-
www.cpsi.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6kculturalcompetence.html
March 01, 2020 - For example, Molina Healthcare, a Medicaid managed care organization, developed and aggressively marketed … Racial and ethnic differences in parents' assessments of pediatric care in Medicaid managed care. … Race/ethnicity, language, and patients' assessments of care in Medicaid managed care. … Health plan effects on patient assessments of Medicaid managed care among racial/ethnic minorities.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-anemia.pdf
December 13, 2013 - Monitoring
■ May check hematocrit and reticulocyte count periodically, but most babies can be managed
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www.cpsi.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
-
www.cpsi.ahrq.gov/cahps/news-and-events/news/index.html
February 01, 2024 - Survey Database includes 6,053 survey responses voluntarily submitted by State Medicaid agencies and managed … Survey Database includes 4,731 survey responses voluntarily submitted by State Medicaid agencies and managed
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www.cpsi.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.cpsi.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
-
www.cpsi.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
-
www.cpsi.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/index.html
August 01, 2020 - Systems Change
Systems change describes specific strategies that health care administrators, managed
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d5_combo_gapanalysis.docx
May 25, 2016 - Indicators can be considered in the gap analysis as possible strengths or weaknesses (i.e., barriers) to be managed
-
www.cpsi.ahrq.gov/talkingquality/plan/environment.html
June 01, 2016 - Questions to ask about local health plans:
Do managed care plans dominate the market? What kinds? … Are the plans owned and managed at the National, regional or local level?
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-6k.pdf
August 01, 2017 - Racial and ethnic differences in parents' assessments of pediatric
care in Medicaid managed care. … Race/ethnicity, language, and patients' assessments of care in
Medicaid managed care. … Health plan effects on patient assessments of Medicaid managed
care among racial/ethnic minorities. … For example,
Molina Healthcare, a Medicaid managed
care organization, developed and
aggressively marketed
-
www.cpsi.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/appa.html
October 01, 2015 - Carolina (49% rural)
David Driscoll, MPH, MA; Transforming Primary Care Practice
A tribally owned and managed … Alaskan Native patients
Not applicable; not structured as discrete practices
Tribally owned and managed … that implemented the Primary Care Renewal project, supported by CareOregon, a large nonprofit Medicaid managed
-
www.cpsi.ahrq.gov/ncepcr/reports/grants-transform/key-characteristics.html
March 01, 2017 - Carolina (49% rural)
David Driscoll, MPH, MA; Transforming Primary Care Practice
A tribally owned and managed … Alaskan Native patients
Not applicable; not structured as discrete practices
Tribally owned and managed … that implemented the Primary Care Renewal project, supported by CareOregon, a large nonprofit Medicaid managed
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool5_portfolio_des.pptx
September 02, 2016 - Discharges to postacute care settings
Collaborations with managed care organizations (MCOs), behavioral
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool3_hosp_inv.docx
September 02, 2016 - Cross-continuum Process Improvement Collaborations With:
· Skilled nursing facilities
· Medicaid managed
-
www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm1.html
October 01, 2014 - Managed Care/Freedom of Choice
Section 1915(b)
This section provides the Secretary of Health … and Human Services authority to grant waivers that allow States to implement managed care delivery systems … of the individuals eligible for Medicaid in a State by:
Mandatory enrollment of beneficiaries into managed … the option, through the Balanced Budget Act of 1997, to enroll certain beneficiaries into mandatory managed … exist under Section 1915(b) that States may request:
1915(b)(1): Mandates Medicaid enrollment into managed
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www.cpsi.ahrq.gov/talkingquality/measures/setting/health-plan/index.html
March 01, 2016 - practice of measuring and reporting quality at the health plan level began in the early 1990s when managed
-
www.cpsi.ahrq.gov/cpi/about/organization/nac/goldfarb.html
August 01, 2022 - consulting firm and vice president of health services for the Philadelphia region’s first Medicaid managed
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2016_hp-chartbook.pdf
January 01, 2016 - .: HHSA290201300003C
Managed and prepared by:
Westat, Rockville, MD
John Rauch
Dale Shaller
Naomi … populations:
Adult Medicaid
Child Medicaid
CHIP (Children's Health Insurance Program)
Medicare Managed … Medicare Data: Each year, the CAHPS Database receives the CAHPS Medicare Managed Care
survey data … These results are
for survey participants enrolled in a managed care health plan including both enrollees
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2013_hp-chartbook.pdf
January 01, 2013 - .: HHSA290201300003C
Managed and prepared by:
Westat, Rockville, MD
Dale Shaller
Janice Ricketts … populations:
• Adult Medicaid
• Child Medicaid
• CHIP (Children's Health Insurance Program)
• Medicare Managed … • Medicare Data: Each year, the CAHPS Database receives the CAHPS Medicare Managed
Care survey data … These
results are for survey participants enrolled in a managed care health plan including both
enrollees … sampled from enrollees in commercial, Medicaid, Children’s Health
Insurance Program (CHIP), and Medicare Managed