-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology9.html
April 01, 2025 - These risks need to be anticipated, monitored, described, and managed.
-
www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/introduction.html
July 01, 2021 - Emergency Department Use measure estimates the rate of ED visits for children ages 3-21 who are being managed
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supln-slides.pdf
January 24, 2025 - measures
• Data sources
– Primarily Medicaid/CHIP administrative data (enrollment and
claims or managed … since 1996
41
SC Medicaid
• Covers about 22-25% of population, 52% of all births
• Majority Managed … Analysis – Program and Policy
o Technical Assistance & Evaluation Support
o Geo-spatial analysis
o Managed … Medicaid Quality Indicators Initiative
Medicaid
Product Line
Medicare
Product Line
HEDIS NCQA
Managed … INDICATORS
Agency Internal
and External
Supported
Initiatives
Hospital
Association
Triple Aim
Managed
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary2.html
September 01, 2015 - quality measures for children to monitor quality and compare performance across health systems and managed … Policy or programmatic changes, such as stipulating benchmarks in managed care contracts and developing
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apia.html
June 01, 2010 - Performance standards for Medi-Cal managed care organizations serving people with disabilities and chronic … Outcomes of managed care of dually eligible older persons. Gerontologist 2003 Apr;43(2):165-74. … Quality assessment in a Medicaid managed mental health care plan: an Iowa case study. … Managed behavioral health care premises, accountable systems of care, and AMBHA's PERMS. … American Managed Behavioral Healthcare Association. Eval Rev 1997 Jun;21(3):318-21.
-
www.ahrq.gov/prevention/guidelines/tobacco/smoking-cessation.html
October 01, 2014 - Smoking Cessation: A Systems Approach
A Guide for Health Care Administrators, Insurers, Managed Care
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/50-multimodal-analgesia-facilitator.docx
June 01, 2023 - Slide 6
Ketamine and Dexmedetomidine
The majority of perioperative pain can be reasonably managed … However, if pain remains poorly managed or patients present with a history of chronic opioid use, additional
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight11.html
April 01, 2015 - We think it was a landmark document because it will [allow us to] compare the various Medicaid Managed … example, Florida and Illinois are reporting measures for their State as a whole and for each Medicaid managed … Alaska Medicaid Coordinated Care Initiative. a
Florida
Florida Medicaid is requiring managed … Illinois
Illinois Medicaid is requiring managed care organizations and accountable care entities … b Accountable care entities are integrated delivery systems similar to managed care organizations.
-
www.ahrq.gov/ncepcr/communities/pbrn/registry/national-nurse-led-care-consortium.html
September 09, 2013 - We support more than 250 nurse-managed health clinics and nurse-led care settings serving millions of
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/bozicstudysnapshot/ihabundled_appendix.pdf
June 02, 2025 - (n=5)
Other Stakeholders Semi-‐structured interviews
with state managed care regulators, claims
-
www.ahrq.gov/sites/default/files/publications/files/ihabundled_appendix.pdf
June 02, 2025 - (n=5)
Other Stakeholders Semi-‐structured interviews
with state managed care regulators, claims
-
www.ahrq.gov/talkingquality/plan/environment.html
June 01, 2016 - Questions to ask about local health plans:
Do managed care plans dominate the market? … Are the plans owned and managed at the National, regional or local level?
-
www.ahrq.gov/sites/default/files/publications/files/impguide2.pdf
September 08, 2015 - • Medicaid managed care organizations. … CMEs can be managed at the State or local level. … State Medicaid office and
managed care organization.
State Medicaid office. … Managed care organization
(Colorado Access operating
in Wyoming as Wyoming
Access). … Medicaid managed care for special need populations: behavioral
health as a “tracer condition.”
-
www.ahrq.gov/practiceimprovement/delivery-initiative/abstract-williams.html
December 01, 2017 - Association (IHA) convened a group of stakeholders (health plans, provider organizations, and vendors) and managed
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight11.pdf
September 08, 2015 - We think it was a
landmark document because it will
[allow us to] compare the various
Medicaid managed … example, Florida and
Illinois are reporting measures for their
State as a whole and for each Medicaid
managed … Illinois • Illinois Medicaid is requiring managed care organizations and accountable care entities to … and utilization review program.
bAccountable care entities are integrated delivery systems similar to managed … Illinois’s inclusion of Child
Core Set measures in its contracts with
accountable care entities and managed
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-anemia.pdf
June 02, 2025 - Monitoring
■ May check hematocrit and reticulocyte count periodically, but most babies can be managed
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-on_quality-measure-use.pdf
September 24, 2015 - improvement workgroups
– Encouraged consistent quality reporting standards across programs
– Required managed … With asthma will be managed effectively and control
maximized
Broad Focus on Quality
• Simultaneously … demonstrating improvement
David Kelley
30 30
Pennsylvania Medical Assistance
• Mandatory managed … care
• Over 1.1 million children covered by Medicaid
• Managed Care Organizations reporting both
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-slides.html
January 01, 2016 - improvement workgroups
Encouraged consistent quality reporting standards across programs
Required managed … when indicated
With special health care needs will have their care coordinated
With asthma will be managed … demonstrating improvement
David Kelley
Slide 30
Pennsylvania Medical Assistance
Mandatory managed … Managed Care Organizations reporting both HEDIS® and Pennsylvania Performance measures.
-
www.ahrq.gov/research/findings/final-reports/iomracereport/reldatapre.html
May 01, 2018 - data (e.g., a multispecialty group practice) may provide that information to another entity (e.g., a managed … These included Cindy Ehnes and Hattie Hanley of the Department of Managed Health Care; Shelley Rouillard … and Ernesto Sanchez, Managed Risk Medical Insurance Board; David Carlisle, Candace Diamond, Serena Beltran … Sandra Perez and Ed Mendoza, California Office of the Patient Advocate; and Rita Marowitz, Medi-Cal Managed
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-1.html
August 01, 2023 - In contrast, conditions commonly managed in the primary care setting (e.g., hypertension, depression,