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www.qualitymeasures.ahrq.gov/talkingquality/measures/setting/hospitals/databases.html
January 01, 2023 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … MEDPAR contains data from claims for services provided to beneficiaries admitted to Medicare-certified
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www.qualitymeasures.ahrq.gov/challenges/cds-connect/index.html
February 01, 2024 - Data
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Data Visualizations
Data Tools
Data Innovations
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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www.qualitymeasures.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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www.qualitymeasures.ahrq.gov/ncepcr/reports/cost-guide/synthesis-report.html
February 01, 2017 - Data
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Data Innovations
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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www.qualitymeasures.ahrq.gov/sites/default/files/publications/files/bozicstudysnapshot.pdf
February 01, 2015 - to invest in needed
infrastructure, including clinical care redesign (by providers) and automated
claims … f Inadequate infrastructure for claims processing: Health plans’ existing
automated claims systems could
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www.qualitymeasures.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsum29.html
October 01, 2014 - Data
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All-Payer Claims … Dimick's work on developing composite measures based on national Medicare claims data was published in
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www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section5.html
October 01, 2015 - Data
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All-Payer Claims … evaluation considerations in designing grant programs and enhance access to the administrative and claims
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www.qualitymeasures.ahrq.gov/cahps/item-sets/index.html
February 01, 2024 - Data
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Data Visualizations
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Data Innovations
All-Payer Claims … For example, supplemental items ask about experiences with claims processing, health information technology
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
August 01, 2022 - Data
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Data Visualizations
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All-Payer Claims … Recent research shows a significant correlation between the frequency of adverse events and malpractice claims … the delivery of patient care should yield safer practices and potentially reduce medical liability claims … In the longer term, hospitals will experience fewer medical liability claims, improved patient safety … This team is responsible for working with legal counsel, claims, and risk management staff to establish
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www.qualitymeasures.ahrq.gov/challenges/data-visualization/index.html
February 01, 2024 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
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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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
January 01, 2021 - The Dartmouth-led team created claims databases using Medicare claims. … These States had different
health systems and all-payer claims databases (APCDs), which facilitated … , and cost of care: These data included Medicare claims data, national
commercial insurance claims data … from State all-payer claims data, and
• AHA data. … Producing Comparable Cost and Quality
Results From All-Payer Claims Databases.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-fullreport.pdf
February 01, 2019 - Administrative data (e.g., claims data). … • 2011 claims data from two MEDNET States.
• 2012 claims data from one MEDNET State. … • 2009 claims data from 17 New York State Medicaid health plans.
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• 2013 claims data from … This measure has been specified and tested in claims data alone. … provided in other sectors not found in claims.
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www.qualitymeasures.ahrq.gov/cpi/about/nac/snac-pronovost.html
December 01, 2021 - Data
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All-Payer Claims … eliminating defects in value and has incorporated the framework into an analytic platform integrating claims
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www.qualitymeasures.ahrq.gov/data/state-snapshots.html
October 01, 2021 - Data
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Data Visualizations
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Data Innovations
All-Payer Claims … Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
August 01, 2022 - Data
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All-Payer Claims … By focusing on safety improvement, the claims crisis will take care of itself.”
Richard C.
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www.qualitymeasures.ahrq.gov/news/blog/ahrqviews/academy-health-2022-meeting.html
May 01, 2022 - Data
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All-Payer Claims … June 6, 9:15 a.m.: State All-Payer Claims Databases: Current Status and Future Promise.
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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh3-1.html
October 01, 2014 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Text Box 2
Identifying and Stratifying Members
Claims Data.
Risk Stratification.
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www.qualitymeasures.ahrq.gov/policymakers/chipra/cpcf-form1.html
July 01, 2018 - Data
Data Infographics
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Data Innovations
All-Payer Claims … Administrative Data (e.g., claims data)
2. Paper Medical Record
3.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/bozicstudysnapshot/bozicstudysnapshot.pdf
February 01, 2015 - to invest in needed
infrastructure, including clinical care redesign (by providers) and automated
claims … f Inadequate infrastructure for claims processing: Health plans’ existing
automated claims systems could
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-medical-home-academyhealth.pdf
December 12, 2015 - Data
• MassHealth (Medicaid) claims, encounter, and
enrollment data, extracted from MMIS data
warehouse … Follow-up: July-December 2013 (overlaps end of LC)
• Exclusions:
Children enrolled but with no claims … modified to better specify complexity of chronic disease in
pediatric population
• Uses three-year claims