Overview

Topic: Healthcare Utilization; Health Outcomes
Dataset Type: Population-based; Claims data (T-MSIS)
Expertise Required: ๐ŸŽ“๐ŸŽ“๐ŸŽ“ (Advanced)
Cost: $$$โ€“$$$$ (Substantial data access fees; public summary data available)
Dataset Summary

The Medicaid Data (T-MSIS) system contains comprehensive claims data on Medicaid and Childrenโ€™s Health Insurance Program (CHIP) beneficiaries across the United States. The data system was overhauled in 2015โ€“2016 and renamed the Transformed Medicaid Statistical Information System (T-MSIS). These population-based claims data include detailed information on enrollment, utilization, diagnoses, procedures, and costs. Publicly available state-level summary data can be accessed through the Medicaid data portal.

Caveats
  • Access to individual-level claims data requires a Data Use Agreement (DUA) and Institutional Review Board (IRB) approval.
  • The approval process may take several months.
  • Data management and cleaning can be complex due to state-level variation in reporting and data structure.
  • Substantial data access fees may apply.
Examples of Outcomes Examined
  • Impact of policy changes on utilization and outcomes
  • Cost of care analyses
  • Healthcare utilization patterns among Medicaid beneficiaries
  • Disparities in access and outcomes

Back to Dataset Compendium

Topic

Health Systems & Delivery Research, Quality and Outcomes, Research

Resource Type

Dataset

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