NQF Releases Performance Measures for Medicaid Adults
Monday, October 21, 2013
by: VNAA Policy Team

Section: Public Policy and Advocacy

On September 27, the National Quality Forum (NQF) issued draft measures for Medicaid adults. The Affordable Care Act requires the Department of Health and Human Services (HHS) to recommend a core set of criteria that measure the quality of care provided to adults in Medicaid. HHS has contracted NQF to draft those recommendations. Comments on the draft measures were due by October 11. 

The measures are part of a voluntary reporting program for states to provide data about the quality of care for adults with Medicaid. The results will be reported publicly by this time next year, and payment is not tied to the results. All of the data will be calculated at the state level, not at the level of providers.
Advocates for Medicaid beneficiaries are urging the NQF to include Medicaid quality measures that gauge the social indicators of poor health based on a concern that some Medicaid managed care companies will be less likely to participate if measures and risk adjustments are not improved.
NQF’s proposed measures can be found here. http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Quality-of-Care/Downloads/AdultCoreMeasures.pdf
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