New Anthem Public Policy Institute Report Outlines Key Considerations for Transforming Quality Measurement and Reporting in Medicaid Managed Care

By a News Reporter-Staff News Editor at Insurance Weekly News -- Quality measurement and reporting in Medicaid managed care programs have gained heightened attention as states enroll more Medicaid beneficiaries, including more diverse populations, into managed care plans. As states expand the role of managed care organizations (MCOs), quality measurement is a key part of assessing the impact on enrollees and their health outcomes, according to a new series of white papers from Anthem's Public Policy Institute.

To date, states have had tremendous flexibility to design their quality measurement systems, including selecting metrics and setting benchmarks for MCOs' performance that align with states' priorities. Some states have then incorporated the results into quality rating systems designed to help consumers compare MCOs and consider quality when selecting a plan.

New federal regulations released by the Centers for Medicare & Medicaid Services (CMS) in April 2016 establish greater consistency, requiring all states to develop a quality rating system that draws from a core set of measures and common methodology. One of the three papers from the Anthem Public Policy Institute examines the impact that quality rating systems have on individuals, health plans, and providers.

Keywords for this news article include: Medicaid, Anthem Inc., Managed Care, Health Policy.

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