AJMC March 9, 2023
Steven C. Martino, PhD and Megan Mathews, MS

Health plans use data to decide on quality improvement initiatives. Having a dashboard that characterizes how equitably plans are serving their enrollees would promote health equity.

ABSTRACT

Objective: To describe a multistage process of designing and evaluating a dashboard that presents data on how equitably health plans provide care for their members.

Study Design: We designed a dashboard for presenting summative and finer-grained data to health plans for characterizing how well plans are serving individuals who belong to racial/ethnic minority groups and individuals with low income. The data presented in the dashboard were based on CMS’ Health Equity Summary Score (HESS) for Medicare Advantage plans.

Methods: Interviews and listening sessions were conducted with health plan representatives and other...

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Topics: CMS, Equity/SDOH, Govt Agencies, Healthcare System, Insurance, Medicare, Medicare Advantage, Patient / Consumer, Provider
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