-
hcup-us.ahrq.gov/reports/methods/MS2021-01-Expected-Payer-Coding.pdf
November 30, 2021 - Medicare
managed
Care
HCUP State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans … (Methods Series Report 2014-03, page
14)
• HCUP discharges for fee-for-service
Medicare Advantage plans … Medicaid
managed
Care
HCUP State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans … figures
All
Managed
Care
State-Specific Payer Codes: Identifying Patients
Enrolled in Managed Care Plans … Table 2A for Medicare managed
care
o Table 2B for Medicaid managed
care
o Table 2C for managed care
plans
-
hcup-us.ahrq.gov/reports/methods/2020-01.pdf
January 01, 2020 - Medicare
managed
Care
HCUP State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans … (Methods Series Report 2014-03, page
14)
• HCUP discharges for fee-for-service
Medicare Advantage plans … Medicaid
managed
Care
HCUP State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans … figures
All
Managed
Care
State-Specific Payer Codes: Identifying Patients
Enrolled in Managed Care Plans … Table 2A for Medicare managed
care
o Table 2B for Medicaid managed
care
o Table 2C for managed care
plans
-
hcup-us.ahrq.gov/reports/methods/2016-09UG.pdf
January 01, 2016 - Medicare
managed
Care
HCUP State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans … expected payer codes for Medicare
(page 14)
• HCUP discharges for fee-for-service
Medicare Advantage plans … Medicaid
managed
Care
HCUP State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans … figures
All
Managed
Care
State-Specific Payer Codes: Identifying Patients
Enrolled in Managed Care Plans … 2A for Medicare managed
care
o Table 2B for Medicaid managed
care
o Table 2C for managed care plans
-
hcup-us.ahrq.gov/reports/methods/2014-03UserGuide.pdf
January 01, 2014 - Medicare
managed
Care
HCUP State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans … expected payer codes for Medicare
(page 14)
HCUP discharges for fee-for-service
Medicare Advantage plans … Medicaid
managed
Care
HCUP State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans … figures
All
Managed
Care
State-Specific Payer Codes: Identifying Patients
Enrolled in Managed Care Plans … 2A for Medicare managed
care
o Table 2B for Medicaid managed
care
o Table 2C for managed care plans
-
hcup-us.ahrq.gov/reports/methods/2015-08.pdf
January 01, 2015 - Medicare
managed
Care
HCUP State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans … expected payer codes for Medicare
(page 14)
HCUP discharges for fee-for-service
Medicare Advantage plans … Medicaid
managed
Care
HCUP State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans … figures
All
Managed
Care
State-Specific Payer Codes: Identifying Patients
Enrolled in Managed Care Plans … 2A for Medicare managed
care
o Table 2B for Medicaid managed
care
o Table 2C for managed care plans
-
hcup-us.ahrq.gov/reports/methods/2017-05.pdf
January 01, 2017 - Medicare
managed
Care
HCUP State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans … expected payer codes for Medicare
(page 14)
• HCUP discharges for fee-for-service
Medicare Advantage plans … Medicaid
managed
Care
HCUP State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans … figures
All
Managed
Care
State-Specific Payer Codes: Identifying Patients
Enrolled in Managed Care Plans … 2A for Medicare managed
care
o Table 2B for Medicaid managed
care
o Table 2C for managed care plans
-
hcup-us.ahrq.gov/reports/methods/2018-04.pdf
January 01, 2018 - Medicare
managed
Care
HCUP State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans … Methods Series Report 2014-03, page
14)
• HCUP discharges for fee-for-service
Medicare Advantage plans … Medicaid
managed
Care
HCUP State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans … figures
All
Managed
Care
State-Specific Payer Codes: Identifying Patients
Enrolled in Managed Care Plans … 2A for Medicare managed
care
o Table 2B for Medicaid managed
care
o Table 2C for managed care
plans
-
hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/project_initiation.jsp
October 01, 2014 - mitigate costs include charging fees to private organizations such as healthcare purchasers, health plans … type of document in advance of project initiation can help hospital leadership think through their plans
-
hcup-us.ahrq.gov/db/vars/pay1_n/nisnote.jsp
September 01, 2008 - 11)
"Foreign National"
Other (PAY1_N = 12)
The Arizona category "HMO/Prepaid Health Plans … into the HCUP category "Alternative Delivery Systems, HMO" (PAY1_N = 5), but it represents a mix of plans … Self-Administered Insurance Plans
All years
The source category "Self-administered insurance … plans or self-insured plans" is included in the HCUP category "Commercial insurance" (PAY1_N = 4).
-
hcup-us.ahrq.gov/reports/race/C18RECaseStudyReportforWEBfinal99.pdf
January 01, 2020 - Patient race/ethnicity information in hospital discharge data is an important resource for
state plans … CDC guidance for these state plans
explicitly references and encourages the use of hospital discharge … data.18 However, not all
state plans include information about disparities and, among those that do … Highlighted activities involving HCUP Partner
State plans for chronic conditions. … CHDA has consulted with HEALTH divisions to help
develop two state plans that use discharge data on
-
hcup-us.ahrq.gov/datainnovations/NMAbstractFinal.pdf
September 29, 2013 - Hospital specific compliance plans will be developed and
modified to assure improvements in each hospital's
-
hcup-us.ahrq.gov/db/state/siddist/IncorrectPayerMappings_IntramuralFiles.pdf
January 01, 2011 - 2008 SID
Texas 2004–2011 SID
The Hawaii SID and SEDD were corrected in 2017, but there are no plans
-
hcup-us.ahrq.gov/db/vars/pay2_n/nisnote.jsp
September 02, 2008 - Self-Administered Insurance Plans
All years
The source category "Self-administered insurance … plans or self-insured plans" is included in the HCUP category "Commercial insurance" (PAY1_N = 4).
-
hcup-us.ahrq.gov/toolssoftware/ccs/ccsfactsheet.jsp
January 01, 2012 - grouper" makes it easier to quickly understand patterns of diagnoses and procedures so that health plans … CCS is used in a variety of ways:
Managed care plans utilize CCS to rank hospitalizations by type
-
hcup-us.ahrq.gov/datainnovations/clinicaldata/File1_AHCA_Presentation_To_AHSS_On_POA.pdf
March 20, 2008 - plans right now
• CMS has not authorized
• Legislature ultimate control
Patrick W.
-
hcup-us.ahrq.gov/datainnovations/grants.jsp
July 01, 2016 - The team plans to continue collaborating with their current partners, disseminating their findings, and … The New Jersey team plans to complete linkage for years 20112012 and continue dissemination of findings … methods of creating databases for performance monitoring and comparative effectiveness studies; and plans
-
hcup-us.ahrq.gov/db/nation/kid/KID_2003_CORE_Volume2_M-Z.pdf
January 01, 2003 - Insurance
Ennnnnnnnn, where
nnnnnnnnn is a 9-
digit number
Self-administered or Self-
insured plans … 3
Private
Insurance
E98930 Other Self-administered or Self-insured plans 3
Private
Insurance … The 3-digit identifiers refer to Blue Cross
plans, but no source documentation was available to link … charge) 5 No charge
2 Worker's Compensation
5 Other government payment
0 Other non-managed care plans … (effective 11/96) 3
Private
Insurance
097 HMO: University Health Plans, Inc.
-
hcup-us.ahrq.gov/reports/statbriefs/sb296-Payers-Maternal-ED-2019.pdf
January 01, 2019 - maternal, and newborn care
comprise essential health benefits that must be covered by all
Marketplace plans … What Marketplace Health Insurance Plans Cover. www.healthcare.gov/coverage/what-
marketplace-plans-cover … http://www.healthcare.gov/coverage/what-marketplace-plans-cover/
http://www.healthcare.gov/coverage/what-marketplace-plans-cover
-
hcup-us.ahrq.gov/reports/race/HCUP_R_E_finalreport-02311AHRQ.jsp
November 01, 2011 - other and federal partners to foster peer learning about successes, challenges, needs, actions, and plans … balance between much sharing of specific state and federal programs, measurement, lessons, vision, future plans … other and federal partners to foster peer learning about successes, challenges, needs, actions, and plans … additional states to use the examples, experiences, and lessons of leading states as they develop their plans
-
hcup-us.ahrq.gov/reports/race/HCUP_R_E_finalreport-02311AHRQ.pdf
September 23, 2011 - other and federal partners to foster peer
learning about successes, challenges, needs, actions, and plans … between
much sharing of specific state and federal programs, measurement, lessons, vision, future
plans … /NHDR Summary
Report of Dissemination Activities Conducted
needs, actions, and plans … additional states to use the examples,
experiences, and lessons of leading states as they develop their plans