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Promoting Health Equity: A Recommended Health Equity Framework for Accountability in Medicaid

Promoting Health Equity: A Recommended Health Equity Framework for Accountability in Medicaid
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Promoting health equity through health plans is a national priority. Medicaid programs are at the forefront of this effort because they serve low-income populations and/or who are likely to have limited access to health care. More than two-thirds of Medicaid enrollees receive care through comprehensive risk-based managed care organizations. Quality measures are important elements of accountability in managed care programs. This creates an opportunity to align quality and performance strategies with equity-oriented approaches to address inequalities and close gaps in health care and health outcomes.

With the support of CHCF, the National Committee for Quality Assurance (NCQA) has developed a health equity measurement framework that can be used by state Medicaid programs to measure liability in contracting managed care for health plans. Promoting Health Equity: A Recommended Health Equity Framework for Accountability in Medicaid lists six core quality domains, each with two to five associated quality measures.

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The authors examined peer-reviewed and gray literature, conceptual and measurement models, state policy statements and contractual documents, and engaged key stakeholders to develop the framework. It prioritizes racial equality but is designed to go beyond race and ethnicity.

The framework builds on NCQA’s white paper, Evaluating Medicaid’s Use of Quality Measurement to Achieve Equity Goals (available at the same link), which describes the current state of the use and application of quality measures for health equity in state Medicaid programs. .

The @NCQA @CHCFNews Medicaid #healthequity framework is a new tool to measure liability in contracting managed care for health care plans. https://www.ncqa.org/health-equity/measure-accountability/ Click to Tweet

About the Authors
The report was written by the following NCQA contributors: Rachel Harrington, Alana Burke and Amaya Hampton.

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