Making Plan Data Work: From Collection to Reporting: Understanding How Medicaid Managed Care Data Becomes Actionable Information for States, CMS, and Health Plans
August 26 @ 2:00 pm - 3:30 pm
This webinar follows the journey of managed care encounter data from providers to health plan operational systems through state Medicaid agencies and ultimately to CMS, demonstrating how administrative data are transformed into actionable information used across the Medicaid ecosystem. Participants will gain a practical understanding of what encounter data capture, how CMS evaluates data quality, and the many ways these data support oversight, payment, access monitoring, quality measurement, program integrity, and research. The session will also explore common sources of data quality issues and their significance for broader policy and oversight discussions, highlighting practical ways health plans can link data strategy to policy, operational, and strategic decision-making.
Speakers
Marie Copoulos, Principle Researcher, Mathematica
Julia Baller, Acting Senior Director, Medicaid/Marketplace, Mathematica
