An NCQA blog post outlines the new ways that integrate performance measures to better measure health equity. The new NCQA policy brief – Measuring Health Equity: A Review of Scoring Approaches – reviews four measurement approaches for states’ Medicaid managed care programs.
An examination of peer-reviewed and gray literature uncovered four criteria for measuring equitable care:
- Select indicators of social determinants of health.
- Select a reference group (a “standard” comparison group independent of the data vs. the data informing the comparison group).
- Select health care quality metrics. These could include composites (e.g., vaccination rates, quality measures, infant mortality rates).
- Use benchmarks (e.g., compare results to national estimates).
These approaches give state Medicaid programs options for how to evaluate health plan quality performance – which can help focus quality improvement initiatives to advance health equity.