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Showing results for "managed".

1. Managed Care | Effective Health Care (EHC) Program
   effectivehealthcare.ahrq.gov/health-topics/managed-care

2. "CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Survey on the Experiences with Care of Children Age 17 and Younger, as Submitted to the 2023 AHRQ CAHPS Health Plan Survey Database (n = 47 states) (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/health-plan-5.1-child-composite-measures.pdf
   January 24, 2024 - Rates include managed care population (1 MCO). … Rates include managed care population (1 MCO). … Rates include managed care population. … Rates include managed care population. … Rates include managed care population.

3. CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Survey on the Experiences with Care of Adults Age 18 and Older, as Submitted to the 2023 AHRQ CAHPS Health Plan Survey Database (n = 42 states) (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/health-plan-5.1-adult-composite-measures.pdf
   January 24, 2024 - Rates include managed care population (2 MCOs). … Rates include managed care population (1 MCO). … Rates include managed care population (1 MCO). … Rates include managed care population. … Rates include managed care population (1 MCO).

4. Federal Balance Budget Act of 1997: Excerpts | Agency for Healthcare Research and Quality
   www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/uses/fbba97.html
   December 01, 2017 - relating to performance measurement and quality, as described below: Subtitle H: Medicaid - Chapter 1: Managed … requirements in Sec. 4704 and 4705: Sec. 4704 requires "annual external independent review of [Medicaid] managed … Sec. 4705 requires "any State contracting with Medicaid managed care organizations to develop and implement … of individuals with special health care needs and chronic conditions who are enrolled with Medicaid managed

5. DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. | PSNet
   psnet.ahrq.gov/issue/dod-and-va-health-care-medication-needs-during-transitions-may-not-be-managed-all
   December 09, 2020 - Book/Report DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed … Citation Text: DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All … government report reveals the need for a policy to ensure that veterans' medication needs are safely managed … Citation Citation Text: DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed

6. SyH-DR Data Dictionary: Person-Level Variables (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Person-Level-Variables-2024.pdf
   January 01, 2024 - Care Organization (MCO) Enrollment - January MDCD_MCO_ENRLMT_1 X NUM 3 Medicaid Managed Care … - April MDCD_MCO_ENRLMT_4 X NUM 3 Medicaid Managed Care Organization (MCO) Enrollment - May … _6 X NUM 3 Medicaid Managed Care Organization (MCO) Enrollment - July MDCD_MCO_ENRLMT_7 X NUM … Managed Care Organization (MCO) Enrollment - September MDCD_MCO_ENRLMT_9 X NUM 3 Medicaid Managed … Care Organization (MCO) Enrollment - October MDCD_MCO_ENRLMT_10 X NUM 3 Medicaid Managed Care

7. User Guide: An Examination of Expected Payer Coding in HCUP Databases (Updated for 2020 HCUP Data), Supplements 1-3. (pdf file)
   hcup-us.ahrq.gov/reports/methods/MS2022-02-Expected-Payer-Coding-Supplements.pdf
   December 14, 2022 - State-Specific Coding for Medicare Managed Care Medicare Advantage is sometimes viewed as managed care … , managed care Rhode Island R 4000 2015–2019 N/A 2015–2019 Medicare managed care by Rhode Island Blue … BC Managed Care (HMO) Georgia 612 2008–2020 2008–2020 2008–2020 BC Managed Care (PPO) Georgia 613 … 2020 Commercial Managed Care (PPO) New Jersey 513 2020 2020 2020 Commercial Managed Care (POS) New … (HMO) New Jersey 612 2020 2020 2020 BC Managed Care (PPO) New Jersey 613 2020 2020 2020 BC Managed

8. Hawaii Evaluates Medicaid Patients' Managed Care Experiences With AHRQ CAHPS | Agency for Healthcare Research and Quality
   www.ahrq.gov/news/newsroom/case-studies/ktcquips68.html
   October 01, 2014 - Hawaii Evaluates Medicaid Patients' Managed Care Experiences With AHRQ CAHPS Search All Impact Case … the Centers for Medicare & Medicaid Services—to collect and report patients' experience with their managed … who are of older age/blind/disabled for the first time, as those patients were recently moved into managed

9. Supplements 1-3: An Examination of Expected Payer Coding in HCUP Databases (Updated for 2019 HCUP Data) (pdf file)
   hcup-us.ahrq.gov/reports/methods/MS2021-01-Expected-Payer-Coding-Supplements.pdf
   November 30, 2021 - State-Specific Coding for Medicare Managed Care Medicare Advantage is sometimes viewed as managed care … , managed care Rhode Island R 4000 2015–2019 N/A 2015–2019 Medicare managed care by Rhode Island Blue … Medicaid Managed Care Kentucky U 2010–2014 2010–2014 2010–2014 WellCare of Kentucky Medicaid Managed … Commercial Managed Care (POS) Georgia 519 2008–2019 2008–2019 2008–2019 Managed Care, Other (non-HMO … BC Managed Care (HMO) Georgia 612 2008–2019 2008–2019 2008–2019 BC Managed Care (PPO) Georgia 613

10. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
    July 01, 2019 - Culturally and linguistically diverse group members currently comprise 50 percent of managed Medicaid … groups, since they represent such a rapidly increasing share of the managed care market. … care utilization and are important to managed care accreditation performance (e.g., HEDIS). … Step 2: Assess the Capabilities of the Managed Care Plan. … Step 3: Identify Points of Contact for Members of Managed Care Plans.

11. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. | PSNet
    psnet.ahrq.gov/issue/pharmacist-managed-inpatient-discharge-medication-reconciliation-combined-onsite-and
    July 02, 2019 - Commentary Pharmacist-managed inpatient discharge medication reconciliation: a combined … Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy … This commentary reveals the development, implementation, and initial testing of a service managed by … Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy

12. Planning Culturally and Linguistically Appropriate Services | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
    July 01, 2019 - Planning Culturally and Linguistically Appropriate Services Guide for Managed Care Plans To … The Business Case for CLAS in Managed Care There is a plausible business case for plans to initiate … diverse groups, since they represent such a rapidly increasing share of the managed care market. … care utilization and are important to managed care accreditation performance (e.g., HEDIS). … Assessing the Managed Care Plan.

13. Section 8.A, Data Availability (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-8a.pdf
    January 01, 2011 - Additionally, while some states usually provide managed care claims, others do not (Byrd and Verdier … Testing managed care claims data quality in each state Managed care claims data is sometimes absent … from MAX, and what managed care data is reported is not always validated before inclusion. … In order to address this problem, we review the managed care (MC) data reporting relative to fee for … This provides a check on the completeness of managed care data in each state.

14. Quasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed care plan: study protocol | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/medicaid-and-chip/quasi-experimental-trial-diabetes-self-management-automated
    January 01, 2023 - trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed … trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed

15. User Guide: An Examination of Expected Payer Coding in HCUP Databases (Updated for 2019 HCUP Data) (pdf file)
    hcup-us.ahrq.gov/reports/methods/MS2021-01-Expected-Payer-Coding.pdf
    November 30, 2021 - Comparison of SID discharges for Medicare managed care with CMS managed care enrollment figures (Methods … care Medicaid managed Care HCUP State-Specific Payer Codes: Identifying Patients Enrolled in Managed … Comparison of SID discharges for Medicaid managed care with CMS managed care enrollment figures (Methods … care discharges, see Supplement 2 o Table 2A for Medicare managed care o Table 2B for Medicaid managed … Information on Managed Care Table 3.

16. ExpectedPayerCoding2018 (pdf file)
    hcup-us.ahrq.gov/reports/methods/2020-01.pdf
    January 01, 2020 - Comparison of SID discharges for Medicare managed care with CMS managed care enrollment figures (Methods … care Medicaid managed Care HCUP State-Specific Payer Codes: Identifying Patients Enrolled in Managed … Comparison of SID discharges for Medicaid managed care with CMS managed care enrollment figures (Methods … care discharges, see Supplement 2 o Table 2A for Medicare managed care o Table 2B for Medicaid managed … Information on Managed Care Table 3.

17. User Guide: An Examination of Expected Payer Coding in HCUP Databases (Updated for 2020 HCUP Data) (pdf file)
    hcup-us.ahrq.gov/reports/methods/MS2022-02-Expected-Payer-Coding.pdf
    December 14, 2022 - Comparison of SID discharges for Medicare managed care with CMS managed care enrollment figures (Methods … Managed Care Plans (Methods Series Report 2014-03, pages 13–15) • Table 2 lists HCUP States with managed … Comparison of SID discharges for Medicaid managed care with CMS managed care enrollment figures (Methods … managed care o Table 2C for managed care plans for the privately insured. … Information on Managed Care Table 3.

18. Quasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed care plan: study protocol. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/implementation-outcomes-health-it-program-vulnerable-diabetes-patients/citation/quasi
    January 01, 2023 - trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed … trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed

19. Quasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed care plan: study protocol. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-self-management-support-and-medicat-13
    January 01, 2023 - trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed … trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed

20. CAHPS Mental Health Surveys | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/surveys-guidance/mental-health/index.html
    March 01, 2025 - The ECHO Survey has separate versions for Managed Care Organizations (MCOs) and Managed Behavioral Health … Users of the ECHO Survey have included State Medicaid agencies, State mental health agencies, managed … behavioral health organizations (MBHOs), and managed care organizations (MCOs). … care organization or managed behavioral healthcare organization. … Download the Managed Care Organization (MCO) Survey and Instructions (ZIP, 4 MB) The MCO Survey asks