Project Overview
The Medicaid and CHIP Business Information and Solutions (MACBIS) initiative is building an infrastructure for robust data analytics, including integrating and aligning federal and state data sources, to support data-driven policy decisions about Medicaid and CHIP policy and programs.
To support the analytic needs of the Center for Medicaid and CHIP Services (CMCS), Mathematica supports T-MSIS and the analysis and dissemination of data about Medicaid and CHIP to support program monitoring, policy implementation, technical assistance, and oversight.
By improving the quality of the Transformed Medicaid Statistical Information System (T-MSIS) data and advancing the development of analytic tools, CMCS can more easily use data in its program monitoring and enhance knowledge of policies that promote health and health equity.
IBM
U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services
Mathematica develops tools for advanced data quality detection and dissemination as well as data products and analytic reports that leverage T-MSIS. Under this contract, we improve the quality of T-MSIS and Performance Indicators (PI) through direct technical assistance to states and maintenance of self-service data quality monitoring tools. We lead the production of the research-optimized version of the T-MSIS data, known as the T-MSIS Analytic Files (TAFs), and the supporting materials. We support CMCS use of TAF data by producing many analytic products and reports across business owners, such as the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) program, the Medicaid and CHIP Core Measure Sets, and the Medicaid and CHIP Scorecard. The team has produced congressionally-mandated reports on substance use disorders (known as the Substance Use Disorder Data Book) and the Medicaid non-emergency medical transportation benefit. In addition, Mathematica has been supporting CMCS in tracking and monitoring the impacts of COVID-19 among Medicaid and CHIP beneficiaries by developing a data visualization tool that tracks COVID-19-related conditions, enrollment, and service utilization on a month-by-month basis. We are leveraging this experience to support CMCS with the development of quality measures in the areas of equity and health-related social needs to co-create an equity-focused dashboard. We also provide support to end users of the data through a help desk and the maintenance of tools, such as TAF DQ Atlas and PI dashboard.
After helping CMS stand up the new national data system for Medicaid and CHIP—known as the Transformed Medicaid Statistical Information System (T-MSIS)—and research optimized data files (the T-MSIS Analytic Files or TAF), Mathematica’s MACBIS team has continued to work with CMS to strengthen the quality of T-MSIS and Performance Indicator data, including developing an approach for imputing missing race and ethnicity data; helping CMS use the data to monitor the effects of the Covid-19 Public Health Emergency on Medicaid and CHIP; designing approaches to using the data to replicate state EPSDT reports and select Core set measures; and designing dashboards to monitor health equity issues in Medicaid and CHIP, pregnancy outcomes of enrollees, and opioid use.
Evidence & Insights From This Project
Advances in Medicaid Data Provide Timely Insights into the Pandemic
Efforts that began more than 20 years ago enabled federal officials and external researchers to use Medicaid and CHIP data to answer pressing questions about the COVID-19 pandemic.
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Dive deep, explore, and refine Medicaid data with Imersis
Imersis is a cloud-based data quality solution that helps state Medicaid agencies improve data quality and build strong data analytics programs.
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