Providing Business Analytics and Data Quality Development for Medicaid and CHIP Business Information Solutions (MACBIS)

Prepared for
U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services
Innovation graphic MACBIS

Medicaid and the Children’s Health Insurance Program (CHIP) are the largest sources of health coverage in the United States and are growing in size and complexity. The Centers for Medicare & Medicaid Services is partnering with states to support innovations that will slow growth in program costs and increase the quality of care provided by these programs. The Medicaid and CHIP Business Information and Solutions initiative is building an infrastructure for robust data analytics, and integrating and aligning federal and state data sources, to support data-driven policy decisions about Medicaid and CHIP policy and programs.

The team is focused on developing tools for advanced data quality detection and dissemination as well as the design and development of data products and analytic reports. The analytic products include dashboards, exploratory analytics, and custom reporting capabilities for self-service business decision making. To support these analytics, the team is conducting stakeholder engagement and training activities with CMS staff. Mathematica is also providing subject matter expertise on data design and management that supports the stakeholder community. In addition, Mathematica is supporting the data analytics for CMS’s Innovation Accelerator Program (IAP), developing methodologies and tools to support several IAP content areas, and the design of the Medicaid and CHIP Scorecard.