Assessment of NCQA Medicaid MCO Quality Ratings Across the Two Most Recent Measurement Years
This edition assesses changes and trends in NCQA Medicaid MCO quality ratings across measurement years 2023 and 2024.
Tag: Policy
Timeline of Key Medicaid Provisions in One Big Beautiful Bill Act (OBBBA)
This edition summarizes major Medicaid changes in OBBBA, organized by implementation timeline, from 2025 to 2030. Key provisions introduce changes to eligibility, benefits, and state financing.
Assessment of NCQA Medicaid MCO Quality Ratings Across Performance Years 2022 and 2023
This edition delves into NCQA’s Medicaid health plan overall quality ratings for performance years 2022 and 2023. A key component of our analyses involved creating enrollment weighted average scores for the Medicaid health plans operating in multiple states, and similar…
Medicaid MCO Innovations to Address the Opioid Epidemic
This edition provides excerpts of opioid-related questions that have appeared in Medicaid MCO procurements. These slides demonstrate some of the ways in which states are using their request for proposal (RFP) process to promote innovation and elevate the MCOs’ mechanisms…
Costs and Benefits of Enhancing Private Duty/Shift Nursing Payment Rates in Pennsylvania’s Medicaid Program
This report was enlisted by the Pennsylvania Homecare Association to evaluate the need for enhancing Pennsylvania’s Medicaid Private Duty Nursing (PDN) payment rates. Through a mixture of quantitative analyses and real-life patient examples, this report highlights the anticipated benefits this…
Quantifying the Impact of State-Level Policy Changes on Opioid Prescription (and Unit) Volume
This edition looks at various state-level policy changes seeking to restrict inappropriate use of opioids, conducting a pre-versus-post comparison of prescription opioid usage related to the dates of these policy changes.
Costs and Benefits of Enhancing Private Duty Nursing Payment Rates in Colorado’s Medicaid Program
This report was commissioned by the Home Care and Hospice Association of Colorado. The report derives the Medicaid payment rate increase needed to attract adequate private duty nursing (PDN) service capacity in Colorado. We’ve estimated the cost to the Medicaid…
Leadership Positions: Gender Mix in the Workplace in the United States
This edition quantifies the large gender gaps that exist at the leadership level within U.S. companies. For example, females currently comprise only 10.6% of Fortune 500 Company CEOs. Females are getting closer to parity among attorneys (38%) and physicians (37%),…
Gender Equity in US Political Leadership
This edition of our 5 Slide Series quantifies the very low percentage of women serving in national political leadership positions.
Medicaid Prescription Drug Management: Quality Scores Compared Across Different Approaches
The Elevance Health Public Policy Institute engaged and worked with us to assess the degree to which quality scores on pharmacy-related measures were affected by the state’s Medicaid managed care program design features. The key issue assessed was whether quality…