Abstract
Medicaid and the State Children's Health Insurance Program need analytic tools to manage their programs. Drawing upon extensive discussions with experts in states, this article describes the state of the art in tool use, making several observations: (1) Several states have linked Medicaid/State Children's Health Insurance Program administrative data to other data (eg, birth and death records) to measure access to care. (2) Several states use managed care encounter data to set payment rates. (3) The analysis of pharmacy claims data appears widespread. The article also describes "lessons learned" regarding building capacity and improving data to support the implementation of management tools.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 272-282 |
| Number of pages | 11 |
| Journal | Journal of Ambulatory Care Management |
| Volume | 29 |
| Issue number | 4 |
| DOIs | |
| State | Published - 2006 |
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being -
SDG 10 Reduced Inequalities
Keywords
- Administrative data
- Encounter data
- Medicaid
- SCHIP
- Vital statistics
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