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ce.effectivehealthcare.ahrq.gov/talkingquality/measures/setting/health-plan/index.html
March 01, 2016 - practice of measuring and reporting quality at the health plan level began in the early 1990s when managed
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ce.effectivehealthcare.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/introduction.html
July 01, 2021 - Emergency Department Use measure estimates the rate of ED visits for children ages 3-21 who are being managed
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ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight12.html
May 01, 2015 - For example, Florida improved the reporting of quality measures, and Illinois added requirements to managed … Illinois included new requirements for perinatal care transitions in Medicaid managed care contracts. … quality demonstration work group wrote recommendations for new requirements for Illinois’s Medicaid managed … development of new quality indicator systems and the strengthening of the requirements in Medicaid managed … supporting hospital-based QI projects, conducting educational campaigns directed at women, modifying managed
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv3ab.html
June 01, 2010 - Improvement in Mental Health; quality measures
Persons with severe and persistent mental illness in managed … CAHPS® for People With Mobility Impairments
People with mobility impairments enrolled in managed
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-wyoming-state-snapshot.pdf
January 01, 2018 - Key Features of Wyoming’s CME
Wyoming Medicaid funded and managed the CME, which—
• Started in a seven-county … Wyoming Medicaid awarded the CME contract to a
managed care organization with behavioral health
experience
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/6-improvement-strategies.pdf
March 01, 2017 - Getting behind the numbers: understanding patients’ assessments of managed
care. … publications/fund-reports/2000/dec/getting-behind-the-numbers--understanding-
patients-assessments-of-managed-care … publications/fund-reports/2000/dec/getting-behind-the-numbers--understanding-patients-assessments-of-managed-care … publications/fund-reports/2000/dec/getting-behind-the-numbers--understanding-patients-assessments-of-managed-care
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ce.effectivehealthcare.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/qi-strategies.html
August 01, 2021 - annual TCD screen by XX% over baseline in 12 months
Michigan Department of Health and Human Services Managed … disease, including increasing TCD screening rates
Michigan Department of Health and Human Services Managed … The Director of the Michigan Department of Health and Human Services Managed Care Plan Division, Quality
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-litreview.docx
January 01, 2017 - Prospective, Cohort, Before-After Study
ABCDE Versus Usual Care
(Balas, 2014)10
PRO: Patients managed … Patients managed with protocolized sedation and a daily sedation interruption did not have any significant … adjusting for age, sex, severity of illness, comorbidity, and mechanical ventilation status, patients managed … Critically ill patients managed with the Awakening and Breathing Coordination, Delirium Monitoring/Management … median duration of mechanical ventilation was 55.9 hours (95% CI, 41.0 to 90.0 hours) for patients managed
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ce.effectivehealthcare.ahrq.gov/data/apcd/envscan/app-b.html
June 01, 2017 - Direct costs of chronic obstructive pulmonary disease among managed care patients. … Burden of acute gastroenteritis, norovirus and rotavirus in a managed care population. … Perspectives for managed care organizations on the burden of multiple sclerosis and the cost-benefits … Individual versus family psychotherapy in managed care: comparing the costs of treatment by the mental
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ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.html
June 01, 2018 - GTE found that in 1995, its high performance managed care plans had hospital costs that were 11.5 percent … On the other hand, low performance managed care plans had costs that were 3.6 percent above the national … Union Guide to Quality Managed Care , 1997. … The State of Managed Care Quality. 1997. http://www.ncqa.org/communications/news/somcqrel.html
National
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cotayo.pdf
April 22, 2004 - Measuring patient
safety in managed behavioral health care contexts presents challenges, partly due … A new perspective on measuring
patient safety within the context of a managed behavioral health care … Measuring
patient safety in managed behavioral health care contexts presents challenges,
partly due … with
good effect—patients are more likely to attend after-care appointments when they
are closely managed … In the absence of clear indicators that are applicable in
a managed care context and a lack of consensus
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiii.html
June 01, 2010 - Total Items/indicators: Managed Behavioral Healthcare Organization version has 47 items and 11 demographic … Managed Care Organization version has 59 items and 11 demographic questions. 12 supplemental questions … Human Services Research Institute, Center for Mental Health Services, Washington Circle Group, American Managed … Total Items/indicators: Managed Behavioral Healthcare Organization version has 44 items and 7 demographic … Managed Care Organization version has 56 items and 7 demographic questions. 12 supplemental questions
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/sat-sbt-lit-review.html
January 01, 2017 - Prospective, Cohort, Before-After Study ABCDE Versus Usual Care
(Balas, 2014) 10
PRO: Patients managed … Patients managed with protocolized sedation and a daily sedation interruption did not have any significant … adjusting for age, sex, severity of illness, comorbidity, and mechanical ventilation status, patients managed … Critically ill patients managed with the Awakening and Breathing Coordination, Delirium Monitoring/Management … median duration of mechanical ventilation was 55.9 hours (95% CI, 41.0 to 90.0 hours) for patients managed
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-corrothers.pdf
January 01, 2021 - findings by individual states and HCBS program types
• Participation is free and open to all states and Managed
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ce.effectivehealthcare.ahrq.gov/cpi/about/organization/nac/goldfarb.html
August 01, 2022 - consulting firm and vice president of health services for the Philadelphia region’s first Medicaid managed
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ce.effectivehealthcare.ahrq.gov/cpi/about/nac/snac-chin.html
December 01, 2021 - Chin collaborates with teams of State Medicaid agencies, Medicaid managed care organizations, and frontline
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool0a.docx
January 01, 2011 - services: Are environmental hazards in the hospital (e.g., spills, electrical cords) appropriately managed
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-ix.pdf
January 11, 2017 - available at this time no no n/a
Medicaid or CHIP Payment
model: Can compare payment
models (e.g., managed
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight12.pdf
January 01, 2020 - For example, Florida improved the reporting of quality measures, and
Illinois added requirements to managed … Illinois included new requirements for
perinatal care transitions in Medicaid
managed care contracts … quality demonstration work
group wrote recommendations
for new requirements for Illinois’s
Medicaid managed … development of new
quality indicator systems and the
strengthening of the requirements in
Medicaid managed … supporting hospital-
based QI projects, conducting
educational campaigns directed at
women, modifying managed
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-georgia-state-snapshot.pdf
January 01, 2018 - most youth served by the CMEs were transitioned from
fee-for-service Medicaid to the State’s Medicaid managed … Under this arrangement, the State’s managed
care organization (MCO) can choose whether to offer CME