Colorado. Department of Health Care Policy and Financing.
Description
Our review of 35 states indicates that there is more activity now than ever before in the MMIS procurement and implementation space. MMIS solutions have evolved steadily since they were first mandated and funded in the 1970s. During the past four decades, Medicaid data, system processes and architecture, and transaction specifications have been standardized to allow for improved program management and broader health care IT interoperability. The State's...
Author
Description
In May 2012, Colorado submitted a proposal to the Center for Medicare and Medicaid Innovation (CMMI) within the Centers for Medicare and Medicaid Services (CMS) outlining its plan to integrate care for approximately 45,000 Coloradans who are fully eligible for Medicare and Medicaid and are not already participating in another recognized system that provides care coordination. The Department intends to expand upon its current Accountable Care Collaborative...
Description
As part of a comprehensive quality assurance effort, the Department required health plans to conduct client satisfaction surveys to ascertain differences between managed care clients, fee-for-service, and primary care clients. The intent of the requirement is to obtain measurement of client satisfaction, improvement of services based upon satisfaction levels, and the provision of informed choice to clients as they move into managed care programs.
Description
As part of a comprehensive quality assurance effort, the Department required health plans to conduct the CAHPS 2.0H survey of both adults and children. As evident in the results, each health plan has its own strengths and weaknesses. The survey results can be used to identify opportunities for improvement within each plan and across all plans.