Managed Care Capitation Rate Review: Days Under CMS Review

About This Measure

This measure reports the CMS portion of the total number of days it took to review and approve states’ managed care base capitation rates and capitation rate amendments. CMS conducts actuarial reviews of these rates and amendments as part of an approval process. CMS often sends questions to states and requests additional information as part of the reviews. The total time of the review has two parts: (1) the time it takes CMS to conduct the review and (2) the time it takes states to answer questions and provide additional information.

This measure shows the number of days that CMS spent completing activities, such as reviewing data, assumptions, and methods.

The purple dash-dotted line represents the mean, or average of all values. The red dashed line represents the median, or middle of all values.

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Histogram with a median of 84 days, a mean of 93 days, and the values:

Number of Days Count
0-30 days 13
31-60 days 71
61-90 days 68
91-120 days 54
121-150 days 31
151-180 days 7
181-210 days 16
211-240 days 5
241-270 days 4
271-300 days 0
301-330 days 1
331-360 days 0
360+ days 0

Source: CMS Office of the Actuary (OACT)

Note: The figure includes the 270 managed care capitation rates and capitation rate amendments that CMS approved in calendar year 2016.