Case-study states have implemented a broad range of mechanisms to ensure high quality care for members. Therefore, their advice covers a wide range of issues.
- Have a plan, from the start, for quality improvement processes.
- Use multiple methods for obtaining beneficiary and provider feedback.
- Include physicians on advisory committees so that messages and recommendations are more palatable to their peers and greater PCP buy-in for program policies can be obtained.
- Provide a base for member outreach and education activities; conduct such activities on an ongoing basis.
- Hands-on beneficiary education can promote appropriate emergency room use and facilitate access to timely preventive care.
- Disease management programs are beneficial for the state, PCPs, and beneficiaries.