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61. Asthma Measure 1: Pediatric Emergency Department Use (pdf file)
    www.qualitymeasures.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

62. Curriculum Guide (continued) | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/health-literacy/improve/pharmacy/guide/train3.html
    September 01, 2020 - Health Literacy Among Medicare Enrollees in a Managed Care Organization. … The Impact of Low Health Literacy on the Medical Costs of Medicare Managed Care Enrollees.

63. Appendix: State Overviews (continued) | Agency for Healthcare Research and Quality
    www.qualitymeasures.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

64. What Factors Influence States’ Capacity to Report Children’s Health Care Quality Measures? A Multiple-Case Study (pdf file)
    www.qualitymeasures.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.

65. The Challenge and Potential for Assuring Quality Health Care for the 21st Century | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
    June 01, 2018 - A survey of managed care plans by the National Committee for Quality Assurance (NCQA) found that 60 percent … Yet, in its survey of managed care plans, the National Committee for Quality Assurance found that only … However, NCQA found that 30 percent of women age 52 to 69 in surveyed managed care plans had not received … A study of the use of hysterectomies in seven managed care plans found that 16 percent were unnecessary … recommended for diabetics, with over 50 percent of diabetics receiving annual eye exams in New England managed

66. PQMP Measures | Agency for Healthcare Research and Quality
    www.qualitymeasures.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

67. PQMP National Asthma Quality Metric Key Driver Diagram (UCSF) (pdf file)
    www.qualitymeasures.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

68. PQMP National Asthma Quality Metric Key Driver Diagram (Vermont) (pdf file)
    www.qualitymeasures.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

69. CHIPRA 157 Bibliography (pdf file)
    www.qualitymeasures.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

70. CHIPRA 155: Bibliography (pdf file)
    www.qualitymeasures.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

71. PQMP Asthma ED Visit Quality Metric Key Driver Diagram (pdf file)
    www.qualitymeasures.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

72. 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.qualitymeasures.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

73. CAHPS Announcements | Agency for Healthcare Research and Quality
    www.qualitymeasures.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

74. Table 1. Summary of Model State Initiatives | Agency for Healthcare Research and Quality
    www.qualitymeasures.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

75. AcademyHealth State-University Partnership Learning Network (SUPLN) Web Conference | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supln-slides.html
    January 01, 2016 - plan measures Data sources Primarily Medicaid/CHIP administrative data (enrollment and claims or managed … Historical Context SC Medicaid Covers about 22-25% of population, 52% of all births Majority Managed … Analysis – Program and Policy Technical Assistance & Evaluation Support Geo-spatial analysis Managed … They include: CHIPRA Core QI Indicators (HEDIS NCQA, PQI, and NQF), HEDIS NCQA Managed Care and Fee for … , Agency Internal and External Supported Initiatives (including Hospital Associated Triple Aim, and Managed

76. Title of Presentation: (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/nashp-webinar-on-quality_measure-use.pdf
    September 21, 2015 - improvement workgroups – Encouraged consistent quality reporting standards across programs – Required managed … measures and demonstrating improvement 26 26 Pennsylvania Medical Assistance • Mandatory managed … care • Over 1.1 million children covered by Medicaid • Managed Care Organizations reporting both

77. Putting Quality Measures to Work: Lessons from the CHIPRA Quality Demonstration Grant Program | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-slides.html
    January 01, 2016 - improvement workgroups Encouraged consistent quality reporting standards across programs Required managed … when indicated With special health care needs will have their care coordinated With asthma will be managed … demonstrating improvement David Kelley Slide 30 Pennsylvania Medical Assistance Mandatory managed … Managed Care Organizations reporting both HEDIS® and Pennsylvania Performance measures.

78. Holtropstudysnapshot (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/publications/files/holtropstudysnapshot.pdf
    December 01, 2016 - techniques, they compared these costs to those incurred by similar patients enrolled in CM programs managed … Am J Managed Care 2015 May;21(5):344-51. Holtrop J Summers, Potworowski G, Green LA, et al.

79. Reporting and using the Child Core Set of quality measures | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary2.html
    September 01, 2015 - quality measures for children to monitor quality and compare performance across health systems and managed … Policy or programmatic changes, such as stipulating benchmarks in managed care contracts and developing

80. NCQA's Version of the Health Plan Survey | Agency for Healthcare Research and Quality
    www.qualitymeasures.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