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www.ahrq.gov/news/newsroom/case-studies/coe0501.html
October 01, 2014 - Performance Measures
Search All Impact Case Studies
August 2004
Wisconsin's state Medicaid managed … development of the state's MEDDIC-MS (Medicaid Encounter Data Driven Improvement Core Measure Set) managed … "In my opinion, state Medicaid programs that use managed care as a delivery system nationwide will find … measurement, I can think of no other single resource on the subject of higher value to state Medicaid managed … "As other Medicaid managed care programs are developed for special populations here in Wisconsin, the
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meps.ahrq.gov/data_files/publications/workingpapers/wp_08012.pdf
December 01, 2008 - Accuracy of Household Reports of Medicare Managed Care Enrollment in the MEPS
Accuracy of Household … Accuracy of Household Reports of Medicare Managed
Care Enrollment in the MEPS. … Such concerns extend to inaccurate reporting
of managed care enrollment. … on household reporting of other types of managed care plans in
household surveys. … use of state-specific lists of
Medicare managed care plans in the MEPS.
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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Data-Dictionary-Person-Level-Variables-2024mar.csv
April 01, 2024 - No No No
Medicaid Managed Care Organization (MCO) Enrollment - January MDCD_MCO_ENRLMT_1 X NUM 3 … No No No
Medicaid Managed Care Organization (MCO) Enrollment - October MDCD_MCO_ENRLMT_10 X NUM 3 … No No No
Medicaid Managed Care Organization (MCO) Enrollment - November MDCD_MCO_ENRLMT_11 X NUM … No No No
Medicaid Managed Care Organization (MCO) Enrollment - December MDCD_MCO_ENRLMT_12 X NUM … No No No
Medicaid Managed Care Organization (MCO) Enrollment - February MDCD_MCO_ENRLMT_2 X NUM 3
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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
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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
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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
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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
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www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/fbba97.html
December 01, 2017 - relating to performance measurement and quality, as described below:
Subtitle H: Medicaid - Chapter 1: Managed … requirements in Sec. 4704 and 4705:
Sec. 4704 requires "annual external independent review of [Medicaid] managed … Sec. 4705 requires "any State contracting with Medicaid managed care organizations to develop and implement … of individuals with special health care needs and chronic conditions who are enrolled with Medicaid managed
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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
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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
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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
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-brown.pdf
June 21, 2023 - 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
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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
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psnet.ahrq.gov/node/43798/psn-pdf
January 07, 2015 - Pharmacist-managed inpatient discharge medication
reconciliation: a combined onsite and telepharmacy … Pharmacist-managed inpatient discharge medication reconciliation:
a combined onsite and telepharmacy … https://psnet.ahrq.gov/issue/pharmacist-managed-inpatient-discharge-medication-reconciliation-combined … This
commentary reveals the development, implementation, and initial testing of a service managed by … https://psnet.ahrq.gov/issue/pharmacist-managed-inpatient-discharge-medication-reconciliation-combined-onsite-and
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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.
-
psnet.ahrq.gov/node/41880/psn-pdf
January 08, 2014 - DOD and VA Health Care: Medication Needs During
Transitions May Not Be Managed for All Servicemembers … https://psnet.ahrq.gov/issue/dod-and-va-health-care-medication-needs-during-transitions-may-not-be-
managed-all … government report reveals the need for a policy to ensure that veterans' medication needs are safely
managed … https://psnet.ahrq.gov/issue/dod-and-va-health-care-medication-needs-during-transitions-may-not-be-managed-all … https://psnet.ahrq.gov/issue/dod-and-va-health-care-medication-needs-during-transitions-may-not-be-managed-all
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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
-
digital.ahrq.gov/ahrq-funded-projects/citation/managed-care-has-useful-role-promoting-meaningful-use
January 01, 2021 - Managed care has useful role in promoting 'meaningful use'. … Managed care has useful role in promoting 'meaningful use'.
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psnet.ahrq.gov/node/45626/psn-pdf
October 29, 2017 - The impacts of a pharmacist-managed outpatient clinic
and chemotherapy-directed electronic order sets … The impacts of a pharmacist-managed outpatient clinic and
chemotherapy-directed electronic order sets … https://psnet.ahrq.gov/issue/impacts-pharmacist-managed-outpatient-clinic-and-chemotherapy-directed- … https://psnet.ahrq.gov/issue/impacts-pharmacist-managed-outpatient-clinic-and-chemotherapy-directed-electronic-order-sets … https://psnet.ahrq.gov/issue/impacts-pharmacist-managed-outpatient-clinic-and-chemotherapy-directed-electronic-order-sets
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www.innovations.ahrq.gov/pqmp/measures/asthma-distribution-ed-visit.html
August 01, 2021 - Program
PQMP Measures
Distribution of Emergency Department Visit Use for Children Managed … PQMP Grantees
Distribution of Emergency Department Visit Use for Children Managed … August 2021
Internet Citation: Distribution of Emergency Department Visit Use for Children Managed