Quality Management and Improvement in North Carolina Medicaid Managed Care
1deputy director, Quality and Population Health, Division of Health Benefits, NC Medicaid, Raleigh, North Carolina Kelly.crosbie@dhhs.nc.gov.
Abstract:
Federal managed care rules require that the services delivered through Medicaid prepaid health plans are available, accessible, and continually being evaluated for improvement. Working with stakeholders, NC Medicaid created a Quality Strategy that serves as a roadmap to measure and oversee performance. NC Medicaid will make a variety of quality reports available including network access, annual quality measures, and provider survey results.
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