Benchmarking and Scoring State Performance. Benchmarks for individual measures will be determined through an analysis of national and State-specific data.
Benchmarking and Scoring State Performance. Benchmarks for individual measures will be determined through an analysis of national and State-specific data. CMS and the State will establish benchmarks for the Demonstration based on the following principles: CMS will set benchmark levels for core measures. Once benchmark levels are set, CMS will provide the State with no less than 30 days to review the benchmark levels, the methodological considerations, and the data supporting any baseline calculations, as provided in a written notice. For State-specific process and Demonstration measures, the State will provide CMS with recommended benchmarks and supporting analysis; the State will provide CMS with no less than 30 days to review the recommended benchmark levels; CMS will approve the final benchmarks for these measures. All benchmarks will consider the population served under the Demonstration, changes in the population, and for measures in which the baseline is set from pre-Demonstration experience, the extent to which pre-Demonstration experience data is reflective of the Demonstration population. Benchmarks will include minimum achievement levels, improvement relative to those levels, or both (i.e., either/or). For claims-based measures, where it is feasible to assess experience prior to the start of the Demonstration, improvement-focused benchmarking will be based on improvement from the pre-Demonstration baseline. For measures for which the baseline cannot be based on pre-Demonstration experience, improvement-focused benchmarking will be based on improvement from the reporting period baseline. For the Patient Activation Measure (XXX), improvement-focused benchmarking will be based on positive average XXX score changes for beneficiaries who were initially least activated. For the homelessness measure (C.4), the benchmark value will be informed by consideration of pre-pandemic values, given the impact of the temporary COVID-related eviction moratorium on rates of homelessness in DY 7 (2020) and DY 8 (2021). Given that the State already has achieved one of the lowest rates of institutional long term care placement in the country, the two long-term services and supports State-specific demonstration measures will allow credit for maintaining or improving performance over time. The State may earn credit on measures in two ways: If the State meets the established benchmark on an individual measure; or If the State meets the established goal for closing the gap between their performance in the 12 months ...
