HCFA Proposes Medicare Plan Report Cards


Medicare beneficiaries may soon receive more information about the effectiveness of the health plans they're enrolled in — or are considering joining.

HCFA has proposed guidelines for a Health Plan Management System, based in part on the National Committee for Quality Assurance's Health Plan Employer Data and Information Set, or HEDIS. Health plans would be required to collect information on several indicators, including frequency of certain procedures, effectiveness of care, member satisfaction and functional status of members. Theoretically, plans would use the data to improve care processes and to implement new quality-related programs and policies.

The agency was preparing to implement the guidelines soon after the comment period ended late last month.

Career Opportunities

HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

Apply via email to jfedder1@hfhs.org or online at http://p.rfer.us/HENRYFORDlXqAJA

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