Using standardized, industry accepted measures and our unique quality performance initiatives, QCP is used to support our shared mission with primary care providers to improve the health of our members.
The MQCP is an incentive program designed to recognize and reward the quality performance of maternity care practices serving our Medicaid members.
We have implemented a new reimbursement program for the submission of Obstetrical Needs Assessment Forms (ONAF). The incentive is available to all OB providers in our network, effective January 1, 2023.
With a focus on our Individual and Family plans population, this program allows eligible Jefferson Health Plans primary care providers to earn incentives for performance in key quality measures that help improve the health of our members.
The Consumer Assessment of Healthcare Providers and Systems, commonly known as CAHPS, is considered the national standard for measuring and reporting on consumers’ experiences with health plans, providers and services provided. We are committed to working collaboratively with our in-network providers to improve CAHPS results and overall member experience.
Every year, CMS administers the Health Outcomes Survey (HOS), which assesses the ability of an organization to maintain or improve the current physical and mental health status of its members. The results help evaluate how members view their current health status and if providers addressed their health concerns.