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Showing results for "managed".

1. "CAHPS Health Plan Survey 5.1H - Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items: Survey on the Experiences with Care of Children Age 17 and Younger, as Submitted to the 2023 AHRQ CAHPS Health Plan Survey Database (n = 47 states) (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/health-plan-5.1-child-composite-measures.pdf
   January 24, 2024 - Rates include managed care population (1 MCO). … Rates include managed care population (1 MCO). … Rates include managed care population. … Rates include managed care population. … Rates include managed care population.

2. CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Survey on the Experiences with Care of Adults Age 18 and Older, as Submitted to the 2023 AHRQ CAHPS Health Plan Survey Database (n = 42 states) (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/health-plan-5.1-adult-composite-measures.pdf
   January 24, 2024 - Rates include managed care population (2 MCOs). … Rates include managed care population (1 MCO). … Rates include managed care population (1 MCO). … Rates include managed care population. … Rates include managed care population (1 MCO).

3. Federal Balance Budget Act of 1997: Excerpts | Agency for Healthcare Research and Quality
   www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/uses/fbba97.html
   December 01, 2017 - relating to performance measurement and quality, as described below: Subtitle H: Medicaid - Chapter 1: Managed … requirements in Sec. 4704 and 4705: Sec. 4704 requires "annual external independent review of [Medicaid] managed … Sec. 4705 requires "any State contracting with Medicaid managed care organizations to develop and implement … of individuals with special health care needs and chronic conditions who are enrolled with Medicaid managed

4. SyH-DR Data Dictionary: Person-Level Variables (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Person-Level-Variables-2024.pdf
   January 01, 2024 - Care Organization (MCO) Enrollment - January MDCD_MCO_ENRLMT_1 X NUM 3 Medicaid Managed Care … - April MDCD_MCO_ENRLMT_4 X NUM 3 Medicaid Managed Care Organization (MCO) Enrollment - May … _6 X NUM 3 Medicaid Managed Care Organization (MCO) Enrollment - July MDCD_MCO_ENRLMT_7 X NUM … Managed Care Organization (MCO) Enrollment - September MDCD_MCO_ENRLMT_9 X NUM 3 Medicaid Managed … Care Organization (MCO) Enrollment - October MDCD_MCO_ENRLMT_10 X NUM 3 Medicaid Managed Care

5. Hawaii Evaluates Medicaid Patients' Managed Care Experiences With AHRQ CAHPS | Agency for Healthcare Research and Quality
   www.ahrq.gov/news/newsroom/case-studies/ktcquips68.html
   October 01, 2014 - Hawaii Evaluates Medicaid Patients' Managed Care Experiences With AHRQ CAHPS Search All Impact Case … the Centers for Medicare & Medicaid Services—to collect and report patients' experience with their managed … who are of older age/blind/disabled for the first time, as those patients were recently moved into managed

6. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
   www.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
   July 01, 2019 - Culturally and linguistically diverse group members currently comprise 50 percent of managed Medicaid … groups, since they represent such a rapidly increasing share of the managed care market. … care utilization and are important to managed care accreditation performance (e.g., HEDIS). … Step 2: Assess the Capabilities of the Managed Care Plan. … Step 3: Identify Points of Contact for Members of Managed Care Plans.

7. Planning Culturally and Linguistically Appropriate Services | Agency for Healthcare Research and Quality
   www.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
   July 01, 2019 - Planning Culturally and Linguistically Appropriate Services Guide for Managed Care Plans To … The Business Case for CLAS in Managed Care There is a plausible business case for plans to initiate … diverse groups, since they represent such a rapidly increasing share of the managed care market. … care utilization and are important to managed care accreditation performance (e.g., HEDIS). … Assessing the Managed Care Plan.

8. Section 8.A, Data Availability (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-8a.pdf
   January 01, 2011 - Additionally, while some states usually provide managed care claims, others do not (Byrd and Verdier … Testing managed care claims data quality in each state Managed care claims data is sometimes absent … from MAX, and what managed care data is reported is not always validated before inclusion. … In order to address this problem, we review the managed care (MC) data reporting relative to fee for … This provides a check on the completeness of managed care data in each state.

9. CAHPS Mental Health Surveys | Agency for Healthcare Research and Quality
   www.ahrq.gov/cahps/surveys-guidance/mental-health/index.html
   March 01, 2025 - The ECHO Survey has separate versions for Managed Care Organizations (MCOs) and Managed Behavioral Health … Users of the ECHO Survey have included State Medicaid agencies, State mental health agencies, managed … behavioral health organizations (MBHOs), and managed care organizations (MCOs). … care organization or managed behavioral healthcare organization. … Download the Managed Care Organization (MCO) Survey and Instructions (ZIP, 4 MB) The MCO Survey asks

10. Using the CAHPS Database to Compare, Report, and Improve Organizational Performance (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/3_Deborah_Kilstein_slides_29-40.pdf
    January 15, 2014 - ACAP’s 58 Plans are in 25 States 31 Medicaid Managed Care and Traditional Enrollment 1999 - 2011 … 2008 2009 2010 2011 Number Enrolled in Traditional Medicaid Programs Number Enrolled in Medicaid Managed … 45.7 46.0 47.1 50.5 54.6 57.1 Source: Centers for Medicare & Medicaid Services, 2011 Medicaid Managed … Care Enrollment Report. 32 32 Medicaid Managed Care is No Longer Just Moms and Kids  24 ACAP … Care and Traditional Enrollment 1999 - 2011 Medicaid Managed Care is No Longer Just Moms and Kids

11. Examples of How States Use Quality Measures | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-8.html
    December 01, 2017 - Return to Contents Minnesota HEDIS® 2003 Medicaid Managed Care Results The Minnesota Department … of Human Services produced a report, HEDIS® 2003 Medicaid Managed Care Results , showing multiple HMO … For the home page of the New York managed care office, go to: https://www.health.ny.gov/health_care/ … Comparisons of HEDIS Results by Systems of Care The North Carolina Division of Medical Assistance Managed … Return to Contents Ohio Medicaid Managed Care Customer Satisfaction Survey Ohio's Health Plans,

12. CAHPS Home and Community-Based Services (HCBS) Survey Database | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/cahps-database/hcbs-database/index.html
    January 01, 2025 - (HCBS) Survey Database is a central repository of survey data from State Medicaid agencies and the managed … help evaluate, compare, and improve the quality of services provided by both fee-for-service HCBS and managed

13. HCBS CAHPS Survey Database: What You Need to Know - BROWN (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-brown.pdf
    June 02, 2025 - Functional Tools (TEFT) Demonstration Applies across Delivery Systems Used in both fee-for-service and managed … Applicable in both fee-for-service and managed long-term services and supports environments 7. … of analysis can vary • State Medicaid agencies • County or other non-state governmental entities • Managed … care plans under managed long-term services and supports programs 17 Other Important Considerations … aggregated results for analysis and use • The Lewin Group provides technical assistance to states, managed

14. Assessing the Health and Welfare of the HCBS Population | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab3b.html
    December 01, 2012 - 4.74 7.67 7.51 8.71 7.62 HMO (%) 2.49 0.10 1.26 1.18 1.47 2.41 1.81 Managed … %) 2.40 3.98 4.11 1.86 4.06 2.12 3.02 HMO (%) s s s s s s s Managed … Race Unknown (%) 1.79 s s s s 1.34 1.26 HMO (%) a a a a a a a Managed … ) 5.22 11.14 7.11 5.87 9.05 5.81 6.76 HMO (%) s s s s s s s Managed … 33.47 30.63 30.04 HMO (%) 11.17 20.96 16.24 19.37 15.79 9.94 14.25 Managed

15. Weighted Summary Statistics: PUF Medicaid Person File (Version 2) (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicaid-Person-Weighted.pdf
    September 26, 2023 - enrolled 9,178,263 13.14 9,178,263 13.14 1: Enrolled 60,685,742 86.86 69,864,005 100.00 Medicaid Managed … enrolled 24,498,053 35.07 24,498,053 35.07 1: Enrolled 45,365,952 64.93 69,864,005 100.00 Medicaid Managed … enrolled 24,153,736 34.57 24,153,736 34.57 1: Enrolled 45,710,269 65.43 69,864,005 100.00 Medicaid Managed … Weighted Frequency Tables: PUF Medicaid Person File 15:39 Tuesday, September 26, 2023 10 Medicaid Managed … Weighted Frequency Tables: PUF Medicaid Person File 15:39 Tuesday, September 26, 2023 11 Medicaid Managed

16. Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-fullreport.pdf
    May 01, 2018 - Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma 1 Rate of Emergency … Department Visit Use for Children Managed for Identifiable Asthma Section 1. … Measure Name CAPQuaM PQMP Asthma I: Rate of Emergency Department Visit Use for Children Managed for … estimates the rate of emergency department (ED) visits for children ages 2-21 years who are being managed … Churning in Medicaid managed care and its effect on accountability.

17. About the Measure | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/about.html
    July 01, 2021 - Department Use measure estimates the rate of emergency department (ED) visits for children who are being managed … Specifications and Reporting This measure estimates the rate of ED visits for children ages 3-21 who are being managed

18. HCBS Population | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find2.html
    December 01, 2012 - changes to Medicaid requirements, such as limiting choice of provider through mandatory enrollment in managed … directly relevant to HCBS, but some States use Section 1115 waivers to cover long-term care under a managed … Section 1915(b/c) waivers allow States to enroll beneficiaries in a mandatory managed care program that … Due to data limitations—individual encounter data are not available for managed care participants—we … One in 10 HCBS participants was enrolled in a Medicare or Medicaid managed acute care plan.

19. Participating in the 2023 CAHPS® Home and Community-Based Services Survey Database: What You Need to Know - Brown (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/3-2023hcbs-survey-webcast-brown.pdf
    April 01, 2024 - Functional Tools (TEFT) Demonstration Applies across Delivery Systems Used in both fee-for-service and managed … Applicable in both fee-for-service and managed long-term services and supports environments 7. … of analysis can vary • State Medicaid agencies • County or other non-state governmental entities • Managed … care plans under managed long-term services and supports programs 17 Other Important Considerations … aggregated results for analysis and use • The Lewin Group provides technical assistance to states, managed

20. Improving Your Laboratory Testing Process | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/ambulatory-care/lab-testing-toolkit.html
    January 01, 2018 - increase the reliability of the testing process in your office by helping you examine how tests are managed … The tools will help you examine how tests are managed in your office, from the moment tests are ordered