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ce.effectivehealthcare.ahrq.gov/ncepcr/care/coordination/atlas/chapter6t.html
June 01, 2014 - Data
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All-Payer Claims … within 24 hours of discharge. 1
Format/Data Source: This process measure requires administrative claims … all of the specified elements. 1
Format/Data Source: This process measure requires administrative claims … missed a scheduled appointment. 1
Format/Data Source: This process measure requires administrative claims
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ce.effectivehealthcare.ahrq.gov/challenges/patient-safety-tools/index.html
February 01, 2024 - Data
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All-Payer Claims … Agrees to assume any and all risks and waive claims against the Federal Government and its related entities … Agrees to indemnify the Federal Government against third-party claims for damages arising from or related
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ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary2.html
September 01, 2015 - Data
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All-Payer Claims … Access to fee-for-service claims data enables but does not guarantee that all administrative measures … However, given delays in claims processing and infrequent reporting periods, the reports were difficult
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ce.effectivehealthcare.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6q-custservice-standards.html
March 01, 2020 - Data
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All-Payer Claims … Developed a broader range of self-service options (e.g., change own address or PCP, see claims status … Improved internal communication and workflow between Customer Service and Claims departments to resolve … members' inquiries about claims.
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ce.effectivehealthcare.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6n-price-transparency.html
March 01, 2020 - Data
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All-Payer Claims … Another option for external benchmarks and other data are the all-payer claims databases (APCD) that … Based on BCBSNC claims data over a 12-month period, the tool reports the average total costs for the … with 18 self-insured employers, the study found that use of the tool was associated with lower total claims
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ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/832.html
September 01, 2022 - Data
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All-Payer Claims … In recent years, multiple frailty indexes based on insurance claims have been developed. … However, healthcare providers often lack access to the insurance claims records of their entire patient
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ce.effectivehealthcare.ahrq.gov/npsd/how-does-npsd-work/index.html
February 01, 2024 - Data
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All-Payer Claims … agencies typically focus on all eligible members of the population identified using administrative claims
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ce.effectivehealthcare.ahrq.gov/talkingquality/translate/organize/datasource.html
November 01, 2018 - Data
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All-Payer Claims … access to information from one particular source of data—a patient experience survey, administrative/claims
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab3-1.html
April 01, 2018 - Data
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All-Payer Claims … References
Practice ID
Electronic Data Sources
Patients Included in Study
EMR
PHO Claims
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ce.effectivehealthcare.ahrq.gov/talkingquality/translate/organize/index.html
March 01, 2016 - Data
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All-Payer Claims … process, outcome, patient experience)
Organizing Measures by Data Source (e.g., medical records, claims
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ce.effectivehealthcare.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapb.html
March 01, 2013 - Data
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All-Payer Claims … Administrative Clinical Data: Data such as enrollment or eligibility information, claims information … The claims and encounters may be for hospital and other facility services, professional services, prescription
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ce.effectivehealthcare.ahrq.gov/research/publications/pubcomguide/pcguide2apc.html
June 01, 2020 - Data
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All-Payer Claims … sources of all content are specifically identified and references are provided for health and scientific claims
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/ambulatory/diagnostic-safety/toolkit.html
November 01, 2018 - Data
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All-Payer Claims … Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims.
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/202104.html
October 01, 2021 - Data
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All-Payer Claims … The major point is not about lowering costs with claims, but to resolve unexpected issues so that patients
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ce.effectivehealthcare.ahrq.gov/talkingquality/measures/setting/hospitals/databases.html
January 01, 2023 - Data
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All-Payer Claims … MEDPAR contains data from claims for services provided to beneficiaries admitted to Medicare-certified
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ce.effectivehealthcare.ahrq.gov/data/meps.html
March 01, 2023 - Data
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All-Payer Claims … Data Infographics
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All-Payer Claims
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ce.effectivehealthcare.ahrq.gov/data/data-tools/index.html
July 01, 2022 - Data
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All-Payer Claims … Data Infographics
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All-Payer Claims
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ce.effectivehealthcare.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/report.html
October 01, 2015 - Data
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All-Payer Claims … transformation activities
Quantitative data provided by clinics and insurers: Quality indicators; claims … A1c levels for diabetes patients, and patient satisfaction surveys. 15 Martsolf and colleagues used claims … A gross-costing method uses aggregated data, such as general ledger or claims data, to retrospectively … When claims data are used, they may not reflect all of the costs related to transformation efforts incurred
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ce.effectivehealthcare.ahrq.gov/ncepcr/reports/cost-guide/synthesis-report.html
February 01, 2017 - Data
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All-Payer Claims … Quantitative data provided by clinics and insurers: Quality indicators; claims/billing data; organizational … A1c levels for diabetes patients, and patient satisfaction surveys. 15 Martsolf and colleagues used claims … A gross-costing method uses aggregated data, such as general ledger or claims data, to retrospectively … When claims data are used, they may not reflect all of the costs related to transformation efforts incurred
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-6.html
June 01, 2021 - Data
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All-Payer Claims … Learning from malpractice claims about negligent, adverse events in primary care in the United States … Serious misdiagnosis-related harms in malpractice claims: the “Big Three” – vascular events, infections