Quality Management and Improvement
The Department’s goal is to improve the health of North Carolinians through an innovative, whole-person centered, and well-coordinated system of care and measurement of quality, which addresses both medical and non-medical drivers of health.
As North Carolina transitions to NC Medicaid Managed Care, the Department will work with Prepaid Health Plans (PHPs) to develop a data-driven, outcomes-based continuous quality improvement process, This will:
- Focus on rigorous outcome measurement compared to relevant targets and benchmarks,
- Promote equity through reduction or elimination of health disparities, and
- Appropriately reward PHPs and, in turn, providers for advancing quality goals and health outcomes.
The Department’s Quality Strategy details Medicaid Managed Care aims, goals and objectives for quality management and improvement and details specific quality improvement (QI) initiatives that are priorities for the Department.
Quality Strategy Updated
The latest versions of the NC Medicaid Managed Care Quality Strategy and Executive Summary are available. The updated strategy now incorporates the quality activities of all managed care plans, including the Behavioral Health Intellectual/Developmental Disability (I/DD) Tailored Plans, the Eastern Band of Cherokee Indians (EBCI) Tribal Option and Community Care of North Carolina.
Quality and Accountability
While the mechanics of reimbursement for health care are changing, the goal of NC Medicaid remains improving beneficiaries’ health and well-being by delivering the right care, in the right place, at the right time. In designing this transition, the Department is committed to leveraging engagement through the managed care program with PHPs and their contracted providers to improve the quality of health care beneficiaries receive.
North Carolina identified targeted quality indicators that will serve as guides for the Department, contracted plans and providers. These performance indicators will be crucial to assess the success of the new approach.
Annual Quality Report
The NC Medicaid Annual Quality report assesses NC Medicaid’s 2016 -2019 performance on quality measures linked to the goals identified in the NC Medicaid Managed Care Quality Strategy. NC Medicaid will work with health plans, Local Management Entities – Managed Care Organizations (LME-MCOs), Primary Care Case Management (PCCM) entities and providers to focus on significant improvements in quality performance year over year.
NC Medicaid Annual Quality Report - December 2020
External Quality Review
The EQR Technical Report is a program-wide detailed technical report summarizing the findings of the annual external quality review and quality of care across all PHPs. It includes an executive summary of the objectives of the EQR as well as a description of the EQR process, including data collection tools, documents requested, offsite and onsite activities, a description of the data reviewed and a summary of findings and conclusions drawn from the data.
Quality Measurement Technical Specifications
This document provides an overview of the Department’s plans for promoting high-quality care through NC Medicaid Managed Care, and updates the information found in the PHP Quality Performance and Accountability Concept Paper. It includes a list of the quality measures intended for use in the early years of the program. The Department will update this document as needed and on an annual basis.
Smarter Spending: Value-Based Purchasing under Managed Care
NC Medicaid will increasingly tie payment to value and will support PHP and provider contracting flexibility that helps providers deliver care in new ways. PHPs will play a critical role in driving forward Medicaid’s Value-Based Purchasing (VBP) goals.
- What are the ASAM Placement Criteria and how could they improve quality and outcomes from addiction treatment?
- What are the challenges and potential unintended consequences of implementing the ASAM criteria and how can they be avoided?
- How can ASAM implementation be monitored and ASAM assessments used to inform needs and network adequacy assessments?