-
hcup-us.ahrq.gov/reports/methods/2018-02-Supp1-2.pdf
January 01, 2018 - Care (Other) 1998-2016 2002-2016 2002-2016 2 Medicaid
Georgia 22
Medicaid (Non-Managed Care
Plan … Care 2003-2016 2004-2016 2004-2016 2 Medicaid
Iowa 12 Medicaid Managed Care 2008-2016 2008-2016 2008 … -2014 2011-2014 2 Medicaid
Kentucky Z Humana Medicaid Managed Care 2011-2014 2011-2014 2011-2014 2 … Care 2013-2016 N/A 2013-2016
Rhode Island H 3000
Coordinated Health Partners,
Medicaid (Managed … N/A 2006-2016 2 Medicaid
Rhode Island U 3000 UHC, Medicaid (Managed Care) 2003-2016 N/A 2006-2016
-
pcmh.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
-
pbrn.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
-
hcup-us.ahrq.gov/reports/methods/2014-03Supplement4.pdf
January 01, 2014 - counts
Percentage of
Medicare that
is Managed
Care
Medicare
Discharges
Medicare
Managed … Discharges
Medicare
Managed
Care
Discharges
Percentage of
Medicare that is
Managed Care … counts
Percentage of
Medicaid that
is Managed
Care
Medicaid
Discharges
Medicaid
Managed … Discharges
Medicaid
Managed Care
Discharges
Percentage of
Medicaid that is
Managed Care … Medicaid
Managed
Care
Discharges
Private
Managed
Care
Discharges
Percentage of
that
-
psnet.ahrq.gov/issue/reduction-warfarin-adverse-events-requiring-patient-hospitalization-after-implementation
October 23, 2024 - Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed … Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed … Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed
-
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
-
ce.effectivehealthcare.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
-
www.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
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0124-fullreport.pdf
September 01, 2019 - Distribution of Emergency Department Visit Use for Children Managed for Identifiable Asthma
Distribution … of Emergency Department Visit Use for
Children Managed for Identifiable Asthma
Section 1. … Measure Name
Distribution of Emergency Department Visit Use for Children Managed for Identifiable Asthma … Recent evidence of being managed for identifiable asthma in the assessment period,
including:
• Any … Churning in Medicaid managed care and its effect on
accountability.
-
hcup-us.ahrq.gov/db/vars/pay2_n/nisnote.jsp
September 02, 2008 - HCUP Payer
PAY2_N
Medicare Managed Care
Medicare
1
Medicaid Managed Care
Medicaid … 2
Blue Cross Managed Care
Blue Cross, Blue Cross PPO
3
Commercial Managed Care
Commercial … , PPO
4
Other Non-Managed Care
Other
12
Beginning in 1996, "PPO and Other Managed … Tennessee
Tennessee reports HMO and managed care separately for commercial, Medicare, and Medicaid … (PAY2_N = 5) includes the source payer "HMO/Managed Care."
-
psnet.ahrq.gov/issue/effect-contextual-factors-prevalence-diagnostic-errors-among-patients-managed-physicians-same
February 02, 2022 - Effect of contextual factors on the prevalence of diagnostic errors among patients managed … Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians … Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians
-
digital.ahrq.gov/principal-investigator/white-jon
January 01, 2021 - White, Jon
Managed care … Managed care has useful role in promoting 'meaningful use'.
-
www.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.
-
hcup-us.ahrq.gov/db/vars/pay1/nrdnote.jsp
August 01, 2015 - For example,
Medicare includes both fee-for-service and managed care Medicare patients. … Medicaid includes both fee-for-service and managed care Medicaid patients. … When there is a generic category for managed care such as "HMO/PPO" reported under PAY1_X, it is mapped … However, it is possible that hospitals may inadvertently include patients covered by a Medicare managed … care program administered by a private insurance company under a generic managed care category.
-
www.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
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-brown.pdf
June 21, 2023 - Functional Tools (TEFT)
Demonstration
Applies across Delivery Systems
Used in both fee-for-service and
managed … Applicable in both fee-for-service and managed long-term services and
supports environments
7. … of analysis can vary
• State Medicaid agencies
• County or other non-state governmental entities
• Managed … care plans under managed long-term services and supports
programs
17
Other Important Considerations … aggregated results for analysis and
use
• The Lewin Group provides technical assistance to states, managed
-
psnet.ahrq.gov/issue/poll-many-sick-americans-experience-significant-financial-problems-and-report-their-care-not
April 02, 2014 - Poll: Many Sick Americans Experience Significant Financial Problems and Report Their Care is not Well-Managed … Poll: Many Sick Americans Experience Significant Financial Problems and Report Their Care is not Well-Managed … Poll: Many Sick Americans Experience Significant Financial Problems and Report Their Care is not Well-Managed
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/115-daily-goals-icu-checklist.docx
October 01, 2024 - communication is particularly important in the unit if complicated care plans are to be effectively managed … Insulin: Sliding Scale Insulin (SSI) _____ Drip _____
· Electrolyte Protocols unit specific nurse managed … Anticoagulation: Yes No
· Activated partial thromboplastin time (aPTT) goal _____
· R.N. managed … · M.D. managed
Insert text
Can Any Medications Be Discontinued, Converted to “By Mouth” or
-
www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/index.html
August 01, 2020 - Systems Change
Systems change describes specific strategies that health care administrators, managed
-
www.ahrq.gov/cahps/surveys-guidance/hcbs/index.html
January 01, 2025 - for voluntary use by State Medicaid programs, including both fee-for-service HCBS programs as well as managed … Aggregated Results for the Home and Community-Based Services Survey State Medicaid agencies and the managed