Management tools for Medicaid and State Children's Health Insurance Program (SCHIP)

W. Pete Welch; Barbara A. Rudolph; Lynn A. Blewett; Stephen T. Parente; Cindy Brach; Denise Love; Robert G. Harmon

doi:10.1097/00004479-200610000-00003

Management tools for Medicaid and State Children's Health Insurance Program (SCHIP)

W. Pete Welch, Barbara A. Rudolph, Lynn A. Blewett, Stephen T. Parente, Cindy Brach, Denise Love, Robert G. Harmon

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Medicaid and the State Children's Health Insurance Program need analytic tools to manage their programs. Drawing upon extensive discussions with experts in states, this article describes the state of the art in tool use, making several observations: (1) Several states have linked Medicaid/State Children's Health Insurance Program administrative data to other data (eg, birth and death records) to measure access to care. (2) Several states use managed care encounter data to set payment rates. (3) The analysis of pharmacy claims data appears widespread. The article also describes "lessons learned" regarding building capacity and improving data to support the implementation of management tools.

Original language	English (US)
Pages (from-to)	272-282
Number of pages	11
Journal	Journal of Ambulatory Care Management
Volume	29
Issue number	4
DOIs	https://doi.org/10.1097/00004479-200610000-00003
State	Published - 2006

Keywords

Administrative data
Encounter data
Medicaid
SCHIP
Vital statistics

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access

10.1097/00004479-200610000-00003

OpenUrl availability

Full text

Cite this

@article{f846c333961a4bb8b7bb7af9c44e4d44,

title = "Management tools for Medicaid and State Children's Health Insurance Program (SCHIP)",

abstract = "Medicaid and the State Children's Health Insurance Program need analytic tools to manage their programs. Drawing upon extensive discussions with experts in states, this article describes the state of the art in tool use, making several observations: (1) Several states have linked Medicaid/State Children's Health Insurance Program administrative data to other data (eg, birth and death records) to measure access to care. (2) Several states use managed care encounter data to set payment rates. (3) The analysis of pharmacy claims data appears widespread. The article also describes {"}lessons learned{"} regarding building capacity and improving data to support the implementation of management tools.",

keywords = "Administrative data, Encounter data, Medicaid, SCHIP, Vital statistics",

author = "Welch, {W. Pete} and Rudolph, {Barbara A.} and Blewett, {Lynn A.} and Parente, {Stephen T.} and Cindy Brach and Denise Love and Harmon, {Robert G.}",

year = "2006",

doi = "10.1097/00004479-200610000-00003",

language = "English (US)",

volume = "29",

pages = "272--282",

journal = "Journal of Ambulatory Care Management",

issn = "0148-9917",

publisher = "Lippincott Williams and Wilkins",

number = "4",

}

TY - JOUR

T1 - Management tools for Medicaid and State Children's Health Insurance Program (SCHIP)

AU - Welch, W. Pete

AU - Rudolph, Barbara A.

AU - Blewett, Lynn A.

AU - Parente, Stephen T.

AU - Brach, Cindy

AU - Love, Denise

AU - Harmon, Robert G.

PY - 2006

Y1 - 2006

N2 - Medicaid and the State Children's Health Insurance Program need analytic tools to manage their programs. Drawing upon extensive discussions with experts in states, this article describes the state of the art in tool use, making several observations: (1) Several states have linked Medicaid/State Children's Health Insurance Program administrative data to other data (eg, birth and death records) to measure access to care. (2) Several states use managed care encounter data to set payment rates. (3) The analysis of pharmacy claims data appears widespread. The article also describes "lessons learned" regarding building capacity and improving data to support the implementation of management tools.

AB - Medicaid and the State Children's Health Insurance Program need analytic tools to manage their programs. Drawing upon extensive discussions with experts in states, this article describes the state of the art in tool use, making several observations: (1) Several states have linked Medicaid/State Children's Health Insurance Program administrative data to other data (eg, birth and death records) to measure access to care. (2) Several states use managed care encounter data to set payment rates. (3) The analysis of pharmacy claims data appears widespread. The article also describes "lessons learned" regarding building capacity and improving data to support the implementation of management tools.

KW - Administrative data

KW - Encounter data

KW - Medicaid

KW - SCHIP

KW - Vital statistics

UR - http://www.scopus.com/inward/record.url?scp=33748896942&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33748896942&partnerID=8YFLogxK

U2 - 10.1097/00004479-200610000-00003

DO - 10.1097/00004479-200610000-00003

M3 - Article

C2 - 16985385

AN - SCOPUS:33748896942

SN - 0148-9917

VL - 29

SP - 272

EP - 282

JO - Journal of Ambulatory Care Management

JF - Journal of Ambulatory Care Management

IS - 4

ER -

Management tools for Medicaid and State Children's Health Insurance Program (SCHIP)

Abstract

Keywords

UN SDGs

Access

OpenUrl availability

Other files and links

Fingerprint

Cite this