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  1. 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.
  2. 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.
  3. 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)—
  4. 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
  5. 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.
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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.
  13. 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
  14. 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
  15. 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
  16. 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 … ] · · Medicaid managed care organizations [high-risk-care management, social work, wraparound
  17. 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
  18. 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
  19. 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
  20. 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

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