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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-a-cpqsc-participating-hospitals.pdf
November 17, 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
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-appendixes.pdf
December 01, 2021 - 12 months who sometimes or never got an appointment for routine
care as soon as wanted, Medicare managed … Adults who needed care right away for an
in the last 6 or 12 months who sometimes
wanted, Medicare managed … , or treatment who sometimes or never found it
easy to get the care, tests, or treatment, Medicare managed … or 12 NCBD 2019
months who sometimes or never got advice to quit smoking from
provider, Medicare managed … 12 months who sometimes or never got an appointment for routine
care as soon as wanted, Medicare managed
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ce.effectivehealthcare.ahrq.gov/talkingquality/resources/writing/guidelines.html
September 01, 2019 - Can Consumers Understand Managed Care Report Cards? Managed Care Interface 1998; 11(11): 91-95. … Managed Care Quarterly 1999; 7(3): 75-82.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085episiotomycoding.xls
January 01, 2012 - 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 … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 219 Medicaid Managed
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-169-gestational-age-additional-specifications.pdf
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
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0082cesareancoding.xls
January 01, 2012 - 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 … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 219 Medicaid Managed
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085behaviorcoding.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
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ce.effectivehealthcare.ahrq.gov/talkingquality/resources/comparative-reports/health-plans.html
December 01, 2022 - Report Title: Medi-Cal Managed Care Health Care Options
Website: https://www.healthcareoptions.dhcs.ca.gov … Location: California
Synopsis: The California Department of Health Care Services’ website on Medi-Cal managed … Report Title: Managed Care Regional Consumer Guides
Website: https://www.health.ny.gov/health_care … State Department of Health
Developer Type: State government
Location: New York
Synopsis: The Managed
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ce.effectivehealthcare.ahrq.gov/cahps/cahps-database/hcbs-database/index.html
March 01, 2024 - repository for survey results that have been voluntarily submitted by State Medicaid agencies and the managed … help evaluate, compare, and improve the quality of services provided by both fee-for-service HCBS and managed
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ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
June 01, 2020 - The team automated and validated the nurse-managed insulin infusion protocol at Johns Hopkins to illustrate … Automation and interoperability of a nurse-managed insulin infusion protocol as a model to improve safety … were accessed June 12, 2020.
2019
Barasch, N., et al., Automation and interoperability of a nurse-managed
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ce.effectivehealthcare.ahrq.gov/professionals/clinicians-providers/resources/rice/ceproj.html
October 01, 2014 - Economics
Clinical Economics Resource Links
Policy Projects
Evaluation of the Academy for Managed … Submissions Deliberative Focus Groups: Citizen Input to Health Policy
Evaluation of the Academy for Managed … which dossiers contain standardized information consistent with the recommendations from the Academy of Managed
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ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-care/lab-testing-toolkit.html
January 01, 2018 - increase the reliability of the testing process in your office by helping you examine how tests are managed … The tools will help you examine how tests are managed in your office, from the moment tests are ordered
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/leapfrog-report.pdf
January 01, 2024 - The Managed Care
Information Center, c.2007.
“AHRQ Resources on Pay for Performance.” … The Managed Care Information Center, c.2007.
8
http://www.cmwf.org/
http://www.chcs.org/
http://www.whitehouse.gov … The Managed Care Information Center, c.2006.
Baker F, Carter B. … The Managed Care Information Center, c.2007.
Verdier J, Felt-Lisk S, Smieliauskas F, et al. … “Quality-Related Provider and Member Incentives in
Medicaid Managed Care Organizations.”
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ce.effectivehealthcare.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6g-rapid-referral.html
April 01, 2023 - Making patient care easier under multiple managed care plans. Fam Prac Manag February 1998. … Wrestling with the managed care octopus, Part 3. Get insurance authorizations faster. … Patients satisfaction when denied authorization for emergency department care by their managed care plan … Wrestling with the managed care octopus, Part 3. Get insurance authorizations faster.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-illinois-state-snapshot.pdf
January 01, 2018 - compares its performance with national benchmarks.2
The State also started: (1) requiring Medicaid managed … con-
vened a work group to analyze emergency department
use data and then integrated into Medicaid managed … in response to recommendations from a
CHIPRA demonstration workgroup, Illinois started
to require managed … Key demonstration takeaways
• The use of managed care contracts was a successful
way to drive statewide … • Partner with Medicaid managed care organizations to continue
to support practices in medical home
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-quality-measures.pdf
January 01, 2021 - Applicable in both fee-for-service and managed LTSS environments
7. … of analysis can vary
• State Medicaid agencies
• County or other non-state governmental entities
• Managed
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ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section4.html
October 01, 2015 - comprehensiveness of the Medicaid administrative data were compromised by lack of encounter data from managed … Many of the Category C States have high use of Medicaid managed care among child beneficiaries, with … 45 to 90 percent of children in managed care in Florida, Massachusetts, Oregon, South Carolina, Utah, … Most states could not provide managed care encounter data. … Without data from managed care organizations, our evaluations would have represented a small proportion
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ce.effectivehealthcare.ahrq.gov/cahps/bibliography/index.html?page=7
January 01, 2024 - Health plan effects on patient assessments of Medicaid managed care among racial/ethnic minorities. … Casemix adjustment of consumer reports about managed behavioral health care and health plans. … Language and regional differences in evaluations of Medicare managed care by Hispanics. … of data quality for reports and ratings of ambulatory care by African Americans and White Medicare managed
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ce.effectivehealthcare.ahrq.gov/cahps/bibliography/index.html?page=6
January 01, 2024 - Managed care quality and disenrollment in New York SCHIP. … Quality assessments by sick and healthy Medicare beneficiaries in traditional Medicare and Medicare managed … Managed care quality of care and plan choice in New York SCHIP. … Market and beneficiary characteristics associated with enrollment in Medicare managed care plans and
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ce.effectivehealthcare.ahrq.gov/cahps/bibliography/index.html?page=8
January 01, 2024 - The relationship between quality and utilization in managed care. … Financial vulnerability among Medicare managed care enrollees. … Engaging consumers in designing a guide to Medi-Cal Managed Care quality. … Comparison of performance of traditional Medicare vs Medicare managed care.