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DSS and Mercer caution providers that early quarterly quality reports reflect limited claims data

Department of Social Services provider forum · August 25, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Mercer and DSS told providers the July quarterly reports use rolling, limited claims and encounter data (one‑month claim lag, one‑month processing lag) and warned that measure denominators and small sample sizes may produce misleading early results; DSS and Mercer agreed to recheck measure specifications when questions arose.

At a DSS provider forum, Mercer and DSS staff walked providers through the maternity bundle’s quarterly quality reports and repeatedly cautioned that the reports reflect limited early data and a rolling year‑to‑date approach.

"We would caution you to use this data as it exists to determine potential impact…because it is so limited and run…

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