Vermont & Washington Lead State Performance On Medicaid Behavioral Health Core Measures – OPEN MINDS Releases New National Reference Guides On Core Measure Sets
Gettysburg, Pa. (September 4, 2018) – Among the nine behavioral health measures in the Medicaid Adult Core Set performance measures, Vermont and Washington were among the states with the highest reported performance, while Oklahoma and Arkansas were among the lowest. The Centers for Medicare & Medicaid Services (CMS) developed the Child and Adult Core Set for state Medicaid programs in 2012. This group of performance measures can be compared across states, and CMS updates the measure set annually, adding and removing measures as needed.
The FY 2016 Adult Core Set contained 28 measures across six domains: preventive care, maternal and perinatal health, behavioral health, care of acute and chronic conditions, care coordination, and experience of care. Vermont, Washington, Oregon, Alabama, Colorado, and Rhode Island all were among the highest performing states in the Adult behavioral health core measure set.
The FY 2016 Child Core Set contained six domains: preventive care, maternal and perinatal health, behavioral health, care of acute and chronic conditions, care coordination, and experience of care. The set contained 26 measures that address key aspects of these domains. DHHS added two measures to the Child Core Set in 2016: audiological evaluation no later than three months of age (AUD), and use of multiple concurrent antipsychotics in children and adolescents (APC). Iowa, Utah, West Virginia, and Alabama all were among the highest performing states in the Children’s behavioral health core measure set.
“The data from these measures gives the rare opportunity to compare state Medicaid programs—and offers provider organizations the chance to see where their programs stack up among the competition,” said Athena Mandros, Market Intelligence Director, OPEN MINDS. “For executives of provider organization it offers a unique opportunity to evaluate your performance against the states where you operate. If you perform well, then you can market this information to payers and consumers. If you perform poorly, its a chance to address these issues and improve your quality.”
A free summary (registration required) of the reports can be read at Are The Kids All Right? and How Does Your State Medicaid Program Stack-Up On Behavioral Health? The reports, State Performance On Adult Medicaid Core Health Care Measures: An OPEN MINDS Reference Guide and State Performance On Child Medicaid Core Health Care Measures: An OPEN MINDS Reference Guide, are available at no charge to Premium and Elite members of The OPEN MINDS Circle and can be purchased in the OPEN MINDS shop for $295.
These reference guides provide median performance on all measures included in the Core set, as well as a deep dive into state performance on child and adult behavioral health measures. The deep dive includes individual state performance on each measure and a comparison to 2015 scores where available.
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For additional questions and inquiries, please contact Sarah C. Threnhauser, Executive Vice President, OPEN MINDS at 717-334-1329 or sthrenhauser@openminds.com.
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OPEN MINDS is a national market intelligence and strategic advisory firm focused on the sectors of the health and human service field serving consumers with chronic conditions and complex support needs. Founded in 1987 and based in Gettysburg, Pennsylvania, the 175+ associates provide market insights and innovative management solutions designed to improve operational and strategic performance. Learn more at www.openminds.com.