The purpose of this document is to present a conceptual framework to guide the development of measures of care coordination that would be both feasible to apply and meaningful in assessing the performance of Medicaid managed care organizations (MCOs) that enroll people with disabilities. Although there are no explicitly required care coordination systems now in place, some states are providing systems of coordination and doing it with existing resources. This document presents a structure for defining and measuring good care coordination for states that have systems and want to measure them, and for those who may wish to implement systems in the future.
This measurement development attempt has grown from a recognition, across stakeholders, that care coordination is one of the most critical dimensions of health care system performance for persons with disabilities; and that the full range of feasible and meaningful measures of this dimension are currently unavailable.
In response, the Office of Disability, Aging and Long-Term Care Policy in the Office of the Assistant Secretary for Planning and Evaluation (ASPE) within the U.S. Department of Health and Human Services, and the Center for Health Care Strategies (CHCS), have jointly contracted with researchers at the School of Public Affairs, Baruch College, to develop such measures.