Performance Data

Measuring performance on important dimensions of health care by collecting and analyzing data to monitor systems.

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 quarterly reports, with a number of elements required through oversight legislation, are comprehensive and focus on compliance areas, as well as health outcomes over time. The department examines the data from a compliance perspective and conducts further analysis if any issues are identified. 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.

The Managed Care Organizations (MCOs) must demonstrate access within the contractual requirements or additional network adequacy standards developed by the Iowa Medicaid Enterprise (IME). The Managed Care Network Geographic Access reporting looks at MCO provider networks in order to assess member access and network capacity. 
 

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. 

This report presents the results of a study of how Iowa Medicaid members in four populations rated Medicaid, on a variety of measures, during 2014. The surveyed populations include the Adult Social Security Income (SSI), Adult Non-SSI, Child SSI, and Child Non-SSI. The report also shows a comparison between the SSI and non-SSI populations. 
 

Public Reporting Measures
The Iowa Medicaid Enterprise Public Reporting Measures share enrollment, demographic, and budget information in relation to Iowa Medicaid members and programs. 

Quality performance measures seek to measure the degree to which evidence-based treatment guidelines are followed, where indicated, and assess the results of care.