In the July 24, 2013 Center for Medicaid and CHIP Services Information Bulletin , we described Medicaid “superutilizers” or Beneficiaries with Complex Needs and High Costs (BCNs) as Medicaid beneficiaries who because of their health and/or social conditions, are likely to experience...
Medicaid IAP’s quality measurement portfolio is focused on supporting states in the selection, use, and alignment of quality measures related to Medicaid delivery system reform efforts. There are three areas of foci to our IAP quality measurement work, all of which are designed to complement...
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IAP CMS Commentary