Today, the Centers for Medicare and Medicaid Services (CMS) released new 2023 Medicaid and Childrenâs Health Insurance Program (CHIP) Child and Adult Core Set data products along with new summary tables with performance-related information about statesâ Medicaid and CHIP managed care programs for 2023-2024. The Child and Adult Core Sets of health care quality measures represent the quality of care delivered to over 80 million people enrolled in Medicaid and CHIP. CMS publicly releases data on measures that are reported by at least 25 states and that meet data quality standards. This release represents the most robust year of Medicaid and CHIP quality measure reporting to date. CMS will report more Core Set measures than ever before: 26 of the 27 Child Core Set measures and 30 of 34 Adult Core Set measures. The Core Set data products posted on Medicaid.gov include: - 2023 Core Set Fact Sheet, which provides an overview of state reporting, highlights measures with high and low national median performance, and identifies trends in select measures over the last three years.
- Measure Performance Tables (MPTs), which present national means, medians, and state performance on each publicly reported measure
- Trendability Methods Brief , which summarizes the criteria CMS uses to assess trends in state performance and to identify which measures can be used to report trends for the three-year period from 2021 to 2023; and
- 2023 Core Set dataset, which provides the raw data, means, medians and state-specific notes for publicly reported measures for researchers and others to use.
For more information on the Child and Adult Core Sets and to find past years data, please visit: CMS also released new external quality review (EQR) tables summarizing key information about Medicaid and CHIP managed care program performance measures and performance improvement project topics. The tables reflect CMSâs analysis of statesâ 2023-2024 EQR annual technical reports. To learn more about EQR and find past yearsâ tables, please visit https://www.medicaid.gov/medicaid/quality-of-care/medicaid-managed-care-quality/quality-of-care-external-quality-review/index.html. CMS thanks state Medicaid and CHIP programs for their efforts to measure and improve the quality of care delivered to Medicaid and CHIP beneficiaries. For technical assistance related to the Child, Adult, and Health Home Core Set measures, please contact MACQualityTA@cms.hhs.gov. For technical assistance related to EQR, please contact ManagedCareQualityTA@cms.hhs.gov. |