This issue brief documents a detailed analysis of the behavioral health organization (BHO) encounter data in the 2009 Medicaid Analytic eXtract files (MAX 2009) and assesses the viability of using these data for research. The initial assessment of the availability, completeness, and quality of...

The Affordable Care Act authorized the Center for Medicare & Medicaid Innovation (CMMI) in the Centers for Medicare & Medicaid Services (CMS) to test innovative health care payment and service delivery models with the potential to lower spending on Medicare, Medicaid, and Children’s...

In Washington State, association health plans operate under different regulations from the traditional insurance market, allowing carriers to separate and select risk. To help assess the relationship between these plans and the community-rated small-group market, this report offers an analysis...

This brief assesses the availability, completeness, and quality of the inpatient and prescription-drug encounter data in the MAX system in order to judge the data's usability.

This study used Medicaid Analytic eXtract (MAX) files to develop national estimates of Medicaid substance abuse (SA) treatment spending, as well as estimates of state spending in 18 states with predominantly fee-for-service coverage of SA treatment. Nationally, medical expenditures to treat SA...

This technical assistance brief explores ways of improving the coordination of these overlapping benefits in the Centers for Medicare & Medicaid Services (CMS) Financial Alignment Initiative’s capitated model demonstrations.

This toolkit provides a practical guide to collecting, validating, and reporting Medicaid managed care encounter data.