Medicaid and the Children’s Health Insurance Program (CHIP), which extends coverage to children in middle-income families, are vital supports for the health of low-income Americans. Together, these programs cover more than 43 million children in the United States, which is more than 1 in every 3, and about 40 percent of all births.
With so many children and families relying on Medicaid and
CHIP for comprehensive health services, the quality of these services is
paramount. The National Quality Forum’s Measure Applications Partnership (MAP)
recently provided input to the Department of Health and Human Services on
performance measures to monitor and improve quality for this population. All 50
states and the District of Columbia voluntarily participate in reporting measures
from the Core Set of Health Care Quality Measures for Children Enrolled in
Medicaid/CHIP, also known as the Child Core Set.
These MAP recommendations expand upon MAP’s work on measures
of quality of care for low-income and vulnerable populations. MAP recently
completed its second report on measures to improve care for Medicaid-eligible
adults, as well as a new report on improving care Americans who are eligible to be covered by both Medicare and Medicaid.
MAP consulted with state Medicaid leaders and other
stakeholders in developing both measure-specific and strategic recommendations
related to the Adult and Child Core Sets. The recommendations highlighted high-priority
measures for addition to the reporting programs that focus on prominent health
conditions, such as depression, asthma, diabetes, and oral health. The Core
Sets will continue to evolve in response to changing stakeholder needs.
MAP continues its work to align, when possible and
appropriate, key measures across the Medicaid Adult and Child core sets to
drive local efforts to maximize the value of Medicaid investments in caring for
vulnerable populations.