Cascade Health Alliance has many quality initiatives to measure and promote improvement.
OREGON HEALTH AUTHORITY INCENTIVE MEASURES
The Oregon Health Authority is using quality health metrics to show how well Coordinated Care Organizations (CCOs) are improving care, making quality care accessible, eliminating health disparities, and curbing the rising cost of health care.
Outcome and quality measures have been developed by the Metrics and Scoring Committee. Funds from a quality pool is awarded to CCOs based on their annual performance on these CCO Incentive Measures.
NCQA HEDIS REQUIREMENTS
The Health Care Effectiveness Data and Information Set (HEDIS) is a tool used by more than 90 percent of America’s health plans to measure performance on important dimensions of care and service. Altogether, HEDIS consists of 81 measures across 5 domains of care. Because so many plans collect HEDIS data, and because the measures are so specifically defined, HEDIS makes it possible to compare the performance of health plans on an “apples-to-apples” basis. – See more at:
MEDICARE STAR RATINGS
Medicare uses a Star Rating System to measure how well Medicare, Medicare Advantage and (Part D) plans perform. Medicare scores how well plans did in several categories, including quality of care and customer service. Ratings range from 1 to 5 stars, with five being the highest and one being the lowest score. Medicare assigns plans one overall star rating to summarize the plan’s performance as a whole. Plans also get separate star ratings in each individual category reviewed. The overall star rating score provides a way to compare performance among several plans.