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New Medicaid and CHIP Scorecard to include Information on Pennsylvania’s Programs

June 05, 2018

The Centers for Medicare & Medicaid Services (CMS) released information late yesterday about a new scorecard for Medicaid and the Children’s Health Insurance Program (CHIP). The new scorecard, which will include state and federally reported measures, expects to increase transparency and accountability, as well as provide information about how states are managing their programs. Medicaid and CHIP are important programs in Pennsylvania, with nearly three million enrollees, including more than 175,000 children, as of March 2018.

The first version of the scorecard will display state or national level information across a variety of measures in three key areas:

  • State health system performance
  • State administrative accountability
  • Federal administrative accountability

State health system performance will include measures such as well-child visits, immunizations for adolescents, and follow-up after hospitalization for mental illness.

State administrative accountability will provide information about measurements on administration efficiency, such as days awaiting information from states for state plan amendments.

Federal administrative accountability will provide information about measurements such as days under CMS review for state plan amendments and managed care capitation rate review.

Since reporting measures differ from state to state, comparable side-by-side comparisons aren’t yet available. The measures that will be reported on the first version of the scorecard will be from 2015.

HAP and the Pennsylvania hospitals and health systems continue to promote health insurance coverage for all Pennsylvanians. Through the Affordable Care Act provisions Medicaid Expansion efforts have increased health insurance coverage to more than 700,000 Pennsylvanians, providing access to high quality health care services and dramatically reducing the uninsured population. HAP continues to provide resources on the effects of the Affordable Care Act in Pennsylvania at its website.

For more information about the scorecard, contact Phillip M. Burrell, director, research and data analytics.

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