Market Research Services

Case Study: Assessing Medicaid and CHIP MCP Network Adequacy

INTRODUCTION

A prominent provider of actuarial and consulting services, collaborated with Axon Advisors to conduct a quantitative research study for the State of Indiana's Medicaid Home and Community Based Services (HCBS) rate methodology and rate setting services. The project aimed to address the complexities of HCBS waivers administered by various divisions of the Indiana Family and Social Services Administration (FSSA).

Challenge or Problem Statement

The State of Indiana faced several challenges in developing and updating rate methodologies for its HCBS programs. These challenges included the need to align rate methodologies across multiple divisions, reduce reliance on provider cost reports to minimize administrative burden, and incorporate value-based purchasing options while ensuring sustainability and transparency.

Solution

Axon Advisors employed a comprehensive provider survey to gather quantitative data essential for informing the prime contractor’s rate setting work. The survey design encompassed various aspects such as service utilization, provider costs, and perspectives on different rate methodologies. Axon Advisors leveraged its expertise to tailor the survey to capture nuanced insights relevant to the State's HCBS programs and address the specific goals outlined by the FSSA.

Implementation

The implementation process involved meticulous planning and coordination between Axon Advisors, the prime contractor, and the relevant stakeholders within the State of Indiana. Customizations were made to the survey instrument to ensure it resonated with the diverse provider landscape and accommodated the State's evolving priorities. Axon Advisors facilitated the administration of the survey, ensuring robust data collection from a representative sample of HCBS providers.

Results and Benefits

The quantitative research study yielded tangible outcomes that significantly informed the development and refinement of HCBS rate methodologies for the State of Indiana. Key benefits derived from the study include:

- Enhanced alignment and transparency: The survey data enabled the State to streamline and standardize rate methodologies across different HCBS waivers, promoting clarity and consistency for providers.

- Improved sustainability: By incorporating alternative sources of information and exploring tiered and bundled rate methodologies, the State achieved greater sustainability in rate setting, ensuring adequate participant access to services while aligning with budgetary constraints.

- Promotion of person-centeredness and value-based purchasing: Insights from the survey informed the adoption of value-based purchasing strategies, aligning financial incentives with HCBS outcomes and fostering person-centered practices within the Medicaid programs.

Overall, the quantitative research study conducted by Axon Advisors facilitated evidence-based decision-making and empowered the State of Indiana to enhance the effectiveness and efficiency of its HCBS rate setting processes.

Market Research Services

Case Study: Assessing Medicaid and CHIP MCP Network Adequacy

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