In developing strategies for quality improvement, access improvement, and cost control it is not only important to set goals, but also to compare current and future performance to existing performance benchmarks. Medicaid organizations should be able to compare their performance to not only what they want to achieve, but also to similar populations with similar initiatives. It is only through this comparison that organizations can truly gauge performance.

JAI has developed a national, integrated Medicare-Medicaid database that incorporates information across dimensions that include financing, patterns of disease, quality of care, and health care outcomes. The database also includes data linkages for dually eligible Medicare-Medicaid populations. Creating these linkages is critical since approximately 25%, of all Medicare service and capitation payments and 54% of all national Medicaid service and capitation payments were for the dually eligible population.

The JAI benchmark study includes:

• Creation of a customized, casemix-adjusted benchmark population based on a national Medicaid population that is reflective of your organization’s mix of patients and diseases;
• A comparison of your performance to the benchmark population, as well as to a national average across the following dimensions and metrics:

• Delivery of a customized databook that includes the study results as well as details of the comparison, as well as the underlying summary databases that were used for this study.

For organizations that require a more detailed and interactive access to the information, JAI offers the Integrated Medicare-Medicaid Reporting System (iMMRS). iMMRS provides on-line, detailed analytics using a powerful user interface. Learn more about iMMRS.

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