-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-section-5-appendix-1.pdf
October 12, 2013 - Median 43.5 426 149
Mean 44.7 502 197
75th 51.6 749 242
Max 67.7 1384 587
Data Source: NYS Medicaid Managed
-
www.ahrq.gov/sites/default/files/publications/files/bozicstudysnapshot.pdf
February 01, 2015 - In addition, the California Department of Managed Health
Care had to approve all contracts between plans
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/bozicstudysnapshot/bozicstudysnapshot.pdf
February 01, 2015 - In addition, the California Department of Managed Health
Care had to approve all contracts between plans
-
www.ahrq.gov/practiceimprovement/delivery-initiative/bozicstudysnapshots/index.html
August 01, 2018 - In addition, the California Department of Managed Health Care had to approve all contracts between plans
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/amplify-impact-webinar.pdf
June 01, 2017 - multi-stakeholder QI workgroups
– Encouraged consistent quality reporting standards
across programs
– Required managed
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2pt3.html
September 01, 2014 - to authorize, oversee, or finance behavioral health or social services for youth, including Medicaid Managed
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-medical-home-academyhealth.pdf
December 12, 2015 - claims (can’t apply PMCA to
determine chronic condition status; also suspect data issues)
Non-managed
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-fullreport.pdf
November 02, 2017 - The influence of patient characteristics on ratings of
managed behavioral health care. … Care experiences of managed care Medicare
enrollees near the end of life. … Do commercial managed care members rate their health
plans differently than Medicaid managed care members … Special issues addressed in the CAHPS survey of
Medicare managed care beneficiaries. … Race/ethnicity, language, and patients’
assessments of care in Medicaid managed care.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-145-fullreport.pdf
July 01, 2016 - be made available for treatment, and physicians must follow-
up with patients to ensure that ADHD is managed … and ignores the fact that AAP considers ADHD to be a chronic care condition
that must be properly managed … outcomes with methylphenidate
formulations among patients with ADHD: retrospective claims analysis of a managed … Quality of care for childhood attention deficit hyperactivity
disorder in a managed care Medicaid program … Medicaid or CHIP Payment model: Can compare payment models (e.g., managed care,
primary care case management
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
November 30, 2013 - Other
Provider/Name________________
Medical
Director/Name________________
Medicare Managed … reinsertion)
Authorized by (primary care physician, covering provider,
medical director, Medicare managed … Managed
Care Case
Manager
1 0 0
Total 6
AHRQ’s Safety Program for Nursing Homes: … provider,
a covering provider, the facility’s medical director, a
representative from a Medicare managed … In addition, these data
can be used in discussions with hospital stakeholders or managed
care organizations
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-117-fullreport.pdf
October 18, 2017 - was taken, the infant both
met written institutional criteria for therapeutic hypothermia and was managed … are low birthweight and do not require admission to the advanced care
nursery may be at risk to be managed … recently these late preterm infants were even called
“near term,” leading to confusion that they could be managed … EHR data were seen as available to
identify those managed for comfort care only and 12 hospitals indicated … aggregations are feasible.
21
Medicaid or CHIP Payment model: Can compare payment models (e.g., managed
-
www.ahrq.gov/sites/default/files/2025-02/chen-report.pdf
January 01, 2025 - for children with complex medical conditions.1-5 Children with complex medical
conditions are often managed … fragmented interaction and communication across multiple
providers, can lead to inconsistent and poorly managed … Monitoring and evaluating managed
care for children with chronic illnesses and disabilities.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
January 01, 2025 - At the macro level, all institutions and caregivers are members of integrated care networks (true
managed … These entities represent a new type of
managed care organization that will be responsible for defined … Transitions between care settings will be managed far more effectively.
-
www.ahrq.gov/sites/default/files/wysiwyg/priority-populations/aging-well-strategic-plan.pdf
August 01, 2024 - mortality associated with aging can be delayed or
slowed, and chronic conditions can be effectively managed … survey results that have been voluntarily submitted by state Medicaid agencies and their contracted
managed … help evaluate, compare, and improve the quality of services provided by both fee-for-service
HCBS and managed
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
April 01, 2018 - How effectively
pain is managed in children can affect their ability to cope physically, emotionally … primarily black patients, including children, with SCD enrolled in TennCare,
Tennessee’s Medicaid managed … Medicaid or CHIP Payment model: Can compare payment models (e.g., managed care,
primary care case management … providers and purchasers to assess how well comprehensive
care, including treatment in the ED, is managed … Patients must be reassured that when they do experience pain
it will be taken seriously and managed
-
www.ahrq.gov/prevention/resources/vision/resources/vision1.html
October 01, 2002 - the context for service delivery has shifted; inpatient hospital stays are shorter as patients are managed … The growth of managed care and prospective capitated payment for inpatient health care has provided incentives
-
www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-5.html
July 01, 2019 - Administrative staff person exclusively dedicated to insurance verification
X
IT
Role contributed/managed … X
Housekeeping, security, maintenance
Role contributed/managed centrally. … medical assistant; EHR=electronic health record; X=No specific FTE provided/role may be paid for and managed
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
January 01, 2004 - adverse
patient safety events suggests that any cost-cutting efforts should be carefully
designed and managed … hospitals are already distressed financially as a result of the
steep price discounts afforded to managed … hospital payments for Medicare beneficiaries and Medicaid
recipients should be carefully designed and managed
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Loux.pdf
January 01, 2004 - emergency departments, urgent care centers, etc.7 We identified whether
rural hospitals were contract-managed … A greater proportion of small
hospitals are contract-managed, compared with medium-sized and large hospitals … Organizational Structure
System member 34.5% (145) 36.1% (61) 48.9% (47) 37.6% (253)
Contract-managed
-
www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
October 01, 2015 - chronic urinary retention without bladder outlet obstruction such as neurogenic bladders are often best managed … Remember that patients with preexisting incontinence managed their incontinence prior to admission. … ISC is adequate to manage the type of incontinence
Urinary incontinence that is treated and can be managed