Medi-Cal Managed Care 품질 개선 보고서
연방 요건에 따라 캘리포니아주 Department of Health Care Services (DHCS))는 외부 품질 검토 기관(EQRO)과 계약하여 외부 품질 검토를 수행하고 Medi-Cal Managed Care 의료 보험(MCP)이 수혜자에게 제공하는 의료 서비스를 품질, 접근성 및 적시성 영역에서 평가합니다. EQRO는 이러한 외부 품질 검토 활동, 결과 및 평가를 보고서로 제시하여 DHCS 및 Medi-Cal MCP가 의료 서비스 품질을 더욱 개선하기 위해 자원을 집중할 위치를 파악하는 데 도움을 줍니다.
회원 만족도 설문조사(CAHPS® 설문조사)
Each Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey report aggregates the results of CAHPS® surveys, which ask Medi-Cal managed care beneficiaries to evaluate their experiences with their health care health care providers.
데이터 검증 연구 보고서 보기
EDV(조우 데이터 검증) 연구 보고서는 MCP가 DHCS에 제출한 조우 데이터의 완전성과 정확성을 검사합니다.
Managed Care Accountability Sets / External Accountability Sets
MCAS(Managed Care Accountability Sets) / EAS(External Accountability Set) 는 DHCS(보건복지부 산하 아동 및 가족 서비스국)가 Medi-Cal MCP(Medical Management Provider)의 연례 보고를 위해 선정한 성과 측정 지표 세트입니다.
MY23
MY22
- Medi-Cal 회원을 위한 품질 향상 - 측정 연도 2022년
- Medi-Cal Managed Care 계획: 2022년 도메인별 품질 점수
- 카운티 정신건강보험 평가 - 측정 연도 2022
MY21
외부 품질 검토 기술 보고서 및 계획별 평가 보고서
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.
건강 격차 보고서
The Health Disparity Reports identify and understand health disparities affecting California’s Medi-Cal managed care members and are based on focused studies conducted annually by the EQRO. The reports analyze Managed Care Accountability Set (MCAS) measure results reported by Medi-Cal managed care plans (MCPs) for various demographic categories.
HEDIS® 보고서
The Healthcare Effectiveness Data and Information Set (HEDIS®) Aggregate Report, also referred to as Performance Measurement Reports, provides performance rates of MCPs during a reporting year and trending using previous years’ data. The report also compares plan-specific and aggregated rates to national benchmarks.
예방 서비스 보고서
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
The 2023 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.
2022년 예방 서비스 보고서는 공중 보건 비상사태를 통해 Medi-Cal 매니지 케어 아동을 위한 예방 서비스의 적절한 활용을 파악하고 모니터링하는 데 도움이 됩니다.
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.