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effectivehealthcare.ahrq.gov/products/patient-outcomes-symposium/executive
May 03, 2012 - Hernán
Identification of Metastatic Cancer in Claims Data .
B. L. Nordstrom, J. L. Whyte, M. … Kallich
Linkage of Routinely Collected Oncology Clinical Data with Health Insurance Claims Data—an
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effectivehealthcare.ahrq.gov/products/diabetes-glucose-control/research
August 04, 2010 - The data, from i3Innovus, includes pharmacy claims and inpatient and outpatient services. … Additionally, a separate, linkable file is available which includes pharmacy claims for prescription … We requested all available data from the medical claims file and the prescription drug file, and limited … A limitation of this study is under-coding of diagnoses in claims data; obesity is often under-coded … Identifying persons with diabetes using Medicare claims data. Am J Med Qual 1999;14:270-277.
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effectivehealthcare.ahrq.gov/products/distributed-network-blueprint/research
June 23, 2010 - (e.g., developing a distributed practice-based data network, linked longitudinal administrative and claims … For example, an encounter-based patient-level model (a model consistent with claims and electronic medical … The best sources are ones that maintain administrative and claims data together with EMR data. … Although the combination of administrative, claims, and EMR data for defined populations is preferred … New data sources could include additional health plans with administrative and claims data.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-topics_methods.pdf
July 01, 2012 - Examples of initially ambiguous claims that were clarified through the process
of topic development
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effectivehealthcare.ahrq.gov/products/registries-linking-records-methods/research
September 29, 2014 - enhance health services research, especially when linked with other data sources such as administrative claims
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effectivehealthcare.ahrq.gov/sites/default/files/communicating_risk_media_wilkes.ppt
April 01, 2006 - There were also claims that in response, industry pushed their funded researchers boycott JAMA.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/hypertension-drugs-utilization_research.pdf
January 25, 2011 - Definition of Hypertension: Individuals
were determined to have hypertension
if they had one or more claims … of Payments for
Antihypertensive Drugs: For each of
the study years of interest, we used Part
D claims … vaccine
administration fee (which only
became effective in 2008) across all
antihypertensive drug claims … pay, true out-of-pocket amount, and the
low-income subsidy amount across all
antihypertensive drug claims … Antihypertensive Drugs, by 2006-2009
HRR; Adjusted by Age Category, Gender, Number of Prescription Claims
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-glucose-control_research.pdf
July 01, 2010 - The data, from i3Innovus, includes pharmacy claims
and inpatient and outpatient services. … Additionally, a separate, linkable
file is available which includes pharmacy claims for prescription … We requested all available data
from the medical claims file and the prescription drug file, and limited … A limitation of this study is under-coding of diagnoses in claims data; obesity is often
under-coded … Identifying persons with diabetes using
Medicare claims data.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/medicare-utilization-seniors_research.pdf
June 01, 2012 - We included all Medicare claims for the
initial six months of eligibility for these individuals. … ” and thus the appropriate
focus of a Medicare claims-based analysis.5 Therefore, we restricted our … analysis of health care use and diagnoses to individuals likely to have
complete claims. … In Acute Inpatient claims, the third
digit of the provider number is 0 or the third and fourth digits … Among new enrollees with observable claims histories, we found a con-
sistently higher percentage of
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effectivehealthcare.ahrq.gov/sites/default/files/data-points-7-tables1.pdf
August 22, 2011 - 1
Table 1. Proportion of Beneficiaries With and Without Cancer Diagnosis Prior to First Biologics Order Among Beneficiaries Satisfying a Period of
Continuous AB FFS Enrollment Prior to First Relevant Claim by Class of Drug, Active Ingredient, and Period of Continuous Enrollment, 2006-2009
Note: An asterisk (*) sign…
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effectivehealthcare.ahrq.gov/sites/default/files/data-points-7-tables.pdf
August 22, 2011 - 1
Table 1. Proportion of Beneficiaries With and Without Cancer Diagnosis Prior to First Biologics Order Among Beneficiaries Satisfying a Period of
Continuous AB FFS Enrollment Prior to First Relevant Claim by Class of Drug, Active Ingredient, and Period of Continuous Enrollment, 2006-2009
Note: An asterisk (*) sign…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/medical-test-reviews-frameworks.ppt
June 01, 2012 - An ambiguous description of the claims regarding the test that does not identify:
The target population … Test accuracy is often used as an intermediate outcome to support claims about tests. he reviewer must … The initial claims in each case are ambiguous. … topic development must involve the stakeholders in an interactive and iterative process to clarify the claims … setting) typology, analytic frameworks, and decision trees should be used to minimize ambiguity in test claims
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effectivehealthcare.ahrq.gov/sites/default/files/medical-test-reviews-frameworks.ppt
June 01, 2012 - An ambiguous description of the claims regarding the test that does not identify:
The target population … Test accuracy is often used as an intermediate outcome to support claims about tests. he reviewer must … The initial claims in each case are ambiguous. … topic development must involve the stakeholders in an interactive and iterative process to clarify the claims … setting) typology, analytic frameworks, and decision trees should be used to minimize ambiguity in test claims
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effectivehealthcare.ahrq.gov/get-involved/nominated-topics/evidence-gaps-for-mhealth-tools-in-diabetes
May 10, 2016 - payers from making coverage policies and causing some skepticism about the potential for fraudulent claims
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/distributed-network-blueprint_research.pdf
June 01, 2010 - e.g., developing a distributed practice-based data network, linked
longitudinal administrative and claims … For example, an encounter-based patient-level model (a model consistent with claims and
electronic medical … The best sources are ones that maintain administrative and claims data together with EMR data. … Although the combination of administrative, claims, and EMR data for defined populations is
preferred … New data sources could include additional health plans with
administrative and claims data.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/medicare-eligible-disabled_research.pdf
June 01, 2011 - We extracted all Medicare claims for the
initial six months of eligibility for these
individuals. … ” and thus are the appropriate focus of a Medicare claims-based
analysis.11 Therefore, we restricted … our analysis of health care use and
diagnoses to persons likely to have complete claims. … In Acute Inpatient claims, the third digit of the
provider number is 0 or the third and fourth digits … Among those likely to have complete claims, depres-
sion and diabetes were the most common comorbidities
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effectivehealthcare.ahrq.gov/get-involved/nominated-topics/regenerative-medicine
July 17, 2020 - The field of regenerative medicine has grown exponentially and with it claims regarding (1) mechanism
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/rtc-design-principles_research.pdf
January 01, 2009 - Evaluation
begins by stating the major claims for the new test and determining whether it will be
used … as a replacement, add-on, or triage test to achieve these claims. … • Describe whether it will be used as a replacement, add-on, or triage test to
achieve these claims … • Design a hypothetical RCT of the test-and-treatment strategy to
investigate these claims. … It should always involve scrutiny of the clinical
situation, identification of the health claims of
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effectivehealthcare.ahrq.gov/products/prostate-cancer-radiation/research
November 30, 2012 - In a study using the linked Surveillance, Epidemiology, and End Results (SEER)Medicare claims database … Therefore, national trends can be studied using Medicare claims alone with minimal worry about confounding
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effectivehealthcare.ahrq.gov/products/hypertension-treatment-knowledge-gaps/abstract
January 01, 2005 - We will use linked claims databases for the elderly in two US states and employ new user design, validated