Medicaid

A joint federal and state program that helps provide health care coverage for people with low incomes and limited resources.

Medicaid Research Support Tools

Date Recorded

This video is one segment in a series of videos from ResDAC’s Introduction to the Use of the Medicaid and CHIP TAF (T-MSIS Analytic File) Data for Research.

Resource topic discussed:

  • Medicaid program descriptions
  • Statistics on the Medicaid program
  • Medicaid Analytic eXtract (MAX) data documentation and support resources
  • TAF (T-MSIS Analytic File) data documentation and support resources
  • Medicaid.gov’s DQ Atlas

Risk Adjustment Using CDPS

Date Recorded

This presentation provides a background on risk adjustment, including the general program and policy goals of risk adjustment, the history of risk adjustment, and an overview of risk adjustment systems. It also goes into detail on one risk adjustment model, the Chronic Illness Disability payment system, and describes how diagnostic and pharmacy based models can be used to measure illness burden and to adjust payments to health plans that enroll Medicaid beneficiaries.

Inter- and Intrastate Variation in Medicaid Expenditures

Date Recorded

This presentation uses MAX data to explore three research questions related to geographic variation in Medicaid expenditures:

  • Does interstate variation in Medicaid spending result primarily from variation in the volume of services or in the price per unit of service?
  • How do inter- and intrastate variation in Medicaid utilization and spending compare to variation in Medicare spending and utilization?
  • Is more health care better for Medicaid beneficiaries?

Selective Review of Variables and Research Issues

Date Recorded

Successful application of MAX data to research questions requires understanding some specific issues regarding the eligibility and utilization data that is presented in the files. Among the specific topics addressed are Medicaid managed care enrollment, emergency department utilization, prenatal care, outpatient care and utility of long term care claims. The emphasis is on the application of MAX data to research study requirements and what limitations may exist.