Cover
Title page
Copyright
Preface
Contents
Figures
Tables
Summary
Acknowledgments
Abbreviations
1.1 Background: The Role of Employers Under the National Quality Strategy
1.2 Purpose of the Report
2.2 Environmental Scan
2.4 Interviews with Employers and Business Coalition Representatives
3.1 Understanding the Anatomy of a Health Plan
3.2 Defining Care Processes for Measurement Purposes
3.4 Measuring Quality of Health Care
4.1 Network Management
4.2 Payment Arrangements
5.2 Cost-Sharing Provisions
5.3 Care Management
Products and Services for Chronic Condition Management
Products and Services for Curative Care
Products and Services for Health Promotion
5.4 Evaluation of Member-Facing Characteristics of Health Plans
6. Process Measures
Definition
Definition
State of Measurement Science
Definition
State of Measurement Science
6.4 Evaluation of Current State of Process Quality Measurement
7. Outcomes Measures
State of Measurement Science
Definition
Definition
7.4 Evaluation of Current State of Outcomes Measurement
Decision Tools
Employer Coalitions
Benefits Consultants
Cost Is the Primary Driver
General Reputation of Plans Influences Purchasing Decisions
Quality-Enhancing Products and Services Are Considered Low Priority
9.2 Current State of Employer Decision Tools Regarding Quality of Care
9.3 Current State of Employer Decision Process for Quality of Care
9.4 Implications for Research Agenda
Appendix A: Description of Summary of Benefits and Coverage and Glossary of Terms
Appendix B: Description of Search Strategies and Tools
Appendix C: Descriptions of Quality Measurement and Reporting Organizations
Appendix D: Descriptions of Quality Measurement and Reporting Organizations
References