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Medicaid’s July Vital Signs

The July 2019 update of the Medicaid Vital Signs dashboard continues last month’s examination of how the Mississippi Division of Medicaid’s coordinated care organizations (CCOs) have performed in managing certain common disease states among their members. The CCOs are required to report HEDIS data to the Division on a regular basis. HEDIS, which stands for Healthcare Effectiveness Data and Information Set, is a collection of standardized performance measures developed to compare different managed care plans. This month includes additional quality measures related to diabetes mellitus and COPD. Additional measures and disease states will be highlighted in future updates. For a comprehensive look at the Division’s state fiscal year 2019 performance, view the recently released FY 2019 Annual Report.

 

At a Glance: Managed Care HEDIS Performance Measures

Diabetes

The bar graph above shows the percentages of Medicaid members enrolled with either Magnolia Health Plan or UnitedHealthcare with a diagnosis of diabetes mellitus who received a nephropathy screening during the measurement year.

The bar graph above shows the percentages of Medicaid members enrolled with either Magnolia Health Plan or UnitedHealthcare with a diagnosis of diabetes mellitus whose blood-sugar levels were kept in range during the measurement year.

Chronic Obstructive Pulmonary Disease (COPD)

The bar graph above shows the percentages of Medicaid members enrolled with either Magnolia Health Plan or UnitedHealthcare with a diagnosis of chronic obstructive pulmonary disease (COPD) who were 50% compliant in medication adherence during the measurement year.