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Managed care

#4021 - Identifying and Benchmarking the Medicaid Managed Care Population

Background:

All states providing services through managed care plans must report enrollment for beneficiaries covered under such plans; however, the accuracy of T-MSIS enrollment reporting varies considerably both across states and across plan types. This data quality brief examines alignment between the TAF and the benchmark, the Medicaid Managed Care Enrollment and Program Characteristics (MMCEPC) report, using data from June 2016.

Year of Data:
2016
Source:
CMS
Format:
Adobe PDF

The PY14 Risk Score Files includes six segments:  a base file, four files with outputs from Part C models and one for Part D model outputs. All files can be linked to other CCW files via the Bene_ID.

What does this file include? (variable highlights)

PY14 Base file:

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