Features
stringlengths 48
144
| Comprehensive MCO with or without MLTSS
int64 18
73
| PCCM
int64 0
5
| PCCM Entity
int64 0
4
| MLTSS
int64 0
4
| BHO (PIHP and/or PAHP)
int64 0
13
| Dental
int64 0
11
| Transportation
int64 0
3
| Other PHP
int64 0
3
| PACE
int64 0
4
| Year
int64 2.02k
2.02k
|
|---|---|---|---|---|---|---|---|---|---|---|
Quality Assurance and Data Collection: HEDIS data required
| 70
| 4
| 2
| 1
| 12
| 5
| 0
| 3
| 3
| 2,016
|
Quality Assurance and Data Collection: CAHPS data required
| 66
| 5
| 2
| 1
| 5
| 7
| 1
| 2
| 1
| 2,016
|
Quality Assurance and Data Collection: Accreditation required
| 39
| 2
| 0
| 2
| 10
| 0
| 0
| 1
| 1
| 2,016
|
Quality Assurance and Data Collection: EQRO contractor used
| 73
| 3
| 1
| 3
| 13
| 2
| 0
| 2
| 4
| 2,016
|
Performance incentives: Payment bonuses/differentials to reward MCOs
| 31
| 3
| 1
| 3
| 4
| 3
| 2
| 1
| 1
| 2,016
|
Performance incentives: Preferential auto-enrollment to reward MCOs
| 18
| 0
| 0
| 1
| 0
| 0
| 0
| 0
| 0
| 2,016
|
Performance incentives: Public reports comparing MCO performance on key metrics
| 37
| 2
| 1
| 1
| 3
| 3
| 1
| 0
| 0
| 2,016
|
Performance incentives: Withholds tied to performance metrics
| 29
| 0
| 1
| 2
| 3
| 4
| 0
| 1
| 0
| 2,016
|
Performance incentives: MCOs/PHPs required or encouraged to pay providers for value/quality outcomes using shared-risk or shared-savings methods
| 26
| 0
| 0
| 1
| 1
| 1
| 0
| 0
| 0
| 2,016
|
Quality Assurance and Data Collection: HEDIS data required
| 71
| 4
| 2
| 1
| 9
| 6
| 0
| 3
| 3
| 2,017
|
Quality Assurance and Data Collection: CAHPS data required
| 67
| 4
| 2
| 1
| 4
| 7
| 1
| 2
| 1
| 2,017
|
Quality Assurance and Data Collection: Accreditation required
| 39
| 1
| 0
| 2
| 9
| 1
| 0
| 1
| 1
| 2,017
|
Quality Assurance and Data Collection: EQRO contractor used
| 73
| 3
| 1
| 4
| 9
| 3
| 1
| 3
| 2
| 2,017
|
Performance incentives: Payment bonuses/differentials to reward MCOs
| 33
| 3
| 1
| 3
| 4
| 3
| 2
| 1
| 2
| 2,017
|
Performance incentives: Preferential auto-enrollment to reward MCOs
| 19
| 0
| 0
| 1
| 0
| 0
| 0
| 0
| 0
| 2,017
|
Performance incentives: Public reports comparing MCO performance on key metrics
| 43
| 2
| 1
| 1
| 3
| 2
| 1
| 0
| 1
| 2,017
|
Performance incentives: Withholds tied to performance metrics
| 32
| 1
| 1
| 2
| 2
| 5
| 0
| 1
| 0
| 2,017
|
Performance incentives: MCOs/PHPs required or encouraged to pay providers for value/quality outcomes using shared-risk or shared-savings methods
| 43
| 0
| 0
| 1
| 1
| 1
| 0
| 0
| 0
| 2,017
|
Quality Assurance and Data Collection: HEDIS data required
| 68
| 3
| 2
| 1
| 8
| 9
| 0
| 3
| 2
| 2,018
|
Quality Assurance and Data Collection: CAHPS data required
| 66
| 3
| 2
| 1
| 4
| 10
| 0
| 3
| 1
| 2,018
|
Quality Assurance and Data Collection: Accreditation required
| 39
| 0
| 0
| 2
| 8
| 4
| 0
| 1
| 1
| 2,018
|
Quality Assurance and Data Collection: EQRO contractor used
| 71
| 3
| 2
| 4
| 9
| 7
| 1
| 3
| 2
| 2,018
|
Performance incentives: Payment bonuses/differentials to reward MCOs
| 30
| 2
| 1
| 3
| 4
| 1
| 2
| 1
| 1
| 2,018
|
Performance incentives: Preferential auto-enrollment to reward MCOs
| 20
| 0
| 0
| 1
| 0
| 0
| 0
| 0
| 0
| 2,018
|
Performance incentives: Public reports comparing MCO performance on key metrics
| 42
| 2
| 2
| 1
| 4
| 5
| 1
| 0
| 0
| 2,018
|
Performance incentives: Withholds tied to performance metrics
| 35
| 1
| 2
| 2
| 3
| 4
| 0
| 1
| 0
| 2,018
|
Performance incentives: MCOs/PHPs required or encouraged to pay providers for value/quality outcomes using shared-risk or shared-savings methods
| 45
| 0
| 2
| 1
| 3
| 5
| 0
| 0
| 0
| 2,018
|
Quality Assurance and Data Collection: HEDIS data required
| 68
| 2
| 3
| 1
| 8
| 8
| 0
| 2
| 2
| 2,019
|
Quality Assurance and Data Collection: CAHPS data required
| 66
| 4
| 2
| 2
| 5
| 10
| 0
| 2
| 1
| 2,019
|
Quality Assurance and Data Collection: Accreditation required
| 41
| 1
| 0
| 2
| 7
| 3
| 1
| 0
| 1
| 2,019
|
Quality Assurance and Data Collection: EQRO contractor used
| 72
| 2
| 3
| 3
| 9
| 7
| 1
| 2
| 2
| 2,019
|
Performance incentives: Payment bonuses/differentials to reward MCOs
| 31
| 1
| 2
| 3
| 3
| 1
| 1
| 0
| 1
| 2,019
|
Performance incentives: Preferential auto-enrollment to reward MCOs
| 19
| 0
| 0
| 1
| 0
| 2
| 0
| 0
| 0
| 2,019
|
Performance incentives: Public reports comparing MCO performance on key metrics
| 49
| 1
| 3
| 1
| 4
| 6
| 2
| 0
| 1
| 2,019
|
Performance incentives: Withholds tied to performance metrics
| 38
| 0
| 2
| 2
| 3
| 6
| 2
| 0
| 0
| 2,019
|
Performance incentives: MCOs/PHPs required or encouraged to pay providers for value/quality outcomes using shared-risk or shared-savings methods
| 49
| 0
| 2
| 1
| 3
| 6
| 1
| 0
| 1
| 2,019
|
Quality Assurance and Data Collection: HEDIS data required
| 69
| 2
| 3
| 2
| 7
| 8
| 0
| 1
| 1
| 2,020
|
Quality Assurance and Data Collection: CAHPS data required
| 67
| 1
| 2
| 2
| 4
| 10
| 0
| 0
| 1
| 2,020
|
Quality Assurance and Data Collection: Accreditation required
| 41
| 2
| 0
| 2
| 6
| 4
| 1
| 0
| 1
| 2,020
|
Quality Assurance and Data Collection: EQRO contractor used
| 69
| 3
| 3
| 4
| 8
| 8
| 0
| 2
| 2
| 2,020
|
Performance incentives: Payment bonuses/differentials to reward MCOs
| 33
| 2
| 3
| 3
| 3
| 1
| 3
| 0
| 1
| 2,020
|
Performance incentives: Preferential auto-enrollment to reward MCOs
| 22
| 0
| 0
| 2
| 0
| 1
| 0
| 0
| 0
| 2,020
|
Performance incentives: Public reports comparing MCO performance on key metrics
| 50
| 1
| 3
| 2
| 5
| 5
| 2
| 0
| 1
| 2,020
|
Performance incentives: Withholds tied to performance metrics
| 43
| 0
| 3
| 2
| 3
| 5
| 1
| 0
| 0
| 2,020
|
Performance incentives: MCOs/PHPs required or encouraged to pay providers for value/quality outcomes using shared-risk or shared-savings methods
| 49
| 0
| 2
| 1
| 3
| 5
| 0
| 0
| 1
| 2,020
|
Quality Assurance and Data Collection: HEDIS data required
| 69
| 2
| 3
| 2
| 7
| 8
| 0
| 1
| 1
| 2,021
|
Quality Assurance and Data Collection: CAHPS data required
| 67
| 1
| 2
| 2
| 4
| 10
| 0
| 0
| 1
| 2,021
|
Quality Assurance and Data Collection: Accreditation required
| 41
| 2
| 0
| 2
| 6
| 4
| 1
| 0
| 1
| 2,021
|
Quality Assurance and Data Collection: EQRO contractor used
| 69
| 3
| 3
| 4
| 8
| 8
| 0
| 2
| 2
| 2,021
|
Performance incentives: Payment bonuses/differentials to reward MCOs
| 33
| 2
| 3
| 3
| 3
| 1
| 3
| 0
| 1
| 2,021
|
Performance incentives: Preferential auto-enrollment to reward MCOs
| 22
| 0
| 0
| 2
| 0
| 1
| 0
| 0
| 0
| 2,021
|
Performance incentives: Public reports comparing MCO performance on key metrics
| 50
| 1
| 3
| 2
| 5
| 5
| 2
| 0
| 1
| 2,021
|
Performance incentives: Withholds tied to performance metrics
| 43
| 0
| 3
| 2
| 3
| 5
| 1
| 0
| 0
| 2,021
|
Performance incentives: MCOs/PHPs required or encouraged to pay providers for value/quality outcomes using shared-risk or shared-savings methods
| 49
| 0
| 2
| 1
| 3
| 5
| 0
| 0
| 1
| 2,021
|
Quality and Data Collection: HEDIS data required
| 73
| 4
| 4
| 1
| 8
| 8
| 0
| 1
| 1
| 2,022
|
Quality and Data Collection: CAHPS data required
| 71
| 2
| 3
| 1
| 5
| 10
| 0
| 0
| 1
| 2,022
|
Quality and Data Collection: Accreditation required
| 50
| 3
| 0
| 0
| 7
| 6
| 1
| 0
| 0
| 2,022
|
Quality and Data Collection: EQRO contractor used
| 72
| 1
| 3
| 3
| 9
| 11
| 0
| 2
| 2
| 2,022
|
Performance Incentives: Payment bonuses/differentials to reward MCOs
| 41
| 4
| 3
| 3
| 4
| 2
| 0
| 0
| 1
| 2,022
|
Performance Incentives:Preferential auto-enrollment to reward MCOs
| 31
| 0
| 0
| 2
| 1
| 1
| 0
| 0
| 0
| 2,022
|
Performance Incentives: Public reports comparing MCO performance on key metrics
| 55
| 2
| 3
| 2
| 6
| 5
| 1
| 0
| 1
| 2,022
|
Performance Incentives: Withholds tied to performance metrics
| 43
| 1
| 3
| 2
| 4
| 7
| 1
| 0
| 0
| 2,022
|
Performance Incentives: MCOs/PHPs required or encouraged to pay providers for value/quality outcomes using shared-risk or shared-savings methods
| 62
| 1
| 2
| 1
| 4
| 6
| 0
| 0
| 1
| 2,022
|
Managed Care Features by QA and Performance Incentive
Description
Number of Managed Care Program Types, by Quality Assurance Requirements, Performance Incentives, and Provider Value-Based Purchasing Status, at any point in 2022
Dataset Details
- Publisher: Centers for Medicare & Medicaid Services
- Last Modified: 2024-10-16
- Contact: Medicaid.gov (Medicaid.gov@cms.hhs.gov)
Source
Original data can be found at: https://healthdata.gov/d/5wmq-82nv
Usage
You can load this dataset using:
from datasets import load_dataset
dataset = load_dataset('HHS-Official/managed-care-features-by-qa-and-performance-incent')
License
This dataset is licensed under https://www.usa.gov/government-works
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