Medi-Cal 管理式医疗质量改进报告
External Quality Review Technical Reports with Plan-Specific Evaluation Reports
外部质量审查组织 (EQRO) 每年编写一份独立的外部质量审查 (EQR) 技术报告，对加州医疗保险管理式保健计划 (MCP) 提供的医疗保健服务的综合信息进行分析和评估。 作为 EQR 技术报告的一部分，EQRO 会针对每个计划编写具体的计划评估报告。根据《联邦法规汇编》第 42 篇第 438.362(c)和第 438.364(a)(7)条的规定，所有计划都必须进行 EQR 报告，任何计划都不例外。
下表是您查找前五年管理式保健和牙科质量绩效 EQR 技术报告的主要来源。新发布的报告将于每年 4 月 30 日前发布。
| 报告类型 | 财政年度 | 文件名 | URL |
|---|---|---|---|
| ATR | 2023-24财年 | 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 |
| 第 1 卷 | 2023-24财年 | 2023-24-Volume-1-Main-Report | https://www.dhcs.ca.gov/file/2023-24-volume-1-main-report/ |
| 第 2 卷 | 2023-24财年 | 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 | 2023-24财年 | 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 |
| 第 4 卷 | 2023-24财年 | 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 | 2023-24财年 | 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 | 2023-24财年 | 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 | 2023-24财年 | 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 | 2023-24财年 | 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 | 2023-24财年 | 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 | 2023-24财年 | 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 | 2023-24财年 | 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 | 2022-23 财政年度 | 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 |
| 第 1 卷 | 2022-23 财政年度 | 2022-23-Volume-1-Main-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-Technical-Report-Volume-1.pdf |
| 第 2 卷 | 2022-23 财政年度 | 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 | 2022-23 财政年度 | 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 |
| 第 4 卷 | 2022-23 财政年度 | 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 | 2022-23 财政年度 | 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 | 2022-23 财政年度 | 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 | 2022-23 财政年度 | 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 | 2021-22 财政年度 | 2021-22-EQR-Technical-Report-Executive-Summary | https://www.dhcs.ca.gov/dataandstats/reports/Documents/MC-EQR-Executive-Summary.pdf |
| 第 1 卷 | 2021-22 财政年度 | 2021-22-Volume-1-Main-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-MCMC-EQR-TR-Vol1-F1.pdf |
| 第 2 卷 | 2021-22 财政年度 | 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 | 2021-22 财政年度 | 2021-22-Volume-3-MCP-PM-Comparison | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-MCMC-EQR-TR-Vol3-F1.xlsx |
| 第 4 卷 | 2021-22 财政年度 | 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 | 2021-22 财政年度 | 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 | 2021-22 财政年度 | 2021-22-Medi-Cal-Dental-Managed-Care-EQRO-ATR | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-DentalMC-EQR-TR-F1.pdf |
| 第 1 卷 | 2020-21 财政年度 | 2020-21-Volume-1-Main-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/EQRTechRpt-Vol1.pdf |
| 第 2 卷 | 2020-21 财政年度 | 2020-21-Volume-2-Plan-Specific-Evaluation-Reports | https://www.dhcs.ca.gov/dataandstats/reports/Documents/EQRTechRpt-Vol2.pdf |
| Volume 3 | 2020-21 财政年度 | 2020-21-Volume-3-MCP-PM-Comparison | https://www.dhcs.ca.gov/dataandstats/reports/Documents/2020-21-EQRTechRpt-Vol3.xlsx |
| 第 4 卷 | 2020-21 财政年度 | 2020-21-Volume-4-Alternative-Access-Standards-Reporting | https://www.dhcs.ca.gov/dataandstats/reports/Documents/EQRTechRpt-Vol4.pdf |
| ATR | 2020-21 财政年度 | 2020-21-Medi-Cal-Dental-Managed-Care-EQRO-ATR | https://www.dhcs.ca.gov/dataandstats/reports/Documents/2020-21-DMC-EQR-Technical-Report.pdf |
| 第 1 卷 | 2019-20 财政年度 | 2019-20-Volume-1-Main-Report | https://www.dhcs.ca.gov/Documents/MCQMD/CA2019-20-EQR-Technical-Report-Vol1-F1.pdf |
| 第 2 卷 | 2019-20 财政年度 | 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 财政年度 | 2019-20-Volume-3-Alternative-Access-Standards-Reporting | https://www.dhcs.ca.gov/Documents/MCQMD/CA2019-20-EQR-Technical-Report-Vol3-F2.pdf |
| 第 1 卷 | FY-2018-19 | 2018-19-Volume-1-Main-Report | https://www.dhcs.ca.gov/Documents/CA2018-19-EQR-Technical-Report-Vol1.pdf |
| 第 2 卷 | 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 执行摘要 | 2024-25 财政年度 | Medi-Cal 管理式医疗保健 PH 执行摘要 2024-25 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-ExecSum-F1.pdf |
| PH EQR TR Vol 1 | 2024-25 财政年度 | MCMC PH EQR TR 第一卷--主要报告 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol1-F1.pdf |
| PH EQR TR Vol 2 | 2024-25 财政年度 | MCMC PH EQR TR 第 2 卷 - 具体计划信息 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol2-F1.pdf |
| PH EQR TR Vol 3 | 2024-25 财政年度 | MCMC PH EQR TR 第 3 卷 - MCP 绩效衡量结果 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol3-F2.xlsx |
| PH EQR TR Vol 4 | 2024-25 财政年度 | MCMC PH EQR TR 第 4 卷 – 按种族和民族划分的 MCP 绩效衡量结果 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol4-F1.xlsx |
| PH EQR TR Vol 5 | 2024-25 财政年度 | MCMC PH EQR TR 第 5 卷 – 网络充足性验证 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol5-NAV-F1.pdf |
| PH EQR TR Vol 6 | 2024-25 财政年度 | MCMC PH EQR TR 第 6 卷 - 替代通道标准 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol6-AAS-F1.pdf |
| PH EQR TR Vol 7 | 2024-25 财政年度 | MCMC PH EQR TR 第 7 卷 - SNF/ICF 经验和距离报告 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol7-SNF-ICF-F1.pdf |
| PH EQR TR Vol 8 | 2024-25 财政年度 | MCMC PH EQR TR 第 8 卷--及时获取研究结果 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol8-F1.xlsx |
| Dental EQR TR Vol 1 | 2024-25 财政年度 | 牙科 EQR TR 第一卷 - 主要报告 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-DentalMC-EQR-TR-Vol1-F2.pdf |
| Dental EQR TR Vol 2 | 2024-25 财政年度 | 牙科 EQR TR 第 2 卷 – 网络充足性验证 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-DentalMC-EQR-TR-Vol2-NAV-F2.pdf |