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Public Reporting of Quality Information on Medicaid Health Plans

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    Reporting

    • In general, information on the effectiveness of health care outcomes and services for people covered under Medicaid, was found to be lacking in a 2007 analysis by Mathematica Policy Research. Twenty one states reported data under the Health Care Effectiveness Data and Information Set (HEDIS), which is a measure used by many health plans to assess the performance of the overall delivery of health care. However, the research group found the data to be "sometimes thin."

    Considerations

    • In Illinois, Medicaid spending represented 30 percent of the state's total budget as of 2010, yet the Illinois Policy Institute found that the state lacked sufficient publicly-available data showing the effectiveness of health care delivered to people covered under Medicaid health plans.

    Importance

    • Public reporting of Medicaid health care quality is seen as a key aspect of making the system of health care delivery more cost effective. The U.S. Department of Health and Human Services projected that Medicaid spending nationwide would reach $674 billion by 2017, outpacing the growth in the economy.

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