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www.talkingquality.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
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www.talkingquality.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
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www.talkingquality.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.
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www.talkingquality.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
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www.talkingquality.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
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www.talkingquality.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/index.html
August 01, 2020 - Systems Change
Systems change describes specific strategies that health care administrators, managed
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/dotphrase.pdf
January 29, 2021 - • If your child’s care is managed by a MUSC Specialty doctor, ask to speak with the
appropriate clinic
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-FEC-5.pdf
January 04, 2011 - List of entity types currently using measure:
Medicaid Managed Care plans
IMPORTANCE
M.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc3.pdf
September 01, 2014 - Useful in MCO [managed care organization] contracts to drive quality improvement. … Useful in MCO [managed care organization] contracts to drive quality improvement. … Useful in MCO [managed care organization] contracts to drive quality improvement. … Useful in MCO [managed care organization] contracts to drive quality improvement. … Useful in MCO [managed care organization] contracts to drive quality improvement.
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www.talkingquality.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?
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/battlesslides.pdf
July 18, 2015 - Partially or completely physician owned (74%-90%)
(2015)
A growing number of ASCs are:
Owned or managed
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www.talkingquality.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
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www.talkingquality.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
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www.talkingquality.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.talkingquality.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/nashp-webinar-slides.html
January 01, 2016 - Required managed care organizations to meet quality benchmarks. … reporting measures and demonstrating improvement
Slide 26
Pennsylvania Medical Assistance
Mandatory managed … Managed Care Organizations reporting both HEDIS® and Pennsylvania Performance measures.
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www.talkingquality.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
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www.talkingquality.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/introduction.html
July 01, 2021 - Emergency Department Use measure estimates the rate of ED visits for children ages 3-21 who are being managed
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www.talkingquality.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight12.html
May 01, 2015 - For example, Florida improved the reporting of quality measures, and Illinois added requirements to managed … Illinois included new requirements for perinatal care transitions in Medicaid managed care contracts. … quality demonstration work group wrote recommendations for new requirements for Illinois’s Medicaid managed … development of new quality indicator systems and the strengthening of the requirements in Medicaid managed … supporting hospital-based QI projects, conducting educational campaigns directed at women, modifying managed
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-wyoming-state-snapshot.pdf
January 01, 2018 - Key Features of Wyoming’s CME
Wyoming Medicaid funded and managed the CME, which—
• Started in a seven-county … Wyoming Medicaid awarded the CME contract to a
managed care organization with behavioral health
experience
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www.talkingquality.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/qi-strategies.html
August 01, 2021 - annual TCD screen by XX% over baseline in 12 months
Michigan Department of Health and Human Services Managed … disease, including increasing TCD screening rates
Michigan Department of Health and Human Services Managed … The Director of the Michigan Department of Health and Human Services Managed Care Plan Division, Quality