The Patient Protection and Affordable Care Act (PPACA) contains several quality-related requirements for carriers offering plans in the Health Insurance Marketplace (HIM). Carriers will be required to implement quality improvement strategies, enhance patient safety through specific contracting requirements, and publicly report quality data.
The U.S. Department of Health and Human Services (HHS) will develop a quality rating system and an enrollee satisfaction survey system, the results of which will be displayed for consumers to compare plan performance. HHS will specify these reporting requirements in future rulemaking but has indicated that it intends to propose a phased approach to quality reporting and display standards.
ACHI has been working with the Arkansas Insurance Department (AID) to implement the quality reporting requirements and to provide research regarding existing quality initiatives and state-specific quality reporting needs. ACHI is also working with AID to determine the most appropriate mechanism to capture and report health plan quality data, with a particular focus on the composition of claims databases such as all payer claims databases for use in measuring plan quality.
This project has been tagged under the following ACHI categories. To learn more about other projects in these categories, please click one of the links below.