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Showing results for "managed".

81. Appendix B: Key CME Design Features in CHIPRA Quality Demonstration States, as of June 2014 | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2appb.html
    September 01, 2014 - State Medicaid office and managed care organization. State Medicaid office. … Managed care organization (Colorado Access operating in Wyoming as Wyoming Access).

82. PQMP Measures | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/pqmp/measures/index.html?page=4
    May 01, 2024 - Pediatric Quality Measures (CAPQuaM) Distribution of Emergency Department Visit Use for Children Managed … Advancing Pediatric Quality Measures (CAPQuaM) Rate of Emergency Department Visit Use for Children Managed

83. PQMP National Asthma Quality Metric Key Driver Diagram (UCSF) (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/keydriver-sfcollaborative.pdf
    January 24, 2018 - SMART Aim:  Reduce  # of ED  visits/100 child‐ years for  children  managed for   persistent  asthma

84. PQMP National Asthma Quality Metric Key Driver Diagram (Vermont) (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/keydriver-vtcollaborative.pdf
    January 24, 2018 - SMART Aim: Reduce # of ED visits/100 child- years for children managed for persistent asthma

85. CHIPRA 155: Bibliography (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-bibliography.pdf
    May 08, 2018 - The impact of Medicaid managed care on hospitalizations for ambulatory care sensitive conditions. … Churning in Medicaid managed care and its effect on accountability. … Medicaid managed care encournter data: Collection and use. … care utilization by children with chronic illnesses: A comparison of Medicaid and employer-insured managed

86. CHIPRA 157 Bibliography (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-157-bibliography.pdf
    June 12, 2018 - The impact of Medicaid managed care on hospitalizations for ambulatory care sensitive conditions.” … Churning in Medicaid managed care and its effect on accountability. … Medicaid managed care encounter data: Collection and use. … care utilization by children with chronic illnesses: A comparison of Medicaid and employer-insured managed

87. PQMP Asthma ED Visit Quality Metric Key Driver Diagram (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/asthma-ed-kdd.pdf
    March 10, 2021 - Secondary Drivers Examples of Interventions Reduce the # of ED visits/100 child- years for children managed

88. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/policymakers/chipra/overview/background/next-steps2.html
    December 01, 2009 - As noted above, almost half of Medicaid- and CHIP-enrolled children are not in managed care plans, and … improved considerably after program implementation. 35 The greatest increases were in California (two managed … at health plan and provider levels, and reports are made by health plans participating in Medicaid managed … In 2007, the national mean performance rate across Medicaid managed care health plans reporting to NCQA … measure of annual dental visits because the HEDIS measure is reported by NCQA only for children in managed

89. Outpatient Surgery and Patient Safety—The Patient’s Voice (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Hundt.pdf
    January 01, 2003 - assess the incidence of common or undesirable postoperative symptoms and how they were subsequently managed … days after surgery and asked them a series of questions about symptoms they experienced, how they managed … We determined how the symptom was managed by asking varying combinations of 10 possible questions. … first occurred, whether the participant called a health care provider for help, how the symptom was managed … incidence of a symptom, we were interested in gaining a better understanding of how the participant managed

90. CAHPS Announcements | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/cahps/news-and-events/news/index.html
    February 01, 2024 - Survey Database includes 6,053 survey responses voluntarily submitted by State Medicaid agencies and managed … Survey Database includes 4,731 survey responses voluntarily submitted by State Medicaid agencies and managed

91. Table 1. Summary of Model State Initiatives | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/tab1.html
    October 01, 2015 - Incentives and PCMH recognition Participating Medicaid managed care organizations offered PCMH incentives … Community health worker program serving high-risk enrollees in Medicaid managed care while helping New

92. Table 1. Summary of Model State Initiatives | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/ncepcr/reports/grants-impact/model-summary.html
    February 01, 2017 - Incentives and PCMH recognition Participating Medicaid managed care organizations offered PCMH incentives … Community health worker program serving high-risk enrollees in Medicaid managed care while helping New

93. AcademyHealth State-University Partnership Learning Network (SUPLN) Web Conference | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supln-slides.html
    January 01, 2016 - plan measures Data sources Primarily Medicaid/CHIP administrative data (enrollment and claims or managed … Historical Context SC Medicaid Covers about 22-25% of population, 52% of all births Majority Managed … Analysis – Program and Policy Technical Assistance & Evaluation Support Geo-spatial analysis Managed … They include: CHIPRA Core QI Indicators (HEDIS NCQA, PQI, and NQF), HEDIS NCQA Managed Care and Fee for … , Agency Internal and External Supported Initiatives (including Hospital Associated Triple Aim, and Managed

94. Title of Presentation: (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/nashp-webinar-on-quality_measure-use.pdf
    September 21, 2015 - improvement workgroups – Encouraged consistent quality reporting standards across programs – Required managed … measures and demonstrating improvement 26 26 Pennsylvania Medical Assistance • Mandatory managed … care • Over 1.1 million children covered by Medicaid • Managed Care Organizations reporting both

95. Putting Quality Measures to Work: Lessons from the CHIPRA Quality Demonstration Grant Program | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-slides.html
    January 01, 2016 - improvement workgroups Encouraged consistent quality reporting standards across programs Required managed … when indicated With special health care needs will have their care coordinated With asthma will be managed … demonstrating improvement David Kelley Slide 30 Pennsylvania Medical Assistance Mandatory managed … Managed Care Organizations reporting both HEDIS® and Pennsylvania Performance measures.

96. Reporting and using the Child Core Set of quality measures | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary2.html
    September 01, 2015 - quality measures for children to monitor quality and compare performance across health systems and managed … Policy or programmatic changes, such as stipulating benchmarks in managed care contracts and developing

97. Appendix I: Online and Journal Resources (continued) | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apia.html
    June 01, 2010 - Performance standards for Medi-Cal managed care organizations serving people with disabilities and chronic … Outcomes of managed care of dually eligible older persons. Gerontologist 2003 Apr;43(2):165-74. … Quality assessment in a Medicaid managed mental health care plan: an Iowa case study. … Managed behavioral health care premises, accountable systems of care, and AMBHA's PERMS. … American Managed Behavioral Healthcare Association. Eval Rev 1997 Jun;21(3):318-21.

98. Choosing Quality Measures (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/choosing/choosing.doc
    September 12, 2013 - 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?

99. NCQA's Version of the Health Plan Survey | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/hp/about/NCQAs-CAHPS-HP-Survey.html
    April 01, 2020 - National Committee for Quality Assurance (NCQA) is the nation's most prominent evaluator of the quality of managed

100. For Systems Decisionmakers | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/index.html
     August 01, 2020 - Systems Change Systems change describes specific strategies that health care administrators, managed