Assessing the usability of encounter data for enrollees in comprehensive managed care 2010-2011

Assessing the usability of encounter data for enrollees in comprehensive managed care 2010-2011

Collection:
Health Policy and Services Research
Series Title(s):
MAX Medicaid policy brief (Mathematica Policy Research)
Author(s):
Byrd, Vivian L.H., author
Dodd, Allison Hedley, author
Contributor(s):
Mathematica Policy Research, Inc., issuing body.
Publication:
Princeton, NJ : Mathematica Policy Research, Inc., August 2015
Language(s):
English
Format:
Text
Subject(s):
Comprehensive Health Care
Data Collection
Data Mining
Datasets as Topic
Episode of Care
Managed Care Programs
Medicaid -- statistics & numerical data
United States
Centers for Medicare & Medicaid Services (U.S.)
Genre(s):
Technical Report
Abstract:
As growing numbers of Medicaid enrollees receive health benefits through comprehensive managed care (CMC), researchers and policymakers seeking to understand the service use of these enrollees must rely on encounter data that states receive from managed care plans. However, not all states report the encounter data submitted by their plans to the Medicaid Statistical Information System (MSIS), and, until recently, little was known about the data's usability for research. This issue brief discusses the availability, completeness, and quality of encounter data for physician, clinic, and outpatient services (OT); inpatient hospital services (IP); and prescription drug services (RX) in the Medicaid Analytical eXtract (MAX) data, which are derived from MSIS. Knowing this information can help researchers and policymakers judge the usability of the 2010 and 2011 encounter data in MAX.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
Extent:
1 online resource (1 PDF file (12 pages)).
NLM Unique ID:
101667733 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/101667733