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www.ahrq.gov/talkingquality/distribute/placement/settings.html
January 01, 2023 - People with well-managed chronic conditions may be both highly motivated and quite able to use quality … social service providers, public health facilities) to host free workshops to educate people about managed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool4_comm_inv.docx
June 02, 2025 - Consider:
Medicaid resources: Managed care organization care managers, home and community-based services … ]
·
·
Medicaid managed care organizations
[high-risk-care management, social work, wraparound
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www.ahrq.gov/cpi/about/nac/snac-chin.html
December 01, 2021 - Chin collaborates with teams of State Medicaid agencies, Medicaid managed care organizations, and frontline
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/tab1.html
October 01, 2015 - Incentives and PCMH recognition
Participating Medicaid managed care organizations offered PCMH incentives … Community health worker program serving high-risk enrollees in Medicaid managed care while helping New
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www.ahrq.gov/ncepcr/reports/grants-impact/model-summary.html
February 01, 2017 - Incentives and PCMH recognition
Participating Medicaid managed care organizations offered PCMH incentives … Community health worker program serving high-risk enrollees in Medicaid managed care while helping New
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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Codebook.pdf
December 01, 2023 - Medicaid managed care provides for the delivery of Medicaid health benefits and additional
services … through contracted arrangements between state Medicaid agencies and managed care
organizations (MCOs … Missing
1 Encounter claims (i.e., Medicare Advantage or Medicaid managed care organizations) do not … Missing
1 Encounter claims (i.e., Medicare Advantage or Medicaid managed care organizations) do not … Missing
1 Encounter claims (i.e., Medicare Advantage or Medicaid managed care organizations) do not
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-challenges-successes.pdf
January 01, 2019 - authors of the Anthem Public Policy Institute 2016 issue brief on quality measurement in Medicaid
managed … In their issue brief
on quality measurement in Medicaid managed care, the Anthem Public
Policy Institute … The authors noted
One key informant described challenges
faced by a managed care plan when
developing … The “Nuts and Bolts” Behind Quality Measurement in Medicaid
Managed Care. … www.anthempublicpolicyinstitute.com/blog/the-nuts-
and-bolts-behind-quality-measurement-in-medicaid-managed-care
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide175.html
October 01, 2014 - Strategies for implementation
Provide all insurance subscribers, including those covered by managed
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www.ahrq.gov/sites/default/files/2024-12/reeves-report.pdf
January 01, 2024 - ED because no clinical standard exists for determining which cases should be hospitalized and
which managed … because no firm guidelines exist as to their disposition i.e., whether
cases should be hospitalized or managed … for high risk
TIA cases, it is clear that many TIA cases are at low risk and could be appropriately managed … TIA care and management, but only 48% agreed that it was
acceptable for low-risk TIA patients to be managed … patient focus groups; one group
consisted of 7 patients with a recent history of TIA who was being managed
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www.ahrq.gov/policymakers/chipra/demoeval/childhealth/index.html
March 01, 2019 - to CMS, some States are using the measures to produce performance reports for providers, families, managed … performance reports for families
√
√
√
√
√
Produce performance reports for managed
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www.ahrq.gov/pqmp/measures/index.html?page=4
Pediatric Quality Measures (CAPQuaM)
Distribution of Emergency Department Visit Use for Children Managed … Advancing Pediatric Quality Measures (CAPQuaM)
Rate of Emergency Department Visit Use for Children Managed
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv3ab.html
June 01, 2010 - Improvement in Mental Health; quality measures
Persons with severe and persistent mental illness in managed … CAHPS® for People With Mobility Impairments
People with mobility impairments enrolled in managed
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www.ahrq.gov/cahps/cahps-database/comparative-data/2017-health-plan-chartbook/index.html
November 01, 2021 - .: HHSA290201300003C
Managed and prepared by:
Westat, Rockville, MD
John Rauch
Teresa Dodson
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-iii-a.pdf
January 01, 2014 - outcomes with methylphenidate
formulations among patients with ADHD: retrospective claims analysis of a managed … Quality of care for childhood attention-
deficit/hyperactivity disorder in a managed care Medicaid program
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www.ahrq.gov/news/newsroom/case-studies/cquips0504.html
October 01, 2014 - was not that surprising to us," notes Bernadette McKetney-Brown, Network Senior Associate Director of Managed … MetroPlus provides health care services to New York City residents through New York State's Medicaid Managed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar5/aspire_webinar5.pptx
June 02, 2025 - Clinics
Patient Centered Medical Homes
Substance Use Treatment Centers
Adult Day Care Centers
Medicaid Managed … Patient-centered medical homes
Bundled payment initiators
Health homes
Behavioral health homes
Medicaid managed
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow-optima.pdf
January 01, 2025 - California (UC) San Diego has 80 eligible primary care offices, with 240 physicians,
and a large managed … County Department of Health Services Primary Care
Network (UCLA-Harbor Medical Center) has a large managed
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www.ahrq.gov/ncepcr/communities/pbrn/registry/victorian-primary-care-practice-based-research-and-education-network.html
September 15, 2024 - Founded:
2007
PBRN Mission Statement:
VicREN is a practice-based research network (PBRN) managed
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-virtual-research-meeting-summary_2022.pdf
January 01, 2022 - Nguyen, Ph.D., Brown University
Medicaid managed care enrollees who are members of racial and ethnic … In a recent study of nonelderly Medicaid managed care enrollees in thirty-seven states,
researchers … Future research can also explore variations
within Medicaid Managed Care plan disparities and identify … Racial and Ethnic Disparities in Patient Experience of Care Among Medicaid Managed Care
Enrollees … Kevin Nguyen, Ph.D., Brown University
Medicaid managed care enrollees who are members of racial and
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/4-2023hcbs-survey-webcast-huben.pdf
June 02, 2025 - registration link is available
Technical assistance calls are available to be scheduled at states’ and managed