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Showing results for "managed".

41. PowerPoint Presentation (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supln-slides.pdf
    January 24, 2024 - measures • Data sources – Primarily Medicaid/CHIP administrative data (enrollment and claims or managed … since 1996 41 SC Medicaid • Covers about 22-25% of population, 52% of all births • Majority Managed … Analysis – Program and Policy o Technical Assistance & Evaluation Support o Geo-spatial analysis o Managed … Medicaid Quality Indicators Initiative Medicaid Product Line Medicare Product Line HEDIS NCQA Managed … INDICATORS Agency Internal and External Supported Initiatives Hospital Association Triple Aim Managed

42. Using the Core Set of Quality Measures | Agency for Healthcare Research and Quality
    www.innovations.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

43. Settings: Finding the Audience for a Health Care Quality Report | Agency for Healthcare Research and Quality
    www.innovations.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

44. Using the Core Set of Quality Measures for Children to Improve Children’s Health Care (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/childhealth/usingthecoresetofqm.pdf
    February 01, 2010 - addition, some States are using the measures to produce performance reports for providers, families, managed … to Improve Quality Produce performance reports for Providers X X X X X X X X Families X X X X X Managed

45. How are CHIPRA quality demonstration States using quality reports to drive health care improvements for children? | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight11.html
    April 01, 2015 - We think it was a landmark document because it will [allow us to] compare the various Medicaid Managed … for the Alaska Medicaid Coordinated Care Initiative. a Florida Florida Medicaid is requiring managed … Illinois Illinois Medicaid is requiring managed care organizations and accountable care entities … b Accountable care entities are integrated delivery systems similar to managed care organizations. … Illinois’s inclusion of Child Core Set measures in its contracts with accountable care entities and managed

46. Title of Presentation: (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-on_quality-measure-use.pdf
    September 24, 2015 - improvement workgroups – Encouraged consistent quality reporting standards across programs – Required managed … With asthma will be managed effectively and control maximized Broad Focus on Quality • Simultaneously … demonstrating improvement David Kelley 30 30 Pennsylvania Medical Assistance • Mandatory managed … care • Over 1.1 million children covered by Medicaid • Managed Care Organizations reporting both

47. How are CHIPRA quality demonstration States using quality reports to drive heatlh care improvements for children? Evaluation Highlight No. 11 (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight11.pdf
    September 08, 2015 - We think it was a landmark document because it will [allow us to] compare the various Medicaid managed … example, Florida and Illinois are reporting measures for their State as a whole and for each Medicaid managed … Illinois • Illinois Medicaid is requiring managed care organizations and accountable care entities to … and utilization review program. bAccountable care entities are integrated delivery systems similar to managed … Illinois’s inclusion of Child Core Set measures in its contracts with accountable care entities and managed

48. Recently Funded Dissertation Grants | Agency for Healthcare Research and Quality
    www.innovations.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

49. Strategy 6K: Cultivating Cultural Competence | Agency for Healthcare Research and Quality
    www.innovations.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.

50. Primary Care Connection Prior to Emergency Department Visits for Children With Identifiable Asthma (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-136-fullreport.pdf
    July 01, 2018 - medications prior to incidence emergency department (ED) visits and/or hospitalizations for children being managed … which asthma was a primary or secondary diagnosis in children ages 2-21 who meet criteria for being managed … Among those who were sick enough to need the ED, their asthma was well managed prior to the visit or … For those whose asthma was not well managed, some will clearly have had system reasons for the lack … Consistency of care with national guidelines for children with asthma in managed care.

51. Asthma Measure 1: Pediatric Emergency Department Use (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/technical-specifications.pdf
    March 03, 2021 - This measure estimates the rate of emergency department visits for children ages 3 – 21 who are being managed

52. What Factors Influence States’ Capacity to Report Children’s Health Care Quality Measures? A Multiple-Case Study (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-factors-influencing-state-reporting.pdf
    July 01, 2016 - States with high Medicaid managed care penetration— Oregon and Pennsylvania—reported measures using … Oregon produced the measures within its Medicaid agency, using encounter data that managed care plans … That experience prompted the state to require managed care plans to provide complete and accurate … care contracts to enable reporting of the Child Core Set Oregon’s Medicaid managed care plans have … American Journal of Managed Care, 13, 553–558.

53. PQMP Measures | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/pqmp/measures/index.html?page=4
    March 30, 2024 - 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

54. PQMP National Asthma Quality Metric Key Driver Diagram (UCSF) (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/keydriver-sfcollaborative.pdf
    January 24, 2018 - SMART Aim:  Reduce  # of ED  visits/100 child‐ years for  children  managed for   persistent  asthma

55. PQMP National Asthma Quality Metric Key Driver Diagram (Vermont) (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/keydriver-vtcollaborative.pdf
    January 24, 2018 - SMART Aim: Reduce # of ED visits/100 child- years for children managed for persistent asthma

56. CHIPRA 155: Bibliography (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-bibliography.pdf
    May 08, 2018 - The impact of Medicaid managed care on hospitalizations for ambulatory care sensitive conditions. … Churning in Medicaid managed care and its effect on accountability. … Medicaid managed care encournter data: Collection and use. … care utilization by children with chronic illnesses: A comparison of Medicaid and employer-insured managed

57. CHIPRA 157 Bibliography (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-157-bibliography.pdf
    June 12, 2018 - The impact of Medicaid managed care on hospitalizations for ambulatory care sensitive conditions.” … Churning in Medicaid managed care and its effect on accountability. … Medicaid managed care encounter data: Collection and use. … care utilization by children with chronic illnesses: A comparison of Medicaid and employer-insured managed

58. PQMP Asthma ED Visit Quality Metric Key Driver Diagram (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/asthma-ed-kdd.pdf
    March 10, 2021 - Secondary Drivers Examples of Interventions Reduce the # of ED visits/100 child- years for children managed

59. 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-steps2.html
    December 01, 2009 - As noted above, almost half of Medicaid- and CHIP-enrolled children are not in managed care plans, and … improved considerably after program implementation. 35 The greatest increases were in California (two managed … at health plan and provider levels, and reports are made by health plans participating in Medicaid managed … In 2007, the national mean performance rate across Medicaid managed care health plans reporting to NCQA … measure of annual dental visits because the HEDIS measure is reported by NCQA only for children in managed

60. CAHPS Announcements | Agency for Healthcare Research and Quality
    www.innovations.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