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Covered California Q&A

Covered California and Obamacare related questions from consumers, employers and agents are answered by Phil Daigle with the best information available at the time. Archived entries may no longer be accurate as the Covered California and Obamacare knowledge-base is evolving quickly. TO REQUEST A PERSONAL RESPONSE INCLUDE EMAIL ADDRESS.

How Can Exchange Improve Health Care Quality?

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Question: What power does the Exchange have to help to improve overall health care quality in California?

Answer: A recent Robert Wood Johnson Foundation Paper Exchanges & Quality -rwjf.org.pdf points out that states have a number of options for using their health insurance exchange to help drive quality improvement and delivery system reform, including:

  • Providing plan performance information on specific quality metrics important to consumers, so that they can more easily assess which plans do a better job providing the services they want.
  • Aligning quality improvement and reimbursement strategies for the exchange, Medi-Cal, CHIP, state employee benefits programs, and, possibly, private employer purchasing alliances, so that a critical mass of health plans are sending a common set of signals to their provider networks.
  • Using the exchange’s Web portal to give consumers relevant and actionable information on plan and provider quality, and Web-based decision support tools to promote higher-value plans as consumers consider their plan choices.

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