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(Washington,
DC) - The American Association of Health Plans (AAHP) today
announced the results of a one-year, nationwide initiative
to identify best managed care practices for safeguarding and
improving the health of women with breast cancer. The
report, supported by The Commonwealth Fund, highlights
exemplary breast cancer programs developed by Humana Health
Plan of Chicago, Keystone Mercy Health Plan of Pennsylvania,
Kaiser Permanente of California in partnership with WIN
Against Breast Cancer, and Blue Cross Blue Shield of
Massachusetts in partnership with the American Psychological
Association.
The report is
the first of four included in a new series, Best Practices
in Women’s Health :Identifying Exemplary Care, that
highlights fundamental features of organized care that
improve the health of patient populations in ways that the
old system could not. Each of the four reports identifies
exemplary, model programs, gleaned from more than a thousand
AAHP member health plans across the country and provides key
questions that women can ask to determine if their plan
incorporates important practices and features of these
models.
"The
Commonwealth Fund was interested in identifying exemplary
models of delivering care in important areas of women's
health," said Karen Scott Collins, Assistant Vice
President at The Commonwealth Fund. "The Fund's hope is
that this information will encourage widespread adoptions of
these kinds of practices."
"Most
people don't realize that every day women's lives are being
saved and their quality of life improved because health
plans have developed programs that safeguard women's health
-programs that were not possible when individuals went to
doctors and simply sent a bill to their insurance company
for reimbursement," said Karen Ignagni, President of
AAHP.
For example,
the plans highlighted in the breast cancer report have
created strategies to increase the early detection and
treatment of breast cancer by creating comprehensive
tracking Systems, improving access to preventive health care
services, and broadening treatment approaches to serve a
patient's complex needs - those of her body, mind and
spirit. Other issues included in the report range from
ensuring that breast care centers are accredited by the
American College of Radiology to monitoring the quality of
individual physician practices to conducting aggressive
outreach to under-served women.
Because
managed care plans provide care for large populations of
women, they can implement new systems that track and
evaluate programs to ensure that more women receive
exemplary treatment. In addition, the managed care community
can share information about what works best, and in that
way, can improve care for increasingly large numbers of
patients.
The programs
were identified by a Women's Health Task Force convened by
AAHP. The panel comprises women's health experts, including
primary care physicians, women's health specialists, health
educators, patient advocates, health policy experts and
people who specialize in assessing treatment quality and
analyzing health care systems.
AAHP will
release the three other reports in the series - on domestic
violence, obstetrics and prenatal care, and hormone
replacement therapy and other mid-life issues - over the
next several months. All of the reports are derived from
longer, technical reports called Advancing Women’s Health:
Health Plans' Innovative Programs. The Commonwealth Fund
provided support to AAHP for the one-year women's health
initiative.
The American
Association of Health Plans represents over 1,000 HMOs, PPOs
and other similar health plans that provide coverage for 140
million Americans.
The
Commonwealth Fund, a New York City based national
foundation, undertakes independent research on health and
social issues.
Last Updated:
02/12/2003
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