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psnet.ahrq.gov/node/866216/psn-pdf
July 10, 2024 - plan quality and patient safety are Healthcare Effectiveness
Data and Information (HEDIS) measures, managed … Many states also specify accreditation requirements for the managed care
organizations that receive … Managed care and patient safety: risks and opportunities. … Quality Rating Systems in Medicaid Managed Care Final
Report. Mathematica; 2021. … https://www.macpac.gov/wp-content/uploads/2021/03/Quality-Rating-Systems-in-Medicaid-Managed-Care.pdf
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hcup-us.ahrq.gov/db/vars/pay1_n/nisnote.jsp
September 01, 2008 - HCUP Payer
PAY1_N
Medicare Managed Care
Medicare
1
Medicaid Managed Care
Medicaid … 2
Blue Cross Managed Care
Blue Cross, Blue Cross PPO
3
Commercial Managed Care
Commercial … , PPO
4
Other Non-Managed Care
Other
12
Beginning in 1996, "PPO and Other Managed … Tennessee
Tennessee reports HMO and managed care separately for commercial, Medicare, and Medicaid … (PAY1_N = 5) includes the source payer "HMO/Managed Care".
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www.ahrq.gov/news/newsroom/case-studies/cp30506.html
October 01, 2014 - Network Improve Care in Remote Areas
Search All Impact Case Studies
August 2005
A rural managed … AHRQ sponsored the Maine Rural Managed Care Center (RMCC), which was launched in 1994 in anticipation
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www.ahrq.gov/hai/cusp/toolkit/daily-goals.html
December 01, 2012 - communication is particularly important in the unit if complicated care plans are to be effectively managed … communication is particularly important in the unit if complicated care plans are to be effectively managed
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hcup-us.ahrq.gov/reports/methods/2014-03Supplement4.xlsx
January 01, 2014 - Medicare Managed Care Discharges Percentage of Medicare that is Managed Care
Alaska 68,129 629 0.9% … Medicaid Managed Care Discharges Percentage of Medicaid that is Managed Care
Alaska 120,611 0 0.0% … Table4D_All Managed Care
Table 4D. … All Managed Care as a Percentage of the Total Using Kaiser Family Foundation (KFF) Managed Care Penetration … Care Discharges Medicaid Managed Care Discharges Private Managed Care Discharges Percentage of that
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www.ahrq.gov/professionals/clinicians-providers/resources/rice/ceproj.html
October 01, 2014 - Economics
Clinical Economics Resource Links
Policy Projects
Evaluation of the Academy for Managed … Deliberative Focus Groups: Citizen Input to Health Policy
Evaluation of the Academy for Managed … which dossiers contain standardized information consistent with the recommendations from the Academy of Managed
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-169-gestational-age-additional-specifications.pdf
January 01, 2012 - SHIELD
PHDSC 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 7 MANAGED … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 11 Medicare (Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 21 Medicaid (Managed … PHDSC 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 61 BC Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 119 Medicare Managed
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085behaviorcoding.xls
January 01, 2012 - SHIELD
PHDSC 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 7 MANAGED … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 11 Medicare (Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 21 Medicaid (Managed … PHDSC 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 61 BC Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 119 Medicare Managed
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0082cesareancoding.xls
January 01, 2012 - 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 11 Medicare (Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 21 Medicaid (Managed … PHDSC 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 61 BC Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 119 Medicare Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 219 Medicaid Managed
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
December 01, 2012 - We exclude individuals in a managed acute care plan or a managed long-term care plan. … Thus, we exclude the entire State of Arizona, which has managed acute care for all Medicaid beneficiaries
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psnet.ahrq.gov/issue/hospitals-put-emphasis-collection-medication-data
September 14, 2011 - Managed Healthcare Executive. August 1, 2006. … Managed Healthcare Executive. August 1, 2006.
View more articles from the same authors. … Managed Healthcare Executive. August 1, 2006.
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cahpsdatabase.ahrq.gov/HCBSDSS/Register.aspx
* Role of participant
State Or State Agency (Receives a private report) Managed … Plan (Receives a private report) Vendor
* State Agency/Managed …
* Please list the names of the State Agency/Managed
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www.ahrq.gov/cahps/cahps-database/comparative-data/2017-health-plan-chartbook/data-sources-limitations.html
October 01, 2017 - Medicare Data: Each year, the CAHPS Database receives the CAHPS Medicare Managed Care survey data collected … These results are for survey participants enrolled in a managed care health plan including both enrollees
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psnet.ahrq.gov/issue/mismatch-made-america
December 31, 2018 - Managed Care. June 2019;28:37-39. … Managed Care. June 2019;28:37-39.
View more articles from the same authors. … Managed Care. June 2019;28:37-39.
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www.ahrq.gov/talkingquality/measures/setting/health-plan/measurement-sets.html
December 01, 2022 - HEDIS ®
HEDIS refers to a widely used set of performance measures in the managed care industry. … HEDIS is managed by the National Committee for Quality Assurance (NCQA), a private, non-profit organization
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psnet.ahrq.gov/node/35048/psn-pdf
June 22, 2009 - in warfarin adverse events requiring patient
hospitalization after implementation of a pharmacist-
managed … in warfarin adverse events requiring patient hospitalization
after implementation of a pharmacist-managed
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psnet.ahrq.gov/issue/you-talking-me-docs-and-feedback
January 17, 2018 - Managed care (Langhorne, Pa.). 2013;22(7):30-2. … Managed care (Langhorne, Pa.) . 2013; 22 (7) :30-2 . … Managed care (Langhorne, Pa.). 2013;22(7):30-2.
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www.ahrq.gov/prevention/resources/vision/visfig2.html
October 01, 2002 - the context for service delivery has shifted; inpatient hospital stays are shorter as patients are managed … The growth of managed care and prospective capitated payment for inpatient health care has provided incentives
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www.ahrq.gov/talkingquality/measures/setting/physician/measurement-sets.html
January 01, 2023 - Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed … HEDIS is managed by the National Committee for Quality Assurance (NCQA), a private, non-profit organization
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6g-rapid-referral.html
April 01, 2023 - Making patient care easier under multiple managed care plans. Fam Prac Manag February 1998. … Wrestling with the managed care octopus, Part 3. Get insurance authorizations faster. … Patients satisfaction when denied authorization for emergency department care by their managed care plan … Wrestling with the managed care octopus, Part 3. Get insurance authorizations faster.