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Medicaid & Fleck Scorecard
The Centers for Medicare & Medicaid Services (CMS) adult its Medicaid and Children's Health Insurance Program (CHIP) Scorecard to increase public transparency about the programs' administration and outcomes. States and CMS can apply the Scorecard to bulldoze improvements in areas such as state and federal alignment, beneficiary health outcomes, and program administration. A summary of the 2021 Scorecard can be found in the Scorecard Fact Sail (PDF, 324.v KB).
The COVID-19 public wellness emergency (PHE) has had a far-reaching touch on on Medicaid and CHIP programs. Highlighted information related to enrollment and service utilization during the PHE are available in the CMS COVID-19 Medicaid & CHIP Service Utilization Data Snapshot (PDF, 1.84 MB).
Similar Medicaid and CHIP beneficiaries, data in the Scorecard spans all life stages. The Scorecard includes measures voluntarily reported by states, too equally federally reported measures in 3 pillars:
- State Health System Performance
- State Administrative Accountability
- Federal Administrative Accountability
The Scorecard as well sheds light on important questions nearly the scope of Medicaid and Scrap. The National Context page presents data to answer the questions:
- Who enrolls in Medicaid and Fleck?
- How do states deliver care in Medicaid?
- What data are CMS and states developing to support program comeback?
- What are annual expenditures for Medicaid and Fleck?
- What is the rate of improper payments in Medicaid and CHIP?
CMS released the commencement Scorecard in June 2018. The Scorecard will continue to evolve and will exist flexible—CMS may add new areas of accent of import to the Medicaid and Chip programs or replace measures as more than outcome-focused ones become available. CMS works with a subset of Medicaid agencies and other stakeholders to select measures for the Scorecard. Many measures in the Scorecard come from public reports. For example, near measures in the State Wellness System Operation pillar come from the Child and Adult Core Sets. This arroyo allows CMS to marshal the Scorecard with existing reporting efforts.
Including measures from the Core Sets in the Scorecard builds on states' investments in collecting and reporting these voluntary measure sets. While there are many reasons some states practice not collect or report all Core Set measures, CMS hopes the Scorecard volition depict attention to the importance of reporting on these measures. Core Gear up reporting methods also tin can vary among states. For example, some states report data on certain populations such as those covered under managed care, but not those covered under fee-for-service. This variation in data tin can affect measure performance and comparisons betwixt states. Readers should review the detailed measure notes to better understand states' reported rates. Due to the COVID-19 public wellness emergency, states had the option to re-submit information from the FFY 2019 reporting cycle for some measures or to use FFY 2020 reporting wheel information. Refer to the state-specific comments for more than details on data submitted.
States found and administer their own Medicaid and Bit programs. As a result, the populations and benefits covered by Medicaid and Flake vary across states. For example, in all states Medicaid provides health care coverage for some low-income people, families and children, significant women, the elderly, and people with disabilities. In some states Medicaid also covers all low-income adults below a certain income level. This group is sometimes chosen "expansion adults." In Scrap, states tin cull to set income levels higher than the federal minimum threshold and to cover meaning women. Federal law also requires states to provide sure mandatory benefits and allows states to encompass other optional benefits in Medicaid and CHIP. States deliver Medicaid and Chip benefits past directly paying providers – chosen "fee-for-service" payments – or through contracted arrangements with managed care organizations that oversee benefit commitment.
This version of the Medicaid and CHIP Scorecard was released in December 2021. To view the version of the Medicaid and Fleck Scorecard that was published in October 2020, please visit the archived Scorecard page.
Source: https://www.medicaid.gov/state-overviews/scorecard/index.html