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Showing results for "managed".

41. HCUP Facts and Figures 2009: Statistics on Hospital-Based Care in the United States
    hcup-us.ahrq.gov/reports/factsandfigures/2009/definitions.jsp
    January 01, 2009 - combines detailed categories into more general groups: Medicare includes fee-for-service and managed … Medicaid includes fee-for-service and managed care Medicaid patients.

42. Incorrectpayermappings Intramuralfiles (pdf file)
    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

43. HCUP Facts and Figures 2007: Statistics on Hospital-Based Care in the United States
    hcup-us.ahrq.gov/reports/factsandfigures/2007/definitions.jsp
    January 01, 2007 - combines detailed categories into more general groups: Medicare includes fee-for-service and managed … Medicaid includes fee-for-service and managed care Medicaid patients.

44. Clinical Classifications Software (CCS) for ICD-9-CM
    hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp
    July 01, 2025 - Quantifying the physician contribution to managed care pharmacy expenses. … The American Journal of Managed Care , 10:909-916, 2004. … Casemix adjustment of managed care claims data using the clinical classifications for health policy research

45. HCUP Facts and Figures 2008: Statistics on Hospital-Based Care in the United States
    hcup-us.ahrq.gov/reports/factsandfigures/2008/definitions.jsp
    January 01, 2008 - combines detailed categories into more general groups: Medicare includes fee-for-service and managed … Medicaid includes fee-for-service and managed care Medicaid patients.

46. Descriptive Statistics by Insurance Status for Most Frequent Hospital Diagnoses and Procedures
    hcup-us.ahrq.gov/reports/natstats/rn5.htm
    November 01, 1998 - Third-party payers and managed care organizations can use this information as a starting point for

47. Diagnosis and Procedure Combinations in Hospital Inpatient Data
    hcup-us.ahrq.gov/reports/natstats/rn3.htm
    November 01, 1998 - and "How is this diagnosis managed?"

48. Most Frequent Diagnoses and Procedures for DRGs, by Insurance Status
    hcup-us.ahrq.gov/reports/natstats/rn4.htm
    November 01, 1998 - Third-party payers and managed care organizations can use this information as a starting point for examining

49. Medicare Advantage Versus the Traditional Medicare Program: Costs of Inpatient Stays, 2009-2017 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb262-Medicare-Advantage-Costs-2009-2017.pdf
    January 01, 2017 - Discharges were identified as Medicare Advantage (i.e., managed care Medicare) or traditional Medicare … The coding of managed care in HCUP data varies by State. … with primary expected payer descriptions of Medicare HMO, Medicare PPO, Medicare POS, or Medicare managed … stay combines detailed categories into general groups: • Medicare: includes fee-for-service and managed … care Medicare • Medicaid: includes fee-for-service and managed care Medicaid • Private insurance

50. Microsoft PowerPoint - pharmacy-data.ppt [Compatibility Mode] (pdf file)
    hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn5.pdf
    June 21, 2014 - attention to how potentially problematicparticular attention to how potentially problematic issues are managed

51. 2005 HCUP Nationwide Inpatient Sample (NIS) Comparison Report
    hcup-us.ahrq.gov/db/nation/nis/reports/2005niscomparisonrpt.jsp
    November 01, 2015 - South Dakota (10.3) Montana (6.4) Wyoming (5.2) Alaska (1.2) Market penetration of Medicare managed … While 13.3 percent of Medicare patients were enrolled in managed care programs, the MedPAR data contain … virtually no managed care discharges (only 485 out of 13,544,670 total discharges, or 0.004 percent) … The NIS provides a large sample of Medicare discharges both in managed care and fee-for-service plans … Inclusion of Medicare managed care discharges leads to discrepancies in estimated discharge counts, but

52. Clinical Classifications for Health Policy Research: Hospital Inpatient Statistics, 1995
    hcup-us.ahrq.gov/reports/natstats/his95.htm
    January 01, 1999 - CCHPR users include insurers and managed care organizations that want to examine claims experience in

53. Characteristics and Quality of Inpatient Stays at Hospitals Affiliated With Health Systems, 2009-2012 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb197-Characteristics-Quality-Hospitals-Health-Systems.pdf
    December 01, 2014 - hospitals are part of multihospital health systems that are owned, leased, sponsored, or contract managed … A multihospital system is two or more hospitals owned, leased, sponsored, or contract managed by a central … detailed categories into general groups:  Medicare: includes patients covered by fee-for-service and managed … care Medicare  Medicaid: includes patients covered by fee-for-service and managed care Medicaid

54. MAINTAIN AND EXPAND (pdf file)
    hcup-us.ahrq.gov/reports/methods/2011_01.pdf
    January 01, 2011 - Assessing multiple hospitalizations for health-plan -managed Medicaid diabetic members. … Managed Care Interface 2008 Jul;21(1):24-30. Jiang HJ, Stryer D, Friedman B, Andrews R. … Journal of Managed Care Pharmacy. 2007 Jul-Aug;13(6):475-86. … The long-term effects of Medicaid managed care on obstetrics care in three California counties. … Managed Care Interface 2008 Jul;21(1):24-30.

55. Microsoft Word - deliverable45_01.doc (pdf file)
    hcup-us.ahrq.gov/reports/methods/2008_01.pdf
    January 01, 2008 - South Dakota (10.3) Montana (6.4) Wyoming (5.2) Alaska (1.2) Market penetration of Medicare managed … While 13.3 percent of Medicare patients were enrolled in managed care programs, the MedPAR data contain … virtually no managed care discharges (only 485 out of 13,544,670 total discharges, or 0.004 percent … The NIS provides a large sample of Medicare discharges both in managed care and fee-for- service plans … Inclusion of Medicare managed care discharges leads to discrepancies in estimated discharge counts,

56. MAINTAIN AND EXPAND (pdf file)
    hcup-us.ahrq.gov/reports/methods/1998ChangesintheNISRedesignFinal.pdf
    January 18, 2002 - AND WITHOUT LONGITUDINAL COMPONENT……………………………………………………………………………………7 FIGURE 3: PERCENT MEDICARE MANAGED … Figure 3 Percent Medicare Managed Care HCUP 1998 NIS (01/18/02) 9 Changes in NIS Design … Hospitals in HCUP states tend to have higher Medicare managed care rates, tend to be larger both in … The MedPAR file under-reports Medicare managed care patients. … Is the hospital contract-managed? C.1. General medical and surgical care (adult) C.1.

57. Emergency Department Visits for Children and Young Adults With Diabetes, 2012 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb203-Emergency-Department-Children-Diabetes.pdf
    January 01, 2016 - diabetes, 4.3 percent were aged 18–29 years.2 In both children and adults, diabetes is optimally managed … American Journal of Managed Care. 2013;19(1):47–58. 4 Lee JM, Okumura MJ, Freed GL, Menon RK, Davis … detailed categories into general groups:  Medicare: includes patients covered by fee-for-service and managed … care Medicare  Medicaid: includes patients covered by fee-for-service and managed care Medicaid

58. Characteristics of Hospital Stays for Nonelderly Medicaid Super-Utilizers, 2012 #184
    hcup-us.ahrq.gov/reports/statbriefs/sb184-Hospital-Stays-Medicaid-Super-Utilizers-2012.jsp
    November 01, 2014 - State Inpatient Databases (SID) that capture hospital discharge data from both fee-for-service and managed … detailed categories into general groups: Medicare: includes patients covered by fee-for-service and managed … care Medicare Medicaid: includes patients covered by fee-for-service and managed care Medicaid

59. Characteristics of Hospital Stays for Nonelderly Medicaid Super-Utilizers, 2012 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb184-Hospital-Stays-Medicaid-Super-Utilizers-2012.pdf
    January 01, 2012 - State Inpatient Databases (SID) that capture hospital discharge data from both fee-for-service and managed … detailed categories into general groups: • Medicare: includes patients covered by fee-for-service and managed … care Medicare • Medicaid: includes patients covered by fee-for-service and managed care Medicaid

60. Data Acquisition & Transmission - Pharmacy Data
    hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn5.jsp
    September 01, 2014 - analysis of drug order data will pay particular attention to how potentially problematic issues are managed