Recommendations for Monitoring Access to Care among Medicaid Beneficiaries at the State-level. Summary Information on Data Sources for Realized Access

02/01/2013

 

Provider Reports on Access

MSIS

T-MSIS

HRSA UDS

HCUP

(SID & SEDD)

Sponsor

CMS

CMS

HRSA

AHRQ

Data Source is Inclusive of:

Medicaid eligibles and beneficiaries

Medicaid eligibles and beneficiaries

Grantees of HRSA's primary care programs

SID: hospital admissions in each state

SEDD: ED discharges that do not result in an admission

Data Product Production Schedule

Quarterly

Monthly

Data reported annually in the first quarter of the year

Annually

Data Set Coverage

50 states + District of Columbia

50 states + District of Columbia

Varies (e.g., 7,900 service sites in 2009; 1,128 grantees in 2011)

SID has 44 states.

SEDD has 27 states.

State Estimates

Yes

Yes

Yes

Yes

Years

Quarterly since FY 1998

Monthly starting in 2011 as pilot initiative

Annually since 2007

HCUP since 1988, SID since 1990, and SEDD since 1999

Relevant Measures

400 data elements, including: Encounter total claims count; Total Medicaid paid amount; eligibles and beneficiaries count

1,000 data elements, including new claims files on managed care, third-party liability, coordination of benefits, and provider

Health center-level data on patient demographics, services provided, staffing, clinical indicators, utilization rates, costs, and revenues of grantee health centers

SID & SEDD: payer source; diagnoses; procedures

Add'l SID measures: admission and discharge status; total charges; length of stay

Limitations

Inconsistency of variables reported across states; Missing data; Interpretation of data; Broad technical issues

Currently 12 states participating

Limited coverage since only includes grantee sites.

Not all states participate

Source: Dataset websites

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