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hcup-us.ahrq.gov/db/vars/pay1_n/nisnote.jsp
September 01, 2008 - HCUP Payer
PAY1_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 … (PAY1_N = 5) includes the source payer "HMO/Managed Care".
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hcup-us.ahrq.gov/reports/methods/2014-03Supplement4.xlsx
January 01, 2014 - Medicare Managed Care Discharges Percentage of Medicare that is Managed Care
Alaska 68,129 629 0.9% … Medicaid Managed Care Discharges Percentage of Medicaid that is Managed Care
Alaska 120,611 0 0.0% … Table4D_All Managed Care
Table 4D. … All Managed Care as a Percentage of the Total Using Kaiser Family Foundation (KFF) Managed Care Penetration … Care Discharges Medicaid Managed Care Discharges Private Managed Care Discharges Percentage of that
-
hcup-us.ahrq.gov/reports/methods/1999NISComparisonReportFinal.pdf
March 08, 2002 - In 1999, 16.7% of Medicare enrollees
were in managed care (HCFA, 1999). … In 1999, 16.7% of Medicare enrollees
were in managed care, including HMOs (HCFA,1999). … Table 24 breaks down managed care penetration by region of NIS and non-
NIS states. … In contrast, the
Midwest and South have a low proportion of managed care enrollees. … “Medicare Managed Care Contract Plans Monthly
Summary Report, December, 1999.”
-
hcup-us.ahrq.gov/db/nation/kid/KID_2003_CORE_Volume2_M-Z.pdf
January 01, 2003 - • Medicaid includes both fee-for-service and managed care Medicaid patients. … /Private
104 Blue Cross/Blue Shield Managed Care
107 All Commercial Payers Managed Care
3 Private … Care
109 Other Government Managed Care (not Champus)
110 Champus Managed Care
111 Other Managed … Managed Care
7 Commercial Insurance
D Commercial Managed Care
8 HMO
E PPO and Other Managed Care … (Indemnity Carrier) 3 Private Insurance
L
Commerical/Managed Care -
HMO/PPO/Other Managed Care (
-
hcup-us.ahrq.gov/reports/methods/2000NISComparisonReportFinal.pdf
February 28, 2003 - Both discrepancies are likely caused by the omission of managed care
patients from the MedPAR file. … In 2000, 17.3 percent of
Medicare enrollees were in managed care, including HMOs (HCFA, 2000). … breaks down managed care penetration by region of NIS
and non-NIS states. … the number in managed care. … Medicare managed care contract plans monthly
summary report, December, 1999.
-
hcup-us.ahrq.gov/db/nation/nis/reports/2004niscomparisonrpt.jsp
May 01, 2016 - NIS data include Medicare managed care discharges that are generally omitted from the MedPAR data. … virtually no managed care discharges (only 1,313 out of 12,660,083 total discharges, or 0.01 percent … This discrepancy was likely rooted in the omission of most discharges for managed care patients from … the number of discharges in managed care. … Has Managed Care Affected the Availability of Medical Technology?
-
hcup-us.ahrq.gov/db/vars/pay2/nisnote.jsp
September 01, 2008 - For example,
Medicare includes both fee-for-service and managed care Medicare patients. … Medicaid includes both fee-for-service and managed care Medicaid patients.
-
hcup-us.ahrq.gov/db/vars/pay2/nedsnote.jsp
May 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.
-
hcup-us.ahrq.gov/db/vars/pay2/kidnote.jsp
September 01, 2008 - For example,
Medicare includes both fee-for-service and managed care Medicare patients. … Medicaid includes both fee-for-service and managed care Medicaid patients.
-
hcup-us.ahrq.gov/reports/methods/2020-03.pdf
January 01, 2020 - States With and Without Medicare Advantage (Managed Care) Expected Payer Codes
in HCUP Source Data, … States With and Without Medicare Advantage (Managed Care) Expected
Payer Codes in HCUP Source Data, … 2018
States with Medicare managed care
source payer codes
States without Medicare managed
care … * Denotes States with separate Medicare managed care source payer codes. … Importantly, the issue of ambiguous
source payer codes is also relevant for Medicaid managed care plans
-
hcup-us.ahrq.gov/db/nation/nis/reports/2002niscomparisonrpt.jsp
June 01, 2016 - Medicare Managed Care Market Penetration by Region
Table 7. … Has Managed Care Affected the Availability of Medical Technology? … Table 6 examines managed care penetration by region of NIS and non-NIS states. … the number of discharges in managed care. … Has Managed Care Affected the Availability of Medical Technology?
-
hcup-us.ahrq.gov/db/nation/nis/reports/2001niscomparisonrpt.jsp
November 01, 2015 - Medicare Managed Care Market Penetration by Region
Table 7. … In 2001, 15.4 percent of Medicare enrollees were in managed care, including HMOs (HCFA, 2001). … While approximately 15.4 percent of Medicare patients were enrolled in managed care programs, managed … Table 6 examines managed care penetration by region of NIS and non-NIS states. … the number of discharges in managed care.
-
hcup-us.ahrq.gov/reports/methods/NIS_Comparison_Report_2001.pdf
January 01, 2001 - This discrepancy was likely rooted in the omission of
managed care patients from the MedPAR file. … In 2001, 15.4 percent of
Medicare enrollees were in managed care, including HMOs (HCFA, 2001). … While
approximately 15.4 percent of Medicare patients were enrolled in managed care programs,
managed … Table 6 examines managed care penetration by region of
NIS and non-NIS states. … overestimate the number of discharges in managed care.
-
hcup-us.ahrq.gov/reports/methods/2007_03.pdf
January 01, 2007 - In
contrast, for the 13 states not included in the NIS, the mean market penetration of managed
care … This discrepancy was likely rooted in the omission of most
discharges for managed care patients from … This finding was consistent with
the hypothesis that MedPAR data under-report Medicare managed care … over-estimate the number of discharges in managed care. … Has Managed Care Affected the Availability of Medical Technology?
-
hcup-us.ahrq.gov/db/nation/nis/reports/2003niscomparisonrpt.jsp
May 01, 2016 - Medicare Managed Care Market Penetration by Region
Table 7. … Has Managed Care Affected the Availability of Medical Technology? … Table 6 examines managed care penetration by region of NIS and non-NIS states. … the number of discharges in managed care. … Has Managed Care Affected the Availability of Medical Technology?
-
hcup-us.ahrq.gov/reports/methods/2006_9.pdf
January 01, 2006 - Medicare Managed Care Market Penetration by Region..............................................35 … Has Managed Care Affected the Availability of Medical Technology? … Table 6 examines managed care penetration by region of
NIS and non-NIS states. … over-estimate the number of discharges in managed care. … Has Managed Care Affected the Availability of Medical Technology?
-
hcup-us.ahrq.gov/db/state/siddist/Kentucky2010SID_SASD_SEDDHCUPNotesReviewed.pdf
January 01, 2010 - source-supplied fields PAY1_X, PAY2_X, and PAY3_X contains the value “R” which indicates
Medicare Managed
-
hcup-us.ahrq.gov/reports/methods/2005_03_del_379.pdf
January 01, 2005 - In 2002, 13.6 percent of
Medicare enrollees were in managed care, including HMOs (CMS, 2004). … Has Managed Care Affected the Availability of Medical Technology? … Table 6 examines managed care penetration by region of
NIS and non-NIS states. … overestimate the number of discharges in managed care. … Has Managed Care Affected the Availability of Medical Technology?
-
hcup-us.ahrq.gov/reports/statbriefs/sb198-Hospital-Stays-Medicare-Advantage-Versus-Traditional-Medicare.pdf
December 01, 2014 - The Medicare managed care proportion was at least 5 percent.
3. … The difference between the percentage of Medicare managed care enrollment as reported by
CMS and the … percentage of claims with Medicare managed care as the expected primary payer
reported in HCUP data … care Medicare
Medicaid: includes patients covered by fee-for-service and managed care Medicaid … The coding of managed care in HCUP data varies by State.
-
hcup-us.ahrq.gov/db/state/siddist/IncorrectPayerMappings_IntramuralFiles.pdf
January 01, 2011 - “28” then PAY1 = 1;
Kentucky 2008 SID
The expected primary payer code for Medicare Managed