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www.qualitymeasures.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/guide.html
October 01, 2015 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Data sources can include insurance claims data, general ledger data (e.g., from a staff model health … It is important to note that claims data reflect the costs and savings experienced by insurers. … considerations for gross-costing methods include:
These methods require access to general ledger or claims … Analysis of claims data may not fully reflect the costs of PCMH transformation efforts incurred by clinics
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www.qualitymeasures.ahrq.gov/ncepcr/care/coordination/atlas/chapter6s.html
June 01, 2014 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … are referred to such a program. 1
Format/Data Source: This process measure requires administrative claims … event who had a follow-up outpatient encounter within 14 days. 1
Format/Data Source: Electronic claims … in the specified categories. 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
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www.qualitymeasures.ahrq.gov/ncepcr/reports/cost-guide/practical-guide.html
February 01, 2017 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Data sources can include insurance claims data, general ledger data (e.g., from a staff model health … It is important to note that claims data reflect the costs and savings experienced by insurers. … considerations for gross-costing methods include:
These methods require access to general ledger or claims … Analysis of claims data may not fully reflect the costs of PCMH transformation efforts incurred by clinics
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www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight02.html
May 01, 2013 - Data
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Data Visualizations
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Data Innovations
All-Payer Claims … evaluation team considered the design of each State’s demonstration project, the potential for obtaining claims … worked with the demonstration States to determine whether they would be able to contribute appropriate claims … Among the States contributing claims data to the analysis, three were using the NCQA tool to measure … Collection in the CHIPRA Quality Demonstration Grant Program Medical Home Initiatives State Providing claims
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-145-fullreport.pdf
July 01, 2016 - Administrative data (e.g., claims data). … Treatment outcomes with methylphenidate
formulations among patients with ADHD: retrospective claims … claims, was used to iteratively
test the enhanced ADHD Follow-up Care measure and assess reliability … Administrative Claims Data: The data elements required for this measure currently exist at this
time … The first limitation is that this measure uses administrative claims data and is therefore subject to
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www.qualitymeasures.ahrq.gov/sites/default/files/publications/files/ihabundled_appendix.pdf
June 05, 2015 - (n=5)
Other Stakeholders Semi-‐structured interviews
with state managed care regulators, claims
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www.qualitymeasures.ahrq.gov/news/blog/ahrqviews/opportunity-improve-healthcare.html
May 01, 2022 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … $5 million to create an all-payer claims database.
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www.qualitymeasures.ahrq.gov/news/blog/ahrqviews/ahrq-2024-proposed-budget.html
March 01, 2023 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Human Services (HHS) efforts to coordinate and align ongoing state-level efforts to develop all-payer claims
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-AC-2.pdf
December 16, 2010 - Denominator Exclusions: Exclude claims/encounters with more than one
diagnosis
D.
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www.qualitymeasures.ahrq.gov/funding/grantee-profiles/grtprofile-huang.html
December 01, 2023 - Data
Data Infographics
Data Visualizations
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Data Innovations
All-Payer Claims … AHRQ-funded research projects that advance the appropriate use of antibiotics for children and the use of claims
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-metabolic-monitoring-testing-summary.pdf
December 31, 2015 - Data Sources:
Administrative Data (e.g claims data),
Numerator Exclusions:
None
Denominator Exclusions … This measure is specified for administrative claims and is intended for use by states and health
plans
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
March 01, 2024 - HRSA • Medical Claims Review Panel
o Annual review of malpractice claims paid shows a similar pattern
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www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight11.html
April 01, 2015 - Data
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Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … All six of these States used existing data (for example, Medicaid claims data and immunization registries … plans submitted to the Healthcare Effectiveness Data and Information Set (HEDIS) and its own all-payer claims … For example, long delays in claims processing and infrequent reporting periods made it difficult for … for prioritizing QI efforts, but they were less helpful for assessing QI efforts because of delays in claims
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www.qualitymeasures.ahrq.gov/policymakers/chipra/overview/background/appendix-b2.html
December 01, 2009 - Data
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Data Innovations
All-Payer Claims … 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
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/adelman-summit2016.pdf
January 01, 2016 - the Frequency
of Diagnostic Errors
Data Source
Postmortem examinations
Chart review
Malpractice claims … Health insurance claims
Diagnostic testing
Medical imaging
Surveys of clinicians
Surveys of patients
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www.qualitymeasures.ahrq.gov/topics/w.html
March 19, 2024 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
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www.qualitymeasures.ahrq.gov/topics/x.html
April 01, 2024 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
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www.qualitymeasures.ahrq.gov/topics/v.html
April 01, 2024 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
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www.qualitymeasures.ahrq.gov/topics/n.html
April 01, 2024 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
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www.qualitymeasures.ahrq.gov/topics/z.html
April 01, 2024 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims