Total Medicaid Enrollees - VIII Group Break Out Report Reported on the CMS-64 The enrollment information is a state-reported count of unduplicated individuals enrolled in the state’s Medicaid program at any time during each month in the quarterly reporting period. The enrollment data identifies the total number of Medicaid enrollees and, for states that have expanded Medicaid, provides specific counts for the number of individuals enrolled in the new adult eligibility group, also referred to as the “VIII Group”. The VIII Group is only applicable for states that have expanded their Medicaid programs by adopting the VIII Group. This data includes state-by-state data for this population as well as a count of individuals whom the state has determined are newly eligible for Medicaid. All 50 states, the District of Columbia and the US territories are represented in these data. Notes: 1. “VIII GROUP” is also known as the “New Adult Group.” 2. The VIII Group is only applicable for states that have expanded their Medicaid programs by adopting the VIII Group. VIII Group enrollment information for the states that have not expanded their Medicaid program is noted as “N/A.”

The All CMS Data Feeds dataset is an expansive resource offering access to 118 unique report feeds, providing in-depth insights into various aspects of the U.S. healthcare system. With over 25.8 billion rows of data meticulously collected since 2007, this dataset is invaluable for healthcare professionals, analysts, researchers, and businesses seeking to understand and analyze healthcare trends, performance metrics, and demographic shifts over time. The dataset is updated monthly, ensuring that users always have access to the most current and relevant data available.

Dataset Overview:

118 Report Feeds: - The dataset includes a wide array of report feeds, each providing unique insights into different dimensions of healthcare. These topics range from Medicare and Medicaid service metrics, patient demographics, provider information, financial data, and much more. The breadth of information ensures that users can find relevant data for nearly any healthcare-related analysis. - As CMS releases new report feeds, they are automatically added to this dataset, keeping it current and expanding its utility for users.

25.8 Billion Rows of Data:

• With over 25.8 billion rows of data, this dataset provides a comprehensive view of the U.S. healthcare system. This extensive volume of data allows for granular analysis, enabling users to uncover insights that might be missed in smaller datasets. The data is also meticulously cleaned and aligned, ensuring accuracy and ease of use.

Historical Data Since 2007: - The dataset spans from 2007 to the present, offering a rich historical perspective that is essential for tracking long-term trends and changes in healthcare delivery, policy impacts, and patient outcomes. This historical data is particularly valuable for conducting longitudinal studies and evaluating the effects of various healthcare interventions over time.

Monthly Updates:

• To ensure that users have access to the most current information, the dataset is updated monthly. These updates include new reports as well as revisions to existing data, making the dataset a continuously evolving resource that stays relevant and accurate.

Data Sourced from CMS:

• The data in this dataset is sourced directly from the Centers for Medicare & Medicaid Services (CMS). After collection, the data is meticulously cleaned and its attributes are aligned, ensuring consistency, accuracy, and ease of use for any application. Furthermore, any new updates or releases from CMS are automatically integrated into the dataset, keeping it comprehensive and current.

Use Cases:

Market Analysis:

• The dataset is ideal for market analysts who need to understand the dynamics of the healthcare industry. The extensive historical data allows for detailed segmentation and analysis, helping users identify trends, market shifts, and growth opportunities. The comprehensive nature of the data enables users to perform in-depth analyses of specific market segments, making it a valuable tool for strategic decision-making.

Healthcare Research:

• Researchers will find the All CMS Data Feeds dataset to be a robust foundation for academic and commercial research. The historical data, combined with the breadth of coverage across various healthcare metrics, supports rigorous, in-depth analysis. Researchers can explore the effects of healthcare policies, study patient outcomes, analyze provider performance, and more, all within a single, comprehensive dataset.

Performance Tracking:

• Healthcare providers and organizations can use the dataset to track performance metrics over time. By comparing data across different periods, organizations can identify areas for improvement, monitor the effectiveness of initiatives, and ensure compliance with regulatory standards. The dataset provides the detailed, reliable data needed to track and analyze key performance indicators.

Compliance and Regulatory Reporting:

• The dataset is also an essential tool for compliance officers and those involved in regulatory reporting. With detailed data on provider performance, patient outcomes, and healthcare utilization, the dataset helps organizations meet regulatory requirements, prepare for audits, and ensure adherence to best practices. The accuracy and comprehensiveness of the data make it a trusted resource for regulatory compliance.

Data Quality and Reliability:

The All CMS Data Feeds dataset is designed with a strong emphasis on data quality and reliability. Each row of data is meticulously cleaned and aligned, ensuring that it is both accurate and consistent. This attention to detail makes the dataset a trusted resource for high-stakes applications, where data quality is critical.

Integration and Usability:

Ease of Integration:

• The dataset is provided in a CSV format, which is widely compatible with most data analysis tools and platforms. This ensures that users can easily integrate the data into their existing wo...

The New York State Department of Health (NYS DOH) shares de-identified and aggregated metrics on the NYS Medicaid program through the Health Data NY catalog and as summary statistics on DOH website. Datasets vary by subject/scope, unit of analysis, years of data collection, and update frequency. Publicly-available datasets in the Health Data NY catalog address topics including:

• Medicaid Program Enrollment Rates and Demographics
• Health Home Quality and Utilization
• Inpatient Admissions and Emergency Room Visits
• Incentive Payments
• Inpatient Potentially Preventable Readmission (PPR) Rates
• Newborn Low Birth Weight Rates
• Pediatric and Adult Discharge Quality Indicators
• Potentially Preventable Emergency Visit (PPV) Rates
• Potentially Avoidable Antibiotic Prescribing Rates

For a fee, researchers at NYU Langone Health may acquire NYS Medicaid claims data by submitting a study proposal to the Health Evaluation and Analytics Lab (HEAL). For more information, click on the link to the NYS Medicaid Claims File under the Related Datasets section or search for the NYS Medicaid Claims File in the NYU Data Catalog.

Major Eligibility Group Information for Medicaid and CHIP Beneficiaries by Year

  Description

This data set presents annual enrollment counts of Medicaid and CHIP beneficiaries by major eligibility group (children, adult expansion group, adult, aged, persons with disabilities, or COVID newly-eligible). There are three metrics presented: (1) the number of beneficiaries ever enrolled in each major eligibility group over the year (duplicated count); (2) the number of… See the full description on the dataset page: https://huggingface.co/datasets/HHS-Official/major-eligibility-group-information-for-medicaid-a.

The All CMS Data Feeds dataset is an expansive resource offering access to 118 unique report feeds, providing in-depth insights into various aspects of the U.S. healthcare system. With over 25.8 billion rows of data meticulously collected since 2007, this dataset is invaluable for healthcare professionals, analysts, researchers, and businesses seeking to understand and analyze healthcare trends, performance metrics, and demographic shifts over time. The dataset is updated monthly, ensuring that users always have access to the most current and relevant data available.

Dataset Overview:

118 Report Feeds: - The dataset includes a wide array of report feeds, each providing unique insights into different dimensions of healthcare. These topics range from Medicare and Medicaid service metrics, patient demographics, provider information, financial data, and much more. The breadth of information ensures that users can find relevant data for nearly any healthcare-related analysis. - As CMS releases new report feeds, they are automatically added to this dataset, keeping it current and expanding its utility for users.

25.8 Billion Rows of Data:

• With over 25.8 billion rows of data, this dataset provides a comprehensive view of the U.S. healthcare system. This extensive volume of data allows for granular analysis, enabling users to uncover insights that might be missed in smaller datasets. The data is also meticulously cleaned and aligned, ensuring accuracy and ease of use.

Historical Data Since 2007: - The dataset spans from 2007 to the present, offering a rich historical perspective that is essential for tracking long-term trends and changes in healthcare delivery, policy impacts, and patient outcomes. This historical data is particularly valuable for conducting longitudinal studies and evaluating the effects of various healthcare interventions over time.

Monthly Updates:

• To ensure that users have access to the most current information, the dataset is updated monthly. These updates include new reports as well as revisions to existing data, making the dataset a continuously evolving resource that stays relevant and accurate.

Data Sourced from CMS:

• The data in this dataset is sourced directly from the Centers for Medicare & Medicaid Services (CMS). After collection, the data is meticulously cleaned and its attributes are aligned, ensuring consistency, accuracy, and ease of use for any application. Furthermore, any new updates or releases from CMS are automatically integrated into the dataset, keeping it comprehensive and current.

Use Cases:

Market Analysis:

• The dataset is ideal for market analysts who need to understand the dynamics of the healthcare industry. The extensive historical data allows for detailed segmentation and analysis, helping users identify trends, market shifts, and growth opportunities. The comprehensive nature of the data enables users to perform in-depth analyses of specific market segments, making it a valuable tool for strategic decision-making.

Healthcare Research:

• Researchers will find the All CMS Data Feeds dataset to be a robust foundation for academic and commercial research. The historical data, combined with the breadth of coverage across various healthcare metrics, supports rigorous, in-depth analysis. Researchers can explore the effects of healthcare policies, study patient outcomes, analyze provider performance, and more, all within a single, comprehensive dataset.

Performance Tracking:

• Healthcare providers and organizations can use the dataset to track performance metrics over time. By comparing data across different periods, organizations can identify areas for improvement, monitor the effectiveness of initiatives, and ensure compliance with regulatory standards. The dataset provides the detailed, reliable data needed to track and analyze key performance indicators.

Compliance and Regulatory Reporting:

• The dataset is also an essential tool for compliance officers and those involved in regulatory reporting. With detailed data on provider performance, patient outcomes, and healthcare utilization, the dataset helps organizations meet regulatory requirements, prepare for audits, and ensure adherence to best practices. The accuracy and comprehensiveness of the data make it a trusted resource for regulatory compliance.

Data Quality and Reliability:

The All CMS Data Feeds dataset is designed with a strong emphasis on data quality and reliability. Each row of data is meticulously cleaned and aligned, ensuring that it is both accurate and consistent. This attention to detail makes the dataset a trusted resource for high-stakes applications, where data quality is critical.

Integration and Usability:

Ease of Integration:

• The dataset is provided in a CSV format, which is widely compatible with most data analysis tools and platforms. This ensures that users can easily integrate the data into their existing wo...

This data set includes annual counts and percentages of Medicaid enrollees who are eligible for benefits based on disability, overall; by reason for qualification of disability benefits; and by four subpopulation topics: age group, dual eligibility status, race and ethnicity, and managed care participation. These results were generated using Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF) Release 1 data and the Race/Ethnicity Imputation Companion File. This data set includes Medicaid enrollees in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands who were enrolled for at least one day in the calendar year, except where otherwise noted. Enrollees in Guam, American Samoa, and the Northern Mariana Islands are not included. The Children’s Health Insurance Program (CHIP) does not confer eligibility based on disability, so Medicaid expansion CHIP (M-CHIP) and separate CHIP (S-CHIP) enrollees are not included. Results shown for the race and ethnicity subpopulation topic exclude enrollees in the U.S. Virgin Islands. Results shown for the dual eligibility, race and ethnicity, and managed care participation subpopulation topics are restricted to working-age adults (ages 19 to 64) with comprehensive Medicaid benefits. Some rows in the data set have a value of "DS," which indicates that data were suppressed according to the Centers for Medicare & Medicaid Services’ Cell Suppression Policy for values between 1 and 10. This data set is based on the brief: "Medicaid enrollees who qualify for benefits based on disability in 2020." Enrollees are assigned to a disability category based on their latest reported eligibility group code and age in the calendar year. Enrollees are assigned to an age group subpopulation using age as of December 31st of the calendar year. Enrollees are assigned to a dual eligibility status subpopulation based on the dual eligibility code that applies to the majority of their enrolled-months during the year (Dual Eligibility Code). Enrollees are assigned to a race and ethnicity subpopulation using the state-reported race and ethnicity information in TAF when it is available and of good quality; if it is missing or unreliable, race and ethnicity is indirectly estimated using an enhanced version of Bayesian Improved Surname Geocoding (BISG) (Race and ethnicity of the national Medicaid and CHIP population in 2020). Enrollees are assigned to a managed care participation subpopulation based on the managed care plan type code that applies to the majority of their enrolled-months during the year (Enrollment in CMC Plans). Please refer to the full brief for additional context about the methodology and detailed findings. Future updates to this data set will include more recent data years as the TAF data become available.

This table represents details of Medicaid income levels (ages 65 and up). Medicaid provides free health insurance for low-income older adults. Eligible adults receive their medical care through a managed care plan or fee-for-service. While ones application is being processed, Medicaid may provide up to 90 days of retroactive coverage for unpaid medical bills, if the individual is eligible during those 90 days.

This data set includes annual counts and percentages of Medicaid and Children’s Health Insurance Program (CHIP) enrollees by urban or rural residence. Results are shown overall; by state; and by four subpopulation topics: scope of Medicaid and CHIP benefits, race and ethnicity, disability-related eligibility category, and managed care participation. These results were generated using Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF) Release 1 data and the Race/Ethnicity Imputation Companion File. This data set includes Medicaid and CHIP enrollees in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands who were enrolled for at least one day in the calendar year, except where otherwise noted. Enrollees in Guam, American Samoa, and the Northern Mariana Islands are not included. Results shown overall (where subpopulation topic is "Total enrollees") and for the race and ethnicity subpopulation topic exclude enrollees in the U.S. Virgin Islands. Results shown for the race and ethnicity, disability category, and managed care participation subpopulation topics only include Medicaid and CHIP enrollees with comprehensive benefits. Results shown for the disability category subpopulation topic only include working-age adults (ages 19 to 64). Results for states with TAF data quality issues in the year have a value of "Unusable data." Some rows in the data set have a value of "DS," which indicates that data were suppressed according to the Centers for Medicare & Medicaid Services’ Cell Suppression Policy for values between 1 and 10. This data set is based on the brief: "Rural Medicaid and CHIP enrollees in 2020." Enrollees are assigned to an urban or rural category based on the 2010 Rural-Urban Commuting Area (RUCA) code associated with their home or mailing address ZIP code in TAF. Enrollees are assigned to the comprehensive benefits or limited benefits subpopulation according to the criteria in the "Identifying Beneficiaries with Full-Scope, Comprehensive, and Limited Benefits in the TAF" DQ Atlas brief. Enrollees are assigned to a race and ethnicity subpopulation using the state-reported race and ethnicity information in TAF when it is available and of good quality; if it is missing or unreliable, race and ethnicity is indirectly estimated using an enhanced version of Bayesian Improved Surname Geocoding (BISG) (Race and ethnicity of the national Medicaid and CHIP population in 2020). Enrollees are assigned to a disability category subpopulation using their latest reported eligibility group code and age in the year (Medicaid enrollees who qualify for benefits based on disability in 2020). Enrollees are assigned to a managed care participation subpopulation based on the managed care plan type code that applies to the majority of their enrolled-months during the year (Enrollment in CMC Plans). Please refer to the full brief for additional context about the methodology and detailed findings. Future updates to this data set will include more recent data years as the TAF data become available.

Analysis of ‘Managed Care Enrollment Summary’ provided by Analyst-2 (analyst-2.ai), based on source dataset retrieved from https://catalog.data.gov/dataset/730ae026-2760-41fb-b423-6a55a1eb54c3 on 26 January 2022.

--- Dataset description provided by original source is as follows ---

The Medicaid Managed Care Enrollment Report profiles enrollment statistics on Medicaid managed care programs on a plan-specific level. The managed care enrollment statistics include enrollees receiving comprehensive benefits and limited benefits and are point-in-time counts.

1. Total Medicaid Enrollees represents an unduplicated count of all beneficiaries in FFS and any type of managed care, including Medicaid-only and Medicare-Medicaid ("dual") enrollees.
2. Total Medicaid enrollment in Any Type of Managed Care represents an unduplicated count of beneficiaries enrolled in any Medicaid managed care program, including comprehensive MCOs, limited benefit MCOs, and PCCMs.
3. Medicaid Enrollment in Comprehensive Managed Care represents an unduplicated count of Medicaid beneficiaries enrolled in a managed care plan that provides comprehensive benefits (acute, primary care, specialty, and any other), as well as PACE programs. It excludes beneficiaries who are enrolled in a Financial Alignment Initiative Medicare-Medicaid Plan as their only form of managed care.
4. Medicaid Newly Eligible Adults Enrolled in Comprehensive MCOs represents individuals who are enrolled in comprehensive MCOs and are low-income adults, with or without dependent children, newly eligible for Medicaid under ACA Section VIII, and not covered under a waiver or other authority prior to 2014.

--- Original source retains full ownership of the source dataset ---

Performance rates on frequently reported health care quality measures in the CMS Medicaid/CHIP Child and Adult Core Sets, for FFY 2014 reporting. Dataset contains both child and adult measures. Source: Mathematica analysis of FFY 2014 Child and Adult CARTS reports as of May 8, 2015, as published in the 2015 Secretary's Reports on the Quality of Care in Medicaid/CHIP.

The Medicaid Managed Care Enrollment Report profiles enrollment statistics on Medicaid managed care programs on a plan-specific level. The managed care enrollment statistics include enrollees receiving comprehensive benefits and limited benefits and are point-in-time counts. Total Medicaid Enrollees represents an unduplicated count of all beneficiaries in FFS and any type of managed care, including Medicaid-only and Medicare-Medicaid ("dual") enrollees. Total Medicaid enrollment in Any Type of Managed Care represents an unduplicated count of beneficiaries enrolled in any Medicaid managed care program, including comprehensive MCOs, limited benefit MCOs, and PCCMs. The “Medicaid Enrollment in Comprehensive Managed Care” column represents an unduplicated count of Medicaid beneficiaries enrolled in a managed care plan that provides comprehensive benefits (acute, primary care, specialty, and any other), or PACE program. It excludes beneficiaries who are enrolled in a Financial Alignment Demonstration Medicare-Medicaid Plan as their only form of managed care. The “Medicaid Enrollment in Comprehensive MCOs Under ACA Section VIII Expansion” column is a subset of the total reported in column C and includes individuals who are enrolled in comprehensive MCOs and are low-income adults, with or without dependent children, eligible for Medicaid under ACA Section VIII. n/a" indicates that a state or territory was either not able to report data or does not operate a managed care program.

Abstract (en): In 2008, a group of uninsured low-income adults in Oregon was selected by lottery to be given the chance to apply for Medicaid. This lottery provides an opportunity to gauge the effects of expanding access to public health insurance on the health care use, financial strain, and health of low-income adults using a randomized controlled design. The Oregon Health Insurance Experiment follows and compares those selected in the lottery (treatment group) with those not selected (control group). The data collected and provided here include data from in-person interviews, three mail surveys, emergency department records, and administrative records on Medicaid enrollment, the initial lottery sign-up list, welfare benefits, and mortality. This data collection has seven data files: Dataset 1 contains administrative data on the lottery from the state of Oregon. These data include demographic characteristics that were recorded when individuals signed up for the lottery, date of lottery draw, and information on who was selected for the lottery, applied for the lotteried Medicaid plan if selected, and whose application for the lotteried plan was approved. Also included are Oregon mortality data for 2008 and 2009. Dataset 2 contains information from the state of Oregon on the individuals' participation in Medicaid, Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance to Needy Families (TANF). Datasets 3-5 contain the data from the initial, six month, and 12 month mail surveys, respectively. Topics covered by the surveys include demographic characteristics; health insurance, access to health care and health care utilization; health care needs, experiences, and costs; overall health status and changes in health; and depression and medical conditions and use of medications to treat them. Dataset 6 contains an analysis subset of the variables from the in-person interviews. Topics covered by the survey questionnaire include overall health, health insurance coverage, health care access, health care utilization, conditions and treatments, health behaviors, medical and dental costs, and demographic characteristics. The interviewers also obtained blood pressure and anthropometric measurements and collected dried blood spots to measure levels of cholesterol, glycated hemoglobin and C-reactive protein. Dataset 7 contains an analysis subset of the variables the study obtained for all emergency department (ED) visits to twelve hospitals in the Portland area during 2007-2009. These variables capture total hospital costs, ED costs, and the number of ED visits categorized by time of the visit (daytime weekday or nighttime and weekends), necessity of the visit (emergent, ED care needed, non-preventable; emergent, ED care needed, preventable; emergent, primary care treatable), ambulatory case sensitive status, whether or not the patient was hospitalized, and the reason for the visit (e.g., injury, abdominal pain, chest pain, headache, and mental disorders). The collection also includes a ZIP archive (Dataset 8) with Stata programs that replicate analyses reported in three articles by the principal investigators and others: Finkelstein, Amy et al "The Oregon Health Insurance Experiment: Evidence from the First Year". The Quarterly Journal of Economics. August 2012. Vol 127(3). Baicker, Katherine et al "The Oregon Experiment - Effects of Medicaid on Clinical Outcomes". New England Journal of Medicine. 2 May 2013. Vol 368(18). Taubman, Sarah et al "Medicaid Increases Emergency Department Use: Evidence from Oregon's Health Insurance Experiment". Science. 2 Jan 2014. ICPSR data undergo a confidentiality review and are altered when necessary to limit the risk of disclosure. ICPSR also routinely creates ready-to-go data files along with setups in the major statistical software formats as well as standard codebooks to accompany the data. In addition to these procedures, ICPSR performed the following processing steps for this data collection: Checked for undocumented or out-of-range codes.. Presence of Common Scales: Patient Health Questionnaire-9 (PHQ-9) Total Severity Score SF-8 Health Survey Physical Component Score SF-8 Health Survey Mental Component Score Framingham Risk Score Response Rates: For the mail surveys, the response rates were 45 percent for the initial survey, 49 percent for the six month survey, and 41 percent for the 12 month survey. For the in-person survey the response rate was 59 percent. The individu...

Analysis of ‘2014 Child and Adult Health Care Quality Measures’ provided by Analyst-2 (analyst-2.ai), based on source dataset retrieved from https://catalog.data.gov/dataset/998a13d9-d1cc-4f5f-9999-6be81de62f1b on 26 January 2022.

--- Dataset description provided by original source is as follows ---

Performance rates on frequently reported health care quality measures in the CMS Medicaid/CHIP Child and Adult Core Sets, for FFY 2014 reporting. Dataset contains both child and adult measures. Source: Mathematica analysis of FFY 2014 Child and Adult CARTS reports as of May 8, 2015, as published in the 2015 Secretary's Reports on the Quality of Care in Medicaid/CHIP.

--- Original source retains full ownership of the source dataset ---

This layer shows the market potential for an adult to carry medical/hospital/accident insurance in the U.S. in 2016 in a multiscale map (by country, state, county, ZIP Code, tract, and block group). The pop-up is configured to include the following information for each geography level:Market Potential Index and count of adults expected to carry medical/hospital/accident insuranceMarket Potential Index and count of adults expected to carry different types of medical insurance (HMO, PPO, etc)Market Potential Index and count of adults expected to carry insurance from various sources (Medicare, place of work, etc)Esri's 2016 Market Potential (MPI) data measures the likely demand for a product or service in an area. The database includes an expected number of consumers and a Market Potential Index (MPI) for each product or service. An MPI compares the demand for a specific product or service in an area with the national demand for that product or service. The MPI values at the US level are 100, representing average demand for the country. A value of more than 100 represents higher demand than the national average, and a value of less than 100 represents lower demand than the national average. For example, an index of 120 implies that demand in the area is 20 percent higher than the US average; an index of 80 implies that demand is 20 percent lower than the US average. See Market Potential database to view the methodology statement and complete variable list.Esri's Financial & Insurance Data Collection includes data that measures the likely demand for financial and insurance products and services, including health insurance. The database includes an expected number of consumers and a Market Potential Index (MPI) for each product, activity, or service. See the United States Data Browser to view complete variable lists for each Esri demographics collection.Additional Esri Resources:U.S. 2016/2021 Esri Updated DemographicsEssential demographic vocabularyEsri's arcgis.com demographic map layers

For detailed information, visit the Tucson Equity Priority Index StoryMap.Download the layer's data dictionaryNote: This layer is symbolized to display the percentile distribution of the Limited Resources Sub-Index. However, it includes all data for each indicator and sub-index within the citywide census tracts TEPI.What is the Tucson Equity Priority Index (TEPI)?The Tucson Equity Priority Index (TEPI) is a tool that describes the distribution of socially vulnerable demographics. It categorizes the dataset into 5 classes that represent the differing prioritization needs based on the presence of social vulnerability: Low (0-20), Low-Moderate (20-40), Moderate (40-60), Moderate-High (60-80) High (80-100). Each class represents 20% of the dataset’s features in order of their values. The features within the Low (0-20) classification represent the areas that, when compared to all other locations in the study area, have the lowest need for prioritization, as they tend to have less socially vulnerable demographics. The features that fall into the High (80-100) classification represent the 20% of locations in the dataset that have the greatest need for prioritization, as they tend to have the highest proportions of socially vulnerable demographics. How is social vulnerability measured?The Tucson Equity Priority Index (TEPI) examines the proportion of vulnerability per feature using 11 demographic indicators:Income Below Poverty: Households with income at or below the federal poverty level (FPL), which in 2023 was $14,500 for an individual and $30,000 for a family of fourUnemployment: Measured as the percentage of unemployed persons in the civilian labor forceHousing Cost Burdened: Homeowners who spend more than 30% of their income on housing expenses, including mortgage, maintenance, and taxesRenter Cost Burdened: Renters who spend more than 30% of their income on rentNo Health Insurance: Those without private health insurance, Medicare, Medicaid, or any other plan or programNo Vehicle Access: Households without automobile, van, or truck accessHigh School Education or Less: Those highest level of educational attainment is a High School diploma, equivalency, or lessLimited English Ability: Those whose ability to speak English is "Less Than Well."People of Color: Those who identify as anything other than Non-Hispanic White Disability: Households with one or more physical or cognitive disabilities Age: Groups that tend to have higher levels of vulnerability, including children (those below 18), and seniors (those 65 and older)An overall percentile value is calculated for each feature based on the total proportion of the above indicators in each area. How are the variables combined?These indicators are divided into two main categories that we call Thematic Indices: Economic and Personal Characteristics. The two thematic indices are further divided into five sub-indices called Tier-2 Sub-Indices. Each Tier-2 Sub-Index contains 2-3 indicators. Indicators are the datasets used to measure vulnerability within each sub-index. The variables for each feature are re-scaled using the percentile normalization method, which converts them to the same scale using values between 0 to 100. The variables are then combined first into each of the five Tier-2 Sub-Indices, then the Thematic Indices, then the overall TEPI using the mean aggregation method and equal weighting. The resulting dataset is then divided into the five classes, where:High Vulnerability (80-100%): Representing the top classification, this category includes the highest 20% of regions that are the most socially vulnerable. These areas require the most focused attention. Moderate-High Vulnerability (60-80%): This upper-middle classification includes areas with higher levels of vulnerability compared to the median. While not the highest, these areas are more vulnerable than a majority of the dataset and should be considered for targeted interventions. Moderate Vulnerability (40-60%): Representing the middle or median quintile, this category includes areas of average vulnerability. These areas may show a balanced mix of high and low vulnerability. Detailed examination of specific indicators is recommended to understand the nuanced needs of these areas. Low-Moderate Vulnerability (20-40%): Falling into the lower-middle classification, this range includes areas that are less vulnerable than most but may still exhibit certain vulnerable characteristics. These areas typically have a mix of lower and higher indicators, with the lower values predominating. Low Vulnerability (0-20%): This category represents the bottom classification, encompassing the lowest 20% of data points. Areas in this range are the least vulnerable, making them the most resilient compared to all other features in the dataset.

This dataset includes the total number of individuals enrolled in Medi-Cal by eligibility group: Modified Adjusted Gross Income (MAGI), non-MAGI, and Children’s Health Insurance Program (CHIP). The groups are defined by the Centers for Medicare and Medicaid Services (CMS) Performance Indicators (CMSPI) reporting requirements. The Department of Health Care Services (DHCS) submits eligibility and enrollment data regarding Medicaid and CHIP monthly to CMS. The enrollment data represents enrollment totals as of 60 days after the eligibility month (indicated as “Reporting Period” in the dataset). CMS publishes the state total enrollments on the CMSPI website. The total enrollment comprises of individuals who are eligible for full scope Medi-Cal by MAGI – Child, MAGI – Adult, Non-MAGI Child, Non-MAGI Adult, and CHIP eligibility groups. DHCS does not report to CMS the total enrollment in limited scope Medi-Cal or state-only funded programs (indicated as the “Non-CMSPI” in the dataset).

For detailed information, visit the Tucson Equity Priority Index StoryMap.Download the layer's data dictionaryWhat is the Tucson Equity Priority Index (TEPI)?The Tucson Equity Priority Index (TEPI) is a tool that describes the distribution of socially vulnerable demographics. It categorizes the dataset into 5 classes that represent the differing prioritization needs based on the presence of social vulnerability: Low (0-20), Low-Moderate (20-40), Moderate (40-60), Moderate-High (60-80) High (80-100). Each class represents 20% of the dataset’s features in order of their values. The features within the Low (0-20) classification represent the areas that, when compared to all other locations in the study area, have the lowest need for prioritization, as they tend to have less socially vulnerable demographics. The features that fall into the High (80-100) classification represent the 20% of locations in the dataset that have the greatest need for prioritization, as they tend to have the highest proportions of socially vulnerable demographics. How is social vulnerability measured?The Tucson Equity Priority Index (TEPI) examines the proportion of vulnerability per feature using 11 demographic indicators:Income Below Poverty: Households with income at or below the federal poverty level (FPL), which in 2023 was $14,500 for an individual and $30,000 for a family of fourUnemployment: Measured as the percentage of unemployed persons in the civilian labor forceHousing Cost Burdened: Homeowners who spend more than 30% of their income on housing expenses, including mortgage, maintenance, and taxesRenter Cost Burdened: Renters who spend more than 30% of their income on rentNo Health Insurance: Those without private health insurance, Medicare, Medicaid, or any other plan or programNo Vehicle Access: Households without automobile, van, or truck accessHigh School Education or Less: Those highest level of educational attainment is a High School diploma, equivalency, or lessLimited English Ability: Those whose ability to speak English is "Less Than Well."People of Color: Those who identify as anything other than Non-Hispanic White Disability: Households with one or more physical or cognitive disabilities Age: Groups that tend to have higher levels of vulnerability, including children (those below 18), and seniors (those 65 and older)An overall percentile value is calculated for each feature based on the total proportion of the above indicators in each area. How are the variables combined?These indicators are divided into two main categories that we call Thematic Indices: Economic and Personal Characteristics. The two thematic indices are further divided into five sub-indices called Tier-2 Sub-Indices. Each Tier-2 Sub-Index contains 2-3 indicators. Indicators are the datasets used to measure vulnerability within each sub-index. The variables for each feature are re-scaled using the percentile normalization method, which converts them to the same scale using values between 0 to 100. The variables are then combined first into each of the five Tier-2 Sub-Indices, then the Thematic Indices, then the overall TEPI using the mean aggregation method and equal weighting. The resulting dataset is then divided into the five classes, where:High Vulnerability (80-100%): Representing the top classification, this category includes the highest 20% of regions that are the most socially vulnerable. These areas require the most focused attention. Moderate-High Vulnerability (60-80%): This upper-middle classification includes areas with higher levels of vulnerability compared to the median. While not the highest, these areas are more vulnerable than a majority of the dataset and should be considered for targeted interventions. Moderate Vulnerability (40-60%): Representing the middle or median quintile, this category includes areas of average vulnerability. These areas may show a balanced mix of high and low vulnerability. Detailed examination of specific indicators is recommended to understand the nuanced needs of these areas. Low-Moderate Vulnerability (20-40%): Falling into the lower-middle classification, this range includes areas that are less vulnerable than most but may still exhibit certain vulnerable characteristics. These areas typically have a mix of lower and higher indicators, with the lower values predominating. Low Vulnerability (0-20%): This category represents the bottom classification, encompassing the lowest 20% of data points. Areas in this range are the least vulnerable, making them the most resilient compared to all other features in the dataset.

BackgroundInfluenza-related healthcare utilization among Medicaid patients and commercially insured patients is not well-understood. This study compared influenza-related healthcare utilization and assessed disease management among individuals diagnosed with influenza during the 2015–2019 influenza seasons.MethodsThis retrospective cohort study identified influenza cases among adults (18–64 years) using data from the Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF) Research Identifiable Files (RIF) and Optum’s de-identified Clinformatics® Data Mart Database (CDM). Influenza-related healthcare utilization rates were calculated per 100,000 patients by setting (outpatient, emergency department (ED), inpatient hospitalizations, and intensive care unit (ICU) admissions) and demographics (sex, race, and region). Rate ratios were computed to compare results from both databases. Influenza episode management assessment included the distribution of the index point-of-care, antiviral prescriptions, and laboratory tests obtained.ResultsThe Medicaid population had a higher representation of racial/ethnic minorities than the CDM population. In the Medicaid population, influenza-related visits in outpatient and ED settings were the most frequent forms of healthcare utilization, with similar rates of 652 and 637 visits per 100,000, respectively. In contrast, the CDM population predominantly utilized outpatient settings. Non-Hispanic Blacks and Hispanics exhibited the highest rates of influenza-related ED visits in both cohorts. In the Medicaid population, Black (64.5%) and Hispanic (51.6%) patients predominantly used the ED as their index point-of-care for influenza. Overall, a greater proportion of Medicaid beneficiaries (49.8%) did not fill any influenza antiviral prescription compared to the CDM population (37.0%).ConclusionAddressing disparities in influenza-related healthcare utilization between Medicaid and CDM populations is crucial for equitable healthcare access. Targeted interventions are needed to improve primary care and antiviral access and reduce ED reliance, especially among racial/ethnic minorities and low-income populations.

For detailed information, visit the Tucson Equity Priority Index StoryMap.Download the Data DictionaryWhat is the Tucson Equity Priority Index (TEPI)?The Tucson Equity Priority Index (TEPI) is a tool that describes the distribution of socially vulnerable demographics. It categorizes the dataset into 5 classes that represent the differing prioritization needs based on the presence of social vulnerability: Low (0-20), Low-Moderate (20-40), Moderate (40-60), Moderate-High (60-80) High (80-100). Each class represents 20% of the dataset’s features in order of their values. The features within the Low (0-20) classification represent the areas that, when compared to all other locations in the study area, have the lowest need for prioritization, as they tend to have less socially vulnerable demographics. The features that fall into the High (80-100) classification represent the 20% of locations in the dataset that have the greatest need for prioritization, as they tend to have the highest proportions of socially vulnerable demographics. How is social vulnerability measured?The Tucson Equity Priority Index (TEPI) examines the proportion of vulnerability per feature using 11 demographic indicators:Income Below Poverty: Households with income at or below the federal poverty level (FPL), which in 2023 was $14,500 for an individual and $30,000 for a family of fourUnemployment: Measured as the percentage of unemployed persons in the civilian labor forceHousing Cost Burdened: Homeowners who spend more than 30% of their income on housing expenses, including mortgage, maintenance, and taxesRenter Cost Burdened: Renters who spend more than 30% of their income on rentNo Health Insurance: Those without private health insurance, Medicare, Medicaid, or any other plan or programNo Vehicle Access: Households without automobile, van, or truck accessHigh School Education or Less: Those highest level of educational attainment is a High School diploma, equivalency, or lessLimited English Ability: Those whose ability to speak English is "Less Than Well."People of Color: Those who identify as anything other than Non-Hispanic White Disability: Households with one or more physical or cognitive disabilities Age: Groups that tend to have higher levels of vulnerability, including children (those below 18), and seniors (those 65 and older)An overall percentile value is calculated for each feature based on the total proportion of the above indicators in each area. How are the variables combined?These indicators are divided into two main categories that we call Thematic Indices: Economic and Personal Characteristics. The two thematic indices are further divided into five sub-indices called Tier-2 Sub-Indices. Each Tier-2 Sub-Index contains 2-3 indicators. Indicators are the datasets used to measure vulnerability within each sub-index. The variables for each feature are re-scaled using the percentile normalization method, which converts them to the same scale using values between 0 to 100. The variables are then combined first into each of the five Tier-2 Sub-Indices, then the Thematic Indices, then the overall TEPI using the mean aggregation method and equal weighting. The resulting dataset is then divided into the five classes, where:High Vulnerability (80-100%): Representing the top classification, this category includes the highest 20% of regions that are the most socially vulnerable. These areas require the most focused attention. Moderate-High Vulnerability (60-80%): This upper-middle classification includes areas with higher levels of vulnerability compared to the median. While not the highest, these areas are more vulnerable than a majority of the dataset and should be considered for targeted interventions. Moderate Vulnerability (40-60%): Representing the middle or median quintile, this category includes areas of average vulnerability. These areas may show a balanced mix of high and low vulnerability. Detailed examination of specific indicators is recommended to understand the nuanced needs of these areas. Low-Moderate Vulnerability (20-40%): Falling into the lower-middle classification, this range includes areas that are less vulnerable than most but may still exhibit certain vulnerable characteristics. These areas typically have a mix of lower and higher indicators, with the lower values predominating. Low Vulnerability (0-20%): This category represents the bottom classification, encompassing the lowest 20% of data points. Areas in this range are the least vulnerable, making them the most resilient compared to all other features in the dataset.

EMSIndicators:The number of individual patients administered naloxone by EMSThe number of naloxone administrations by EMSThe rate of EMS calls involving naloxone administrations per 10,000 residentsData Source:The Vermont Statewide Incident Reporting Network (SIREN) is a comprehensive electronic prehospital patient care data collection, analysis, and reporting system. EMS reporting serves several important functions, including legal documentation, quality improvement initiatives, billing, and evaluation of individual and agency performance measures.Law Enforcement Indicators:The Number of law enforcement responses to accidental opioid-related non-fatal overdosesData Source:The Drug Monitoring Initiative (DMI) was established by the Vermont Intelligence Center (VIC) in an effort to combat the opioid epidemic in Vermont. It serves as a repository of drug data for Vermont and manages overdose and seizure databases. Notes:Overdose data provided in this dashboard are derived from multiple sources and should be considered preliminary and therefore subject to change. Overdoses included are those that Vermont law enforcement responded to. Law enforcement personnel do not respond to every overdose, and therefore, the numbers in this report are not representative of all overdoses in the state. The overdoses included are limited to those that are suspected to have been caused, at least in part, by opioids. Inclusion is based on law enforcement's perception and representation in Records Management Systems (RMS). All Vermont law enforcement agencies are represented, with the exception of Norwich Police Department, Hartford Police Department, and Windsor Police Department, due to RMS access. Questions regarding this dataset can be directed to the Vermont Intelligence Center at dps.vicdrugs@vermont.gov.Overdoses Indicators:The number of accidental and undetermined opioid-related deathsThe number of accidental and undetermined opioid-related deaths with cocaine involvementThe percent of accidental and undetermined opioid-related deaths with cocaine involvementThe rate of accidental and undetermined opioid-related deathsThe rate of heroin nonfatal overdose per 10,000 ED visitsThe rate of opioid nonfatal overdose per 10,000 ED visitsThe rate of stimulant nonfatal overdose per 10,000 ED visitsData Source:Vermont requires towns to report all births, marriages, and deaths. These records, particularly birth and death records are used to study and monitor the health of a population. Deaths are reported via the Electronic Death Registration System. Vermont publishes annual Vital Statistics reports.The Electronic Surveillance System for the Early Notification of Community-based Epidemics (ESSENCE) captures and analyzes recent Emergency Department visit data for trends and signals of abnormal activity that may indicate the occurrence of significant public health events.Population Health Indicators:The percent of adolescents in grades 6-8 who used marijuana in the past 30 daysThe percent of adolescents in grades 9-12 who used marijuana in the past 30 daysThe percent of adolescents in grades 9-12 who drank any alcohol in the past 30 daysThe percent of adolescents in grades 9-12 who binge drank in the past 30 daysThe percent of adolescents in grades 9-12 who misused any prescription medications in the past 30 daysThe percent of adults who consumed alcohol in the past 30 daysThe percent of adults who binge drank in the past 30 daysThe percent of adults who used marijuana in the past 30 daysData Sources:The Vermont Youth Risk Behavior Survey (YRBS) is part of a national school-based surveillance system conducted by the Centers for Disease Control and Prevention (CDC). The YRBS monitors health risk behaviors that contribute to the leading causes of death and disability among youth and young adults.The Behavioral Risk Factor Surveillance System (BRFSS) is a telephone survey conducted annually among adults 18 and older. The Vermont BRFSS is completed by the Vermont Department of Health in collaboration with the Centers for Disease Control and Prevention (CDC).Notes:Prevalence estimates and trends for the 2021 Vermont YRBS were likely impacted by significant factors unique to 2021, including the COVID-19 pandemic and the delay of the survey administration period resulting in a younger population completing the survey. Students who participated in the 2021 YRBS may have had a different educational and social experience compared to previous participants. Disruptions, including remote learning, lack of social interactions, and extracurricular activities, are likely reflected in the survey results. As a result, no trend data is included in the 2021 report and caution should be used when interpreting and comparing the 2021 results to other years.The Vermont Department of Health (VDH) seeks to promote destigmatizing and equitable language. While the VDH uses the term "cannabis" to reflect updated terminology, the data sources referenced in this data brief use the term "marijuana" to refer to cannabis. Prescription Drugs Indicators:The average daily MMEThe average day's supplyThe average day's supply for opioid analgesic prescriptionsThe number of prescriptionsThe percent of the population receiving at least one prescriptionThe percent of prescriptionsThe proportion of opioid analgesic prescriptionsThe rate of prescriptions per 100 residentsData Source:The Vermont Prescription Monitoring System (VPMS) is an electronic data system that collects information on Schedule II-IV controlled substance prescriptions dispensed by pharmacies. VPMS proactively safeguards public health and safety while supporting the appropriate use of controlled substances. The program helps healthcare providers improve patient care. VPMS data is also a health statistics tool that is used to monitor statewide trends in the dispensing of prescriptions.Treatment Indicators:The number of times a new substance use disorder is diagnosed (Medicaid recipients index events)The number of times substance use disorder treatment is started within 14 days of diagnosis (Medicaid recipients initiation events)The number of times two or more treatment services are provided within 34 days of starting treatment (Medicaid recipients engagement events)The percent of times substance use disorder treatment is started within 14 days of diagnosis (Medicaid recipients initiation rate)The percent of times two or more treatment services are provided within 34 days of starting treatment (Medicaid recipients engagement rate)The MOUD treatment rate per 10,000 peopleThe number of people who received MOUD treatmentData Source:Vermont Medicaid ClaimsThe Vermont Prescription Monitoring System (VPMS)Substance Abuse Treatment Information System (SATIS)