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www.cpsi.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
July 01, 2019 - The Business Case for CLAS in Managed Care
There is a plausible business case for plans to initiate … Although managed care was initially confined primarily to the private and commercial sector, recently … diverse groups, since they represent such a rapidly increasing share of the managed care market. … care utilization and are important to managed care accreditation performance (e.g., HEDIS). … Assessing the Managed Care Plan.
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www.cpsi.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
July 01, 2019 - Culturally and linguistically diverse group members currently comprise 50 percent of managed Medicaid … groups, since they represent such a rapidly increasing share of the managed care market. … care utilization and are important to managed care accreditation performance (e.g., HEDIS). … Step 2: Assess the Capabilities of the Managed Care Plan. … Step 3: Identify Points of Contact for Members of Managed Care Plans.
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www.cpsi.ahrq.gov/cahps/surveys-guidance/echo/index.html
May 01, 2022 - Users of the ECHO Survey have included State Medicaid agencies, State mental health agencies, managed … behavioral health organizations (MBHOs), and managed care organizations (MCOs). … care organization or managed behavioral healthcare organization. … Download the Managed Care Organization (MCO) Survey and Instructions (ZIP, 4 MB)—The MCO Survey asks … Download the Managed Behavioral Health Care Organization (MBHO) Survey and Instructions (ZIP, 4 MB)—
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www.cpsi.ahrq.gov/ncepcr/tools/cultural-competence/index.html
August 01, 2019 - Opportunities
Oral, Linguistic, and Culturally Competent Services
Guides for Managed … 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
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www.cpsi.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.
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www.cpsi.ahrq.gov/cahps/cahps-database/hcbs-database/index.html
March 01, 2024 - repository for survey results that have been voluntarily submitted by State Medicaid agencies and the managed … help evaluate, compare, and improve the quality of services provided by both fee-for-service HCBS and managed
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www.cpsi.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 … Submissions 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
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www.cpsi.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
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www.cpsi.ahrq.gov/cahps/bibliography/index.html?page=5
January 01, 2024 - Care experiences of managed care Medicare enrollees near the end of life. … Market characteristics and awareness of managed care options among elderly beneficiaries enrolled in … How do the experiences of Medicare beneficiary subgroups differ between managed care and original Medicare … Differential item functioning by survey language among older Hispanics enrolled in Medicare managed care
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www.cpsi.ahrq.gov/cahps/surveys-guidance/hcbs/index.html
November 01, 2023 - 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
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www.cpsi.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
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www.cpsi.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.
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www.cpsi.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
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www.cpsi.ahrq.gov/diagnostic-safety/tools/index.html
March 01, 2024 - 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
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow_optima.pdf
January 01, 2024 - ) San Diego and associates have 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.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool4_comm_inv.docx
September 02, 2016 - Consider:
Medicaid resources: Managed care organization care managers, home and community-based services … ]
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·
Medicaid managed care organizations
[high-risk-care management, social work, wraparound
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www.cpsi.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
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www.cpsi.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.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar5/aspire_webinar5.pptx
October 02, 2016 - 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.cpsi.ahrq.gov/funding/training-grants/disgrants.html
October 01, 2014 - 8/31/2015
Van Parys, Jessica
R36 HS23504-01
Columbia University Health Sciences
Mandating Managed … Outcomes
11/9/2015
Yeung, Kai
R36 HS23346-01A1
University of Washington
Incentivizing Value in Managed