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Decision supports – evidence-based managed care

MANAGED CARE OPTIONS FOR MEDICAID LONG-TERM SERVICES AND SUPPORTS

MANAGED CARE OPTIONS FOR MEDICAID LONG-TERM SERVICES AND SUPPORTS

... risk-based managed care systems with capitated rates to deliver care to patients with intellectual and developmental ...of care. 3 Others have turned to this version of managed ...

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CalAIM: Leveraging Medicaid Managed Care for Housing and Homelessness Supports

CalAIM: Leveraging Medicaid Managed Care for Housing and Homelessness Supports

... organizations to deliver ECM and ILOS. Counties, county hospitals, community-based providers, and Indian Health programs are eligible to receive funding. PATH justice-involved planning and implementation program. ...
Managed Care Solutions for Long-Term Services and Supports A Sustainable Future

Managed Care Solutions for Long-Term Services and Supports A Sustainable Future

... networks based on: (1) network adequacy; (2) provider qualifications; and (3) provider ...state’s decision to not require managed care organizations to develop a network prior to a contract ...

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Transitioning Long Term Services and Supports Providers Into Managed Care Programs

Transitioning Long Term Services and Supports Providers Into Managed Care Programs

... agencies, managed care entities, provider organizations, and provider associations (see Appendix 1 for a list of ...stakeholders based on recommendations received from a number of sources, including ...
Demonstration of an online tool to assist managed care formulary evidence-based decision making: meta-analysis of topical prostaglandin analog efficacy

Demonstration of an online tool to assist managed care formulary evidence-based decision making: meta-analysis of topical prostaglandin analog efficacy

... as managed care formulary managers who need to repeat meta-analyses when new clinical data become available may realize cost savings over the long term because of the ability to update the database and ...

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Training needs and supports for evidence based decision making among the public health workforce in the United States

Training needs and supports for evidence based decision making among the public health workforce in the United States

... The Evidence-Based Public Health training program was supported in part by: the National Association of Chronic Disease Directors contract number ...

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Perceived supports and evidence-based teaching in college STEM

Perceived supports and evidence-based teaching in college STEM

... Methods Participants and procedure Instructors who attended the Summer Institutes be- tween 2004 and 2014 were contacted via email to par- ticipate in the study through an online survey (N = 1179). The survey took ...

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Managed Care Discounting: Evidence from the MarketScan Database

Managed Care Discounting: Evidence from the MarketScan Database

... the insurer essentially paying full cost up to some outlier limit. Major Medical insurance is based on the same payment methodology and consumer choice as comprehensive fee-for-service, but restricts benefits to ...

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Teaching Clinical Decision-making to Pediatric Residents in an Era of Managed Care

Teaching Clinical Decision-making to Pediatric Residents in an Era of Managed Care

... Clinical Decision-making to Pediatric Residents in an Era of Managed Care John ...of managed care has brought a new focus on physician competency in the appropriate use of resources to ...

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The Institutional Context that Supports Team-Based Care for Older Adults

The Institutional Context that Supports Team-Based Care for Older Adults

... 181 Leadership. PACE IDTs are supported by leadership structures that are informally located within the team and formally along disciplinary lines. Each discipline has its own supervisor (a few disciplines are grouped); ...

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Evidence-based decision support in HIV/TB care: designing treatment, monitoring, and assessment support for care providers

Evidence-based decision support in HIV/TB care: designing treatment, monitoring, and assessment support for care providers

... Study I explores care providers’ challenges and requirements; Study II, which describes socio- demographic and clinical characteristics of patients in this setting, analyzes the factors [r] ...

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Evidence-Based Critical Care

Evidence-Based Critical Care

... be managed by increasing oxygen ...have evidence of tissue hypoxia or bioenergetic ...]. Based on these studies it would appear the most appropriate hemodynamic goals for these patients is a MAP > ...

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The Impact of Switching Health Insurance Evidence from Medicaid Managed Care

The Impact of Switching Health Insurance Evidence from Medicaid Managed Care

... a decision may depend on their preferences over the characteristics of plans in the market, including the costs and the adequacy of the network of providers to their ...

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Specialty DRUGS. For Decision Makers in Managed Care Supplement Focus on. Rheumatoid Arthritis

Specialty DRUGS. For Decision Makers in Managed Care Supplement Focus on. Rheumatoid Arthritis

... There are no strict guidelines for recommended duration of therapy with any BRM before a therapeutic switch is warranted, but three months appears to be adequate. This length of clinical response time should be applied ...

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Exploration of Practice Managers\u27 Decision-Making Strategies in a Managed-Care Paradigm

Exploration of Practice Managers\u27 Decision-Making Strategies in a Managed-Care Paradigm

... health care organizations to any location that meets physicians’ and patients’ ...and decision strategies: actors involved and their roles played in the different activities; specific actions and the ...

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A cross-sectional survey of supports for evidence-informed decision-making in healthcare organisations: a research protocol

A cross-sectional survey of supports for evidence-informed decision-making in healthcare organisations: a research protocol

... Author details 1 Centre Hospitalier Universitaire de Québec Research Centre, Québec City, Quebec, Canada. 2 Department of Political Science, Université Laval, Québec City, Quebec, Canada. 3 Centre for Health Economics ...

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A Web-based graphical user interface for evidence-based decision making for health care allocations in rural areas

A Web-based graphical user interface for evidence-based decision making for health care allocations in rural areas

... a decision making framework and is therefore not provid- ing information subject to ...wGUIs based on GIS become more prevalent, it will be important to ensure that they are designed to prevent users ...

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Decision support for health care: the PROforma evidence base

Decision support for health care: the PROforma evidence base

... clinical decision making, providing a signifi- cant opportunity for computerised decision support to handle and interpret them ...patients, based on HIV-1 genotype ...

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at the Point of Care INTELLIGENT GUIDANCE... DS Assist: Evidence-Based Medical Electronic Decision Support Improve Quality of Care

at the Point of Care INTELLIGENT GUIDANCE... DS Assist: Evidence-Based Medical Electronic Decision Support Improve Quality of Care

... right care decision at the right time is ...clinical decision can be ...optimal care is delivered, costs of unneeded tests are avoided and risk of complications or readmissions is ...

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UPDATE ON THE DEVELOPMENT OF MANAGED LONG-TERM SUPPORTS AND SERVICES IN LOUISIANA

UPDATE ON THE DEVELOPMENT OF MANAGED LONG-TERM SUPPORTS AND SERVICES IN LOUISIANA

... any evidence of ...facility care between the two major populations receiving LTSS, the two procurements may require different rate structures and types of ...

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