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Showing results for "managed".

101. PQMP Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/measures/index.html?page=4
     May 01, 2024 - Pediatric Quality Measures (CAPQuaM) Distribution of Emergency Department Visit Use for Children Managed … Advancing Pediatric Quality Measures (CAPQuaM) Rate of Emergency Department Visit Use for Children Managed

102. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/overview/background/next-steps.html
     December 01, 2009 - Fourteen of the measures are currently NCQA HEDIS measures reported by Medicaid managed care plans, two … NCQA HEDIS measures are currently used for reporting by Medicaid Managed Care plans, and may not be used … for children enrolled in CHIP or children in States with limited or no Medicaid managed care. … care organizations. 11 Many States have no managed care presence. b In some States, children with … The measure is currently in use by 158 Medicaid managed care (MMC) health plans across 32 States.

103. APPENDIX to TECHNICAL SPECIFICATIONS: Medication Reconciliation for Children: General Desirable Attributes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/medication-reconciliation/chipra-0173-appendix.pdf
     January 22, 2020 - Pediatric Multispecialty Practice □ Practice owned by a Hospital or Health System □ Staff Model Managed … Do you have systems in place that provide hospital-managed outpatient clinicians with reports monthly … □ Yes □ No a) Do you have systems in place that provide hospital-managed outpatient clinicians with … b) Export to another electronic medical record at outpatient practices not managed by the hospital c … Do you have systems in place that provide hospital-managed outpatient clinicians with reports monthly

104. Medication Reconciliation in Pediatric Mental Health Settings: APPENDIX to TECHNICAL SPECIFICATIONS (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/medication-reconciliation/chipra-0179-appendix.pdf
     January 21, 2020 - Pediatric Multispecialty Practice □ Practice owned by a Hospital or Health System □ Staff Model Managed … Do you have systems in place that provide hospital-managed outpatient clinicians with reports monthly … □ Yes □ No a) Do you have systems in place that provide hospital-managed outpatient clinicians with … b) Export to another electronic medical record at outpatient practices not managed by the hospital c … Do you have systems in place that provide hospital-managed outpatient clinicians with reports monthly

105. 175. Systems Strategy 5. Include tobacco dependence treatments (both counseling and medication) identified as effective in this Guideline, as paid or covered services for all subscribers or members of health insurance packages | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide175.html
     October 01, 2014 - Strategies for implementation Provide all insurance subscribers, including those covered by managed

106. Table 5. Evidence Supporting Emergency Department Pain Assessment for Children With Sickle Cell Disease (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-section-5-table-5.pdf
     April 01, 2014 - Patients must be reassured that when they do experience pain it will be taken seriously and managed … Most SCD pain can be managed well if the barriers to assessment and treatment are overcome; a comprehensive … Many uncomplicated episodes can be managed at home with oral fluids; oral analgesics (ibuprofen, acetaminophen

107. Apply Module Slide Presentation Text Descriptions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/apply/alt-text.html
     March 01, 2013 - It is managed through changes in choices, processes, procedures, training, design and the environment … This behavior is best managed through removing incentives for at-risk behaviors, creating incentives … It is managed through remedial and punitive actions.

108. SNAC Member: Marshall H. Chin, M.D. | Agency for Healthcare Research and Quality
     www.ahrq.gov/cpi/about/nac/snac-chin.html
     December 01, 2021 - Chin collaborates with teams of State Medicaid agencies, Medicaid managed care organizations, and frontline

109. Behavioral/Mental Health | Agency for Healthcare Research and Quality
     www.ahrq.gov/chain/practice-tools/behavioral-mental-health/index.html
     March 01, 2017 - Psychotropic Medication Use in Texas Foster Children The State of Texas has a single, comprehensive, managed-care

110. Established Child Health Care Quality Measures: HEDIS | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-4.html
     November 01, 2017 - measurement set focused on clinical services and utilization, initially designed for use by purchasers and managed … Perceptions of care (incorporating the managed care version of CAHPS). Descriptive measures. … Academy for State Health Policy found that 34 States collected HEDIS® measures from their risk-based managed … treatments delivered in set time frames (e.g., preventive services, screenings, well-care visits), managed

111. Final Progress Report: The P4P Decision Tool: A Stakeholder Guide to Exploring and Selecting an Appropriate Pay-for-Performance Program (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/leapfrog-report.pdf
     January 01, 2024 - The Managed Care Information Center, c.2007. “AHRQ Resources on Pay for Performance.” … The Managed Care Information Center, c.2007. 8 http://www.cmwf.org/ http://www.chcs.org/ http://www.whitehouse.gov … The Managed Care Information Center, c.2006. Baker F, Carter B. … The Managed Care Information Center, c.2007. Verdier J, Felt-Lisk S, Smieliauskas F, et al. … “Quality-Related Provider and Member Incentives in Medicaid Managed Care Organizations.”

112. Value Set Export (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0084coding.xls
     January 01, 2012 - SHIELD PHDSC 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 7 MANAGED … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 11 Medicare (Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 21 Medicaid (Managed … PHDSC 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 61 BC Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 119 Medicare Managed

113. Settings: Finding the Audience for a Health Care Quality Report | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/distribute/placement/settings.html
     January 01, 2023 - People with well-managed chronic conditions may be both highly motivated and quite able to use quality … social service providers, public health facilities) to host free workshops to educate people about managed

114. Lessons from the Field: Identifying Measurement Challenges and Successes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-challenges-successes.pdf
     January 01, 2019 - authors of the Anthem Public Policy Institute 2016 issue brief on quality measurement in Medicaid managed … In their issue brief on quality measurement in Medicaid managed care, the Anthem Public Policy Institute … The authors noted One key informant described challenges faced by a managed care plan when developing … The “Nuts and Bolts” Behind Quality Measurement in Medicaid Managed Care. … www.anthempublicpolicyinstitute.com/blog/the-nuts- and-bolts-behind-quality-measurement-in-medicaid-managed-care

115. Participating in the CAHPS Home and Community-Based Services Survey Database | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/cahps-database/hcbs-database/participate.html
     December 01, 2024 - Participating in the CAHPS Home and Community-Based Services Survey Database All Medicaid agencies and managed

116. 2017 CAHPS Health Plan Survey Chartbook | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/cahps-database/comparative-data/2017-health-plan-chartbook/index.html
     November 01, 2021 - .: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD John Rauch Teresa Dodson

117. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=270
     January 01, 2024 - The findings indicate that patients who were managed with chest tubes showed higher readmission and … Keywords: Hospitals, Medicare, Policy Perez V Does capitated managed care affect budget … This study is the first to test whether managed care enrollment reduces the variance of Medicaid spending … Although the majority of Medicaid enrollees are in managed care, the study shows that managed care use … Does capitated managed care affect budget predictability? Evidence from Medicaid programs.

118. Table 1. Summary of Model State Initiatives | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/grants-impact/model-summary.html
     February 01, 2017 - Incentives and PCMH recognition Participating Medicaid managed care organizations offered PCMH incentives … Community health worker program serving high-risk enrollees in Medicaid managed care while helping New

119. Table 1. Summary of Model State Initiatives | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/tab1.html
     October 01, 2015 - Incentives and PCMH recognition Participating Medicaid managed care organizations offered PCMH incentives … Community health worker program serving high-risk enrollees in Medicaid managed care while helping New

120. Primary Care Practice Facilitation Curriculum Module 3: The Primary Care Landscape (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-3-primary-care-landscape.pdf
     September 01, 2015 - Managed care plans versus indemnity (FFS) plans. … Managed care organizations (MCOs) are health plans that contract with provider networks for the care … Primary Care Practice Facilitation Curriculum MODULE 3 M3-7 As managed care has evolved, however, … the distinctions between these managed care plan types have become less clear. … Therefore, indemnity plans can expose patients to greater financial risk than managed care plans.