-
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
-
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,
-
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
-
psnet.ahrq.gov/issue/managed-care-penetration-and-other-factors-affecting-computerized-physician-order-entry
October 06, 2011 - Study
Managed care penetration and other factors affecting computerized physician … Managed care penetration and other factors affecting computerized physician order entry in the ambulatory … primary care physicians on their use of computerized physician order entry (CPOE) and found that managed … Managed care penetration and other factors affecting computerized physician order entry in the ambulatory
-
www.ahrq.gov/cahps/cahps-database/hcbs-database/index.html
January 01, 2025 - (HCBS) Survey Database is a central repository of survey data from State Medicaid agencies and the managed … help evaluate, compare, and improve the quality of services provided by both fee-for-service HCBS and managed
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-brown.pdf
June 02, 2025 - 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
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab3b.html
December 01, 2012 - 4.74
7.67
7.51
8.71
7.62
HMO (%)
2.49
0.10
1.26
1.18
1.47
2.41
1.81
Managed … %)
2.40
3.98
4.11
1.86
4.06
2.12
3.02
HMO (%)
s
s
s
s
s
s
s
Managed … Race Unknown (%)
1.79
s
s
s
s
1.34
1.26
HMO (%)
a
a
a
a
a
a
a
Managed … )
5.22
11.14
7.11
5.87
9.05
5.81
6.76
HMO (%)
s
s
s
s
s
s
s
Managed … 33.47
30.63
30.04
HMO (%)
11.17
20.96
16.24
19.37
15.79
9.94
14.25
Managed
-
www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicaid-Person-Weighted.pdf
September 26, 2023 - enrolled 9,178,263 13.14 9,178,263 13.14
1: Enrolled 60,685,742 86.86 69,864,005 100.00
Medicaid Managed … enrolled 24,498,053 35.07 24,498,053 35.07
1: Enrolled 45,365,952 64.93 69,864,005 100.00
Medicaid Managed … enrolled 24,153,736 34.57 24,153,736 34.57
1: Enrolled 45,710,269 65.43 69,864,005 100.00
Medicaid Managed … Weighted Frequency Tables: PUF Medicaid Person File
15:39 Tuesday, September 26, 2023 10
Medicaid Managed … Weighted Frequency Tables: PUF Medicaid Person File
15:39 Tuesday, September 26, 2023 11
Medicaid Managed
-
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.
-
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
-
cahpsdatabase.ahrq.gov/files/HCBS/HCBS-DUA-with-CMS-Authorizations.pdf
December 01, 2024 - Data collection vendors may not sign this DUA on behalf of a State Agency, Managed Care Plan or other … Participating Organization (even if they have been given permission by the State Agency, Managed Care … Only a duly appointed representative
from the State Agency, Managed Care Plan or other Participating … • MANAGED CARE PLANS: If you are a Managed Care Plan (MCP) submitting data, and you are not a State … If Participating Organization represents more than one State Agency, Managed Care Plan, or Program,
-
hcup-us.ahrq.gov/reports/methods/2015-08.pdf
January 01, 2015 - Managed care (Table 2)
a. Medicare
b. … Comparison of SID discharges for
Medicare managed care with CMS
managed care enrollment figures
(pages … Managed Care Plans (pages
13–15)
Table 2 lists HCUP States with managed
care expected payer codes … Comparison of SID discharges for
Medicaid managed care with CMS
managed care enrollment figures
(pages … 2
o Table 2A for Medicare managed
care
o Table 2B for Medicaid managed
care
o Table 2C for managed
-
hcup-us.ahrq.gov/reports/methods/2014-03UserGuide.pdf
January 01, 2014 - Managed care (Table 2)
a. Medicare
b. Medicaid
c. … Comparison of SID discharges for
Medicare managed care with CMS
managed care enrollment figures
(pages … Managed Care Plans (pages
13–15)
Table 2 lists HCUP States with managed
care expected payer codes … Comparison of SID discharges for
Medicaid managed care with CMS
managed care enrollment figures
(pages … 2
o Table 2A for Medicare managed
care
o Table 2B for Medicaid managed
care
o Table 2C for managed
-
hcup-us.ahrq.gov/reports/methods/2016-09UG.pdf
January 01, 2016 - Managed care (Table 2)
a. Medicare
b. … Comparison of SID discharges for
Medicare managed care with CMS
managed care enrollment figures
(pages … Managed Care Plans (pages
13–15)
• Table 2 lists HCUP States with managed
care expected payer codes … Comparison of SID discharges for
Medicaid managed care with CMS
managed care enrollment figures
(pages … 2
o Table 2A for Medicare managed
care
o Table 2B for Medicaid managed
care
o Table 2C for managed
-
hcup-us.ahrq.gov/reports/methods/2017-05.pdf
January 01, 2017 - All managed care including Medicare, Medicaid, and private insurance
3. Uninsured (Tables 3). … Comparison of SID discharges for
Medicare managed care with CMS
managed care enrollment figures
(pages … Managed Care Plans (pages
13–15)
• Table 2 lists HCUP States with managed
care expected payer codes … Comparison of SID discharges for
Medicaid managed care with CMS
managed care enrollment figures
(pages … 2
o Table 2A for Medicare managed
care
o Table 2B for Medicaid managed
care
o Table 2C for managed
-
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.
-
psnet.ahrq.gov/node/36705/psn-pdf
July 25, 2011 - Managed care penetration and other factors affecting
computerized physician order entry in the ambulatory … Managed care penetration and other factors affecting
computerized physician order entry in the ambulatory … https://psnet.ahrq.gov/issue/managed-care-penetration-and-other-factors-affecting-computerized-
physician-order-entry … surveyed primary care physicians on their use of computerized physician order entry
(CPOE) and found that managed … https://psnet.ahrq.gov/issue/managed-care-penetration-and-other-factors-affecting-computerized-physician-order-entry
-
hcup-us.ahrq.gov/reports/methods/2018-04.pdf
January 01, 2018 - Managed care (Table 2)
a. Medicare
b. Medicaid
c. … 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.
-
www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/about.html
July 01, 2021 - Department Use measure estimates the rate of emergency department (ED) visits for children who are being managed … Specifications and Reporting
This measure estimates the rate of ED visits for children ages 3-21 who are being managed
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find2.html
December 01, 2012 - changes to Medicaid requirements, such as limiting choice of provider through mandatory enrollment in managed … directly relevant to HCBS, but some States use Section 1115 waivers to cover long-term care under a managed … Section 1915(b/c) waivers allow States to enroll beneficiaries in a mandatory managed care program that … Due to data limitations—individual encounter data are not available for managed care participants—we … One in 10 HCBS participants was enrolled in a Medicare or Medicaid managed acute care plan.