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States Progress on Medicaid Quality Measures

On July 18, the Centers for Medicare & Medicaid Services (CMS) refreshed data for the Medicaid and Children’s Health Insurance Program (CHIP) Scorecard to reflect states’ progress in strengthening their reporting of patient health outcomes.

The scorecard includes measures voluntarily reported by states, as well as federally reported measures, in three areas: state health system performance, state administrative accountability, and federal administrative accountability.

Since CMS first published the scorecard in 2018, state Medicaid directors have focused on increasing reporting. CMS refreshed the scorecard to capture new data from more states submitting their outcomes. Highlights from the data refresh include:

  • 53 new data points reported by states across the 12 measures within state health system performance, including measures on postpartum care, well-child visits, avoidable hospitalizations for diabetes among adults, and follow-up after hospitalization for mental health among adults;
  • three to seven additional states reported on at least one of eight of the measures within the state health system performance portion;
  • seven more states reported on the follow-up after hospitalization for mental health among adults measure; and
  • five other states reported on the measure related to the use of concurrent antipsychotics among children and adolescents.

Contact Senior Director of Policy Erin O’Malley at eomalley@essentialhospitals.org or 202.585.0127 with questions.

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About the Author

Kelcie Jimenez is a state policy analyst at America's Essential Hospitals.

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