The Value of Medicaid Managed Care: Improving the Quality of Care in Medicaid
posted by AHIP
on March 3, 2020
Medicaid managed care plans improved their performance on 26 out of 30 (87%) key HEDIS® and CAHPS® quality measures* between 2014 and 2018. The improvements covered a broad range of measures–from providing comprehensive diabetes care to controlling high blood pressure.
77% of Medicaid managed care enrollees in 2018 were members of NCQA-accredited health plans, up from 71% in 2015. Accreditation by the NCQA signifies a high level of quality.
24 states recognize the value of ongoing quality improvement in their managed care programs by incentivizing Medicaid managed care plans to meet or exceed quality targets. The number indicates the value states place on Medicaid managed care plans and the quality they provide.