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101. 4. Observations About the Evaluation | Agency for Healthcare Research and Quality
     www.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

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

103. Rapid Evidence Product: Misuse of ADHD Prescription Stimulants in Adults (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/misuse-adhd-prescription-rapid-research.pdf
     July 01, 2025 - : Yes Was the response rate adequate, and if not, was the low response rate managed appropriately … : Yes Was the response rate adequate, and if not, was the low response rate managed appropriately … Other: NR managed appropriately? … : NR Mode of administration: NR managed appropriately? … : NR Mode of administration: NR managed appropriately?

104. Tools To Improve Diagnostic Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/tools/index.html
     June 01, 2025 - 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

105. Part 4: CME Design Features | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2pt4.html
     September 01, 2014 - Medicaid managed care organizations. Cross-agency committees or purchasing collaboratives. … care organizations if behavioral health services are provided under a managed care arrangement. … Maryland’s Medicaid-funded CMEs will be managed at the county level to increase local control. … Level of CME Management: State or Local CMEs can be managed at the State or local level. … States may choose to include all services managed by a given funding agency in the case rate or carve

106. Managing and Growing an Established PBRN (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/pbrn-managing-growing-webinar.pdf
     August 01, 2024 - Home Infusion, 1, 1% Hospital-Inpatient, 32, 27% Hospital-Outpatient, 9, 7% Long-term Care, 7, 6% Managed … Care-Admin, 5, 4% Managed Care-Clinic, 3, 3%Pharm Industry, 3, 3% Michelle Chui, Pharm.D., Ph.D.​

107. Spotlight on Illinois -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.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

108. Design and Testing of a Mobile Cardiovascular Risk Service With Patient Partners | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/design-and-testing-mobile-cardiovascular-risk-service-patient-partners
     January 01, 2023 - treatment strategies for CVD can be improved by using a centralized cardiovascular risk service (CVRS) managed … partner with mHealth technology users in the design of a mobile app for disseminating a pharmacist-managed

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

110. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73526/psn-pdf
     July 28, 2021 - Academy of Managed Care Pharmacy. Medication Errors. … Available at: https://www.amcp.org/about/managed-care-pharmacy-101/concepts-managed-care- pharmacy/ … medwatch-fda-safety-information-and-adverse-event-reporting-program/information-about-reporting-adverse-events-fdas-medwatch-program https://www.amcp.org/about/managed-care-pharmacy … -101/concepts-managed-care-pharmacy/medication-errors https://www.amcp.org/about/managed-care-pharmacy … -101/concepts-managed-care-pharmacy/medication-errors 18.

111. Table 2: NIS and NHDS Comparisons by Region, 1999 (pdf file)
     hcup-us.ahrq.gov/reports/methods/1999NISComparisonReportFinal.pdf
     March 08, 2002 - In 1999, 16.7% of Medicare enrollees were in managed care (HCFA, 1999). … In 1999, 16.7% of Medicare enrollees were in managed care, including HMOs (HCFA,1999). … Table 24 breaks down managed care penetration by region of NIS and non- NIS states. … In contrast, the Midwest and South have a low proportion of managed care enrollees. … “Medicare Managed Care Contract Plans Monthly Summary Report, December, 1999.”

112. Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey - BROWN (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-quality-measures.pdf
     January 01, 2021 - Applicable in both fee-for-service and managed LTSS environments 7. … of analysis can vary • State Medicaid agencies • County or other non-state governmental entities • Managed

113. Mental Health Quality Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-9.html
     November 01, 2017 - The ECHO™ survey is designed for use by consumers, clinicians, managed behavioral health care organizations … Child Measures Included Separate versions of the child survey have been developed for MBHOs and managed … Evaluation Center at the Human Services Research Institute, the Washington Circle Group, the American Managed … Applicable to different types of plans, including commercial, Medicaid and Medicare, and health systems (managed

114. Strategies for Improving Patient Experience with Ambulatory Care: Rapid Referral Programs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6e.pdf
     July 07, 2017 - Wrestling with the managed care octopus, Part 3. Get insurance authorizations faster. … Patients’ satisfaction when denied authorization for emergency department care by their managed care … Wrestling with the managed care octopus, Part 3. Get insurance authorizations faster. … Making patient care easier under multiple managed care plans.

115. Technical Appendix | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tap.html
     December 01, 2012 - The data also included personal attributes of HCBS participants (age, gender, race/ethnicity, managed … acute or managed long-term care plan for any month of the year (or quarter) (if any monthly PS file … Managed long-term care plan, enrollment in a . … For purposes of Table 3 , HCBS participants were classified as being enrolled in a managed long-term … care plan if the MAX data indicated enrollment in a managed long-term care plan or in a Program for

116. Appendix B: Key CME Design Features in CHIPRA Quality Demonstration States, as of June 2014 | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2appb.html
     September 01, 2014 - State Medicaid office and managed care organization. State Medicaid office. … Managed care organization (Colorado Access operating in Wyoming as Wyoming Access).

117. Appendix Q. Surgeon Focus Group Content Analysis | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiapq.html
     April 01, 2018 - The risks for a patient with managed comorbidities, or one who is compliant with medical recommendations … for emergency surgery patients versus those for elective surgery patients; risks for a patient with managed … comorbidities versus those for patients with poorly managed or undocumented comorbidities; risks for

118. Malone DC, Saverno, KR. (2012). Evaluation of a wireless handheld medication management device in the prevention of drug-drug interactions in a Medicaid population. J Manag Care Pharm 2012;18(1):33-45. | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/medicaid-and-chip/malone-dc-saverno-kr-2012-evaluation-wireless-handheld
     January 01, 2012 - www.amcp.org Vol. 18, No. 1 January/February 2012 JMCP Journal of Managed Care Pharmacy 33 • Medication

119. 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.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 … NCQA HEDIS measures are currently used for reporting by Medicaid Managed Care plans, and may not be used … 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.

120. Healthcare Cost and Utilization Project (HCUP) KID Description of Data Elements - Core Notes (pdf file)
     hcup-us.ahrq.gov/db/nation/kid/KID_2003_CORE_Volume2_M-Z.pdf
     January 01, 2003 - • Medicaid includes both fee-for-service and managed care Medicaid patients. … /Private 104 Blue Cross/Blue Shield Managed Care 107 All Commercial Payers Managed Care 3 Private … Care 109 Other Government Managed Care (not Champus) 110 Champus Managed Care 111 Other Managed … Managed Care 7 Commercial Insurance D Commercial Managed Care 8 HMO E PPO and Other Managed Care … (Indemnity Carrier) 3 Private Insurance L Commerical/Managed Care - HMO/PPO/Other Managed Care