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101. TO (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d5_combo_gapanalysis.docx
     May 25, 2016 - Indicators can be considered in the gap analysis as possible strengths or weaknesses (i.e., barriers) to be managed

102. Provider Contact Information (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/dotphrase.pdf
     January 29, 2021 - • If your child’s care is managed by a MUSC Specialty doctor, ask to speak with the appropriate clinic

103. AHRQ CAHPS® Database De-Identified Research Dataset Contents (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/data-research/contents-cahps-de-identified-research-datasets.pdf
     January 01, 2024 - The CAHPS Database is funded by the Agency for Healthcare Research and Quality (AHRQ), and managed and

104. Appendix III (continued) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiij.html
     June 01, 2010 - Tool or Measure Set: Wisconsin Draft Consumer Satisfaction Questions for Family Care Managed Care Organization … disabilities Developer: A collaboration of Department of Health and Family Services waiver staff, managed … Psychometric Testing: Field tested; content validity via stakeholder involvement Summary: Wisconsin requires managed … disabilities Developer: A collaboration of Department of Health and Family Services waiver staff, managed … with Developmental or Physical Disabilities and Frail Elders in Wisconsin's Medicaid-Funded HCBS and Managed

105. MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: FEC-5 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-FEC-5.pdf
     January 04, 2011 - List of entity types currently using measure: Medicaid Managed Care plans IMPORTANCE M.

106. 2013 Child Core Set Measure Retirement Process Summary of SNAC Scoring: Round II – Final Scoring (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc3.pdf
     September 01, 2014 - Useful in MCO [managed care organization] contracts to drive quality improvement. … Useful in MCO [managed care organization] contracts to drive quality improvement. … Useful in MCO [managed care organization] contracts to drive quality improvement. … Useful in MCO [managed care organization] contracts to drive quality improvement. … Useful in MCO [managed care organization] contracts to drive quality improvement.

107. Choosing Quality Measures | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/choosing/index.html
     June 01, 2020 - delivery systems you have will help steer you to the measures that will produce the best results for: Managed … For managed care organizations? For a primary care case management program?

108. Strategy 6F: On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6f-ondemand.html
     April 01, 2023 - Database Never Sometimes Usually Always (N) Medicare Managed … For example, leaders of Molina Healthcare, a Medicaid managed care organization that covers 1.6 million … The CAHPS Medicare Managed Care results were obtained from the Centers for Medicare & Medicaid Services … (CMS) for survey participants who were enrolled in a managed care health plan. 3.

109. Participating in the CAHPS Home and Community-Based Services Survey Database | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/cahps/cahps-database/hcbs-database/participate.html
     January 01, 2024 - Participating in the CAHPS Home and Community-Based Services Survey Database All Medicaid agencies and managed

110. Finding Sustainable Funding for Primary Care Extension Programs (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/model/evidence-now-sustainable-funding-resource.pdf
     February 01, 2023 - However, payers (including private health insurance plans and Medicaid or Medicare managed care plans … m The State’s Medicaid funding of its Managed Care Organizations has been a significant, long-term funder … Kaufman and colleagues, “…outcomes meaningful to Medicaid-managed care insurers may differ from outcomes … Community health workers and medicaid managed care in New Mexico. 2012(1573-3610 (Electronic)). 14.

111. What Is the Environment for Reporting on Health Care Quality? | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/talkingquality/plan/environment.html
     June 01, 2016 - Questions to ask about local health plans: Do managed care plans dominate the market? What kinds? … Are the plans owned and managed at the National, regional or local level?

112. Background and Overview: Ambulatory Surgery Center Survey on Patient Safety Culture: Slide Presentation (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/battlesslides.pdf
     July 18, 2015 - Partially or completely physician owned (74%-90%) (2015)  A growing number of ASCs are:  Owned or managed

113. Gap Analysis (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d5_combo_gapanalysis.pdf
     June 29, 2016 - Indicators can be considered in the gap analysis as possible strengths or weaknesses (i.e., barriers) to be managed

114. Strategies for Improving Patient Experience with Ambulatory Care: Cultivating Cultural Competence (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-6k.pdf
     August 01, 2017 - Racial and ethnic differences in parents' assessments of pediatric care in Medicaid managed care. … Race/ethnicity, language, and patients' assessments of care in Medicaid managed care. … Health plan effects on patient assessments of Medicaid managed care among racial/ethnic minorities. … For example, Molina Healthcare, a Medicaid managed care organization, developed and aggressively marketed

115. Appendix A. Key Characteristics of Transforming Primary Care Grants | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/appa.html
     October 01, 2015 - Carolina (49% rural) David Driscoll, MPH, MA; Transforming Primary Care Practice A tribally owned and managed … Alaskan Native patients Not applicable; not structured as discrete practices Tribally owned and managed … that implemented the Primary Care Renewal project, supported by CareOregon, a large nonprofit Medicaid managed

116. Using Quality Measures to Drive Improvement: Lessons from the CHIPRA Quality Demonstration | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/nashp-webinar-slides.html
     January 01, 2016 - Required managed care organizations to meet quality benchmarks. … reporting measures and demonstrating improvement Slide 26 Pennsylvania Medical Assistance Mandatory managed … Managed Care Organizations reporting both HEDIS® and Pennsylvania Performance measures.

117. Appendix A. Key Characteristics of Transforming Primary Care Grants | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/ncepcr/reports/grants-transform/key-characteristics.html
     March 01, 2017 - Carolina (49% rural) David Driscoll, MPH, MA; Transforming Primary Care Practice A tribally owned and managed … Alaskan Native patients Not applicable; not structured as discrete practices Tribally owned and managed … that implemented the Primary Care Renewal project, supported by CareOregon, a large nonprofit Medicaid managed

118. Tool 5: Portfolio Design
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool5_portfolio_des.pptx
     September 02, 2016 - Discharges to postacute care settings Collaborations with managed care organizations (MCOs), behavioral

119. Dailygoals (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
     January 01, 2003 - communication is particularly important in the unit if complicated care plans are to be effectively managed

120. Section 1: Planning a Care Management Program | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm1.html
     October 01, 2014 - Managed Care/Freedom of Choice Section 1915(b) This section provides the Secretary of Health … and Human Services authority to grant waivers that allow States to implement managed care delivery systems … of the individuals eligible for Medicaid in a State by: Mandatory enrollment of beneficiaries into managed … the option, through the Balanced Budget Act of 1997, to enroll certain beneficiaries into mandatory managed … exist under Section 1915(b) that States may request: 1915(b)(1): Mandates Medicaid enrollment into managed