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Showing results for "managed".

1. Rate of Emergency Department Visit Use for Children Managed for Persistent Asthma | Agency for Healthcare Research and Quality
   www.qualitymeasures.ahrq.gov/pqmp/measures/asthma-rate-ed-visit.html
   August 01, 2021 - Measures Program PQMP Measures Rate of Emergency Department Visit Use for Children Managed … Improvement PQMP Grantees Rate of Emergency Department Visit Use for Children Managed … created August 2021 Internet Citation: Rate of Emergency Department Visit Use for Children Managed

2. Distribution of Emergency Department Visit Use for Children Managed for Persistent Asthma | Agency for Healthcare Research and Quality
   www.qualitymeasures.ahrq.gov/pqmp/measures/asthma-distribution-ed-visit.html
   August 01, 2021 - Program PQMP Measures Distribution of Emergency Department Visit Use for Children Managed … PQMP Grantees Distribution of Emergency Department Visit Use for Children Managed … August 2021 Internet Citation: Distribution of Emergency Department Visit Use for Children Managed

3. Planning Culturally and Linguistically Appropriate Services | Agency for Healthcare Research and Quality
   www.qualitymeasures.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.

4. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
   www.qualitymeasures.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.

5. Section 8.A, Data Availability (pdf file)
   www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-8a.pdf
   January 01, 2011 - Additionally, while some states usually provide managed care claims, others do not (Byrd and Verdier … Testing managed care claims data quality in each state Managed care claims data is sometimes absent … from MAX, and what managed care data is reported is not always validated before inclusion. … In order to address this problem, we review the managed care (MC) data reporting relative to fee for … This provides a check on the completeness of managed care data in each state.

6. Using the CAHPS Database to Compare, Report, and Improve Organizational Performance (pdf file)
   www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/3_Deborah_Kilstein_slides_29-40.pdf
   January 15, 2014 - ACAP’s 58 Plans are in 25 States 31 Medicaid Managed Care and Traditional Enrollment 1999 - 2011 … 2008 2009 2010 2011 Number Enrolled in Traditional Medicaid Programs Number Enrolled in Medicaid Managed … 45.7 46.0 47.1 50.5 54.6 57.1 Source: Centers for Medicare & Medicaid Services, 2011 Medicaid Managed … Care Enrollment Report. 32 32 Medicaid Managed Care is No Longer Just Moms and Kids  24 ACAP … Care and Traditional Enrollment 1999 - 2011 Medicaid Managed Care is No Longer Just Moms and Kids

7. Assessing the Health and Welfare of the HCBS Population | Agency for Healthcare Research and Quality
   www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab3b.html
   December 01, 2012 - 7.90 4.74 7.67 7.51 8.71 7.62 HMO (%) 2.49 0.10 1.26 1.18 1.47 2.41 1.81 Managed … Unknown (%) 2.40 3.98 4.11 1.86 4.06 2.12 3.02 HMO (%) s s s s s s s Managed … 32.40 33.47 30.63 30.04 HMO (%) 11.17 20.96 16.24 19.37 15.79 9.94 14.25 Managed … Unknown (%) s s s s s s s HMO (%) 0.65 20.55 7.98 8.53 8.45 s 5.99 Managed … 10.09 15.90 10.74 13.29 HMO (%) 17.69 16.03 10.10 9.71 15.38 24.87 17.09 Managed

8. CAHPS Mental Health Care Surveys | Agency for Healthcare Research and Quality
   www.qualitymeasures.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)—

9. Oral, Linguistic, and Culturally Competent Services | Agency for Healthcare Research and Quality
   www.qualitymeasures.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

10. HCBS Population | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find2.html
    December 01, 2012 - directly relevant to HCBS, but some States use Section 1115 waivers to cover long-term care under a managed … Section 1915(b/c) waivers allow States to enroll beneficiaries in a mandatory managed care program that … Due to data limitations—individual encounter data are not available for managed care participants—we … One in 10 HCBS participants was enrolled in a Medicare or Medicaid managed acute care plan. … maintenance organization (HMO) for acute care, and older adults were more likely to be enrolled in managed

11. Section 12, Tables 4 and 5. (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-section-12-table-4-5.pdf
    December 31, 2010 - 651,207 (79%) 177,805 (21%) Coverage for majority of eligibility months Fee-for-service ± Managed … Sensitivity and specificity for COMBO and PMCA in managed care and fee-for-service subsets of Washington … NC-CD Without CD Sensitivity Specificity Sensitivity Specificity Sensitivity Specificity Managed

12. Value Set Export (xls file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Coding.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

13. 6. References and Notes | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section6.html
    March 01, 2019 - Reauthorization Act of 2009, P.L. 111-3. 22 During our baseline analysis, Massachusetts was unable to link managed … So while they sent us managed care encounter data, we could not identify which managed care patients … By the time we determined Massachusetts had solved the linkage problem and could use managed care data

14. Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-fullreport.pdf
    May 01, 2018 - Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma 1 Rate of Emergency … Department Visit Use for Children Managed for Identifiable Asthma Section 1. … Measure Name CAPQuaM PQMP Asthma I: Rate of Emergency Department Visit Use for Children Managed for … estimates the rate of emergency department (ED) visits for children ages 2-21 years who are being managed … Churning in Medicaid managed care and its effect on accountability.

15. CPQSC Participating Hospitals (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-6-a-participating-hospitals.pdf
    April 25, 2017 - More than half of patients (53.00%) use Medicaid, 45.80% use Managed Care, and 1.20% use another form … More than half of patients use Managed care (57.75%) whereas 40.81% use Medicaid, 1.20% use another … majority of patients use either Medicaid (37.57%) or Blue Cross Blue Shield (35.95%) while 25.41% have Managed

16. CHIPRA 235: Section 5, Table 3. Evidence Supporting the Importance of Access to Outpatient Specialty Care (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-235-section-5-table-3.pdf
    June 17, 2014 - Descriptive Study In this study documenting access to care for Medicaid managed care enrollees, 39% … of specialists listed as being in a managed care plan network were found to not participate in that … Access to Care: Provider Availability in Medicaid Managed Care.

17. Section 6-A, CPQSC Participating Hospitals (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-a-cpqsc-hospitals.pdf
    November 21, 2017 - More than half of patients (53.00%) use Medicaid, 45.80% use Managed Care, and 1.20% use another form … More than half of patients use Managed care (57.75%) whereas 40.81% use Medicaid, 1.20% use another … majority of patients use either Medicaid (37.57%) or Blue Cross Blue Shield (35.95%) while 25.41% have Managed

18. Section 6-A, CPQSC Participating Hospitals (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-a-cpqsc-participating-hospitals.pdf
    November 17, 2017 - More than half of patients (53.00%) use Medicaid, 45.80% use Managed Care, and 1.20% use another form … More than half of patients use Managed care (57.75%) whereas 40.81% use Medicaid, 1.20% use another … majority of patients use either Medicaid (37.57%) or Blue Cross Blue Shield (35.95%) while 25.41% have Managed

19. Guidelines and Other Resources To Fine-tune Your Writing | Agency for Healthcare Research and Quality
    www.qualitymeasures.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.

20. Value Set Export (xls file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085episiotomycoding.xls
    January 01, 2012 - 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 … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 219 Medicaid Managed