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Showing results for "managed".

1. Distribution of Emergency Department Visit Use for Children Managed for Persistent Asthma | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/pqmp/measures/asthma-distribution-ed-visit.html
   August 01, 2021 - Program PQMP Measures Distribution of Emergency Department Visit Use for Children Managed … PQMP Grantees Distribution of Emergency Department Visit Use for Children Managed … August 2021 Internet Citation: Distribution of Emergency Department Visit Use for Children Managed

2. Rate of Emergency Department Visit Use for Children Managed for Persistent Asthma | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/pqmp/measures/asthma-rate-ed-visit.html
   August 01, 2021 - Measures Program PQMP Measures Rate of Emergency Department Visit Use for Children Managed … Improvement PQMP Grantees Rate of Emergency Department Visit Use for Children Managed … created August 2021 Internet Citation: Rate of Emergency Department Visit Use for Children Managed

3. Planning Culturally and Linguistically Appropriate Services | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
   July 01, 2019 - The Business Case for CLAS in Managed Care There is a plausible business case for plans to initiate … Although managed care was initially confined primarily to the private and commercial sector, recently … 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.

4. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.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.

5. Section 8.A, Data Availability (pdf file)
   ce.effectivehealthcare.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.

6. Using the CAHPS Database to Compare, Report, and Improve Organizational Performance (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/3_Deborah_Kilstein_slides_29-40.pdf
   January 15, 2014 - ACAP’s 58 Plans are in 25 States 31 Medicaid Managed Care and Traditional Enrollment 1999 - 2011 … 2008 2009 2010 2011 Number Enrolled in Traditional Medicaid Programs Number Enrolled in Medicaid Managed … 45.7 46.0 47.1 50.5 54.6 57.1 Source: Centers for Medicare & Medicaid Services, 2011 Medicaid Managed … Care Enrollment Report. 32 32 Medicaid Managed Care is No Longer Just Moms and Kids  24 ACAP … Care and Traditional Enrollment 1999 - 2011 Medicaid Managed Care is No Longer Just Moms and Kids

7. HCBS CAHPS Survey Database: What You Need to Know - BROWN (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-brown.pdf
   June 21, 2023 - Functional Tools (TEFT) Demonstration Applies across Delivery Systems Used in both fee-for-service and managed … Applicable in both fee-for-service and managed long-term services and supports environments 7. … of analysis can vary • State Medicaid agencies • County or other non-state governmental entities • Managed … care plans under managed long-term services and supports programs 17 Other Important Considerations … aggregated results for analysis and use • The Lewin Group provides technical assistance to states, managed

8. CAHPS Mental Health Care Surveys | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/echo/index.html
   May 01, 2022 - 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 … Download the Managed Behavioral Health Care Organization (MBHO) Survey and Instructions (ZIP, 4 MB)—

9. AHRQ National Quality Measures Provide Updates for Wisconsin's Quality Performance Measures | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/coe0501.html
   October 01, 2014 - Performance Measures Search All Impact Case Studies August 2004 Wisconsin's state Medicaid managed … development of the state's MEDDIC-MS (Medicaid Encounter Data Driven Improvement Core Measure Set) managed … "In my opinion, state Medicaid programs that use managed care as a delivery system nationwide will find … measurement, I can think of no other single resource on the subject of higher value to state Medicaid managed … "As other Medicaid managed care programs are developed for special populations here in Wisconsin, the

10. Oral, Linguistic, and Culturally Competent Services | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/ncepcr/tools/cultural-competence/index.html
    August 01, 2019 - Opportunities Oral, Linguistic, and Culturally Competent Services Guides for Managed … shifting demographic trends in health care, two guides offer approaches to defining cultural needs in managed … for a contractor from AHRQ's Integrated Delivery System Research Network to develop two guides for managed

11. Federal Balance Budget Act of 1997: Excerpts | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.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

12. Value Set Export (xls file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Coding.xls
    January 01, 2012 - SHIELD PHDSC 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 7 MANAGED … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 11 Medicare (Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 21 Medicaid (Managed … PHDSC 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 61 BC Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 119 Medicare Managed

13. Researching Strategies for High-Quality, High-Value Care to Improve Patient Outcomes | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-xu.html
    March 01, 2022 - Xu has explored the impact of health insurance (managed care versus traditional fee-for-service) on healthcare … In the early 2000s, managed care was gaining a lot of momentum for its emphasis on reducing costs, according … Less understood was what she identifies as the other side of the “value” equation—whether managed care … She led an AHRQ-funded study to analyze the effects of managed care plans {e.g., health maintenance organization

14. Section 12, Tables 4 and 5. (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-section-12-table-4-5.pdf
    December 31, 2010 - 651,207 (79%) 177,805 (21%) Coverage for majority of eligibility months Fee-for-service ± Managed … Sensitivity and specificity for COMBO and PMCA in managed care and fee-for-service subsets of Washington … NC-CD Without CD Sensitivity Specificity Sensitivity Specificity Sensitivity Specificity Managed

15. 6. References and Notes | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section6.html
    March 01, 2019 - Reauthorization Act of 2009, P.L. 111-3. 22 During our baseline analysis, Massachusetts was unable to link managed … So while they sent us managed care encounter data, we could not identify which managed care patients … By the time we determined Massachusetts had solved the linkage problem and could use managed care data

16. Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-fullreport.pdf
    May 01, 2018 - Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma 1 Rate of Emergency … Department Visit Use for Children Managed for Identifiable Asthma Section 1. … Measure Name CAPQuaM PQMP Asthma I: Rate of Emergency Department Visit Use for Children Managed for … estimates the rate of emergency department (ED) visits for children ages 2-21 years who are being managed … Churning in Medicaid managed care and its effect on accountability.

17. Chapter-7 - Harm Due to Anticoagulants (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
    March 01, 2020 - Quality of pharmacist-managed anticoagulation therapy in long-term ambulatory settings: A systematic … In non-RCT studies, pharmacist-managed patients had a significantly higher percentage of time in the … management of warfarin and any other model, e.g., physician-managed, nurse-managed Of 17 included … In 9 of 9 studies that reported on the outcome, the pharmacist- managed group had decreased rates of … In the pooled meta-analysis, pharmacist-managed models had significantly higher patient satisfaction

18. CHIPRA 235: Section 5, Table 3. Evidence Supporting the Importance of Access to Outpatient Specialty Care (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-235-section-5-table-3.pdf
    June 17, 2014 - Descriptive Study In this study documenting access to care for Medicaid managed care enrollees, 39% … of specialists listed as being in a managed care plan network were found to not participate in that … Access to Care: Provider Availability in Medicaid Managed Care.

19. CPQSC Participating Hospitals (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-6-a-participating-hospitals.pdf
    April 25, 2017 - More than half of patients (53.00%) use Medicaid, 45.80% use Managed Care, and 1.20% use another form … More than half of patients use Managed care (57.75%) whereas 40.81% use Medicaid, 1.20% use another … majority of patients use either Medicaid (37.57%) or Blue Cross Blue Shield (35.95%) while 25.41% have Managed

20. Section 6-A, CPQSC Participating Hospitals (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-a-cpqsc-hospitals.pdf
    November 21, 2017 - More than half of patients (53.00%) use Medicaid, 45.80% use Managed Care, and 1.20% use another form … More than half of patients use Managed care (57.75%) whereas 40.81% use Medicaid, 1.20% use another … majority of patients use either Medicaid (37.57%) or Blue Cross Blue Shield (35.95%) while 25.41% have Managed