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NQF Issues Reports on Medicaid Quality Measures for 
Adults, Children, and Dual-Eligible Individuals

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The National Quality Forum’s (NQF) Measure Applications Partnership (MAP) recently issued three reports providing input to the U.S. Department of Health and Human Services (HHS) on healthcare measures to drive improvement in the quality of healthcare services provided to the more than 70 million adults and children enrolled in Medicaid, as well as the 10 million Americans who are eligible for both Medicaid and Medicare.

HHS established Adult and Child Core Sets of measures for the Medicaid program to standardize the measurement of healthcare quality across state Medicaid programs, assist states in collecting and reporting on measures, and facilitate use of measures for quality improvement. This is the fourth year that MAP has provided guidance to HHS on improving care for dual-eligible individuals, the third year that MAP has provided guidance on improving the Adult Core Set, and the second year that MAP has provided guidance on the Child Core Set.

Read the three MAP reports:

  1. Strengthening the Core Set of Healthcare Quality Measures for Adults Enrolled in Medicaid, 2015, –  MAP recommends the phased addition of nine measures to the Adult Core Set to help address high-priority areas including behavioral health and reproductive health. MAP also supports continued use of all but one of the current 26 measures in the Adult Core Set and recommends the removal of one measure due to difficulty collecting data for the measure and lack of reporting from states.
  2. Strengthening the Core Set of Healthcare Quality Measures for Children Enrolled in Medicaid and CHIP, 2015, –  MAP recommends the phased addition of six measures to the Child Core Set in high-priority areas such as behavioral health and maternity care. MAP recommends the continued use of all 24 measures currently in the Child Core Set.
  3. Advancing Person-Centered Care for Dual-Eligible Beneficiaries through Performance Measurement, – MAP’s report on improving care for Americans who are eligible for coverage under both Medicaid and Medicare, recommends adding 18 new measures to the MAP
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