-
digital.ahrq.gov/sites/default/files/docs/resource/Governance_Considerations.pdf
June 16, 2021 - • Bylaws are necessary to address how the boards are appointed, managed and linked.
If 501c(3) is … physicians represented could possibly change
• Bylaws are necessary to address how the boards are appointed, managed
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hcup-us.ahrq.gov/db/vars/pay2/nisnote.jsp
September 01, 2008 - For example,
Medicare includes both fee-for-service and managed care Medicare patients. … Medicaid includes both fee-for-service and managed care Medicaid patients.
-
hcup-us.ahrq.gov/db/vars/pay2/kidnote.jsp
September 01, 2008 - For example,
Medicare includes both fee-for-service and managed care Medicare patients. … Medicaid includes both fee-for-service and managed care Medicaid patients.
-
hcup-us.ahrq.gov/db/vars/pay2/nedsnote.jsp
May 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.
-
psnet.ahrq.gov/node/850909/psn-pdf
June 21, 2023 - https://psnet.ahrq.gov/issue/effect-contextual-factors-prevalence-diagnostic-errors-among-patients-managed-physicians-same
-
www.ahrq.gov/talkingquality/plan/environment.html
June 01, 2016 - Questions to ask about local health plans:
Do managed care plans dominate the market? … Are the plans owned and managed at the National, regional or local level?
-
www.ahrq.gov/sites/default/files/publications/files/impguide2.pdf
September 08, 2015 - • Medicaid managed care organizations. … CMEs can be managed at the State or local level. … State Medicaid office and
managed care organization.
State Medicaid office. … Managed care organization
(Colorado Access operating
in Wyoming as Wyoming
Access). … Medicaid managed care for special need populations: behavioral
health as a “tracer condition.”
-
www.ahrq.gov/practiceimprovement/delivery-initiative/abstract-williams.html
December 01, 2017 - Association (IHA) convened a group of stakeholders (health plans, provider organizations, and vendors) and managed
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight11.pdf
September 08, 2015 - We think it was a
landmark document because it will
[allow us to] compare the various
Medicaid managed … example, Florida and
Illinois are reporting measures for their
State as a whole and for each Medicaid
managed … Illinois • Illinois Medicaid is requiring managed care organizations and accountable care entities to … and utilization review program.
bAccountable care entities are integrated delivery systems similar to managed … Illinois’s inclusion of Child
Core Set measures in its contracts with
accountable care entities and managed
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-anemia.pdf
June 02, 2025 - Monitoring
■ May check hematocrit and reticulocyte count periodically, but most babies can be managed
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-on_quality-measure-use.pdf
September 24, 2015 - improvement workgroups
– Encouraged consistent quality reporting standards across programs
– Required managed … With asthma will be managed effectively and control
maximized
Broad Focus on Quality
• Simultaneously … demonstrating improvement
David Kelley
30 30
Pennsylvania Medical Assistance
• Mandatory managed … care
• Over 1.1 million children covered by Medicaid
• Managed Care Organizations reporting both
-
www.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.
-
www.ahrq.gov/research/findings/final-reports/iomracereport/reldatapre.html
May 01, 2018 - data (e.g., a multispecialty group practice) may provide that information to another entity (e.g., a managed … These included Cindy Ehnes and Hattie Hanley of the Department of Managed Health Care; Shelley Rouillard … and Ernesto Sanchez, Managed Risk Medical Insurance Board; David Carlisle, Candace Diamond, Serena Beltran … Sandra Perez and Ed Mendoza, California Office of the Patient Advocate; and Rita Marowitz, Medi-Cal Managed
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-1.html
August 01, 2023 - In contrast, conditions commonly managed in the primary care setting (e.g., hypertension, depression,
-
www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6kculturalcompetence.html
March 01, 2020 - For example, Molina Healthcare, a Medicaid managed care organization, developed and aggressively marketed … 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.
-
meps.ahrq.gov/survey_comp/ic_ques_glossary.pdf
January 01, 2017 - HIGH DEDUCTIBLE HEALTH PLAN (HDHP)
INDUSTRY CATEGORIES
INDUSTRY GROUPING
LOW-WAGE EMPLOYEE
MANAGED … CARE PLANS
MANAGED CARE PROVISIONS
MINIMUM PREMIUM PLAN (MPP)
MULTI-EMPLOYER HEALTH PLAN
MULTIPLE … MANAGED CARE PLAN - Either a mixed provider or exclusive provider plan. … MANAGED CARE PLANS - Managed care plans generally provide comprehensive health
services to their members … These entities sell their services to managed care organizations or
directly to employers.
-
hcup-us.ahrq.gov/reports/methods/2005_03_del_379.pdf
January 01, 2005 - In 2002, 13.6 percent of
Medicare enrollees were in managed care, including HMOs (CMS, 2004). … Has Managed Care Affected the Availability of Medical Technology? … Table 6 examines managed care penetration by region of
NIS and non-NIS states. … overestimate the number of discharges in managed care. … Has Managed Care Affected the Availability of Medical Technology?
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-136-fullreport.pdf
July 01, 2018 - medications prior to
incidence emergency department (ED) visits and/or hospitalizations for children being managed … which asthma was a primary or secondary diagnosis
in children ages 2-21 who meet criteria for being managed … Among those who were sick
enough to need the ED, their asthma was well managed prior to the visit or … For those
whose asthma was not well managed, some will clearly have had system reasons for the lack … Consistency of care with national guidelines for children
with asthma in managed care.
-
psnet.ahrq.gov/node/867599/psn-pdf
January 22, 2025 - The study found that most
adults managed medications without caregivers, faced low self-efficacy, and
-
psnet.ahrq.gov/node/42601/psn-pdf
September 18, 2013 - Managed care (Langhorne, Pa.). 2013;22(7):30-2.