Quality and Performance Measurement

Ensuring women receive prenatal care during their first trimester is important to supporting healthy mothers, children, and families. States and federal agencies, including the Health Resources and Services Administration (HRSA), are increasingly focused on improving rates of early entry into prenatal care as well as improving other measures of maternal and child health quality and […]

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  • State Health Policy Blog

    Low birth weight and preterm birth carry substantial human and financial costs; they also are associated with health problems that can have long-lasting effects. Renewed state and national commitment to improving birth outcomes and the quality of maternal and infant care are evident in states across the country as well in federal initiatives such as […]

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  • Publications

    Public payers are moving to implement payment strategies that reward value in the health care system by linking payment to quality. This report—the third in a series supported by The Commonwealth Fund to explore opportunities for improvement in federal and state policy— highlights quality measurement strategies underpinning value-based purchasing initiatives at the federal and state […]

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  • Publications

    Increasingly, states are relying on managed care delivery systems to serve Medicaid enrollees that have historically been exempt from enrollment in managed care, such as children and youth with special health care needs (CYSHCN). The federal Medicaid managed care regulations establish the broad requirements for states to identify and assess individuals with special health care […]

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  • Process Mapping: A Brief Introduction This module of the Self-Assessment Toolkit offers the following resources and information that will help states map their Medicaid and CHIP enrollment and retention processes from beginning to end: A process mapping guide developed by the National Academy for State Health Policy details steps for states to map their processes […]

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    January 17, 2014 | Filed under: Quality and Performance Measurement
  • States and the Federal Government collect a variety of data on Medicaid services delivery to children and adolescents. These data are used for program evaluation, managing relationships with Medicaid managed care organizations (MCOs) that serve children, and measuring and improving the quality of services available to children. This section describes data collection initiatives in states, […]

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    December 10, 2013 | Filed under: Health IT, Medicaid, Quality and Performance Measurement
  • Publications

    States can make important strides in eradicating cervical cancer deaths. This report features promising state and federally qualified health center policies that support high performance in cervical cancer screening within the context of the medical home. Drawing from Colorado, Maine, Maryland, New York, Texas, Vermont, and Virginia, this report summarizes innovative programs, practices, and partnerships […]

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    August 29, 2013 | Filed under: Publications, Quality and Performance Measurement
  • Webinars

    National media in recent months have featured the high and variable costs of common health care services. In this webinar you’ll hear from leaders in Virginia, Massachusetts, and New Hampshire on what they’ve done to address the issue and improve price transparency. In a recent report, Catalyst for Payment Reform (CPR) and the Health Care Incentives Improvement […]

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  • Publications

    As states and providers move away from siloed health care systems and toward integrated systems of care, care coordination has become a key area of focus. Through the Assuring Better Child Health and Development (ABCD) III initiative, Arkansas, Illinois, Minnesota, Oklahoma and Oregon piloted and evaluated strategies to improve care coordination among primary care providers […]

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  • Publications

    State, federal, and private agencies are investing significant resources in patient-centered, value-based health care transformation-including billions to states through CMS’s State Innovations Models initiative (SIM). This brief describes key elements of a quality data infrastructure necessary to support this transformation by providing payers, providers, and stakeholders access to reliable and comprehensive data for robust measurement, […]

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