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MassHealth Managed Care Reports and Surveys

On this web page you will find the HEDIS, Managed Care Quality Strategy, and MassHealth Patient Experience Survey reports.

MassHealth Managed Care HEDIS® Reports (2016 - 2010)

The annual MassHealth Managed Care HEDIS reports present information on the quality of care provided by the six health plans serving the MassHealth managed care population. This assessment was conducted by the MassHealth Office of Clinical Affairs (OCA), the MassHealth Office of Providers and Plans (OPP), and the MassHealth Office of Behavioral Health (OBH). The data presented in these reports are a subset of the Healthcare Effectiveness Data and Information Set (HEDIS) measures. HEDIS was developed by the National Committee for Quality Assurance (NCQA) and is the most widely used set of standardized performance measures to evaluate and report on the quality of care delivered by health care organizations.

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MassHealth Managed Care HEDIS® Reports (2009 - 2003)

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MassHealth Managed Care Quality Strategy Report

This report is the third revision of the Massachusetts Managed Care Quality Strategy, a strategy required by 42 CFR 438, et seq. The Strategy was first developed in 2006 and updated in 2008 and 2010. This report includes the elements of the Quality Strategy required by CMS, but also includes state specific managed care quality goals and measures.

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MassHealth Statewide Child Survey

This report presents the results of a survey of the experiences of MassHealth families enrolled in primary care and conducted in the spring of 2013. The Patient Experience Survey (PES) was designed and implemented to meet the objectives of a five‐year federally funded Children’s Health Insurance Program Reauthorization Act (CHIPRA) grant awarded in 2010, as well as the objectives of the MassHealth managed care programs and the Primary Care Clinician Plan.

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