Assessing the quality of Medicaid managed health care plans

Assessing the quality of Medicaid managed health care plans

http://www.medicaidpatients.com/assessing-the-quality-of-medicaid-managed-health-care-plans/

Requiring periodic plan reports: The state is required to collect accurate, reliable and valid data form the managed care plans. Accurate, reliable and valid data is important in measuring the quality of care for Medicaid managed care. The federal government requires that all states must submit periodic plan reports. External quality reviews: This is a federal requirement that is done on a yearly basis. The state usually contracts the services of an external quality review organization to conduct such tasks. The organization may review medical records, data procedures and collection and conduct of quality care studies.