KidCare Evaluation

Contractor: University of Florida, ICHP

Agency Contract Number: MED147

Current Contract Period: 7/1/2015 – 6/30/2018

The Vendor shall perform data research, analysis and develop, and submit an evaluation of the efficacy of services provided by the Florida KidCare program.  The evaluation shall include information regarding the parent-reported satisfaction with care that children receive while in the program; access to information regarding health care; performance assessment using Healthcare Effectiveness Data and Information Set (HEDIS) and other measures; racial and ethnic disparities; trends in unmet health care needs for children; analysis of policy changes by the Legislature; and analysis of disenrollment and non-renewals.  As a result of the evaluation, the Vendor shall provide the Agency with results to complete the Medicaid outcomes/performance-based programming budget report, and develop and submit to the Agency an annual evaluation report, which the Agency will provide to the Governor, the House and the Senate pursuant to section 409.8177, Florida Statutes (F.S.).

*Historical KidCare reports are available at the following web address:  http://ichp.ufl.edu/research/recent-reports/

Evaluation of KidCare Program

Sub-Study 1:

Examination of Parent Reported Satisfaction with Care that Children Receive in the KidCare Program

Research Purpose/Question:

The Vendor shall evaluate the parent-reported satisfaction and experiences with care that children receive while in the KidCare Program. Parent reported satisfaction and experiences with care across the KidCare Program components, including Medicaid [Managed Care Organizations (MCO) and Primary Care Case Management (PCCM) (MediPass)], CMSN Title XIX, MediKids, and Healthy Kids.

  1. Yearly comparison of findings to the past five (5) years.

Sub-Study 2:

Assessment of the Quality Performance Measures of the KidCare Program

Research Purpose/Question:

Objective quality measurement is the basis for effective improvement, program monitoring, public reporting, and value-based purchasing efforts.  The purpose of Sub-Study 2 is to evaluate the quality performance of the KidCare program using quality performance measures for children’s health care.  Results from Sub-Study 2 shall provide the Agency with information on the collection and reporting of core quality performance measures.

The Vendor shall assess objective quality performance of the KidCare Program using a selection of measures including the HEDIS, the Agency for Health Care Research and Quality (AHRQ) Prevention Care Indicators (PQIs) for children, and the 3M Health Information System (HIS) software, to assess potentially preventable events including admissions (PPAs), readmissions (PPRs), and emergency department visits (PPVs). Areas to be included in Sub-Study 2 include:

  1. The evaluation of measures of quality across the KidCare Program components, including Medicaid [(MCO and PCCM) (MediPass)], CMSN Title XIX, MediKids, and Healthy Kids. Quality of care measures requiring health care claims and encounter data shall only be calculated for the Medicaid MCOs when the data are of sufficient quality to make the calculations.
  2. The Vendor shall compare the data findings for Sub-Study 2 to findings of the previous five (5) years.

Sub-Study 3:

Analysis of the Administrative KidCare Program Data

Research Purpose/Question:

The Vendor shall analyze the administrative data elements listed below for the KidCare Program.  The Sub-Study 3 analysis shall include an evaluation of application, renewal, and enrollment processes, as well as enrollment and disenrollment patterns. Areas to be analyzed in Sub-Study 3 include:

  1. Monthly application volume across KidCare Program components;
  2. Enrollment trends across KidCare Program components; and
  3. Retention and renewal of KidCare Program coverage.
Key Deliverables
Deliverable / Activity Name Due Date
FY 2015-2016
   Florida KidCare Program Evaluation Final Report State Fiscal Year 2015-2016 12/16/2015
FY 2016-2017
   Florida KidCare Program Evaluation Final Report State Fiscal Year 2016-2017 12/16/2016
FY 2017-2018
   Florida KidCare Program Evaluation Final Report State Fiscal Year 2017-2018 12/16/2017

Agency Contact: Bruce Congleton