-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/3-2023hcbs-survey-webcast-brown.pdf
April 01, 2024 - 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
-
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
-
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
-
www.ahrq.gov/hai/tools/ambulatory-care/lab-testing-toolkit.html
January 01, 2018 - increase the reliability of the testing process in your office by helping you examine how tests are managed … The tools will help you examine how tests are managed in your office, from the moment tests are ordered
-
www.ahrq.gov/talkingquality/resources/comparative-reports/health-plans.html
December 01, 2022 - Report Title: Medi-Cal Managed Care Health Care Options
Website: https://www.healthcareoptions.dhcs.ca.gov … Location: California
Synopsis: The California Department of Health Care Services’ website on Medi-Cal managed … Report Title: Managed Care Regional Consumer Guides
Website: https://www.health.ny.gov/health_care … State Department of Health
Developer Type: State government
Location: New York
Synopsis: The Managed
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/bethellscreener.pdf
February 01, 2002 - samples: a national sample of households with children (n 5 17 985), children enrolled
in Medicaid managed … In the Medicaid
managed care and the SSI samples, the CSHCN Screener
positively identified 20.7% and … In the national and Medicaid managed care samples,
approximately one half of the children positively … Monitoring health
care for children with chronic conditions in a managed care
environment. … Medicaid Program;
Medicaid Managed Care. Fed Reg. 2001;66:6377.
5. Family Voices.
-
integrationacademy.ahrq.gov/news-and-events/news/integrating-harm-reduction-primary-care-practices
April 22, 2024 - Date
04/22/24
Like diabetes, asthma, and heart disease—all disorders that are routinely managed … care—substance use disorders (SUDs) are chronic health conditions that cannot be cured but can be effectively managed … Therefore, as with other chronic diseases such as diabetes that are managed, clinical care should include … Coalition states that harm reduction “incorporates a spectrum of strategies that includes safer use, managed
-
hcup-us.ahrq.gov/reports/methods/2020-03-Supplements.pdf
January 01, 2020 - or private)
GA B 6 Blue Cross/Blue Shield
GA B 61 BC Managed Care
GA B 611 BC Managed Care (HMO) … GA B 612 BC Managed Care (PPO)
GA B 613 BC Managed Care (POS)
GA B 619 BC Managed Care (Other)
GA … B 63 BC Indemnity or Managed Care (Out of State)
GA B 64 BC Indemnity or Managed Care (Unspecified) … Managed Care
NY B 611 BC Managed Care (HMO)
NY B 612 BC Managed Care (PPO)
NY B 613 BC Managed Care … Care) - Unspecified*
NY B 69 BC (Indemnity or Managed Care) - Other*
OR G 51 HMO/Managed Care
OR
-
hcup-us.ahrq.gov/reports/methods/2014-03.pdf
January 01, 2014 - • Medicaid Managed Care. … • Private managed care. … • All managed care. … care enrollees, Medicaid managed care enrollees, and all managed care enrollees. … • Private managed care.
-
www.ahrq.gov/ncepcr/tools/cultural-competence/index.html
August 01, 2019 - Oral, Linguistic, and Culturally Competent Services
Guides for Managed Care Plans
To address … shifting demographic trends in health
care, two guides offer approaches to defining cultural needs in managed … for a contractor from AHRQ's Integrated Delivery System Research Network to develop two guides for managed
-
psnet.ahrq.gov/issue/reduction-warfarin-adverse-events-requiring-patient-hospitalization-after-implementation
October 23, 2024 - Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed … Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed … Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed
-
www.ahrq.gov/talkingquality/resources/writing/guidelines.html
September 01, 2019 - Can Consumers Understand Managed Care Report Cards? Managed Care Interface 1998; 11(11): 91-95. … Managed Care Quarterly 1999; 7(3): 75-82.
-
hcup-us.ahrq.gov/db/vars/pay1/nassnote.jsp
August 01, 2019 - For example,
Medicare includes both fee-for-service and managed care Medicare patients. … Medicaid includes both fee-for-service and managed care Medicaid patients. … When there is a generic category for managed care such as "HMO/PPO" reported under PAY1_X, it is mapped … However, it is possible that hospitals may inadvertently include patients covered by a Medicare managed … care program administered by a private insurance company under a generic managed care category.
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section6.html
March 01, 2019 - Reauthorization Act of 2009, P.L. 111-3.
22 During our baseline analysis, Massachusetts was unable to link managed … So while they sent us managed care encounter data, we could not identify which managed care patients … By the time we determined Massachusetts had solved the linkage problem and could use managed care data
-
hcup-us.ahrq.gov/reports/methods/2018-02-Supp1-2.pdf
January 01, 2018 - Care (Other) 1998-2016 2002-2016 2002-2016 2 Medicaid
Georgia 22
Medicaid (Non-Managed Care
Plan … Care 2003-2016 2004-2016 2004-2016 2 Medicaid
Iowa 12 Medicaid Managed Care 2008-2016 2008-2016 2008 … -2014 2011-2014 2 Medicaid
Kentucky Z Humana Medicaid Managed Care 2011-2014 2011-2014 2011-2014 2 … Care 2013-2016 N/A 2013-2016
Rhode Island H 3000
Coordinated Health Partners,
Medicaid (Managed … N/A 2006-2016 2 Medicaid
Rhode Island U 3000 UHC, Medicaid (Managed Care) 2003-2016 N/A 2006-2016
-
hcup-us.ahrq.gov/reports/methods/2014-03Supplement4.pdf
January 01, 2014 - counts
Percentage of
Medicare that
is Managed
Care
Medicare
Discharges
Medicare
Managed … Discharges
Medicare
Managed
Care
Discharges
Percentage of
Medicare that is
Managed Care … counts
Percentage of
Medicaid that
is Managed
Care
Medicaid
Discharges
Medicaid
Managed … Discharges
Medicaid
Managed Care
Discharges
Percentage of
Medicaid that is
Managed Care … Medicaid
Managed
Care
Discharges
Private
Managed
Care
Discharges
Percentage of
that
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-6-a-participating-hospitals.pdf
June 02, 2025 - More than half of patients
(53.00%) use Medicaid, 45.80% use Managed Care, and 1.20% use another form … More than half of patients use Managed care (57.75%) whereas
40.81% use Medicaid, 1.20% use another … majority of patients use either
Medicaid (37.57%) or Blue Cross Blue Shield (35.95%) while 25.41% have Managed
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-a-cpqsc-participating-hospitals.pdf
June 02, 2025 - More than half of patients
(53.00%) use Medicaid, 45.80% use Managed Care, and 1.20% use another form … More than half of patients use Managed care (57.75%) whereas
40.81% use Medicaid, 1.20% use another … majority of patients use either
Medicaid (37.57%) or Blue Cross Blue Shield (35.95%) while 25.41% have Managed
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-a-cpqsc-hospitals.pdf
June 02, 2025 - More than half of patients
(53.00%) use Medicaid, 45.80% use Managed Care, and 1.20% use another form … More than half of patients use Managed care (57.75%) whereas
40.81% use Medicaid, 1.20% use another … majority of patients use either
Medicaid (37.57%) or Blue Cross Blue Shield (35.95%) while 25.41% have Managed