Results

Total Results: 3,206 records

Showing results for "managed".

21. CAHPS Home and Community-Based Services (HCBS) Survey Database | Agency for Healthcare Research and Quality
    www.innovations.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

22. Policy Projects | Agency for Healthcare Research and Quality
    www.innovations.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

23. Improving Your Laboratory Testing Process | Agency for Healthcare Research and Quality
    www.innovations.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

24. Spotlight on Illinois -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-illinois-state-snapshot.pdf
    January 01, 2018 - compares its performance with national benchmarks.2 The State also started: (1) requiring Medicaid managed … con- vened a work group to analyze emergency department use data and then integrated into Medicaid managed … in response to recommendations from a CHIPRA demonstration workgroup, Illinois started to require managed … Key demonstration takeaways • The use of managed care contracts was a successful way to drive statewide … • Partner with Medicaid managed care organizations to continue to support practices in medical home

25. 4. Observations About the Evaluation | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section4.html
    October 01, 2015 - comprehensiveness of the Medicaid administrative data were compromised by lack of encounter data from managed … Many of the Category C States have high use of Medicaid managed care among child beneficiaries, with … 45 to 90 percent of children in managed care in Florida, Massachusetts, Oregon, South Carolina, Utah, … Most states could not provide managed care encounter data. … Without data from managed care organizations, our evaluations would have represented a small proportion

26. CAHPS Home and Community-Based Services Survey | Agency for Healthcare Research and Quality
    www.innovations.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

27. Major Health Plan Quality Measurement Sets | Agency for Healthcare Research and Quality
    www.innovations.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

28. About the Measure | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/about.html
    July 01, 2021 - Department Use measure estimates the rate of emergency department (ED) visits for children who are being managed … Specifications and Reporting This measure estimates the rate of ED visits for children ages 3-21 who are being managed

29. Table 5. Evidence Supporting Emergency Department Pain Assessment for Children With Sickle Cell Disease (pdf file)
    www.innovations.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

30. Value Set Export (xls file)
    www.innovations.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

31. Lessons from the Field: Identifying Measurement Challenges and Successes (pdf file)
    www.innovations.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

32. 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.innovations.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 … 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. … In 2007, 22 of 36 State programs with managed care organizations/health insuring organizations (MCOs/

33. Primary Care Practice Facilitation Curriculum Module 3: The Primary Care Landscape (pdf file)
    www.innovations.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.

34. Major Physician Measurement Sets | Agency for Healthcare Research and Quality
    www.innovations.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

35. Attachment 3.1 References (pdf file)
    www.innovations.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

36. 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.innovations.ahrq.gov/policymakers/chipra/overview/background/appendix-a1.html
    December 01, 2009 - Inactivated Polio Vaccine IT Information technology KID Kids' Inpatient Database MCO/HIO Managed … Disorder MDE Major Depressive Episode MEPS Medical Expenditure Panel Survey MMC Medicaid Managed

37. Tools To Improve Diagnostic Safety | Agency for Healthcare Research and Quality
    www.innovations.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

38. Impguide2 (pdf file)
    www.innovations.ahrq.gov/sites/default/files/publications/files/impguide2.pdf
    September 08, 2015 - • Medicaid managed care organizations. … CMEs can be managed at the State or local level. … State Medicaid office and managed care organization. State Medicaid office. … Managed care organization (Colorado Access operating in Wyoming as Wyoming Access). … Medicaid managed care for special need populations: behavioral health as a “tracer condition.”

39. AHRQ Resources Help Maine Telehealth Network Improve Care in Remote Areas | Agency for Healthcare Research and Quality
    www.innovations.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

40. Written Statement (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-written-statement.pdf
    February 12, 2014 - February 12, 2014 IP Rights Statement Measure: Rate of Emergency Department Visit Use for Children Managed