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New Ways to Integrate Performance Measures to Better Measure Health Equity

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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:

  1. Select indicators of social determinants of health.
  2. Select a reference group (a “standard” comparison group independent of the data vs. the data informing the comparison group).
  3. Select health care quality metrics. These could include composites (e.g., vaccination rates, quality measures, infant mortality rates).
  4. 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.

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