Managed Care Quality Improvement and Accreditation
The Institute for Health Policy provides technical assistance to MDHHS and Michigan Medicaid Health Plans in the areas of quality improvement and accreditation. Examples of technical assistance provided to plans include focus groups, data analysis, assistance with quality improvement documentation and quality improvement education developed for plan staff.
Health plans interested in discussing TA should contact Kathleen Oberst.
IHP also offers accreditation seminars targeting Michigan Medicaid Health Plans in conjunction with the National Committee for Quality Assurance (NCQA).
Case Management/Disease Management Plan Assessment
At the request of MDHHS, IHP conducted a collaborative review of health plan Disease Management and Case Management programs. This review focused on program integration and communication, registries and staffing. Results were provided to individual plans, and an aggregate report was prepared to MDHHS.
Michigan Medicaid developed a comprehensive assessment of disease and case management programs in contracted health plans, focusing on integration, staffing, stratification, registries, and evaluation. Criteria were developed collaboratively with Michigan States University's Institute for Health Policy and DMAA. Written assessments were conducted for each plan, followed by on-site interviews. Pre-assessment and on-site findings were combined and analyzed for each targeted review element. Results were documented for each plan and aggregated across all plans. Commonalities and differences were identified, along with best practices among the plans. Plan-specific reports were disseminated, and aggregate findings were reported to MDHHS. MDHHS has included this activity in the Medicaid performance bonus and will work with plans to integrate and improve disease and case management programs.
Project Contact: Kathleen Oberst