Management tools for Medicaid and State Children's Health Insurance Program (SCHIP).
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.
Welch
W Pete
WP
Center for Health Care Policy and Evaluation, CHCPE, UnitedHealth Group, Eden Prairie, Minn., USA. pete.welch@lewin.com
Rudolph
Barbara A
BA
Blewett
Lynn A
LA
Parente
Stephen T
ST
Brach
Cindy
C
Love
Denise
D
Harmon
Robert G
RG
D002662:Child Health Services / Q000458:organization & administration*; D002675:Child, Preschool; D006801:Humans; D008484:Medicaid / Q000458:organization & administration*; D014481:United States; D014798:Vital Statistics