Measuring performance on important dimensions of health care by collecting and analyzing data to monitor systems.
While there are specific performance standards in the contract for a limited set of items, not all data reported is directly linked to a contractual requirement. Items which do have contractual requirements are indicated in the reports.
Medicaid Managed Care Monthly Reports
Performance monitoring and data analysis are critical components in assessing how well the managed care organizations (MCO) are maintaining and improving the quality of care delivered to members. The monthly data reports are a snapshot of information on major contract compliance areas and member enrollment. The department examines the data from a compliance perspective and conducts further analysis if any issues are identified.
Medicaid Statistical Report
The Medicaid Statistical Report is a summary by county report that shows eligibles, recipients served, and total payments for three categories - Total Medically Needy, Total All Other Medicaid, and Grand Total. It also has a total for each county grouped by regions.
Public Reporting Measures
The Iowa Medicaid Enterprise Public Reporting Measures share enrollment, demographic, and budget information in relation to Iowa Medicaid members and programs.
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