Quality Reporting

Availability of understandable and reliable information on patient outcomes and provider performance is essential to improving quality and helping consumers make informed choices. Making information available to providers on their performance can help them identify gaps in care, factors influencing patients’ improvement, and best practices that achieve desired results. In addition, public reporting of provider performance data can help patients make more informed choices about which providers and sites of care will best meet their needs.

For over two decades, health plans have worked with voluntary accreditation agencies and the employer community to develop a set of measures to evaluate health plan and provider performance. In addition, health plans-- both individually and through their participation in local community and regional activities-- collect, aggregate, and report data on practicing providers within the community/region. These reports provide information on the quality of care provided, utilization of health care services, and patient satisfaction and experience in these settings.

Latest Documents

Measuring The Performance Of Individual Physicians By Collecting Data From Multiple Health Plans: The Results Of A Two-State Test, Health Affairs

America’s Health Insurance Plans Foundation with support from the Robert Wood Johnson Foundation developed and tested in Florida and Colorado a consistent methodology for aggregating data across multiple health plans and reporting quality performance data to physicians. The project was one component of a larger effort called the High-Value Health Care Project. Insights and lessons learned documented in the article and issue brief can help inform future performance measurement efforts.

Articles | Strategic Communications | 04/01/2011

Measuring the Performance of Individual Physicians by Collecting Data from Multiple Health Plans - [PDF]

Summary/blurb: America’s Health Insurance Plans Foundation with support from the Robert Wood Johnson Foundation developed and tested in Florida and Colorado a consistent methodology for aggregating data across multiple health plans and reporting quality performance data to physicians. The project was one component of a larger effort called the High-Value Health Care Project. Insights and lessons learned documented in the article and issue brief can help inform future performance measurement efforts.

Reports/Fact Sheets/Briefs/Talking Points | 03/01/2011

Seniors in Medicare Advantage Receive Higher Quality Care, New Reports Show

To view the full report, please visit: www.AHIPResearch.

Press Releases | Strategic Communications | 09/15/2009

Health Insurance Plans Making a Difference: Driving Quality Improvement and Accountability - [PDF]

This survey of health plans, representing more than 95,000,000 covered lives, highlights the scope and variety of programs and initiatives targeting quality improvement. The survey data, collected in 2009, demonstrate health plan activities and programs that improve quality of care, patient safety, and reduce costs to the health care system.

Research | Strategic Communications | 07/01/2009

AHIP Statement on House Passage of the Genetic Information Nondiscrimination Act

(Washington, DC) - Karen Ignagni, President and CEO of America's Health Insurance Plans (AHIP), today issued the following statement commending the House on the passage of H.R.

Press Releases | Strategic Communications | 05/01/2008

AHIP Endorses 'Patient Charter' to Guide Physician Performance Measurement, Reporting

(Washington, DC) -Today, America's Health Insurance Plans (AHIP) joined other stakeholders, including major physician, consumer, employer, labor, and quality groups in supporting a standard set of guiding principles on physician performance measurement and reporting. These principles, which lay out best practices for health plans, employers, coalitions, and state governments with performance measurement and reporting systems, are outlined in the Patient Charter developed by the Consumer-Purchaser Disclosure Project.

Press Releases | Strategic Communications | 04/01/2008

Amerigroup: Coordinated Case Management

AHIP member company produced video - Amerigroup: Coordinated Case Management

Multimedia Library

Amerigroup: Dedicated Doctors and Nurses

AHIP member company produced video - Amerigroup: Dedicated Doctors and Nurses 

Multimedia Library

BCBS of Massachusetts: The Alternative Quality of Contract

AHIP member company produced video - BCBS of Massachusetts: The Alternative Quality of Contract 

Multimedia Library

Independence Blue Cross: Enabling Doctors and Nurses to Realize their Goals for Excellence

Independence Blue Cross video -  Enabling Doctors and Nurses to Realize their Goals for Excellence

Multimedia Library | Center for Policy and Research

Independence Blue Cross: Teaming Up to Address Patients’ Many Needs

Independence Blue Cross's doctors, nurses, medical assistants, and pharmacists work together to make sure that patients have the lab tests, primary and specialty care, and patient support they need to live healthy lives.

Multimedia Library | Center for Policy and Research

Molina: Shots for Shorties and Check Up or Check Out

AHIP member company produced video - Molina: Shorts for Shorties and Check Up or Check Out 

Multimedia Library

Sentara/Optima Health: The Wellness Payoff

AHIP member company produced video - Sentra/Optima Health: The Wellness Payoff 

Multimedia Library