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HCA's programs serve nearly 1 million New Mexicans and the department makes budgetary and policy decisions that have long-term effects on both state spending and its customers. As a result, HCA is deeply committed to incorporating principles of evidence-based governance, using data to drive decision making to achieve optimal results aligned to strategic priorities. As stewards of New Mexicans' tax dollars, HCA staff and leaders have a responsibility to use data in the delivery and monitoring of high-quality health and human services programs, and to be transparent about (and held accountable to) its performance.
The HCA Performance Scorecard is a strategic management tool used to identify and improve various internal business functions and their resulting outcomes, and provide feedback to key stakeholders, including HCA customers, the public, and legislators. It is designed to help answer the most common questions New Mexicans may have about the Health Care Authority. Individuals can use the Scorecard to choose a Medicaid Managed Care Organization that best meets their needs, or to determine how quickly they can apply for and get benefits via several different routes.
For example, by reviewing the visualizations under Goal 1-MCO Families and Children, an individual who is pregnant can check how well the four Managed Care Organizations (Blue Cross Blue Shield, Molina Healthcare, Presbyterian Health Plan, and United Health Care Community Plan) are doing at working with providers to enable their patients to have prenatal and postpartum appointments.
By reviewing the visualizations under Goal 1-Medicaid and SNAP, an individual can see how well HCA is meeting federal timeliness requirements for processing applications for new benefits (non-emergency and emergency applications), as well as for ensuring customers maintain their benefits (reapplications). Some of the metrics show opportunities for improvement; and, ultimately, the Scorecard shows what HCA is doing and how well the department is performing.
The Pew Foundation has published extensive data on evidence-based policy making, outlining five key components that each require evidence, and the Scorecard supports the Department in all these areas:
Program assessment: review public programs to understand their evidence base.
Budget development: use evidence of program effectiveness in budget processes to make more informed investment choices.
Implementation oversight: support effective implementation to ensure the benefits of evidence-based programs are achieved.
Outcome monitoring: measure and report outcome data to determine whether programs or priorities are achieving desired results.
Targeted evaluation: support impact evaluations of select public programs to learn what works.
The HCA Performance Scorecard is designed to:
Promote greater intra-departmental communication and accountability;
Maintain strategic focus;
Determine what is critical to measure;
Implement changes and measure outcomes; and,
Tell HCA’s story accurately, consistently.
With a total of 39 measures, the Scorecard categorizes measures among the mission and four goals outlined in the HCA Strategic Plan.
Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce.
Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives.
Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information.
Build the best team in state government by supporting employees’ continuous growth and wellness.
Each measure includes the following:
Graph with measure name, legend, description of x and y axes, and data values
Description of the measure
Target, if applicable
Results (description of trends and driving factors in change)
Initiatives (what HCA is doing to affect this measure)
More information about each measure is available here including reporting frequency (e.g. monthly, quarterly, annually), numerator, denominator, and data source
Pursuant to the Accountability in Government Act (AGA), quarterly reports are required of key state agencies (such as the Health Care Authority), including performance measures and targets approved for each fiscal year by the Department of Finance and Administration (DFA) in consultation with the Legislative Finance Committee (LFC). These quarterly reports can be viewed here on the NM Legislature website and here on the Scorecard site.
Although many measures are included in both the Scorecard and the AGA quarterly reports, HCA developed a Department Performance Scorecard because it offers more flexibility and is an opportunity to showcase many diverse measures that tie directly to its Strategic Plan. Whereas LFC measures may be consistent across administrations, the Scorecard reflects the vision of the current administration and uses the most accurate and up-to-date methodology for data collection and reporting.
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