CHA News Article

HHS Releases First Annual Report on Quality of Health Care for Adults Enrolled in Medicaid
Additionally, fifth annual report on quality of care for children in Medicaid and CHIP released

Last week, the U.S. Department of Health and Human Services (HHS) released two annual reports related to the quality of health care – the first Annual Secretary’s Report on the Quality of Health Care for Adults Enrolled in Medicaid and the fifth Annual Secretary’s Report on the Quality of Care for Children in Medicaid and CHIP.

The first Annual Secretary’s Report on the Quality of Health Care for Adults Enrolled in Medicaid discusses the status of the first year of state reporting on the Medicaid Adult Core Set, and summarizes information on managed care performance measures and performance improvement projects reported in external quality review (EQR) technical reports submitted to the Centers for Medicare & Medicaid Services (CMS) by states. According to the report, Medicaid served 32 million adults in 2010, representing about half of the beneficiaries currently enrolled in the program. Adults ages 21 to 64 accounted for 37 percent of all Medicaid enrollees, and the elderly (age 65 and older) accounted for 9 percent of the total.

“As the momentum to pay for value rather than volume of services grows, state-specific performance data will be critical in guiding efforts to transform the systems of care that provide services to Medicaid enrollees,” the report states.

The fifth Annual Secretary’s Report on the Quality of Care for Children in Medicaid and CHIP discusses the status of federal and state efforts in quality measurement and reporting, summarizes state-specific findings on federal fiscal year (FFY) 2013 reporting on the Child Core Set, and summarizes information on the quality measures and performance improvement projects reported in the EQR technical reports provided to CMS by states for the FFY 2013-14 reporting cycle. The report also features detailed analysis of data on the 16 Child Core Set measures reported by at least 25 states (including percentiles, trends and geographic variation). According to the report, Medicaid and the Children’s Health Insurance Program (CHIP) together served more than 45 million children in FFY 2013, representing more than one in three children in the U.S., and playing a key role in ensuring that low-income children get health care coverage and access to a comprehensive set of benefits and other medically necessary services. HHS reports it continues to work closely with states, health care providers and program enrollees to ensure a high-quality system of care for children in Medicaid/CHIP.

Both reports are attached. For more information about quality initiatives related to children and adults in Medicaid and CHIP, visit www.medicaid.gov/medicaid-chip-program-information/by-topics/quality-of-care/quality-of-care.html.

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