NASHP

AUGUST 15, 2022

Recently, Pennsylvania shared their work with managed care organizations (MCO)s to improve access to oral health care services through quality improvement projects, measures, and incentives. Such steps included DHS convening MCOs quarterly to discuss their performance metrics through Quarterly Quality Review Meetings (QQRMs).

Medicaid 52

Medicaid Quality Review Prevention Quality Improvement 52

NASHP

APRIL 17, 2023

Performance measurement is a pillar of state Medicaid managed care quality improvement and oversight efforts, is often factored into plan payment, and supports public reporting. In states with more than one Medicaid managed care program we reviewed the contracts for all programs.

Medicaid 52

Medicaid Quality Assurance Quality Review Accountability 52

NASHP

APRIL 17, 2023

Performance measurement is a pillar of state quality improvement and oversight. Notably, all of the measures in Table 1 are Healthcare Effectiveness Data and Information Set (HEDIS) measures or included in at least one of the CMS core measure sets. It is often factored into plan payment, and it supports public reporting.

Medicaid 52

Medicaid Quality Assurance Quality Improvement Quality Review 52