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  1. www.ahrq.gov/workingforquality/events/webinar-introducing-nine-levers-to-support-the-aims-and-priorities.html
    November 01, 2016 - regional collaboratives are producing transparent, attributed total resource cost data from aggregated claims … Most of our regional collaboratives operate either multi-payer or all-payer claims databases or health … Has anyone had experience with this issue of getting the claims in, analyzed, and back out in a timely … It's about how you get claims submitted and turned around in a quick way, looking at who holds the various … I can say that on the commercial side, many of our members are able to turn around usable claims-based
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/brooks_r21grant.pdf
    September 01, 2013 - Data Sources & Sample Size Medicare fee-for-service and medication claims data between 2007 and 2010
  3. www.ahrq.gov/news/newsroom/case-studies/cquips0903.html
    October 01, 2014 - that developed the video undertook research to demonstrate that "sincerity pays" and that malpractice claims
  4. www.ahrq.gov/news/newsroom/case-studies/cp30608.html
    October 01, 2014 - Grannemann, PhD, senior health policy analyst, and his colleagues applied the Billings algorithm to Medicaid claims
  5. www.ahrq.gov/sites/default/files/publications2/files/diaginfo.pdf
    July 01, 2005 - ” • Claims that the product treats a wide range of ailments. … • Claims that the product is available from only one source, and for a limited time only. 16 https … ://www.ahrq.gov/gam/index.html • Claims of a “money-back guarantee … ” • Claims that others are trying to keep the product off the market.
  6. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-identifiable-confidentiality-agreement.pdf
    November 01, 2021 - and the Participating Organizations that provide Data to the SOPS Hospital Database from any or all claims … violation to the Director of AHRQ, and the Data Requester agrees that he or she shall not have or make any claims
  7. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/Hospital-Ident-SOPS-Conf-Agreement.pdf
    January 01, 2023 - and the Participating Organizations that provide Data to the SOPS Hospital Database from any or all claims … violation to the Director of AHRQ, and the Data Requester agrees that he or she shall not have or make any claims
  8. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-147-antipsychotics-testing-summary.pdf
    February 22, 2019 - • State analyses o 2008 claims data from the Medicaid Analytic eXtract (MAX) for 11 states o 2011 … claims data from 2 MEDNET states o 2012 claims data from 1 MEDNET state • Health plan analyses o … 2009 claims data from 17 New York State Medicaid health plans. … o 2013 claims data from 73 commercial health plans nationwide Study Population Our study population … prescription Dually eligible for Medicaid and Medicare and those with inpatient behavioral health claims
  9. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-149-testing-summary.pdf
    February 22, 2019 - • State analyses o 2008 claims data from the Medicaid Analytic eXtract (MAX) for 11 states o 2011 … claims data from 2 MEDNET states o 2012 claims data from 1 MEDNET state • Health plan analyses o … 2009 claims data from 17 New York State Medicaid health plans. … o 2013 claims data from 73 commercial health plans nationwide Study Population Our study population … prescription Dually eligible for Medicaid and Medicare and those with inpatient behavioral health claims
  10. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-testing-summary.pdf
    February 22, 2019 - • State analyses o 2008 claims data from the Medicaid Analytic eXtract (MAX) for 11 states o 2011 … claims data from 2 MEDNET states o 2012 claims data from 1 MEDNET state • Health plan analyses o … 2009 claims data from 17 New York State Medicaid health plans. … o 2013 claims data from 73 commercial health plans nationwide Study Population Our study population … prescription Dually eligible for Medicaid and Medicare and those with inpatient behavioral health claims
  11. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-126-fullreport.pdf
    May 01, 2018 - Administrative data (e.g., claims data). … Based on 2010 New York State Medicaid claims data, the average performance rate for health plans was … foster care population of children and adolescents in Medicaid using 2010 New York State Medicaid claims … While there were concerns about the lack of mental health providers and limitations of claims data, … Based on 2010 New York State Medicaid claims data, the average performance rate for health plans was
  12. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2pt3.html
    September 01, 2014 - and Families 30 Analysis of administrative data (for example, enrollment, utilization, and claims … Potential Sources of Administrative Data to Analyze Medicaid and CHIP claims and enrollment data
  13. www.ahrq.gov/policymakers/chipra/overview/background/appendix-b2.html
    December 01, 2009 - members who turned age 2 during the reporting period and received a lead test (data from MaineCare claims … members who turned age 1 during the reporting period and received a lead test (data from MaineCare Claims
  14. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/fig1.html
    June 01, 2010 - Requires administrative data collection from single organizational source (e.g., claims, hospital discharge
  15. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-234-fullreport.pdf
    June 17, 2014 - This measure is implemented with administrative claims data and is calculated as the rate of dental … Administrative data (e.g., claims data). … Rendering/billing provider NPI – consistently collected through the processing of administrative claims … These data are considered typical components of health care administrative claims information. … This measure is implemented with administrative claims data; dental providers are identified by taxonomy
  16. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p005-2-ef.pdf
    October 01, 2014 - Caveats ● This measure is not specified for use with administrative claims data, because administrative … claims data currently do not contain procedure codes that accurately represent the numerator; there
  17. www.ahrq.gov/research/findings/final-reports/ptmgmt/design.html
    July 01, 2018 - Members with asthma are identified through claims data and provider referrals. … Claims data are used to identify a high-risk subset of members defined by recent emergency room utilization … External program staff have access to large plan or employer databases with claims, pharmacy, and sometimes
  18. www.ahrq.gov/patient-safety/resources/liability/baker.html
    August 01, 2017 - A prevailing strategy for reducing patient liability claims is full disclosure. … Research has shown that when health care professionals disclose their mistakes, payouts for claims against … that team training improved team performance in Labor and Delivery (L&D) and reduced the number of claims … to improving teamwork, another prevailing strategy for improving care quality and reducing liability claims … Research has shown that when providers disclose their mistakes, payouts for claims against the doctor
  19. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-CC-19.pdf
    December 14, 2010 - MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: CC-19 Completed by: Page 1 12/14/2010 MEASURE SUMMARY CHIPRA Core Set Candidate Measures A. Control #: CC-19 B. Measure Name: Annual number of children with asthma (> 1 year) with > 1 asthma related ER visit(s) C. Measure Definition …
  20. www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-preface.html
    June 01, 2014 - Challenges Building Capacity in HAI Prevention Research: NICHE and the STOP CAUTI Workgroup Using Claims

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