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Showing results for "managed".

1. User Guide: An Examination of Expected Payer Coding in HCUP Databases (Updated for 2020 HCUP Data), Supplements 1-3. (pdf file)
   hcup-us.ahrq.gov/reports/methods/MS2022-02-Expected-Payer-Coding-Supplements.pdf
   December 14, 2022 - State-Specific Coding for Medicare Managed Care Medicare Advantage is sometimes viewed as managed care … , managed care Rhode Island R 4000 2015–2019 N/A 2015–2019 Medicare managed care by Rhode Island Blue … BC Managed Care (HMO) Georgia 612 2008–2020 2008–2020 2008–2020 BC Managed Care (PPO) Georgia 613 … 2020 Commercial Managed Care (PPO) New Jersey 513 2020 2020 2020 Commercial Managed Care (POS) New … (HMO) New Jersey 612 2020 2020 2020 BC Managed Care (PPO) New Jersey 613 2020 2020 2020 BC Managed

2. Supplements 1-3: An Examination of Expected Payer Coding in HCUP Databases (Updated for 2019 HCUP Data) (pdf file)
   hcup-us.ahrq.gov/reports/methods/MS2021-01-Expected-Payer-Coding-Supplements.pdf
   November 30, 2021 - State-Specific Coding for Medicare Managed Care Medicare Advantage is sometimes viewed as managed care … , managed care Rhode Island R 4000 2015–2019 N/A 2015–2019 Medicare managed care by Rhode Island Blue … Medicaid Managed Care Kentucky U 2010–2014 2010–2014 2010–2014 WellCare of Kentucky Medicaid Managed … Commercial Managed Care (POS) Georgia 519 2008–2019 2008–2019 2008–2019 Managed Care, Other (non-HMO … BC Managed Care (HMO) Georgia 612 2008–2019 2008–2019 2008–2019 BC Managed Care (PPO) Georgia 613

3. MS2019-03-Supplement (pdf file)
   hcup-us.ahrq.gov/reports/methods/2019-03Supplements.pdf
   December 13, 2019 - State-Specific Coding for Medicare Managed Care Medicare Advantage is sometimes viewed as managed care … , managed care Rhode Island R 4000 2015–2017 N/A 2008–2017 Medicare managed care by Rhode Island Blue … Managed Care - Neighborhood Health Plan Massachusetts 114 N/A N/A 2008–2017 Medicaid Managed Care - … Commercial Managed Care (POS) Georgia 519 2008–2017 2008–2017 2008–2017 Managed Care, Other (non-HMO … BC Managed Care (HMO) Georgia 612 2008–2017 2008–2017 2008–2017 BC Managed Care (PPO) Georgia 613

4. ExpectedPayerCodingSupplements (pdf file)
   hcup-us.ahrq.gov/reports/methods/Supplements2020-01.pdf
   September 29, 2020 - State-Specific Coding for Medicare Managed Care Medicare Advantage is sometimes viewed as managed care … , managed care Rhode Island R 4000 2015–2018 N/A 2008–2018 Medicare managed care by Rhode Island Blue … Managed Care Other (not listed elsewhere) Massachusetts 274 N/A N/A 2012–2018 Medicaid Managed Care … Commercial Managed Care (POS) Georgia 519 2008–2018 2008–2018 2008–2018 Managed Care, Other (non-HMO … BC Managed Care (HMO) Georgia 612 2008–2018 2008–2018 2008–2018 BC Managed Care (PPO) Georgia 613

5. MS2019-03 (pdf file)
   hcup-us.ahrq.gov/reports/methods/2019-03.pdf
   January 01, 2019 - Comparison of SID discharges for Medicare managed care with CMS managed care enrollment figures (Methods … Managed Care Plans (Methods Series Report 2014-03, pages 13–15) • Table 2 lists HCUP States with managed … Comparison of SID discharges for Medicaid managed care with CMS managed care enrollment figures (Methods … managed care o Table 2C for managed care plans for the privately insured. … Information on Managed Care Table 3.

6. User Guide: An Examination of Expected Payer Coding in HCUP Databases (Updated for 2020 HCUP Data) (pdf file)
   hcup-us.ahrq.gov/reports/methods/MS2022-02-Expected-Payer-Coding.pdf
   December 14, 2022 - Comparison of SID discharges for Medicare managed care with CMS managed care enrollment figures (Methods … Managed Care Plans (Methods Series Report 2014-03, pages 13–15) • Table 2 lists HCUP States with managed … Comparison of SID discharges for Medicaid managed care with CMS managed care enrollment figures (Methods … managed care o Table 2C for managed care plans for the privately insured. … Information on Managed Care Table 3.

7. User Guide: An Examination of Expected Payer Coding in HCUP Databases (Updated for 2019 HCUP Data) (pdf file)
   hcup-us.ahrq.gov/reports/methods/MS2021-01-Expected-Payer-Coding.pdf
   November 30, 2021 - Comparison of SID discharges for Medicare managed care with CMS managed care enrollment figures (Methods … care Medicaid managed Care HCUP State-Specific Payer Codes: Identifying Patients Enrolled in Managed … Comparison of SID discharges for Medicaid managed care with CMS managed care enrollment figures (Methods … care discharges, see Supplement 2 o Table 2A for Medicare managed care o Table 2B for Medicaid managed … Information on Managed Care Table 3.

8. ExpectedPayerCoding2018 (pdf file)
   hcup-us.ahrq.gov/reports/methods/2020-01.pdf
   January 01, 2020 - Comparison of SID discharges for Medicare managed care with CMS managed care enrollment figures (Methods … care Medicaid managed Care HCUP State-Specific Payer Codes: Identifying Patients Enrolled in Managed … Comparison of SID discharges for Medicaid managed care with CMS managed care enrollment figures (Methods … care discharges, see Supplement 2 o Table 2A for Medicare managed care o Table 2B for Medicaid managed … Information on Managed Care Table 3.

9. 2016-09Ug (pdf file)
   hcup-us.ahrq.gov/reports/methods/2016-09UG.pdf
   January 01, 2016 - Managed care (Table 2) a. Medicare b. … Comparison of SID discharges for Medicare managed care with CMS managed care enrollment figures (pages … Managed Care Plans (pages 13–15) • Table 2 lists HCUP States with managed care expected payer codes … Comparison of SID discharges for Medicaid managed care with CMS managed care enrollment figures (pages … 2 o Table 2A for Medicare managed care o Table 2B for Medicaid managed care o Table 2C for managed

10. 2014-03: User Guide - An Examination of Expected Payer Coding in HCUP Databases (pdf file)
    hcup-us.ahrq.gov/reports/methods/2014-03UserGuide.pdf
    January 01, 2014 - Managed care (Table 2) a. Medicare b. Medicaid c. … Comparison of SID discharges for Medicare managed care with CMS managed care enrollment figures (pages … Managed Care Plans (pages 13–15)  Table 2 lists HCUP States with managed care expected payer codes … Comparison of SID discharges for Medicaid managed care with CMS managed care enrollment figures (pages … 2 o Table 2A for Medicare managed care o Table 2B for Medicaid managed care o Table 2C for managed

11. 2015-08 (pdf file)
    hcup-us.ahrq.gov/reports/methods/2015-08.pdf
    January 01, 2015 - Managed care (Table 2) a. Medicare b. … Comparison of SID discharges for Medicare managed care with CMS managed care enrollment figures (pages … Managed Care Plans (pages 13–15)  Table 2 lists HCUP States with managed care expected payer codes … Comparison of SID discharges for Medicaid managed care with CMS managed care enrollment figures (pages … 2 o Table 2A for Medicare managed care o Table 2B for Medicaid managed care o Table 2C for managed

12. 2017-05 (pdf file)
    hcup-us.ahrq.gov/reports/methods/2017-05.pdf
    January 01, 2017 - All managed care including Medicare, Medicaid, and private insurance 3. Uninsured (Tables 3). … Comparison of SID discharges for Medicare managed care with CMS managed care enrollment figures (pages … Managed Care Plans (pages 13–15) • Table 2 lists HCUP States with managed care expected payer codes … Comparison of SID discharges for Medicaid managed care with CMS managed care enrollment figures (pages … 2 o Table 2A for Medicare managed care o Table 2B for Medicaid managed care o Table 2C for managed

13. 2018-04 (pdf file)
    hcup-us.ahrq.gov/reports/methods/2018-04.pdf
    January 01, 2018 - Managed care (Table 2) a. Medicare b. Medicaid c. … Comparison of SID discharges for Medicare managed care with CMS managed care enrollment figures (Methods … Managed Care Plans (Methods Series Report 2014-03, pages 13–15) • Table 2 lists HCUP States with managed … Comparison of SID discharges for Medicaid managed care with CMS managed care enrollment figures (Methods … managed care o Table 2C for managed care plans for the privately insured.

14. 2014-03: An Examination of Expected Payer Coding in HCUP Databases (pdf file)
    hcup-us.ahrq.gov/reports/methods/2014-03.pdf
    January 01, 2014 - • Medicaid Managed Care. … • Private managed care. … • All managed care. … care enrollees, Medicaid managed care enrollees, and all managed care enrollees. … • Private managed care.

15. MS2020-03-Supplements (pdf file)
    hcup-us.ahrq.gov/reports/methods/2020-03-Supplements.pdf
    January 01, 2020 - or private) GA B 6 Blue Cross/Blue Shield GA B 61 BC Managed Care GA B 611 BC Managed Care (HMO) … GA B 612 BC Managed Care (PPO) GA B 613 BC Managed Care (POS) GA B 619 BC Managed Care (Other) GA … B 63 BC Indemnity or Managed Care (Out of State) GA B 64 BC Indemnity or Managed Care (Unspecified) … Managed Care NY B 611 BC Managed Care (HMO) NY B 612 BC Managed Care (PPO) NY B 613 BC Managed Care … Care) - Unspecified* NY B 69 BC (Indemnity or Managed Care) - Other* OR G 51 HMO/Managed Care OR

16. Healthcare Cost and Utilization Project (HCUP) NASS Notes
    hcup-us.ahrq.gov/db/vars/pay1/nassnote.jsp
    August 01, 2019 - For example, Medicare includes both fee-for-service and managed care Medicare patients. … Medicaid includes both fee-for-service and managed care Medicaid patients. … When there is a generic category for managed care such as "HMO/PPO" reported under PAY1_X, it is mapped … However, it is possible that hospitals may inadvertently include patients covered by a Medicare managed … care program administered by a private insurance company under a generic managed care category.

17. 2018-02-Supp1-2 (pdf file)
    hcup-us.ahrq.gov/reports/methods/2018-02-Supp1-2.pdf
    January 01, 2018 - Care (Other) 1998-2016 2002-2016 2002-2016 2 Medicaid Georgia 22 Medicaid (Non-Managed Care Plan … Care 2003-2016 2004-2016 2004-2016 2 Medicaid Iowa 12 Medicaid Managed Care 2008-2016 2008-2016 2008 … -2014 2011-2014 2 Medicaid Kentucky Z Humana Medicaid Managed Care 2011-2014 2011-2014 2011-2014 2 … Care 2013-2016 N/A 2013-2016 Rhode Island H 3000 Coordinated Health Partners, Medicaid (Managed … N/A 2006-2016 2 Medicaid Rhode Island U 3000 UHC, Medicaid (Managed Care) 2003-2016 N/A 2006-2016

18. 2014-03: Supplement 4 - Detailed Data Tables (pdf file)
    hcup-us.ahrq.gov/reports/methods/2014-03Supplement4.pdf
    January 01, 2014 - counts Percentage of Medicare that is Managed Care Medicare Discharges Medicare Managed … Discharges Medicare Managed Care Discharges Percentage of Medicare that is Managed Care … counts Percentage of Medicaid that is Managed Care Medicaid Discharges Medicaid Managed … Discharges Medicaid Managed Care Discharges Percentage of Medicaid that is Managed Care … Medicaid Managed Care Discharges Private Managed Care Discharges Percentage of that

19. Healthcare Cost and Utilization Project (HCUP) NIS Notes
    hcup-us.ahrq.gov/db/vars/pay2_n/nisnote.jsp
    September 02, 2008 - HCUP Payer PAY2_N Medicare Managed Care Medicare 1 Medicaid Managed Care Medicaid … 2 Blue Cross Managed Care Blue Cross, Blue Cross PPO 3 Commercial Managed Care Commercial … , PPO 4 Other Non-Managed Care Other 12 Beginning in 1996, "PPO and Other Managed … Tennessee Tennessee reports HMO and managed care separately for commercial, Medicare, and Medicaid … (PAY2_N = 5) includes the source payer "HMO/Managed Care."

20. Healthcare Cost and Utilization Project (HCUP) NRD Notes
    hcup-us.ahrq.gov/db/vars/pay1/nrdnote.jsp
    August 01, 2015 - For example, Medicare includes both fee-for-service and managed care Medicare patients. … Medicaid includes both fee-for-service and managed care Medicaid patients. … When there is a generic category for managed care such as "HMO/PPO" reported under PAY1_X, it is mapped … However, it is possible that hospitals may inadvertently include patients covered by a Medicare managed … care program administered by a private insurance company under a generic managed care category.