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Datasets:
HHS-Official
/
managed-care-features-by-qa-and-performance-incent

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Languages:
English
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Tags:
hhs
cms
medicaid
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Features
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48
144
Comprehensive MCO with or without MLTSS
int64
18
73
PCCM
int64
0
5
PCCM Entity
int64
0
4
MLTSS
int64
0
4
BHO (PIHP and/or PAHP)
int64
0
13
Dental
int64
0
11
Transportation
int64
0
3
Other PHP
int64
0
3
PACE
int64
0
4
Year
int64
2.02k
2.02k
Quality Assurance and Data Collection: HEDIS data required
70
4
2
1
12
5
0
3
3
2,016
Quality Assurance and Data Collection: CAHPS data required
66
5
2
1
5
7
1
2
1
2,016
Quality Assurance and Data Collection: Accreditation required
39
2
0
2
10
0
0
1
1
2,016
Quality Assurance and Data Collection: EQRO contractor used
73
3
1
3
13
2
0
2
4
2,016
Performance incentives: Payment bonuses/differentials to reward MCOs
31
3
1
3
4
3
2
1
1
2,016
Performance incentives: Preferential auto-enrollment to reward MCOs
18
0
0
1
0
0
0
0
0
2,016
Performance incentives: Public reports comparing MCO performance on key metrics
37
2
1
1
3
3
1
0
0
2,016
Performance incentives: Withholds tied to performance metrics
29
0
1
2
3
4
0
1
0
2,016
Performance incentives: MCOs/PHPs required or encouraged to pay providers for value/quality outcomes using shared-risk or shared-savings methods
26
0
0
1
1
1
0
0
0
2,016
Quality Assurance and Data Collection: HEDIS data required
71
4
2
1
9
6
0
3
3
2,017
Quality Assurance and Data Collection: CAHPS data required
67
4
2
1
4
7
1
2
1
2,017
Quality Assurance and Data Collection: Accreditation required
39
1
0
2
9
1
0
1
1
2,017
Quality Assurance and Data Collection: EQRO contractor used
73
3
1
4
9
3
1
3
2
2,017
Performance incentives: Payment bonuses/differentials to reward MCOs
33
3
1
3
4
3
2
1
2
2,017
Performance incentives: Preferential auto-enrollment to reward MCOs
19
0
0
1
0
0
0
0
0
2,017
Performance incentives: Public reports comparing MCO performance on key metrics
43
2
1
1
3
2
1
0
1
2,017
Performance incentives: Withholds tied to performance metrics
32
1
1
2
2
5
0
1
0
2,017
Performance incentives: MCOs/PHPs required or encouraged to pay providers for value/quality outcomes using shared-risk or shared-savings methods
43
0
0
1
1
1
0
0
0
2,017
Quality Assurance and Data Collection: HEDIS data required
68
3
2
1
8
9
0
3
2
2,018
Quality Assurance and Data Collection: CAHPS data required
66
3
2
1
4
10
0
3
1
2,018
Quality Assurance and Data Collection: Accreditation required
39
0
0
2
8
4
0
1
1
2,018
Quality Assurance and Data Collection: EQRO contractor used
71
3
2
4
9
7
1
3
2
2,018
Performance incentives: Payment bonuses/differentials to reward MCOs
30
2
1
3
4
1
2
1
1
2,018
Performance incentives: Preferential auto-enrollment to reward MCOs
20
0
0
1
0
0
0
0
0
2,018
Performance incentives: Public reports comparing MCO performance on key metrics
42
2
2
1
4
5
1
0
0
2,018
Performance incentives: Withholds tied to performance metrics
35
1
2
2
3
4
0
1
0
2,018
Performance incentives: MCOs/PHPs required or encouraged to pay providers for value/quality outcomes using shared-risk or shared-savings methods
45
0
2
1
3
5
0
0
0
2,018
Quality Assurance and Data Collection: HEDIS data required
68
2
3
1
8
8
0
2
2
2,019
Quality Assurance and Data Collection: CAHPS data required
66
4
2
2
5
10
0
2
1
2,019
Quality Assurance and Data Collection: Accreditation required
41
1
0
2
7
3
1
0
1
2,019
Quality Assurance and Data Collection: EQRO contractor used
72
2
3
3
9
7
1
2
2
2,019
Performance incentives: Payment bonuses/differentials to reward MCOs
31
1
2
3
3
1
1
0
1
2,019
Performance incentives: Preferential auto-enrollment to reward MCOs
19
0
0
1
0
2
0
0
0
2,019
Performance incentives: Public reports comparing MCO performance on key metrics
49
1
3
1
4
6
2
0
1
2,019
Performance incentives: Withholds tied to performance metrics
38
0
2
2
3
6
2
0
0
2,019
Performance incentives: MCOs/PHPs required or encouraged to pay providers for value/quality outcomes using shared-risk or shared-savings methods
49
0
2
1
3
6
1
0
1
2,019
Quality Assurance and Data Collection: HEDIS data required
69
2
3
2
7
8
0
1
1
2,020
Quality Assurance and Data Collection: CAHPS data required
67
1
2
2
4
10
0
0
1
2,020
Quality Assurance and Data Collection: Accreditation required
41
2
0
2
6
4
1
0
1
2,020
Quality Assurance and Data Collection: EQRO contractor used
69
3
3
4
8
8
0
2
2
2,020
Performance incentives: Payment bonuses/differentials to reward MCOs
33
2
3
3
3
1
3
0
1
2,020
Performance incentives: Preferential auto-enrollment to reward MCOs
22
0
0
2
0
1
0
0
0
2,020
Performance incentives: Public reports comparing MCO performance on key metrics
50
1
3
2
5
5
2
0
1
2,020
Performance incentives: Withholds tied to performance metrics
43
0
3
2
3
5
1
0
0
2,020
Performance incentives: MCOs/PHPs required or encouraged to pay providers for value/quality outcomes using shared-risk or shared-savings methods
49
0
2
1
3
5
0
0
1
2,020
Quality Assurance and Data Collection: HEDIS data required
69
2
3
2
7
8
0
1
1
2,021
Quality Assurance and Data Collection: CAHPS data required
67
1
2
2
4
10
0
0
1
2,021
Quality Assurance and Data Collection: Accreditation required
41
2
0
2
6
4
1
0
1
2,021
Quality Assurance and Data Collection: EQRO contractor used
69
3
3
4
8
8
0
2
2
2,021
Performance incentives: Payment bonuses/differentials to reward MCOs
33
2
3
3
3
1
3
0
1
2,021
Performance incentives: Preferential auto-enrollment to reward MCOs
22
0
0
2
0
1
0
0
0
2,021
Performance incentives: Public reports comparing MCO performance on key metrics
50
1
3
2
5
5
2
0
1
2,021
Performance incentives: Withholds tied to performance metrics
43
0
3
2
3
5
1
0
0
2,021
Performance incentives: MCOs/PHPs required or encouraged to pay providers for value/quality outcomes using shared-risk or shared-savings methods
49
0
2
1
3
5
0
0
1
2,021
Quality and Data Collection: HEDIS data required
73
4
4
1
8
8
0
1
1
2,022
Quality and Data Collection: CAHPS data required
71
2
3
1
5
10
0
0
1
2,022
Quality and Data Collection: Accreditation required
50
3
0
0
7
6
1
0
0
2,022
Quality and Data Collection: EQRO contractor used
72
1
3
3
9
11
0
2
2
2,022
Performance Incentives: Payment bonuses/differentials to reward MCOs
41
4
3
3
4
2
0
0
1
2,022
Performance Incentives:Preferential auto-enrollment to reward MCOs
31
0
0
2
1
1
0
0
0
2,022
Performance Incentives: Public reports comparing MCO performance on key metrics
55
2
3
2
6
5
1
0
1
2,022
Performance Incentives: Withholds tied to performance metrics
43
1
3
2
4
7
1
0
0
2,022
Performance Incentives: MCOs/PHPs required or encouraged to pay providers for value/quality outcomes using shared-risk or shared-savings methods
62
1
2
1
4
6
0
0
1
2,022

Managed Care Features by QA and Performance Incentive

Description

Number of Managed Care Program Types, by Quality Assurance Requirements, Performance Incentives, and Provider Value-Based Purchasing Status, at any point in 2022

Dataset Details

  • Publisher: Centers for Medicare & Medicaid Services
  • Last Modified: 2024-10-16
  • Contact: Medicaid.gov ([email protected])

Source

Original data can be found at: https://healthdata.gov/d/5wmq-82nv

Usage

You can load this dataset using:

from datasets import load_dataset
 dataset = load_dataset('HHS-Official/managed-care-features-by-qa-and-performance-incent')

License

This dataset is licensed under https://www.usa.gov/government-works

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Number of rows:
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