Harnessing Medicaid Core Set Reporting to Drive Population Health Analytics and Care Coordination: Lessons from Two States

Beginning in 2024, all states were required to report Medicaid Core Set measures. The CMS Core Sets of Adult, Child, and Home Health Care Quality Measures establish a national standard for Medicaid population health analytics, aiding policy implementation and evaluation, care coordination, and addressing health disparities. To meet these requirements, many states have endeavored to strengthen their analytics capabilities and enhance linkages between administrative systems, implementing a wide range of data interoperability strategies aimed at fostering better collaboration among Medicaid, Public Health, service providers, and community-based organizations. And while many of these collaborations were initially data-focused, they also provide opportunity to enhance cross-sector relationships needed for quality improvement, care coordination and closing gaps in care.

In this session, panelists will explore how two states – Michigan and Virginia – have approached this federal mandate to better serve their members, focusing on:

• Enhancing and automating analytics capabilities for federal Core Set reporting
• Establishing secure data linkages between state health systems
• Implementing programmatic changes, secure data sharing mechanisms, and actionable analytics to drive quality improvement and care coordination

Join us to learn how these states have turned a reporting requirement into a catalyst for improving population health and care outcomes.