Why choose Virginia Premier Medicare Advantage?
Virginia Premier has been serving the health care needs of Virginians for over 30 years. We understand the opportunities and health care challenges of this community. That is why we are bringing you this quality, affordable Medicare Advantage plan at competitive rates with personalized care and services.
How can Premier help with quality improvement?
Quality improvement made simple. Eliminate unjustified variation, report with ease, and set and exceed quality and safety benchmarks. Across the care continuum, Premier can help. If you were in the Top 25 of VBP reported in January 2020, chances are a Premier solution helped you get there.
How does premierconnect® Quality Save hospitals money?
Using PremierConnect® Quality, Frederick Memorial Hospital saved $1 million and decreased its sepsis mortality ratio by 45% . Performance dividend. Benchmark and manage clinical performance across the continuum of care.
What is covered by Virginia premier health insurance?
Emergency care: Hospital visits for emergencies and anything life threatening are covered. Virginia Premier covers medications prescribed by your doctor, including some over-the-counter drugs with a prescription. View the plan documents.
What does it mean to provide quality care?
Quality of care is the degree to which health services for individuals and populations increase the likelihood of desired health outcomes. It is based on evidence-based professional knowledge and is critical for achieving universal health coverage.
How does Medicare measure quality of care?
CMS implements quality initiatives to assure quality health care for Medicare Beneficiaries through accountability and public disclosure. CMS uses quality measures in its various quality initiatives that include quality improvement, pay for reporting, and public reporting.
What is a quality of care concern?
Quality of Care Concern: A concern that care provided did not meet a professionally recognized standard of health care. A general quality of care review or a beneficiary complaint review may cover a single or multiple concerns.
What is quality care reporting?
Public reporting of health care quality data allows consumers, patients, payers, and health care providers to access information about how clinicians, hospitals, clinics, long-term care (LTC) facilities, and insurance plans perform on health care quality measures.
Who sets standards for quality care?
For health care professionals, standards are set through state licensure, board certification, and accrediting and credentialing programs. For drugs and devices, the FDA plays a critical role in standard setting. In general, current standards in health care do not provide adequate focus on patient safety.
What are 5 factors that identify quality healthcare?
He identified 182 attributes of quality healthcare and grouped them into five categories: environment, empathy, efficiency, effectiveness and efficacy.
Why is quality of care important?
Quality care is important because it focuses on improving health outcomes. The healthier you are, the happier we are. HQW not only celebrates the progress of the healthcare industry, but also uses this time to find new ways we can improve upon our existing care.
What are the six priorities for high quality care?
A set of six quality priorities for fast-tracking improvement have been identified, these include safety and security, long waiting times, drug availability, nursing attitude, infection prevention and control and values of staff.
Do Medicare patients get worse care?
Medicare's Price Controls Make It Harder to Find Care All the current deficiencies of traditional Medicare will only get worse as physicians start disappearing from medical practice.
Which 4 factors contribute to quality of care?
To understand why, we have to realize that health includes more than just health care.The Social and Economic Environment.Health Behavior.Clinical Care.The Physical Environment.
Who defines quality of care?
A decade later the Institute of Medicine (IOM) in the US defined quality of care as “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge” (see Table 1.1).
What are the 3 types of measures for quality improvement?
Three Types of Measures Use a balanced set of measures for all improvement efforts: outcomes measures, process measures, and balancing measures.
How many stars will Medicare Advantage have in 2021?
Most Medicare beneficiaries – about 77 percent – who enroll in Medicare Advantage plans with drug coverage will be in plans with four or more stars in 2021.
How many Medicare Advantage plans will be available in 2021?
The Medicare Advantage average monthly premium will be the lowest in 14 years (since 2007) for the more than 26 million Medicare beneficiaries projected to enroll in Medicare Advantage plans for 2021. Also, for the first time, seniors who use insulin will have more than 1,600 Medicare Advantage and Part D prescription drug plans to choose from ...
What percentage of Medicare beneficiaries will have a stand alone plan in 2021?
More Medicare beneficiaries will have access to higher-quality stand-alone Medicare Part D prescription drug plans. Based on current enrollment, about 98 percent of beneficiaries enrolled in stand-alone prescription drug plans for 2021 will be in plans with 3.5 stars or higher, an increase from about 70 percent in 2020.
What is the average star rating for a stand alone prescription drug plan?
The average Star Rating for a stand-alone prescription drug plan rose to 3.58 in 2021 from 3.50 in 2020. The Star Ratings system helps Medicare beneficiaries, their families, and their caregivers compare the quality of Medicare health and drug plans.
When will Medicare Part D be available?
Oct 08, 2020. Medicare Part D. Today, the Centers for Medicare & Medicaid Services (CMS) announced that Medicare beneficiaries will continue to have access to high-quality Medicare Advantage and Part D prescription drug plans in 2021.
Can Medicare be changed in 2021?
During this time, Medicare beneficiaries can compare coverage options like Original Medicare and Medicare Advantage, and choose health and drug plans for 2021. Medicare health and drug plan costs and covered benefits can change from year to year, so people with Medicare should look at their coverage choices and decide on the options ...
Quality improvement made simple
Eliminate unjustified variation, report with ease, and set and exceed quality and safety benchmarks. Across the care continuum, Premier can help.
Quality Improvement Solutions
Performance dividend. Benchmark and manage clinical performance across the continuum of care. Learn more.
Explore all of our solutions and let us help you find the best fit
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How does CMS improve quality of care?
CMS is pursuing a vision to improve the quality of health care by expanding the information available about quality of care and through direct incentives to reward the delivery of superior quality care. Through the Premier Hospital Quality Incentive Demonstration, CMS aims to see a significant improvement in the quality of inpatient care by awarding bonus payments to hospitals for high quality in several clinical areas, and by reporting extensive quality data on the CMS web site. Premier was selected for the demonstration because, through its database of hospitals in the Premier Perspective system, it has the ability to track and report quality data for 34 quality measures for each of its hospitals. This capability to immediately provide such a broad set of quality data makes the Premier database operationally unique and enables a rapid test of the concept of incentives for high performance in several areas of quality.
What is the Premier Hospital Quality Incentive Demonstration?
The Premier Hospital Quality Incentive Demonstration will recognize and provide financial rewards to hospitals that demonstrate high quality performance in a number of areas of acute care. The demonstration involves a CMS partnership with Premier Inc., a nationwide organization of not-for-profit hospitals, and will reward participating top performing hospitals by increasing their payment for Medicare patients. Participating hospitals’ performance under the demonstration will be posted at www.cms.hhs.gov for health care professionals.
When is Medicare enrollment?
The Medicare enrollment period for individuals who are both Medicaid and Medicare eligible is once a quarter for the period January 1 – March 31; April 1 – June 30th, and July 1 – September 30th. Your coverage will be effective on the first of the month following your enrollment. You are also eligible ...
What is the D-SNP benefit for 2021?
You get your D-SNP dental added benefit on top of your Virginia Medicaid CCC Plus adult dental coverage. Comprehensive Dental. Coverage included by Virginia Medicaid as of July 1, 2021. $3,000 per year for fillings, extractions, crowns, dentures, implants and bridges.
