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  1. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/3-2023hcbs-survey-webcast-brown.pdf
    April 01, 2024 - Functional Tools (TEFT) Demonstration Applies across Delivery Systems Used in both fee-for-service and managed … Applicable in both fee-for-service and managed long-term services and supports environments 7. … of analysis can vary • State Medicaid agencies • County or other non-state governmental entities • Managed … care plans under managed long-term services and supports programs 17 Other Important Considerations … aggregated results for analysis and use • The Lewin Group provides technical assistance to states, managed
  2. www.ahrq.gov/news/newsroom/case-studies/ktcoecdom45.html
    October 01, 2014 - For several years, Kelley and OMAP managed care staff have been using AHRQ's PQIs to examine the quality … and efficiency of care being coordinated by the managed care organizations and to adjust their payment … that the PQIs were useful in calculating a modest reduction in what Pennsylvania Medicaid pays to the managed … In 2008, Pennsylvania Medicaid staff also began pursuing efficiency adjustments for payments to managed … Pennsylvania Medicaid is also encouraging its managed care organizations to educate providers on guidelines
  3. www.ahrq.gov/news/newsroom/case-studies/ktcquips68.html
    October 01, 2014 - Hawaii Evaluates Medicaid Patients' Managed Care Experiences With AHRQ CAHPS Search All Impact Case … the Centers for Medicare & Medicaid Services—to collect and report patients' experience with their managed … who are of older age/blind/disabled for the first time, as those patients were recently moved into managed
  4. www.ahrq.gov/hai/tools/ambulatory-care/lab-testing-toolkit.html
    January 01, 2018 - increase the reliability of the testing process in your office by helping you examine how tests are managed … The tools will help you examine how tests are managed in your office, from the moment tests are ordered
  5. www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/about.html
    July 01, 2021 - Department Use measure estimates the rate of emergency department (ED) visits for children who are being managed … Specifications and Reporting This measure estimates the rate of ED visits for children ages 3-21 who are being managed
  6. www.ahrq.gov/funding/grantee-profiles/grtprofile-xu.html
    March 01, 2022 - Xu has explored the impact of health insurance (managed care versus traditional fee-for-service) on healthcare … In the early 2000s, managed care was gaining a lot of momentum for its emphasis on reducing costs, according … Less understood was what she identifies as the other side of the “value” equation—whether managed care … She led an AHRQ-funded study to analyze the effects of managed care plans {e.g., health maintenance organization
  7. www.ahrq.gov/ncepcr/tools/cultural-competence/index.html
    August 01, 2019 - Oral, Linguistic, and Culturally Competent Services Guides for Managed Care Plans To address … shifting demographic trends in health care, two guides offer approaches to defining cultural needs in managed … for a contractor from AHRQ's Integrated Delivery System Research Network to develop two guides for managed
  8. ampe_2_107.38_48.tp (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/bethellscreener.pdf
    February 01, 2002 - samples: a national sample of households with children (n 5 17 985), children enrolled in Medicaid managed … In the Medicaid managed care and the SSI samples, the CSHCN Screener positively identified 20.7% and … In the national and Medicaid managed care samples, approximately one half of the children positively … Monitoring health care for children with chronic conditions in a managed care environment. … Medicaid Program; Medicaid Managed Care. Fed Reg. 2001;66:6377. 5. Family Voices.
  9. www.ahrq.gov/talkingquality/resources/comparative-reports/health-plans.html
    December 01, 2022 - Report Title: Medi-Cal Managed Care Health Care Options Website: https://www.healthcareoptions.dhcs.ca.gov … Location: California Synopsis: The California Department of Health Care Services’ website on Medi-Cal managed … Report Title: Managed Care Regional Consumer Guides Website: https://www.health.ny.gov/health_care … State Department of Health Developer Type: State government Location: New York Synopsis: The Managed
  10. www.ahrq.gov/talkingquality/resources/writing/guidelines.html
    September 01, 2019 - Can Consumers Understand Managed Care Report Cards? Managed Care Interface 1998; 11(11): 91-95. … Managed Care Quarterly 1999; 7(3): 75-82.
  11. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section6.html
    March 01, 2019 - Reauthorization Act of 2009, P.L. 111-3. 22 During our baseline analysis, Massachusetts was unable to link managed … So while they sent us managed care encounter data, we could not identify which managed care patients … By the time we determined Massachusetts had solved the linkage problem and could use managed care data
  12. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0124-fullreport.pdf
    September 01, 2019 - Distribution of Emergency Department Visit Use for Children Managed for Identifiable Asthma Distribution … of Emergency Department Visit Use for Children Managed for Identifiable Asthma Section 1. … Measure Name Distribution of Emergency Department Visit Use for Children Managed for Identifiable Asthma … Recent evidence of being managed for identifiable asthma in the assessment period, including: • Any … Churning in Medicaid managed care and its effect on accountability.
  13. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-fullreport.pdf
    May 01, 2018 - Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma 1 Rate of Emergency … Department Visit Use for Children Managed for Identifiable Asthma Section 1. … Measure Name CAPQuaM PQMP Asthma I: Rate of Emergency Department Visit Use for Children Managed for … estimates the rate of emergency department (ED) visits for children ages 2-21 years who are being managed … Churning in Medicaid managed care and its effect on accountability.
  14. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-section-12-table-4-5.pdf
    December 31, 2010 - 651,207 (79%) 177,805 (21%) Coverage for majority of eligibility months Fee-for-service ± Managed … Sensitivity and specificity for COMBO and PMCA in managed care and fee-for-service subsets of Washington … NC-CD Without CD Sensitivity Specificity Sensitivity Specificity Sensitivity Specificity Managed
  15. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/115-daily-goals-icu-checklist.docx
    October 01, 2024 - communication is particularly important in the unit if complicated care plans are to be effectively managed … Insulin: Sliding Scale Insulin (SSI) _____ Drip _____ · Electrolyte Protocols unit specific nurse managed … Anticoagulation: Yes No · Activated partial thromboplastin time (aPTT) goal _____ · R.N. managed … · M.D. managed Insert text Can Any Medications Be Discontinued, Converted to “By Mouth” or
  16. www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/index.html
    August 01, 2020 - Systems Change Systems change describes specific strategies that health care administrators, managed
  17. www.ahrq.gov/cahps/surveys-guidance/hcbs/index.html
    January 01, 2025 - for voluntary use by State Medicaid programs, including both fee-for-service HCBS programs as well as managed … Aggregated Results for the Home and Community-Based Services Survey State Medicaid agencies and the managed
  18. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0124-figure2.pdf
    February 07, 2020 - CAPQuaM PQMP Asthma II: Distribution of Emergency Department Visit Use for Children Managed for Identifiable
  19. www.ahrq.gov/talkingquality/measures/setting/health-plan/index.html
    March 01, 2016 - practice of measuring and reporting quality at the health plan level began in the early 1990s when managed
  20. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
    March 01, 2020 - Quality of pharmacist-managed anticoagulation therapy in long-term ambulatory settings: A systematic … In non-RCT studies, pharmacist-managed patients had a significantly higher percentage of time in the … management of warfarin and any other model, e.g., physician-managed, nurse-managed Of 17 included … In 9 of 9 studies that reported on the outcome, the pharmacist- managed group had decreased rates of … In the pooled meta-analysis, pharmacist-managed models had significantly higher patient satisfaction

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