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Showing results for "managed".

81. Planning Culturally and Linguistically Appropriate Services | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
    July 01, 2019 - The Business Case for CLAS in Managed Care There is a plausible business case for plans to initiate … Although managed care was initially confined primarily to the private and commercial sector, recently … diverse groups, since they represent such a rapidly increasing share of the managed care market. … care utilization and are important to managed care accreditation performance (e.g., HEDIS). … Assessing the Managed Care Plan.

82. Planning Culturally and Linguistically Appropriate Services | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
    July 01, 2019 - The Business Case for CLAS in Managed Care There is a plausible business case for plans to initiate … Although managed care was initially confined primarily to the private and commercial sector, recently … diverse groups, since they represent such a rapidly increasing share of the managed care market. … care utilization and are important to managed care accreditation performance (e.g., HEDIS). … Assessing the Managed Care Plan.

83. Planning Culturally and Linguistically Appropriate Services | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
    July 01, 2019 - The Business Case for CLAS in Managed Care There is a plausible business case for plans to initiate … Although managed care was initially confined primarily to the private and commercial sector, recently … diverse groups, since they represent such a rapidly increasing share of the managed care market. … care utilization and are important to managed care accreditation performance (e.g., HEDIS). … Assessing the Managed Care Plan.

84. HCBS Population | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find2.html
    December 01, 2012 - changes to Medicaid requirements, such as limiting choice of provider through mandatory enrollment in managed … directly relevant to HCBS, but some States use Section 1115 waivers to cover long-term care under a managed … Section 1915(b/c) waivers allow States to enroll beneficiaries in a mandatory managed care program that … Due to data limitations—individual encounter data are not available for managed care participants—we … One in 10 HCBS participants was enrolled in a Medicare or Medicaid managed acute care plan.

85. Participating in the 2023 CAHPS® Home and Community-Based Services Survey Database: What You Need to Know - Brown (pdf file)
    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

86. Pennsylvania Uses AHRQ Resources in Medicaid Program | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/ktcoecdom45.html
    October 01, 2014 - For several years, Kelley and OMAP managed care staff have been using AHRQ's PQIs to examine the quality … and efficiency of care being coordinated by the managed care organizations and to adjust their payment … that the PQIs were useful in calculating a modest reduction in what Pennsylvania Medicaid pays to the managed … In 2008, Pennsylvania Medicaid staff also began pursuing efficiency adjustments for payments to managed … Pennsylvania Medicaid is also encouraging its managed care organizations to educate providers on guidelines

87. Hawaii Evaluates Medicaid Patients' Managed Care Experiences With AHRQ CAHPS | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/ktcquips68.html
    October 01, 2014 - Hawaii Evaluates Medicaid Patients' Managed Care Experiences With AHRQ CAHPS Search All Impact Case … the Centers for Medicare & Medicaid Services—to collect and report patients' experience with their managed … who are of older age/blind/disabled for the first time, as those patients were recently moved into managed

88. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
    July 01, 2019 - Culturally and linguistically diverse group members currently comprise 50 percent of managed Medicaid … groups, since they represent such a rapidly increasing share of the managed care market. … care utilization and are important to managed care accreditation performance (e.g., HEDIS). … Step 2: Assess the Capabilities of the Managed Care Plan. … Step 3: Identify Points of Contact for Members of Managed Care Plans.

89. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
    July 01, 2019 - Culturally and linguistically diverse group members currently comprise 50 percent of managed Medicaid … groups, since they represent such a rapidly increasing share of the managed care market. … care utilization and are important to managed care accreditation performance (e.g., HEDIS). … Step 2: Assess the Capabilities of the Managed Care Plan. … Step 3: Identify Points of Contact for Members of Managed Care Plans.

90. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
    July 01, 2019 - Culturally and linguistically diverse group members currently comprise 50 percent of managed Medicaid … groups, since they represent such a rapidly increasing share of the managed care market. … care utilization and are important to managed care accreditation performance (e.g., HEDIS). … Step 2: Assess the Capabilities of the Managed Care Plan. … Step 3: Identify Points of Contact for Members of Managed Care Plans.

91. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
    July 01, 2019 - Culturally and linguistically diverse group members currently comprise 50 percent of managed Medicaid … groups, since they represent such a rapidly increasing share of the managed care market. … care utilization and are important to managed care accreditation performance (e.g., HEDIS). … Step 2: Assess the Capabilities of the Managed Care Plan. … Step 3: Identify Points of Contact for Members of Managed Care Plans.

92. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
    July 01, 2019 - Culturally and linguistically diverse group members currently comprise 50 percent of managed Medicaid … groups, since they represent such a rapidly increasing share of the managed care market. … care utilization and are important to managed care accreditation performance (e.g., HEDIS). … Step 2: Assess the Capabilities of the Managed Care Plan. … Step 3: Identify Points of Contact for Members of Managed Care Plans.

93. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
    July 01, 2019 - Culturally and linguistically diverse group members currently comprise 50 percent of managed Medicaid … groups, since they represent such a rapidly increasing share of the managed care market. … care utilization and are important to managed care accreditation performance (e.g., HEDIS). … Step 2: Assess the Capabilities of the Managed Care Plan. … Step 3: Identify Points of Contact for Members of Managed Care Plans.

94. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
    July 01, 2019 - Culturally and linguistically diverse group members currently comprise 50 percent of managed Medicaid … groups, since they represent such a rapidly increasing share of the managed care market. … care utilization and are important to managed care accreditation performance (e.g., HEDIS). … Step 2: Assess the Capabilities of the Managed Care Plan. … Step 3: Identify Points of Contact for Members of Managed Care Plans.

95. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
    July 01, 2019 - Culturally and linguistically diverse group members currently comprise 50 percent of managed Medicaid … groups, since they represent such a rapidly increasing share of the managed care market. … care utilization and are important to managed care accreditation performance (e.g., HEDIS). … Step 2: Assess the Capabilities of the Managed Care Plan. … Step 3: Identify Points of Contact for Members of Managed Care Plans.

96. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
    July 01, 2019 - Culturally and linguistically diverse group members currently comprise 50 percent of managed Medicaid … groups, since they represent such a rapidly increasing share of the managed care market. … care utilization and are important to managed care accreditation performance (e.g., HEDIS). … Step 2: Assess the Capabilities of the Managed Care Plan. … Step 3: Identify Points of Contact for Members of Managed Care Plans.

97. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
    July 01, 2019 - Culturally and linguistically diverse group members currently comprise 50 percent of managed Medicaid … groups, since they represent such a rapidly increasing share of the managed care market. … care utilization and are important to managed care accreditation performance (e.g., HEDIS). … Step 2: Assess the Capabilities of the Managed Care Plan. … Step 3: Identify Points of Contact for Members of Managed Care Plans.

98. HCBS CAHPS Database Promotional One-Pager (pdf file)
    cahpsdatabase.ahrq.gov/files/HCBS/HCBS-DB-OnePager.508C.pdf
    December 31, 2021 - help evaluate, compare, and improve the quality of services provided by both fee-for-service HCBS and managed … Participation is free and open to all states and managed care plans on a voluntary basis. … HCBS CAHPS Database will: • Receive a private, customized feedback report that compares their state/managed … States and managed care plans are encouraged to submit their data to receive these important benefits … States and managed care plans may administer the survey directly or contract with a survey vendor to

99. Improving Your Laboratory Testing Process | Agency for Healthcare Research and Quality
    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

100. 2014-03: An Examination of Expected Payer Coding in HCUP Databases (pdf file)
     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.