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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool5_portfolio_des.pptx
June 02, 2025 - Discharges to postacute care settings
Collaborations with managed care organizations (MCOs), behavioral
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool3_hosp_inv.docx
June 02, 2025 - Cross-continuum Process Improvement Collaborations With:
· Skilled nursing facilities
· Medicaid managed
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psnet.ahrq.gov/node/846126/psn-pdf
March 09, 2023 - Academy of Managed Care Pharmacies. 2019. Accessed March 2023. [Free full
text]
3. … psnet.ahrq.gov//mailto:dsdakwa@ucdavis.edu
https://doi.org/10.1002/aorn.12005
https://www.amcp.org/about/managed-care-pharmacy … -101/concepts-managed-care-pharmacy/medication-errors
https://www.amcp.org/about/managed-care-pharmacy … -101/concepts-managed-care-pharmacy/medication-errors
https://doi.org/10.1097/aln.0000000000000904
https
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab9.html
February 01, 2023 - excludes: individuals under age 18; people with only institutional use in a given quarter; people on managed
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions1.html
June 01, 2023 - that often involve medical complexity and diagnostic uncertainty, 3 both of which must be explicitly managed
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digital.ahrq.gov/ahrq-funded-projects/implementation-outcomes-health-it-program-vulnerable-diabetes-patients
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
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/model/evidence-now-sustainable-funding-resource.pdf
February 01, 2023 - However, payers (including
private health insurance plans and Medicaid or Medicare managed care plans … m The State’s Medicaid funding of its Managed Care Organizations has been a significant, long-term
funder … Kaufman and colleagues, “…outcomes meaningful to Medicaid-managed
care insurers may differ from outcomes … Community health workers and medicaid managed care in New Mexico. 2012(1573-3610 (Electronic)).
14.
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www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/qi-strategies.html
August 01, 2021 - TCD screen by XX% over baseline in 12 months
Michigan Department of Health and Human Services Managed … disease, including increasing TCD screening rates
Michigan Department of Health and Human Services Managed … The Director of the Michigan Department of Health and Human Services Managed Care Plan Division, Quality
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digital.ahrq.gov/sites/default/files/docs/page/Materials%20Management%20and%20Production%20Processes.pdf
June 16, 2021 - The Idea of Supply Intensive
Admissions
Over 50 DRGs
Supply cost + OR = > 50% cost
Rarely well managed … Inherent market differences based on physician
availability, patient mix, managed care penetration
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www.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.html
June 01, 2018 - GTE found that in 1995, its high performance managed care plans had hospital costs that were 11.5 percent … On the other hand, low performance managed care plans had costs that were 3.6 percent above the national … Union Guide to Quality Managed Care , 1997. … The State of Managed Care Quality. 1997. http://www.ncqa.org/communications/news/somcqrel.html
National
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-6k.pdf
August 01, 2017 - 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. … For example,
Molina Healthcare, a Medicaid managed
care organization, developed and
aggressively marketed
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psnet.ahrq.gov/node/38886/psn-pdf
August 26, 2009 - study likely underestimates the true incidence of adverse drug events in
children, as most cases are managed
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psnet.ahrq.gov/node/36150/psn-pdf
September 29, 2010 - nurse-physician-communication-during-labor-and-birth-implications-patient-
safety
The labor and delivery process at community hospitals is generally managed
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psnet.ahrq.gov/issue/transforming-care-bedside-tcab-toolkit
January 17, 2024 - Poll: Many Sick Americans Experience Significant Financial Problems and Report Their Care is not Well-Managed
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meps.ahrq.gov/survey_comp/misc_survey/mpc/2006/HSP_06.pdf
January 01, 2006 - Capitated basis means that the patient was
enrolled in a prepaid managed care plan where
reimbursement … Contractual arrangement with insurer
or managed care organization ............... 1 2
d. … Capitated basis means that the patient was
enrolled in a prepaid managed care plan
where reimbursement … Contractual arrangement with insurer
or managed care organization ............................ 1
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psnet.ahrq.gov/issue/complaints-and-raising-concerns
November 16, 2015 - response efforts in the United Kingdom and provides recommendations to augment how complaints are managed
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www.ahrq.gov/sites/default/files/publications/files/holtropstudysnapshot.pdf
December 01, 2016 - techniques, they compared these costs to those incurred by similar patients
enrolled in CM programs managed … Am
J Managed Care 2015 May;21(5):344-51.
Holtrop J Summers, Potworowski G,
Green LA, et al.
-
www.ahrq.gov/practiceimprovement/delivery-initiative/holtropstudysnapshot/index.html
December 01, 2016 - techniques, they compared these costs to those incurred by similar patients enrolled in CM programs managed … Am J Managed Care 2015 May;21(5):344-51.
Holtrop J Summers, Potworowski G, Green LA, et al.
-
psnet.ahrq.gov/issue/fading-art-physical-exam
July 10, 2024 - Poll: Many Sick Americans Experience Significant Financial Problems and Report Their Care is not Well-Managed
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digital.ahrq.gov/ahrq-funded-projects/partnership-clinician-electronic-health-record-ehr-use-and-quality-care/annual-summary/2011
January 01, 2011 - Three nurse-managed health centers and three community health centers participated in this effort to … This feature is important for nurse-managed health centers, which are known to under-code.