-Care-EQRO-ATR | https://www.dhcs.ca.gov/dataandstats/reports/Documents/2020-21-DMC-EQR-Technical-Report.pdf |
| 볼륨 1 | 2019~20 회계연도 | 2019-20-Volume-1-Main-Report | https://www.dhcs.ca.gov/Documents/MCQMD/CA2019-20-EQR-Technical-Report-Vol1-F1.pdf |
| 볼륨 2 | 2019~20 회계연도 | 2019-20-Volume-2-Plan-Specific-Evaluation-Reports | https://www.dhcs.ca.gov/Documents/MCQMD/CA2019-20-EQR-Technical-Report-Vol2-F1.pdf |
| Volume 3 | 2019~20 회계연도 | 2019-20-Volume-3-Alternative-Access-Standards-Reporting | https://www.dhcs.ca.gov/Documents/MCQMD/CA2019-20-EQR-Technical-Report-Vol3-F2.pdf |
| 볼륨 1 | FY-2018-19 | 2018-19-Volume-1-Main-Report | https://www.dhcs.ca.gov/Documents/CA2018-19-EQR-Technical-Report-Vol1.pdf |
| 볼륨 2 | FY-2018-19 | 2018-19-Volume-2-Plan-Specific-Evaluation-Reports | https://www.dhcs.ca.gov/Documents/CA2018-19-EQR-Technical-Report-Vol2.pdf |
| Volume 3 | FY-2018-19 | 2018-19-Volume-3-Alternative-Access-Standards-Reporting | https://www.dhcs.ca.gov/Documents/CA2018-19-EQR-Technical-Report-Vol3.pdf |
| MCMC PH 경영진 요약 | FY-2024-25 | 메디칼 관리의료 PH 요약 2024-25 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-ExecSum-F1.pdf |
| PH EQR TR Vol 1 | FY-2024-25 | MCMC PH EQR TR 1권 - 주요 보고서 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol1-F1.pdf |
| PH EQR TR Vol 2 | FY-2024-25 | MCMC PH EQR TR 2권 - 플랜별 정보 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol2-F1.pdf |
| PH EQR TR Vol 3 | FY-2024-25 | MCMC PH EQR TR 볼륨 3 - MCP 성능 측정 결과 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol3-F2.xlsx |
| PH EQR TR Vol 4 | FY-2024-25 | MCMC PH EQR TR 4권 - 인종 및 민족별 MCP 성과 측정 결과 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol4-F1.xlsx |
| PH EQR TR Vol 5 | FY-2024-25 | MCMC PH EQR TR 5권 - 네트워크 적정성 검증 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol5-NAV-F1.pdf |
| PH EQR TR Vol 6 | FY-2024-25 | MCMC PH EQR TR 제6권 – 대체 접근 기준 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol6-AAS-F1.pdf |
| PH EQR TR Vol 7 | FY-2024-25 | MCMC PH EQR TR 7권 - SNF/ICF 경험 및 거리 보고 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol7-SNF-ICF-F1.pdf |
| PH EQR TR Vol 8 | FY-2024-25 | MCMC PH EQR TR 8권 - 적시 액세스 연구 결과 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol8-F1.xlsx |
| Dental EQR TR Vol 1 | FY-2024-25 | 치과 EQR TR 1권 – 메인 보고서 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-DentalMC-EQR-TR-Vol1-F2.pdf |
| Dental EQR TR Vol 2 | FY-2024-25 | Dental EQR TR 2권 - 네트워크 적정성 검증 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-DentalMC-EQR-TR-Vol2-NAV-F2.pdf |