Proposed Methods for Developing and Testing Risk- and Reliability-Adjustment Models for HCBS Composite Measures

Proposed Methods for Developing and Testing Risk- and Reliability-Adjustment Models for HCBS Composite Measures

Published: Feb 12, 2015
Publisher: Cambridge, MA: Mathematica Policy Research
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Associated Project

Research and Evaluation of the Money Follows the Person (MFP) Demonstration Grants

Time frame: 2007-2017

Prepared for:

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

Authors

Sheng Wang

Dejene Ayele

The purpose of this report is to describe the methods and processes to develop and test the risk-adjusted HCBS composite measures, with the ultimate goal of the finalized HCBS composites being to compare state-level rates for selected HCBS populations to relevant benchmarks. The HCBS composites are intended to assess the quality of care for HCBS recipients under a shared accountability framework: the measures profile the experience of the HCBS population and will reflect the care that all providers (not just HCBS providers) deliver. These comparisons are intended to guide HCBS quality improvement efforts led by HCBS stakeholders such as the Centers for Medicare & Medicaid Services and state Medicaid offices.

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