State Health Projects
An interactive map shows our state health work at a glance.
Health Care Exchanges
Read about a legislative toolkit that will assist states with the design of health insurance exchanges, a key component of the Affordable Care Act.
States have led the way in testing innovative strategies to provide health insurance to their residents and to introduce reforms. Governors, legislatures, and planning commissions charged with designing these strategies need information about how reform options affect coverage, costs, and use of care as well as other key outcomes like employment. Mathematica has provided these clients with evaluations of insurance expansions and reforms as well as studies on the implementation of new policies.
To help states plan for health insurance reforms, Mathematica has developed custom simulation models tailored to each state’s demographic, economic, and health care environment. These models allow us to generate estimates using state-specific data that reflect each state’s unique circumstances and align with other analyses produced by the state.
Health insurance exchanges are designed to serve small groups and individuals by facilitating access to coverage, offering choice among insurance products, and improving affordability. Under the Affordable Care Act, insurance exchanges will be established in every state by January 2014, developed and operated either by the state or the federal government. Mathematica has completed studies to support the development of exchanges and is involved in helping states prepare to implement them.
“Designing an Exchange: A Toolkit for State Policymakers" (January 2011)
Health care costs are the largest single expense for most states, creating fiscal pressures that are expected to increase and possibly crowd out states’ capacity to address other needs. To help policymakers understand current and future patterns of health care spending, Mathematica has conducted state-level studies to identify cost drivers in health care, examine expenditure patterns across health care sectors, and project future spending. This information is used to assess the affordability, accessibility, and quality of insurance options available to residents and to identify payment options to help control states’ health care costs.
Ensuring access to health care for children is a priority for federal, state, and local governments. In many states, making this goal a reality will require new coverage opportunities as well as removal of the enrollment and retention barriers in current programs. Mathematica has conducted evaluations of landmark initiatives to expand coverage, such as the Children’s Health Insurance Program (CHIP) and Covering Kids and Families, and has helped states and local jurisdictions assess the effect of outreach strategies and administrative procedures on coverage among eligible children.
States are on the front lines of ensuring access to health care for special populations, including people with unique health care needs, those who are dually eligible for Medicare and Medicaid, and those with limited proficiency in English. Mathematica conducts analyses that address care management approaches, program improvements, and performance monitoring for these populations.
More states are turning to wellness and prevention programs to encourage healthier lifestyles and to prevent disease. Mathematica examines the effectiveness of such initiatives and also helps policymakers understand disparities in public health outcomes, enabling states to make informed decisions about future health care investments.