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61. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
    www.ahrq.gov/policymakers/chipra/overview/background/appendix-a1.html
    December 01, 2009 - Polio Vaccine IT Information technology KID Kids' Inpatient Database MCO/HIO Managed … MDE Major Depressive Episode MEPS Medical Expenditure Panel Survey MMC Medicaid Managed

62. Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey - BROWN (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-quality-measures.pdf
    January 01, 2021 - Applicable in both fee-for-service and managed LTSS environments 7. … of analysis can vary • State Medicaid agencies • County or other non-state governmental entities • Managed

63. Mental Health Quality Measures | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-9.html
    November 01, 2017 - The ECHO™ survey is designed for use by consumers, clinicians, managed behavioral health care organizations … Child Measures Included Separate versions of the child survey have been developed for MBHOs and managed … Evaluation Center at the Human Services Research Institute, the Washington Circle Group, the American Managed … Applicable to different types of plans, including commercial, Medicaid and Medicare, and health systems (managed

64. Strategies for Improving Patient Experience with Ambulatory Care: Rapid Referral Programs (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6e.pdf
    July 07, 2017 - 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 … Wrestling with the managed care octopus, Part 3. Get insurance authorizations faster. … Making patient care easier under multiple managed care plans.

65. Technical Appendix | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tap.html
    December 01, 2012 - The data also included personal attributes of HCBS participants (age, gender, race/ethnicity, managed … acute or managed long-term care plan for any month of the year (or quarter) (if any monthly PS file … Managed long-term care plan, enrollment in a . … For purposes of Table 3 , HCBS participants were classified as being enrolled in a managed long-term … care plan if the MAX data indicated enrollment in a managed long-term care plan or in a Program for

66. Appendix B: Key CME Design Features in CHIPRA Quality Demonstration States, as of June 2014 | Agency for Healthcare Research and Quality
    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2appb.html
    September 01, 2014 - State Medicaid office and managed care organization. State Medicaid office. … Managed care organization (Colorado Access operating in Wyoming as Wyoming Access).

67. Appendix Q. Surgeon Focus Group Content Analysis | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ssi/ssiapq.html
    April 01, 2018 - The risks for a patient with managed comorbidities, or one who is compliant with medical recommendations … for emergency surgery patients versus those for elective surgery patients; risks for a patient with managed … comorbidities versus those for patients with poorly managed or undocumented comorbidities; risks for

68. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
    www.ahrq.gov/policymakers/chipra/overview/background/next-steps.html
    December 01, 2009 - Fourteen of the measures are currently NCQA HEDIS measures reported by Medicaid managed care plans, two … NCQA HEDIS measures are currently used for reporting by Medicaid Managed Care plans, and may not be used … for children enrolled in CHIP or children in States with limited or no Medicaid managed care. … care organizations. 11 Many States have no managed care presence. b In some States, children with … The measure is currently in use by 158 Medicaid managed care (MMC) health plans across 32 States.

69. Recently Funded Dissertation Grants | Agency for Healthcare Research and Quality
    www.ahrq.gov/funding/training-grants/disgrants.html
    October 01, 2014 - 31/2015 Van Parys, Jessica R36 HS23504-01 Columbia University Health Sciences Mandating Managed … 11/9/2015 Yeung, Kai R36 HS23346-01A1 University of Washington Incentivizing Value in Managed

70. AHRQ Strategic Plan for Health System Transformation To Optimize Health, Functional Status, and Well-Being Among Older Adults | Agency for Healthcare Research and Quality
    www.ahrq.gov/priority-populations/publications/aging-well.html
    July 01, 2024 - mortality associated with aging can be delayed or slowed, and chronic conditions can be effectively managed

71. Exhibit 5.14. Lean Tools and Activities for Pediatric Continuity of Care Project | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-14.html
    November 01, 2014 - Brainstormed about what the target or future state might look like, including measurements for verifying the managed

72. Value Set Export (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0084coding.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

73. Final Progress Report: The P4P Decision Tool: A Stakeholder Guide to Exploring and Selecting an Appropriate Pay-for-Performance Program (pdf file)
    www.ahrq.gov/sites/default/files/2024-02/leapfrog-report.pdf
    January 01, 2024 - The Managed Care Information Center, c.2007. “AHRQ Resources on Pay for Performance.” … The Managed Care Information Center, c.2007. 8 http://www.cmwf.org/ http://www.chcs.org/ http://www.whitehouse.gov … The Managed Care Information Center, c.2006. Baker F, Carter B. … The Managed Care Information Center, c.2007. Verdier J, Felt-Lisk S, Smieliauskas F, et al. … “Quality-Related Provider and Member Incentives in Medicaid Managed Care Organizations.”

74. Apply Module Slide Presentation Text Descriptions | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/modules/apply/alt-text.html
    March 01, 2013 - It is managed through changes in choices, processes, procedures, training, design and the environment … This behavior is best managed through removing incentives for at-risk behaviors, creating incentives … It is managed through remedial and punitive actions.

75. Table 5. Evidence Supporting Emergency Department Pain Assessment for Children With Sickle Cell Disease (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-section-5-table-5.pdf
    April 01, 2014 - Patients must be reassured that when they do experience pain it will be taken seriously and managed … Most SCD pain can be managed well if the barriers to assessment and treatment are overcome; a comprehensive … Many uncomplicated episodes can be managed at home with oral fluids; oral analgesics (ibuprofen, acetaminophen

76. Impact Case Studies on the CAHPS Surveys | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/about-cahps/impact-case-studies/index.html
    June 01, 2025 - Hawaii Evaluates Medicaid Patients' Managed Care Experiences With AHRQ CAHPS .

77. Established Child Health Care Quality Measures: HEDIS | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-4.html
    November 01, 2017 - measurement set focused on clinical services and utilization, initially designed for use by purchasers and managed … Perceptions of care (incorporating the managed care version of CAHPS). Descriptive measures. … Academy for State Health Policy found that 34 States collected HEDIS® measures from their risk-based managed … treatments delivered in set time frames (e.g., preventive services, screenings, well-care visits), managed

78. Primary Care Practice Facilitation Curriculum Module 3: The Primary Care Landscape (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-3-primary-care-landscape.pdf
    September 01, 2015 - Managed care plans versus indemnity (FFS) plans. … Managed care organizations (MCOs) are health plans that contract with provider networks for the care … Primary Care Practice Facilitation Curriculum MODULE 3 M3-7 As managed care has evolved, however, … the distinctions between these managed care plan types have become less clear. … Therefore, indemnity plans can expose patients to greater financial risk than managed care plans.

79. Appendix: State Overviews (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap2.html
    October 01, 2014 - Program Planning After discontinuing its full-risk Medicaid managed care program, Oklahoma significantly … care into additional counties, which were more rural, had low managed care penetration, and had little … To begin planning ACCESS Plus, Pennsylvania used lessons learned from its mandatory Medicaid managed … Members who choose to participate in voluntary managed care are disenrolled from ACCESS Plus. … Program Planning Rhode Island created its managed care program in response to a legislative mandate

80. Participating in the CAHPS Home and Community-Based Services Survey Database | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/cahps-database/hcbs-database/participate.html
    December 01, 2024 - Participating in the CAHPS Home and Community-Based Services Survey Database All Medicaid agencies and managed