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21. Comparative Reports on Health Plans | Agency for Healthcare Research and Quality
    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

22. 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.

23. Oral, Linguistic, and Culturally Competent Services | Agency for Healthcare Research and Quality
    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

24. Guidelines and Other Resources To Fine-tune Your Writing | Agency for Healthcare Research and Quality
    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.

25. 6. References and Notes | Agency for Healthcare Research and Quality
    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

26. CPQSC Participating Hospitals (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-6-a-participating-hospitals.pdf
    June 02, 2025 - More than half of patients (53.00%) use Medicaid, 45.80% use Managed Care, and 1.20% use another form … More than half of patients use Managed care (57.75%) whereas 40.81% use Medicaid, 1.20% use another … majority of patients use either Medicaid (37.57%) or Blue Cross Blue Shield (35.95%) while 25.41% have Managed

27. Section 6-A, CPQSC Participating Hospitals (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-a-cpqsc-participating-hospitals.pdf
    June 02, 2025 - More than half of patients (53.00%) use Medicaid, 45.80% use Managed Care, and 1.20% use another form … More than half of patients use Managed care (57.75%) whereas 40.81% use Medicaid, 1.20% use another … majority of patients use either Medicaid (37.57%) or Blue Cross Blue Shield (35.95%) while 25.41% have Managed

28. Section 6-A, CPQSC Participating Hospitals (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-a-cpqsc-hospitals.pdf
    June 02, 2025 - More than half of patients (53.00%) use Medicaid, 45.80% use Managed Care, and 1.20% use another form … More than half of patients use Managed care (57.75%) whereas 40.81% use Medicaid, 1.20% use another … majority of patients use either Medicaid (37.57%) or Blue Cross Blue Shield (35.95%) while 25.41% have Managed

29. 115-Daily-Goals-Icu-Checklist (doc file)
    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

30. Chapter-7 - Harm Due to Anticoagulants (pdf file)
    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

31. For Systems Decisionmakers | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/index.html
    August 01, 2020 - Systems Change Systems change describes specific strategies that health care administrators, managed

32. Measuring the Quality of Health Plans | Agency for Healthcare Research and Quality
    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

33. Section 12, Tables 4 and 5. (pdf file)
    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

34. CAHPS Home and Community-Based Services Survey | Agency for Healthcare Research and Quality
    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

35. 2021 National Healthcare Quality and Disparities Report Appendixes (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-appendixes.pdf
    December 01, 2021 - 12 months who sometimes or never got an appointment for routine care as soon as wanted, Medicare managed … Adults who needed care right away for an in the last 6 or 12 months who sometimes wanted, Medicare managed … , or treatment who sometimes or never found it easy to get the care, tests, or treatment, Medicare managed … or 12 NCBD 2019 months who sometimes or never got advice to quit smoking from provider, Medicare managed … 12 months who sometimes or never got an appointment for routine care as soon as wanted, Medicare managed

36. 216. Helpful Web Sites (All Web sites listed are either government-sponsored organizations or nonprofit foundations) | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide216.html
    October 01, 2014 - Addressing Tobacco in Healthcare (formerly Addressing Tobacco in Managed Care): www.atmc.wisc.edu

37. Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
    June 01, 2020 - The team automated and validated the nurse-managed insulin infusion protocol at Johns Hopkins to illustrate … Automation and interoperability of a nurse-managed insulin infusion protocol as a model to improve safety … accessed June 12, 2020. 2019 Barasch, N., et al., Automation and interoperability of a nurse-managed

38. CHIPRA 235: Section 5, Table 3. Evidence Supporting the Importance of Access to Outpatient Specialty Care (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-235-section-5-table-3.pdf
    June 17, 2014 - Descriptive Study In this study documenting access to care for Medicaid managed care enrollees, 39% … of specialists listed as being in a managed care plan network were found to not participate in that … Access to Care: Provider Availability in Medicaid Managed Care.

39. Value Set Export (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085episiotomycoding.xls
    January 01, 2012 - 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 11 Medicare (Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 21 Medicaid (Managed … PHDSC 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 61 BC Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 119 Medicare Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 219 Medicaid Managed

40. Value Set Export (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Coding.xls
    January 01, 2012 - SHIELD PHDSC 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 7 MANAGED … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 11 Medicare (Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 21 Medicaid (Managed … PHDSC 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 61 BC Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 119 Medicare Managed