Projects

Technical Assistance and Analytic Support for the Medicaid and CHIP Core Set Measures

2014-2022
Prepared For

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Center for Medicaid and CHIP Services

Measuring and improving the quality of care for children and adults in Medicaid and the Children’s Health Insurance Program (CHIP) is a high priority for the Centers for Medicare & Medicaid Services (CMS) and its Center for Medicaid and CHIP Services (CMCS).

Under the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA), CMS developed an initial core set of children’s health care quality measures (Child Core Set). Under the Affordable Care Act, CMS developed an initial core set of adult health care quality measures (Adult Core Set).

Mathematica leads the Technical Assistance and Analytic Support Program for the Medicaid and CHIP Core Set Measures. The Mathematica team provides technical assistance (TA) and analytic support to CMCS, states, and their quality partners related to four core sets of health care quality measures: Child, Adult, Health Homes, and Maternal and Infant Health. The goals of this project are to (1) provide the support states need to reliably collect, calculate, and report the Core Set measures; (2) help states use the Core Set measures to inform decisions about policies, programs, and practices to improve the quality of care they provide to Medicaid and CHIP beneficiaries; and (3) disseminate and translate findings so that CMCS, states, and other quality partners can share emerging best practices and lessons learned related to collecting, reporting, and using the four core sets of quality measures.

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Margo Rosenbach

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Rosemary Borck

Rosemary Borck

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Jessica  Ross

Jessica Ross

Principal Researcher

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Doris Lotz

Doris Lotz

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Bailey G. Orshan

Bailey G. Orshan

Director, State Health Portfolio

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