Using Encounter Data from Medicaid HMOs for Research and Monitoring
Bibliographic Data
| ID | 13776022 |
|---|---|
| Authors | Merrile Sing (Agency for Healthcare Research and Quality, corresponding author) |
| Year | 2004 |
| Volume | 41 |
| Issue | 3 |
| Pages | 336-346 |
| Publication date | 2004-09-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | INQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL) |
| Journal identifiers | ISSN: 0046-9580 • E-ISSN: 1945-7243 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/004695800404100309 |
| PMID | 15669750 |
| OpenAlex | W2326247956 |
| Language | EN |
| Citations received | 1 |
| References cited | 6 |
Complete encounter data from Medicaid HMOs are necessary to monitor patient access to care, compute risk-adjusted payments, and estimate savings from managed care. Encounter data from TennCare for 1996 and 1997 appear to be incomplete. This is the case despite state review of data quality, financial sanctions for Medicaid HMOs that appeared to be submitting incomplete data, and a preliminary assessment of encounter data for samples of two Medicaid enrollee subgroups suggesting that the encounter data might be reasonably complete. Although all states are required to submit Medicaid encounter data to the government, most states currently produce incomplete encounter data
Actuarial science · Business · Data collection · Data quality · Economics · Family medicine · Government (linguistics · Health care · Medicaid · Payment · Political science · Quality (philosophy · Sanctions · Statistics · Finance · Healthcare Policy and Management · Healthcare Systems and Reforms · Medicine · Primary Care and Health Outcomes
| Citations per year | 0.06 |
|---|---|
| Citation span | 2009 - 2009 (1) |
| Highly cited | No |