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Showing results for "managed".

41. Distribution of Emergency Department Visit Use for Children Managed for Persistent Asthma | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/measures/asthma-distribution-ed-visit.html
    August 01, 2021 - Distribution of Emergency Department Visit Use for Children Managed for Persistent Asthma Measure

42. Rate of Emergency Department Visit Use for Children Managed for Persistent Asthma | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/measures/asthma-rate-ed-visit.html
    August 01, 2021 - Rate of Emergency Department Visit Use for Children Managed for Persistent Asthma Measure Domain

43. AHRQ Resources Help Maine Telehealth Network Improve Care in Remote Areas | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/cp30506.html
    October 01, 2014 - Network Improve Care in Remote Areas Search All Impact Case Studies August 2005 A rural managed … AHRQ sponsored the Maine Rural Managed Care Center (RMCC), which was launched in 1994 in anticipation

44. Daily Goals Checklist | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/toolkit/daily-goals.html
    December 01, 2012 - communication is particularly important in the unit if complicated care plans are to be effectively managed … communication is particularly important in the unit if complicated care plans are to be effectively managed

45. Policy Projects | Agency for Healthcare Research and Quality
    www.ahrq.gov/professionals/clinicians-providers/resources/rice/ceproj.html
    October 01, 2014 - Economics Clinical Economics Resource Links Policy Projects Evaluation of the Academy for Managed … Deliberative Focus Groups: Citizen Input to Health Policy Evaluation of the Academy for Managed … which dossiers contain standardized information consistent with the recommendations from the Academy of Managed

46. Value Set Export (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-169-gestational-age-additional-specifications.pdf
    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

47. Value Set Export (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085behaviorcoding.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

48. Value Set Export (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0082cesareancoding.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

49. Outcome Indicators for the HCBS Population | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
    December 01, 2012 - We exclude individuals in a managed acute care plan or a managed long-term care plan. … Thus, we exclude the entire State of Arizona, which has managed acute care for all Medicaid beneficiaries

50. Data Sources and Limitations | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/cahps-database/comparative-data/2017-health-plan-chartbook/data-sources-limitations.html
    October 01, 2017 - Medicare Data: Each year, the CAHPS Database receives the CAHPS Medicare Managed Care survey data collected … These results are for survey participants enrolled in a managed care health plan including both enrollees

51. Major Health Plan Quality Measurement Sets | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/measures/setting/health-plan/measurement-sets.html
    December 01, 2022 - HEDIS ® HEDIS refers to a widely used set of performance measures in the managed care industry. … HEDIS is managed by the National Committee for Quality Assurance (NCQA), a private, non-profit organization

52. Figure 2: Framework for Stroke Rehabilitation | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/resources/vision/visfig2.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

53. Major Physician Measurement Sets | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/measures/setting/physician/measurement-sets.html
    January 01, 2023 - Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed … HEDIS is managed by the National Committee for Quality Assurance (NCQA), a private, non-profit organization

54. Strategy 6E: Rapid Referral Programs | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6g-rapid-referral.html
    April 01, 2023 - Making patient care easier under multiple managed care plans. Fam Prac Manag February 1998. … Wrestling with the managed care octopus, Part 3. Get insurance authorizations faster. … Patients satisfaction when denied authorization for emergency department care by their managed care plan … Wrestling with the managed care octopus, Part 3. Get insurance authorizations faster.

55. 4. Observations About the Evaluation | Agency for Healthcare Research and Quality
    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section4.html
    October 01, 2015 - comprehensiveness of the Medicaid administrative data were compromised by lack of encounter data from managed … Many of the Category C States have high use of Medicaid managed care among child beneficiaries, with … 45 to 90 percent of children in managed care in Florida, Massachusetts, Oregon, South Carolina, Utah, … Most states could not provide managed care encounter data. … Without data from managed care organizations, our evaluations would have represented a small proportion

56. NCQA's Version of the Health Plan Survey | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/surveys-guidance/hp/about/NCQAs-CAHPS-HP-Survey.html
    April 01, 2020 - National Committee for Quality Assurance (NCQA) is the nation's most prominent evaluator of the quality of managed

57. Tools To Improve Diagnostic Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/tools/index.html
    June 01, 2025 - This toolkit helps ensure that diagnostic lab tests are accurately managed and shared with patients and … The tools help examine how tests are managed in the office, from the moment tests are ordered until the

58. Part 4: CME Design Features | Agency for Healthcare Research and Quality
    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2pt4.html
    September 01, 2014 - Medicaid managed care organizations. Cross-agency committees or purchasing collaboratives. … care organizations if behavioral health services are provided under a managed care arrangement. … Maryland’s Medicaid-funded CMEs will be managed at the county level to increase local control. … Level of CME Management: State or Local CMEs can be managed at the State or local level. … States may choose to include all services managed by a given funding agency in the case rate or carve

59. Managing and Growing an Established PBRN (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/pbrn-managing-growing-webinar.pdf
    August 01, 2024 - Home Infusion, 1, 1% Hospital-Inpatient, 32, 27% Hospital-Outpatient, 9, 7% Long-term Care, 7, 6% Managed … Care-Admin, 5, 4% Managed Care-Clinic, 3, 3%Pharm Industry, 3, 3% Michelle Chui, Pharm.D., Ph.D.​

60. Spotlight on Illinois -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-illinois-state-snapshot.pdf
    January 01, 2018 - compares its performance with national benchmarks.2 The State also started: (1) requiring Medicaid managed … con- vened a work group to analyze emergency department use data and then integrated into Medicaid managed … in response to recommendations from a CHIPRA demonstration workgroup, Illinois started to require managed … Key demonstration takeaways • The use of managed care contracts was a successful way to drive statewide … • Partner with Medicaid managed care organizations to continue to support practices in medical home