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Showing results for "managed".

21. Supplements 1-3: An Examination of Expected Payer Coding in HCUP Databases (Updated for 2019 HCUP Data) (pdf file)
    hcup-us.ahrq.gov/reports/methods/MS2021-01-Expected-Payer-Coding-Supplements.pdf
    November 30, 2021 - State-Specific Coding for Medicare Managed Care Medicare Advantage is sometimes viewed as managed care … , managed care Rhode Island R 4000 2015–2019 N/A 2015–2019 Medicare managed care by Rhode Island Blue … Medicaid Managed Care Kentucky U 2010–2014 2010–2014 2010–2014 WellCare of Kentucky Medicaid Managed … Commercial Managed Care (POS) Georgia 519 2008–2019 2008–2019 2008–2019 Managed Care, Other (non-HMO … BC Managed Care (HMO) Georgia 612 2008–2019 2008–2019 2008–2019 BC Managed Care (PPO) Georgia 613

22. MS2019-03-Supplement (pdf file)
    hcup-us.ahrq.gov/reports/methods/2019-03Supplements.pdf
    December 13, 2019 - State-Specific Coding for Medicare Managed Care Medicare Advantage is sometimes viewed as managed care … , managed care Rhode Island R 4000 2015–2017 N/A 2008–2017 Medicare managed care by Rhode Island Blue … Managed Care - Neighborhood Health Plan Massachusetts 114 N/A N/A 2008–2017 Medicaid Managed Care - … Commercial Managed Care (POS) Georgia 519 2008–2017 2008–2017 2008–2017 Managed Care, Other (non-HMO … BC Managed Care (HMO) Georgia 612 2008–2017 2008–2017 2008–2017 BC Managed Care (PPO) Georgia 613

23. ExpectedPayerCodingSupplements (pdf file)
    hcup-us.ahrq.gov/reports/methods/Supplements2020-01.pdf
    September 29, 2020 - State-Specific Coding for Medicare Managed Care Medicare Advantage is sometimes viewed as managed care … , managed care Rhode Island R 4000 2015–2018 N/A 2008–2018 Medicare managed care by Rhode Island Blue … Managed Care Other (not listed elsewhere) Massachusetts 274 N/A N/A 2012–2018 Medicaid Managed Care … Commercial Managed Care (POS) Georgia 519 2008–2018 2008–2018 2008–2018 Managed Care, Other (non-HMO … BC Managed Care (HMO) Georgia 612 2008–2018 2008–2018 2008–2018 BC Managed Care (PPO) Georgia 613

24. DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. | PSNet
    psnet.ahrq.gov/issue/dod-and-va-health-care-medication-needs-during-transitions-may-not-be-managed-all
    December 09, 2020 - Book/Report DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed … Citation Text: DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All … government report reveals the need for a policy to ensure that veterans' medication needs are safely managed … Citation Citation Text: DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed

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

26. Section 8.A, Data Availability (pdf file)
    www.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.

27. Planning Culturally and Linguistically Appropriate Services | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
    July 01, 2019 - Planning Culturally and Linguistically Appropriate Services Guide for Managed Care Plans To … The Business Case for CLAS in Managed Care There is a plausible business case for plans to initiate … 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.

28. Quasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed care plan: study protocol | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/medicaid-and-chip/quasi-experimental-trial-diabetes-self-management-automated
    January 01, 2023 - trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed … trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed

29. MS2019-03 (pdf file)
    hcup-us.ahrq.gov/reports/methods/2019-03.pdf
    January 01, 2019 - Comparison of SID discharges for Medicare managed care with CMS managed care enrollment figures (Methods … Managed Care Plans (Methods Series Report 2014-03, pages 13–15) • Table 2 lists HCUP States with managed … Comparison of SID discharges for Medicaid managed care with CMS managed care enrollment figures (Methods … managed care o Table 2C for managed care plans for the privately insured. … Information on Managed Care Table 3.

30. User Guide: An Examination of Expected Payer Coding in HCUP Databases (Updated for 2020 HCUP Data) (pdf file)
    hcup-us.ahrq.gov/reports/methods/MS2022-02-Expected-Payer-Coding.pdf
    December 14, 2022 - Comparison of SID discharges for Medicare managed care with CMS managed care enrollment figures (Methods … Managed Care Plans (Methods Series Report 2014-03, pages 13–15) • Table 2 lists HCUP States with managed … Comparison of SID discharges for Medicaid managed care with CMS managed care enrollment figures (Methods … managed care o Table 2C for managed care plans for the privately insured. … Information on Managed Care Table 3.

31. User Guide: An Examination of Expected Payer Coding in HCUP Databases (Updated for 2019 HCUP Data) (pdf file)
    hcup-us.ahrq.gov/reports/methods/MS2021-01-Expected-Payer-Coding.pdf
    November 30, 2021 - Comparison of SID discharges for Medicare managed care with CMS managed care enrollment figures (Methods … care Medicaid managed Care HCUP State-Specific Payer Codes: Identifying Patients Enrolled in Managed … Comparison of SID discharges for Medicaid managed care with CMS managed care enrollment figures (Methods … care discharges, see Supplement 2 o Table 2A for Medicare managed care o Table 2B for Medicaid managed … Information on Managed Care Table 3.

32. ExpectedPayerCoding2018 (pdf file)
    hcup-us.ahrq.gov/reports/methods/2020-01.pdf
    January 01, 2020 - Comparison of SID discharges for Medicare managed care with CMS managed care enrollment figures (Methods … care Medicaid managed Care HCUP State-Specific Payer Codes: Identifying Patients Enrolled in Managed … Comparison of SID discharges for Medicaid managed care with CMS managed care enrollment figures (Methods … care discharges, see Supplement 2 o Table 2A for Medicare managed care o Table 2B for Medicaid managed … Information on Managed Care Table 3.

33. Using the CAHPS Database to Compare, Report, and Improve Organizational Performance (pdf file)
    www.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

34. Quasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed care plan: study protocol. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-self-management-support-and-medicat-13
    January 01, 2023 - trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed … trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed

35. Quasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed care plan: study protocol. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/implementation-outcomes-health-it-program-vulnerable-diabetes-patients/citation/quasi
    January 01, 2023 - trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed … trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed

36. CAHPS Mental Health Surveys | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/surveys-guidance/mental-health/index.html
    March 01, 2025 - The ECHO Survey has separate versions for Managed Care Organizations (MCOs) and Managed Behavioral Health … 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

37. Examples of How States Use Quality Measures | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-8.html
    December 01, 2017 - Return to Contents Minnesota HEDIS® 2003 Medicaid Managed Care Results The Minnesota Department … of Human Services produced a report, HEDIS® 2003 Medicaid Managed Care Results , showing multiple HMO … For the home page of the New York managed care office, go to: https://www.health.ny.gov/health_care/ … Comparisons of HEDIS Results by Systems of Care The North Carolina Division of Medical Assistance Managed … Return to Contents Ohio Medicaid Managed Care Customer Satisfaction Survey Ohio's Health Plans,

38. Microsoft Word - Eight Key Lessons_FINAL (pdf file)
    digital.ahrq.gov/sites/default/files/docs/library/Eight_Key_Lessons_FINAL.pdf
    July 01, 2011 - any states are looking to managed care partners to help them meet their expanded coverage responsibilities …  Care, 1999‐2009 Source: 2008 and 2001 Medicaid Managed Care Enrollment Reports, CMS. … Note: Includes managed care beneficiaries receiving comprehensive and limited benefits. … Tailor managed care approach to state and local conditions. … Endnotes 1 Medicaid and Managed Care: Key Data, Trends, and Issues.

39. A partnership model for implementing electronic health records in resource-limited primary care settings: experiences from two nurse-managed health centers. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/partnership-clinician-electronic-health-record-ehr-use-and-quality-care-2
    January 01, 2023 - implementing electronic health records in resource-limited primary care settings: experiences from two nurse-managed … implementing electronic health records in resource-limited primary care settings: experiences from two nurse-managed

40. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/844044/psn-pdf
    January 01, 2024 - 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 … https://psnet.ahrq.gov/issue/effect-contextual-factors-prevalence-diagnostic-errors-among-patients- managed-physicians-same … https://psnet.ahrq.gov/issue/effect-contextual-factors-prevalence-diagnostic-errors-among-patients-managed-physicians-same … https://psnet.ahrq.gov/issue/effect-contextual-factors-prevalence-diagnostic-errors-among-patients-managed-physicians-same