-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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.
-
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
-
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.
-
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
-
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.
-
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.
-
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
-
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
-
www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/index.html
August 01, 2020 - Systems Change
Systems change describes specific strategies that health care administrators, managed
-
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
-
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
-
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
-
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