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www.ahrq.gov/cahps/surveys-guidance/echo/about/Development-ECHO-Survey.html
May 01, 2018 - The American Managed Behavioral Health Care Association.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab12.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/pqmp/measures/duration/chipra-157-bibliography.pdf
June 12, 2018 - The impact of Medicaid managed care on
hospitalizations for ambulatory care sensitive conditions.” … Churning in Medicaid managed care and its effect on
accountability. … Medicaid managed care encounter data: Collection and use. … care utilization by children with chronic illnesses: A
comparison of Medicaid and employer-insured managed
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-bibliography.pdf
May 08, 2018 - The impact of Medicaid managed care on
hospitalizations for ambulatory care sensitive conditions. … Churning in Medicaid managed care and its effect on
accountability. … Medicaid managed care encournter data: Collection and use. … care utilization by children with chronic illnesses: A
comparison of Medicaid and employer-insured managed
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www.ahrq.gov/cahps/news-and-events/news/index.html
March 01, 2025 - Survey Database includes 10,686 survey responses voluntarily submitted by State Medicaid agencies and managed … Survey Database includes 6,053 survey responses voluntarily submitted by State Medicaid agencies and managed … Survey Database includes 4,731 survey responses voluntarily submitted by State Medicaid agencies and managed
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www.ahrq.gov/policymakers/chipra/overview/background/next-steps2.html
December 01, 2009 - As noted above, almost half of Medicaid- and CHIP-enrolled children are not in managed care plans, and … improved considerably after program implementation. 35 The greatest increases were in California (two managed … at health plan and provider levels, and reports are made by health plans participating in Medicaid managed … In 2007, the national mean performance rate across Medicaid managed care health plans reporting to NCQA … measure of annual dental visits because the HEDIS measure is reported by NCQA only for children in managed
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www.ahrq.gov/cpi/about/organization/nac/mort.html
February 01, 2025 - Mort also has extensive experience in healthcare quality measurement, quality and safety improvement, managed
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/06-outpt-mhs-webcast-closing.pdf
June 02, 2025 - Case‐Mix Adjustment of
Consumer Reports about Managed Behavioral Health Care and Health Plans.
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www.ahrq.gov/cpi/about/otherwebsites/psnet.ahrq.gov/index.html
December 01, 2024 - Participating Agencies, Organizations, and Institutions AHRQ's PSNet is managed by MOST Investments d
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d5_combo_gapanalysis.docx
June 02, 2025 - Indicators can be considered in the gap analysis as possible strengths or weaknesses (i.e., barriers) to be managed
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/nashp-webinar-on-quality_measure-use.pdf
September 21, 2015 - improvement workgroups
– Encouraged consistent quality reporting standards across programs
– Required managed … measures and
demonstrating improvement
26 26
Pennsylvania Medical Assistance
• Mandatory managed … care
• Over 1.1 million children covered by Medicaid
• Managed Care Organizations reporting both
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-2.html
November 01, 2017 - supplemental items entitled "HEDIS" (Health Plan Employer Data and Information Set) is specific to managed … targets children 17 years of age and younger who are served by the following types of programs:
Managed … Return to Contents
Length-of-Enrollment Requirements
Medicaid managed care beneficiaries must be
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www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide5.html
August 01, 2024 - ACO REACH, Primary Care First, and Making Care Primary) x State Medicaid programs and Medicaid managed … Training, or Other Services Payers (including private health insurance plans and Medicaid or Medicare managed … New Mexico’s Medicaid funding of its managed care organizations has been a significant, long-term funding … As one researcher described, “Outcomes meaningful to Medicaid-managed care insurers may differ from outcomes
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www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
June 01, 2018 - A survey of managed care plans by the National Committee for Quality Assurance (NCQA) found that 60 percent … Yet, in its survey of managed care plans, the National Committee for Quality Assurance found that only … However, NCQA found that 30 percent of women age 52 to 69 in surveyed managed care plans had not received … A study of the use of hysterectomies in seven managed care plans found that 16 percent were unnecessary … recommended for diabetics, with over 50 percent of diabetics receiving annual eye exams in New England managed
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supln-slides.html
January 01, 2016 - plan measures
Data sources
Primarily Medicaid/CHIP administrative data (enrollment and claims or managed … Historical Context
SC Medicaid
Covers about 22-25% of population, 52% of all births
Majority Managed … Analysis – Program and Policy
Technical Assistance & Evaluation Support
Geo-spatial analysis
Managed … They include: CHIPRA Core QI Indicators (HEDIS NCQA, PQI, and NQF), HEDIS NCQA Managed Care and Fee for … , Agency Internal and External Supported Initiatives (including Hospital Associated Triple Aim, and Managed
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-FEC-5.pdf
June 02, 2025 - List of entity types currently using measure:
Medicaid Managed Care plans
IMPORTANCE
M.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d5_pdi_gapanalysis.pdf
June 02, 2025 - Indicators can be
considered in the gap analysis as possible strengths or weaknesses (i.e., barriers) to be managed
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d5_pdi_gapanalysis.docx
June 02, 2025 - Indicators can be considered in the gap analysis as possible strengths or weaknesses (i.e., barriers) to be managed
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/asthma-ed-kdd.pdf
March 10, 2021 - Secondary Drivers Examples of Interventions
Reduce the # of ED
visits/100 child-
years for children
managed
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www.ahrq.gov/cahps/surveys-guidance/item-sets/mobility/Development-PWMI-Item-Set.html
April 01, 2020 - for Medicaid populations, which they administered to SSI beneficiaries who had recently enrolled in managed