Literature DB >> 11482593

The effects of disseminating performance data to health plans: results of qualitative research with the Medicare Managed Care plans.

F Smith1, M Gerteis, N Downey, J Lewy, S Edgman-Levitan.   

Abstract

OBJECTIVE: To assess the information needs and responses of managed care plans to the Medicare Managed Care Consumer Assessment of Health Plans Study (MMC-CAHPS). DATA SOURCES/STUDY
SETTING: One hundred sixty-five representatives of Medicare managed care plans participated in focus groups or interviews in the spring of 1998, 1999, and 2000. STUDY
DESIGN: In 1998 focus groups were conducted with representatives of managed care plans to develop and test a print report of MMC-CAHPS results. After the reports were disseminated focus groups and interviews were conducted in 1999 and 2000 to identify perceptions, uses, and potential enhancements of the report. DATA COLLECTION/EXTRACTION
METHODS: The study team conducted a total of 23 focus groups and 12 telephone interviews and analyzed the transcripts to identify major themes. PRINCIPAL
FINDINGS: In 1998 participants identified the report content and format that best enabled them to assess their performance relative to other Medicare managed care plans. In 1999 and 2000 participants described their responses to and uses of the report. They reported comparing the MMC-CAHPS results to internal surveys and presenting the results to senior managers, market analysts, and quality-improvement teams. They also indicated that the report's usefulness would be enhanced if it were received within six months of survey completion and if additional data analysis was presented.
CONCLUSIONS: Focus group results suggest that the MMC-CAHPS report enhances awareness and knowledge of the comparative performance of Medicare managed care plans. However, participants reported needing additional analysis of survey results to target quality-improvement activities on the populations with the most reported problems.

Entities:  

Mesh:

Year:  2001        PMID: 11482593      PMCID: PMC1089246     

Source DB:  PubMed          Journal:  Health Serv Res        ISSN: 0017-9124            Impact factor:   3.402


  9 in total

1.  Public disclosure of health care performance reports: experience, evidence and issues for policy.

Authors:  S Leatherman; D McCarthy
Journal:  Int J Qual Health Care       Date:  1999-04       Impact factor: 2.038

2.  The public release of performance data: what do we expect to gain? A review of the evidence.

Authors:  M N Marshall; P G Shekelle; S Leatherman; R H Brook
Journal:  JAMA       Date:  2000-04-12       Impact factor: 56.272

3.  Public release of performance data: a progress report from the front.

Authors:  A M Epstein
Journal:  JAMA       Date:  2000-04-12       Impact factor: 56.272

4.  Special issues addressed in the CAHPS survey of Medicare managed care beneficiaries. Consumer Assessment of Health Plans Study.

Authors:  J A Schnaier; S F Sweeny; V S Williams; B Kosiak; J S Lubalin; R D Hays; L D Harris-Kojetin
Journal:  Med Care       Date:  1999-03       Impact factor: 2.983

5.  How Pennsylvania hospitals have responded to publicly released reports on coronary artery bypass graft surgery.

Authors:  J M Bentley; D B Nash
Journal:  Jt Comm J Qual Improv       Date:  1998-01

Review 6.  Informing consumer decisions in health care: implications from decision-making research.

Authors:  J H Hibbard; P Slovic; J J Jewett
Journal:  Milbank Q       Date:  1997       Impact factor: 4.911

7.  Choosing a health plan: what information will consumers use?

Authors:  A Tumlinson; H Bottigheimer; P Mahoney; E M Stone; A Hendricks
Journal:  Health Aff (Millwood)       Date:  1997 May-Jun       Impact factor: 6.301

8.  The history and principles of managed competition.

Authors:  A C Enthoven
Journal:  Health Aff (Millwood)       Date:  1993       Impact factor: 6.301

9.  The ethics of accountability in managed care reform.

Authors:  N Daniels; J Sabin
Journal:  Health Aff (Millwood)       Date:  1998 Sep-Oct       Impact factor: 6.301

  9 in total
  2 in total

Review 1.  Use of qualitative methods in published health services and management research: a 10-year review.

Authors:  Bryan J Weiner; Halle R Amick; Jennifer L Lund; Shoou-Yih Daniel Lee; Timothy J Hoff
Journal:  Med Care Res Rev       Date:  2010-07-30       Impact factor: 3.929

2.  Implications of Variation in the Relationships between Beneficiary Characteristics and Medicare Advantage CAHPS Measures.

Authors:  Laura A Hatfield; Alan M Zaslavsky
Journal:  Health Serv Res       Date:  2016-08-08       Impact factor: 3.402

  2 in total

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