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Showing results for "managed".

241. Choosing Quality Measures (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/choosing/choosing.doc
     June 02, 2025 - delivery systems you have will help steer you to the measures that will produce the best results for: · Managed … · For managed care organizations? · For a primary care case management program?

242. Study Finds Association Between Smoking and Chronic Pain | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/938.html
     November 01, 2024 - Effects of Medicaid managed care on early detection of cancer: evidence from mandatory Medicaid managed

243. Methodology Report #9: Design, Methods, and Field Results of the 1996 Medical Expenditure Panel Survey Medical Provider Component (pdf file)
     meps.ahrq.gov/data_files/publications/mr9/mr9.pdf
     May 01, 2000 - 75-percent sample of households receiving care through an HMO (health maintenance organization) or managed … In addition, office-based physicians providing care to privately insured persons in managed care plans … • Managed Care: Households not classified as Medicaid that had one or more persons reported as covered … care 2,379 Other 1,014 • Other: All households not classified as Medicaid or managed care. … Specifically, 100 percent of households with Medicaid recipients and 75 percent of households with managed

244. m-hosp4.PDF (pdf file)
     meps.ahrq.gov/survey_comp/misc_survey/mpc/1996/m-hosp4.pdf
     January 01, 1996 - Capitated basis means that the patient was enrolled in a prepaid managed care plan, such as an HMO. … or discount Medicare or Medicaid limit or adjustment. 1 2 Contractual arrangement with insurer or managed … Capitated basis means that the patient was enrolled in a prepaid managed care plan, such as an HMO. … or discount Medicare or Medicaid limit or adjustment. 1 2 Contractual arrangement with insurer or managed

245. ob-dr-11.PDF (pdf file)
     meps.ahrq.gov/survey_comp/misc_survey/mpc/1996/ob-dr-11.pdf
     January 01, 1996 - Capitated basis means that the patient was enrolled in a prepaid managed care plan where reimbursement … or discount Medicare or Medicaid limit or adjustment. 1 2 Contractual arrangement with insurer or managed … or discount Medicare or Medicaid limit or adjustment 1 2 Contractual arrangement with insurer or managed … or discount Medicare or Medicaid limit or adjustment. 1 2 Contractual arrangement with insurer or managed

246. Appendix III (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiij.html
     June 01, 2010 - Tool or Measure Set: Wisconsin Draft Consumer Satisfaction Questions for Family Care Managed Care Organization … disabilities Developer: A collaboration of Department of Health and Family Services waiver staff, managed … Testing: Field tested; content validity via stakeholder involvement Summary: Wisconsin requires managed … disabilities Developer: A collaboration of Department of Health and Family Services waiver staff, managed … with Developmental or Physical Disabilities and Frail Elders in Wisconsin's Medicaid-Funded HCBS and Managed

247. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37754/psn-pdf
     May 14, 2008 - with myocardial infarction or heart failure were most likely to receive a PIM whereas men, those in managed

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45150/psn-pdf
     October 13, 2018 - pain-neglected-patient-safety-concern-five-years This commentary examines the progress in the past 5 years regarding establishing poorly managed

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43879/psn-pdf
     February 04, 2015 - response efforts in the United Kingdom and provides recommendations to augment how complaints are managed

250. Asthma Measure 1: Pediatric Emergency Department Use (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/technical-specifications.pdf
     June 02, 2025 - This measure estimates the rate of emergency department visits for children ages 3 – 21 who are being managed

251. Outpatient Surgery and Patient Safety—The Patient’s Voice (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Hundt.pdf
     January 01, 2003 - assess the incidence of common or undesirable postoperative symptoms and how they were subsequently managed … days after surgery and asked them a series of questions about symptoms they experienced, how they managed … We determined how the symptom was managed by asking varying combinations of 10 possible questions. … first occurred, whether the participant called a health care provider for help, how the symptom was managed … incidence of a symptom, we were interested in gaining a better understanding of how the participant managed

252. Ross S et al. 2005 "Effects of electronic prescribing on formulary compliance and generic drug utilization in the ambulatory care setting: a retrospective analysis of administrative claims data." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ross-s-et-al-2005
     January 01, 2005 - METHODS: This was a retrospective analysis of pharmacy claims data from a large national managed care … CONCLUSIONS: An examination of paid pharmacy claims from a large, national managed care organization

253. Section 1: Planning a Care Management Program | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm1.html
     October 01, 2014 - Managed Care/Freedom of Choice Section 1915(b) This section provides the Secretary of Health … and Human Services authority to grant waivers that allow States to implement managed care delivery systems … the individuals eligible for Medicaid in a State by: Mandatory enrollment of beneficiaries into managed … the option, through the Balanced Budget Act of 1997, to enroll certain beneficiaries into mandatory managed … exist under Section 1915(b) that States may request: 1915(b)(1): Mandates Medicaid enrollment into managed

254. Introducing the CAHPS Outpatient Mental Health Survey Webcast - CLEARY (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/03-outpt-mhs-webcast-cleary.pdf
     January 01, 1998 - health outcomes related to behavioral health ►Focused on experiences with providers, insurers, and managed

255. Development of the CAHPS ECHO Survey | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/echo/about/Development-ECHO-Survey.html
     May 01, 2018 - The American Managed Behavioral Health Care Association.

256. Table 12: Outcome Indicators by Use of Selected Home and Community-Based Services 1915(c) Waiver Services, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab12.html
     February 01, 2023 - excludes: individuals under age 18; people with only institutional use in a given quarter; people on managed

257. CHIPRA 157 Bibliography (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-157-bibliography.pdf
     June 12, 2018 - The impact of Medicaid managed care on hospitalizations for ambulatory care sensitive conditions.” … Churning in Medicaid managed care and its effect on accountability. … Medicaid managed care encounter data: Collection and use. … care utilization by children with chronic illnesses: A comparison of Medicaid and employer-insured managed

258. CHIPRA 155: Bibliography (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-bibliography.pdf
     May 08, 2018 - The impact of Medicaid managed care on hospitalizations for ambulatory care sensitive conditions. … Churning in Medicaid managed care and its effect on accountability. … Medicaid managed care encournter data: Collection and use. … care utilization by children with chronic illnesses: A comparison of Medicaid and employer-insured managed

259. MEPS Insurance Component Glossary of Health Insurance Terms
     meps.ahrq.gov/survey_comp/ic_ques_glossary.shtml
     January 01, 2019 - 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 … Return To Table of Contents MANAGED CARE PROVISIONS - Features within health plans that provide

260. CAHPS Announcements | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/news-and-events/news/index.html
     March 01, 2025 - Survey Database includes 10,686 survey responses voluntarily submitted by State Medicaid agencies and managed … Survey Database includes 6,053 survey responses voluntarily submitted by State Medicaid agencies and managed … Survey Database includes 4,731 survey responses voluntarily submitted by State Medicaid agencies and managed