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Medicaid MCO Performance On HEDIS Measures Lower Than Commercial Health Plan Performance

News | April 13, 2015

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In 2013, Medicaid managed care organizations (MCOs) median performance on the 16 Healthcare Effectiveness Data and Information Set (HEDIS) measures included in the federal Medicaid Adult Core Set of 26 quality measures lagged behind commercial health plan median performance. For four measures, Medicaid MCO median performance was 10 or more percentage points lower than commercial…

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