Health Topics
State health policy is at the forefront of driving innovations in health care delivery and financing reform.
State government agencies facilitate multistakeholder collaborations and lead reforms in health insurance, medical care, public health, and social services. Through projects funded by states, foundations, and federal agencies, Mathematica helps its partners solve urgent challenges and deliver results that transform health care quality, delivery, and financing. This work includes the following:
- Proposing solutions to help state and federal clients modernize health care systems, including designing multi-payer alternative payment models, delivery system reforms, and public health policy
- Performing independent data analysis, including experience with claims data, medical records, and other public health and socioeconomic data, and evaluating health and public health policy
- Providing strategic advisory services through leadership, expert technical advice, learning collaboratives, and coordination in policy research and policy development
- Developing and maintaining systems to analyze complex data, such as in all-payer claims databases, and producing reports to inform health legislation, executive directives, and public reporting
- Assisting states improve the quality of their data including the application of our deep, unparalleled knowledge of Medicaid data
- Developing, testing, and analyzing cost and quality measures, as well as public reporting of this data
Our teams combine data analysis expertise and nuanced insights about state-specific policy and health system environments with the broad view of what’s working in other areas of the country to foster progress and drive data-driven decision making.
Our Impact
Introducing Imersis, a Cloud-Based Data Quality Tool for State Medicaid Agencies
Built on cloud-first architecture, Imersis® is a software-as-a-service application that scores Transformed Medicaid Statistical Information System files using Centers for Medicare and Medicaid Services criteria.
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Project
Online Dashboard Helps States and Employers Understand Hospital Costs
The Hospital Cost Tool dashboard aims to provide state policymakers, employers, and researchers with analytical insights into how much hospitals spend on patient care services, and how such costs relate to the hospital charges (list prices) and actual prices paid by health plans.
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Progress is best made together.
Partner with us at the intersection of data science, social science, and technology to progress from inquiry to insight to impact. Our evidence-informed solutions empower you to see clearly and act quickly.
Clinical Quality Measure Development
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Partners In Progress
Looking AHEAD: Partnering with States to Control Health Costs and Advance Health Equity
The Centers for Medicare & Medicaid Services’ States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model will provide selected states with funding to implement an alternative health care payment and service delivery model. Mathematica has extensive experience partnering with states and federal agencies, in addition to payer and provider communities, implementing state-based models similar to AHEAD.
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