Data Analytics for Effective Reform: How State Medicaid Agencies are Leveraging Data for Payment and Delivery System Innovation

As the pace of payment and delivery system reform accelerates in Medicaid programs, state agencies have begun to emerge as thought leaders and major players in health care data analytics. Medicaid programs are increasingly using internal and external expertise to realign payment and quality measurement in order to set their programs on the path to reform. They are broadening the sources of data they use, and incorporating interagency data and clinical data into new reimbursement strategies and outcome-based assessment. However, while progress has been substantial, states and their partners must remain committed to long term and sustained efforts to build and refine data analytics capacity in order for data-driven decision-making to become a permanent feature in Medicaid programs.

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