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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6kculturalcompetence.html
March 01, 2020 - For example, Molina Healthcare, a Medicaid managed care organization, developed and aggressively marketed … Racial and ethnic differences in parents' assessments of pediatric care in Medicaid managed care. … Race/ethnicity, language, and patients' assessments of care in Medicaid managed care. … Health plan effects on patient assessments of Medicaid managed care among racial/ethnic minorities.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-136-fullreport.pdf
July 01, 2018 - medications prior to
incidence emergency department (ED) visits and/or hospitalizations for children being managed … which asthma was a primary or secondary diagnosis
in children ages 2-21 who meet criteria for being managed … Among those who were sick
enough to need the ED, their asthma was well managed prior to the visit or … For those
whose asthma was not well managed, some will clearly have had system reasons for the lack … Consistency of care with national guidelines for children
with asthma in managed care.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/childhealth/usingthecoresetofqm.pdf
February 01, 2010 - addition, some States are using the measures to produce
performance reports for providers, families, managed … Improve Quality
Produce performance reports for
Providers X X X X X X X X
Families X X X X X
Managed
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/choosing/index.html
June 01, 2020 - delivery systems you have will help steer you to the measures that will produce the best results for:
Managed … For managed care organizations?
For a primary care case management program?
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www.ahrq.gov/policymakers/chipra/overview/background/index.html
December 01, 2009 - voluntary use by Medicaid and Children's Health Insurance Programs (CHIP), health insurance issuers and managed
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2appa.html
September 01, 2014 - with complex needs. 25
CMEs were developed to serve youth whose needs were not met by traditional managed
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-written-statement.pdf
February 12, 2014 - February 12, 2014
IP Rights Statement
Measure: Rate of Emergency Department Visit Use for Children Managed
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www.ahrq.gov/news/newsroom/press-releases/new-challenge-patient-safety-tools.html
June 01, 2023 - increase the reliability of the testing process in your office by helping you examine how tests are managed
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www.ahrq.gov/talkingquality/resources/writing/tip5.html
September 01, 2019 - Engaging consumers in designing a guide to Medi-Cal Managed Care Quality .
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www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/systems/index.html
December 01, 2012 - Guideline—2008 Update
Systems change describes specific strategies that health care administrators, managed … For example, managed care organizations and other insurers influence medical care through formularies … 209 Purchasers have also begun to use tobacco measures in pay-for-performance initiatives in which managed … research clearly shows that systems-level changes can reduce smoking prevalence among enrollees of managed … One recent effort to simulate the financial implications of covering tobacco use treatments by managed
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab10.html
February 01, 2023 - excludes: individuals under age 18; people with only institutional use in a given quarter; people on managed
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-factors-influencing-state-reporting.pdf
July 01, 2016 - States with high Medicaid managed care penetration—
Oregon and Pennsylvania—reported measures using … Oregon produced the measures within its
Medicaid agency, using encounter data that managed care
plans … That
experience prompted the state to require managed care
plans to provide complete and accurate … care contracts to enable reporting of the
Child Core Set
Oregon’s Medicaid managed care plans have … American Journal of
Managed Care, 13, 553–558.
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www.ahrq.gov/pcor/healthcare-extension-services/cooperative.html
February 01, 2025 - initial efforts to advance behavioral healthcare will include: Engaging Medicaid agencies, Medicaid managed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/choosing/choosing.doc
June 02, 2025 - delivery systems you have will help steer you to the measures that will produce the best results for:
· Managed … · For managed care organizations?
· For a primary care case management program?
-
www.ahrq.gov/news/newsletters/e-newsletter/938.html
November 01, 2024 - Effects of Medicaid managed care on early detection of cancer: evidence from mandatory Medicaid managed
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiij.html
June 01, 2010 - Tool or Measure Set: Wisconsin Draft Consumer Satisfaction Questions for Family Care Managed Care Organization … disabilities
Developer: A collaboration of Department of Health and Family Services waiver staff, managed … Testing: Field tested; content validity via stakeholder involvement
Summary: Wisconsin requires managed … disabilities
Developer: A collaboration of Department of Health and Family Services waiver staff, managed … with Developmental or Physical Disabilities and Frail Elders in Wisconsin's Medicaid-Funded HCBS and Managed
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/technical-specifications.pdf
June 02, 2025 - This measure estimates the rate of emergency department visits for children ages 3 – 21 who are being
managed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Hundt.pdf
January 01, 2003 - assess the incidence of
common or undesirable postoperative symptoms and how they were subsequently
managed … days after surgery and asked them a series of questions about
symptoms they experienced, how they managed … We determined how the
symptom was managed by asking varying combinations of 10 possible questions. … first occurred,
whether the participant called a health care provider for help, how the symptom
was managed … incidence of a symptom, we were interested in gaining a
better understanding of how the participant managed
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm1.html
October 01, 2014 - Managed Care/Freedom of Choice
Section 1915(b)
This section provides the Secretary of Health … and Human Services authority to grant waivers that allow States to implement managed care delivery systems … the individuals eligible for Medicaid in a State by:
Mandatory enrollment of beneficiaries into managed … the option, through the Balanced Budget Act of 1997, to enroll certain beneficiaries into mandatory managed … exist under Section 1915(b) that States may request:
1915(b)(1): Mandates Medicaid enrollment into managed
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/03-outpt-mhs-webcast-cleary.pdf
January 01, 1998 - health outcomes related to
behavioral health
►Focused on experiences with providers,
insurers, and managed