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

02/01/2013

ASPE initiated this project to address department-wide interest in a federal-level system to measure and track access to care for Medicaid beneficiaries. With the passage of the Affordable Care Act (ACA), several new policies will go into effect in 2013 and 2014 that may affect access to care for Medicaid beneficiaries, including an increase in Medicaid's primary care payments and Medicaid expansion and increased enrollment. ASPE and CMS are interested in measuring baseline data and creating a system to monitor the impact of these policies on access to care for Medicaid beneficiaries.

The goal of the project is to provide guidance and recommendations for ASPE, CMS, and states to create a better system of collecting and utilizing data in order to understand access at the state-level for Medicaid beneficiaries. The project was designed to address the following objectives:

■        Determine the data sources and indicators that currently exist to measure access to care for Medicaid beneficiaries at the state-level

►      Assess how well the data sources perform across four key dimensions: timeliness, relevance, accuracy, and accessibility

►      Identify indicators that can be used to monitor access to care for Medicaid beneficiaries within a state over time and access to care indicators which can be used to make comparisons across states

■        Identify new opportunities and challenges for continuous tracking of Medicaid beneficiaries' access to care in the future

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