Topic
Data Tools
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Academy · Administrative Work · Business · Calculators · California · California Advancing and Innovating Medi-Cal (CalAIM) · Care Coordination · Data Tools · Finance & HR · Funding · Health Equity · KPI · Managed Care · MCO · Medicaid · Modeling · Providers · Resource · Return on Investment Calculator · ToolkitsUnlock Financial Success with CalAIM: Budget Estimator Tool for CBOs
The CalAIM Budget Estimator Tool helps CBOs navigate the financial complexities of contracting under CalAIM. It offers an Excel-based template with built-in assumptions, cost input fields, revenue customization,…
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California · California Advancing and Innovating Medi-Cal (CalAIM) · Data Tools · Databank · Value Based Care · YouthUtilizing California State Data to Enhance Care for Foster Youth
The Continuum of Care for children in out-of-home settings can be enhanced by leveraging existing data sources. California’s CDSS, DDS, DHCS, and CDE provide crucial data on community…
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Business · Data Tools · Databank · Policies & Procedures · Policy · Press · Resource · Value Based CareChild and Family Health Policy Insights: CCF Blog Analysis
The Center for Children and Families (CCF) at Georgetown University’s McCourt School of Public Policy offers extensive insights into health policy issues affecting children and families. The CCF…
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Care Coordination · Data Tools · Finance & HR · Funding · Managed Care · MCO · Outcomes · Providers · Reimbursement · Resource · Return on Investment Calculator · SDoH · Startups · templates · Toolkits · Value Based Care · Value Based Operations · WorkflowsIntroducing the Care MAP Tool: A Comprehensive Guide
Introducing the Care MAP Tool, designed to support healthcare providers in managing complex care needs. This user-friendly, Excel-based tool offers a structured framework for effective care coordination, resource…
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Dashboards: Breastfeeding Intention and Duration Indicators
The Breastfeeding Intention and Duration Indicators are key measures used to track breastfeeding practices and intentions among new mothers. These indicators include plans to breastfeed exclusively or in…
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Alabama · Arkansas · Colorado · Connecticut · Data Tools · Databank · Delaware · Florida · Georgia · Hawaii · Idaho · Illinois · Indiana · Iowa · Kentucky · Louisiana · Maine · Managed Care · Massachusetts · Mississippi · Missouri · Montana · Nebraska · Network Management · New Jersey · North Carolina · North Dakota · Oklahoma · Payers · Policies & Procedures · Regulation · Resource · Rhode Island · South Carolina · South Dakota · Tennessee · texas · Utah · Virginia · Wisconsin · Wyoming35 States with Any Willing Provider laws
As a provider, if your request to join a payer network in the following markets has been denied, you might have some recourse for appeals.
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Data Tools · Databank · Health Insurance Marketplaces · Healthcare Law · Legislation · National · Policies & Procedures · Provider Bill of Rights · Provider Contracts · Providers · Regulation · Resource · State LawsState Policies on Provider Market Power
The Source is a comprehensive platform that monitors and documents various state-level activities related to healthcare prices and competition. It provides valuable resources in the form of legislation…
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Unleashing the Power of Healthcare Data: Exploring HRSA’s Data Portal
Discover the power of the HRSA Data Portal in revolutionizing healthcare research and planning. Developed by the Health Resources and Services Administration (HRSA), this web-based platform provides access…
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California Primary Care Clinic Annual Utilization Data
California Primary Care Clinic Annual Utilization Data. Access the complete data set of annual utilization data reported by primary care clinics contains basic clinic identification information.
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Administrative Work · Data Tools · Databank · Managed Care · Maryland · Network Management · Policies & Procedures · Resource · ToolkitsMaryland Physicians Care (MPC) Provider Relations Representatives Maryland Physicians Care
Maryland Physicians Care (MPC) Provider Relations Representatives Maryland Physicians Care
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Return on Investment Calculator (R.O.I.) for College Mental Health Services and Programs
The tool is easy to use and only requires a handful of questions about your institution, including enrollment size, approximate institutional drop-out rate, and approximate per student tuition…
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Capitation · Data Tools · Databank · Florida · Managed Care · Medicaid · Medicare Advantage · Special Needs Plans (D-SNPs)Comprehensive Medicaid Actuarial Data (FL)
Advanced financial and statistical support relating to Capitation Rates, Risk Adjustment Models, and Payment Methodologies.
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Medi-Cal Managed Care Enrollment Report
This dataset contains the total number of Medi-Cal Managed Care enrollees based on the reported month, plan type, county, and health plan.
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Administrative Work · CAQH · Data Tools · Databank · Value Based Operations · Workflows · [“Value Based Care”]CAQH Index Benchmarks & Time Spent on Administrative Work in Healthcare
The CAQH Index benchmarks adoption, volume, cost savings opportunities and spend for transactions along the administrative workflow. The following metrics help measure progress towards an automated workflow. By…
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Medi-Cal Managed Care Quality Improvement Reports (CA)
Various reports from the State of California regarding the quality of care provided by Medi-Cal managed care health plans. Plan-specific evaluation reports are also prepared for each individual…
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Birth Count Query System (Florida)
The Birth Count Query System is a highly useful online tool provided by the Florida Department of Health. It offers a plethora of data on birth counts in…
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New Jersey Health Care Quality Act (HCQA) and Provider Bill of Rights
The New Jersey Health Care Quality Act (HCQA), N.J.S.A. 26:2S-1 et seq. and rules establish certain rights AND responsibilities for health care providers that contract with carriers for…
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Medicare Advantage Is Close to Becoming the Predominant Way That Medicare Beneficiaries Get Their Health Coverage and Care
As Medicare Advantage continues to grow, a gradual but significant reshaping of the Medicare program is taking place. A new KFF analysis finds that nearly half of eligible…