Recommendations for Monitoring Access to Care among Medicaid Beneficiaries at the State-level. Project Methods


To address the project objectives, NORC collaborated with ASPE and CMS to conduct an environmental scan and convene a Technical Expert Panel (TEP). The environmental scan included a review of relevant published literature and white papers. NORC also reviewed survey and administrative data sources which can be used to measure Medicaid beneficiaries' perceptions of access to care, provider reports of access to care, and realized access to care. These data sources were identified through consultation with federal and non-federal experts and were selected for further discussion by the TEP if they met the criteria of including access to care measures, collecting data from all fifty states and the District of Columbia, and collecting data on a regular basis. NORC summarized findings from the environmental scan in a briefing book that was provided to all TEP members and referenced throughout the TEP meeting.

The TEP was convened at HHS's Humphrey Building in Washington, DC, on Wednesday, June 6, 2012. There were sixteen panelists in attendance, including directors of two state Medicaid programs; experts from Federal government agencies, such as CMS and the National Center for Health Statistics (NCHS) at the Centers for Disease Control and Prevention (CDC); researchers from organizations like Urban Institute, SHADAC, Mathematica Policy Research, and the Kaiser Family Foundation; and other leaders from private industry. In addition to these panelists, the meeting was attended by federal stakeholders from various divisions within ASPE and CMS. The full list of panelists and stakeholders in attendance is included in Appendix A.

After the meeting, NORC developed an online feedback tool to better assess panelists' opinions regarding potential indicators and data sources for monitoring Medicaid beneficiaries' access to care. The tool asked respondents to rate the relevance of different indicators of access, organized by consumer perceptions, provider reports, and realized access. Next respondents were asked to rate the accuracy, relevance, timeliness, accessibility, and overall importance of potential data sources. Lastly, respondents answered open-ended questions to provide additional information pertinent to developing a system to monitor Medicaid beneficiaries' access to care at the state-level.

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