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Showing results for "managed".

41. Statistical Brief #89: All-Cause Hospital Readmissions among Non-Elderly Medicaid Patients, 2007 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb89.pdf
    April 01, 2010 - non- as well tes are missing inpatient ncounter data for managed care. … all-payer hospital discharge data, which offer the advantage of capturing data from both FFS and managed … The majority of State Medicaid programs have a high percentage of managed care enrollment, and CMS … combines detailed categories into more general groups: 3 – Medicare includes fee-for-service and managed … – Medicaid includes fee-for-service and managed care Medicaid patients.

42. 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.

43. Hospital Stays in Medicare Advantage Plans Versus the Traditional Medicare Fee-for-Service Program, 2013 #198
    hcup-us.ahrq.gov/reports/statbriefs/sb198-Hospital-Stays-Medicare-Advantage-Versus-Traditional-Medicare.jsp
    December 01, 2015 - The Medicare managed care proportion was at least 5 percent. … 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 did … 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.

44. 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.

45. HCUP-US Tools & Software Page
    hcup-us.ahrq.gov/toolssoftware/ccs/ccsfactsheet.jsp
    January 01, 2012 - CCS is used in a variety of ways: Managed care plans utilize CCS to rank hospitalizations by type … One managed care plan used CCS to examine numbers of cases, length of stay, and total costs, to better

46. 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?"

47. 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

48. 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.

49. 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

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. Clinical Classifications Software (CCS) for ICD-9-CM
    hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp
    March 01, 2017 - 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

52. 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

53. 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

54. 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

55. AHRQ Slide Template 2019-Regular (pdf file)
    hcup-us.ahrq.gov/Web1Spring2021HCUPOverview042021_posted.pdf
    March 10, 2021 - ) Value Description Value Description 010 Medicare 1 Medicare 011 Medicare (HMO) 012 Medicare (Managed … Other) 013 Medicare (fee for service) 020 Medi-Cal 2 Medicaid 021 Medi-Cal (HMO) 022 Medi-Cal (Managed … service) 030 Private Coverage 3 Private insurance 031 Private Coverage (HMO) 032 Private Coverage (Managed

56. 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

57. 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.

58. 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,

59. 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

60. Adapting a National Curriculum to Better Collect Race and Ethnicity Data in New Mexico Hospitals (pdf file)
    hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/nm7.pdf
    May 26, 2012 - • Process, Impact, and Outcome Evaluation will be managed by contracted trainer.