Completeness and Quality of Data for Children in Medicaid Comprehensive Managed Care Compared to Fee-for-Service, 2001-2019.

ABSTRACT:

Objective

To compare the data in national Medicaid research files for children enrolled in comprehensive managed care (CMC) vs. fee-for-service (FFS).

Study setting and design

This observational study utilized inpatient, other services, and pharmacy files in national Medicaid data from 2001 to 2019. CMC-enrolled children in state-years with ≥ 10% CMC enrollment were compared on several measures to yearly FFS data across all available states. Completeness measures were the proportion with any claim and mean claims per enrollee. Quality measures were the proportion of inpatient and other services claims with primary diagnosis and procedure codes and the proportion of prescription claims with fill dates, National Drug Codes, days supplied, and quantity dispensed. The range of a

SUBMITTER: Lloyd K 

PROVIDER: S-EPMC12636249 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature