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Measurement and Evaluation

• Integrated Care for People with Medicare and Medicaid: A Roadmap for Quality (National Committee for Quality Assurance/March 2013) This reports outlines a strategy or “roadmap” for evaluating the quality and person-centeredness of integrated care.
  
  
• Quality Measurement in Integrated Care for Medicare-Medicaid Enrollees (Center for Health Care Strategies/January 2013) This technical assistance brief summarizes efforts to develop quality of care measures for Medicare-Medicaid enrollees.
  
  
• Measurement Opportunities & Gaps: Transitional Care Processes and Outcomes Among Adult Recipients of Long-Term Services and Supports (Long-Term Quality Alliance/December 2011) This report provides an overview of the LTQA Quality Measurement Workgroup’s approach to identifying and disseminating quality measures for long-term services and supports that promote effective care transitions, improve health and quality of life, and reduce costs.
  
  
• Raising the Bar: How Medi-Cal Strengthened Managed Care Contracts for People with Disabilities (California HealthCare Foundation/August 2012) This report examines the contract requirements adopted by Medi-Cal, including a comparison with contracting recommendations made through an earlier multi-stakeholder collaborative process, and the state’s rationale for contracting decisions.
  
  
• A First Look: Mandatory Enrollment of Medi-Cal’s Seniors and People with Disabilities into Managed Care (California Health Care Foundation/August 2012) This report examines the implementation of the expansion of California’s Medicare managed care population to include seniors and people with disabilities.
  
  
• Measuring Healthcare Quality for the Dual Eligible Beneficiary Population: Final Report to HHS (National Quality Forum/June 2012). This report describes a measurement framework specific to Medicare-Medicaid enrollees, assesses current quality measures and measurement efforts, and considers potential new quality measures.
  
  
• Strategic Approach to Performance Measurement for Dual Eligible Beneficiaries (National Quality Forum/October 2011). This interim report from the National Quality Forum’s Measure Applications Partnership provides input to the Department of Health and Human Services on performance measures for public reporting and performance-based payment programs.
  
  
• Measuring Quality for Complex Medicaid Beneficiaries in New York (United Hospital Fund/December 2011) This report examines quality measurement as a tool for integrating the care of Medicaid beneficiaries with multiple chronic conditions, behavioral health conditions, and long-term care needs.
  
  
• Raising Expectations: A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers (American Association of Retired Persons/September 2011) This report measures state-level performance on multiple dimensions of long-term services and supports systems that provide assistance to older people and adults with disabilities.
  
  
• National Quality Forum Dual Beneficiaries Workgroup The workgroup is developing a measurement framework specific to the quality issues dual-eligible beneficiaries face. The group is also assessing current measures and measurement efforts and considering potential new measures. Visit the site for emerging resources.
  
  
• Managed Long-Term Care Supports and Services Performance Measurement Resources (CHCS/March 2010)  Links to a variety of resources on quality and performance measurement collected to support States in developing measurement strategies for Medicaid managed long-term care programs.
  
  

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