This project is examining an innovative care delivery model built on a partnership between Landmark Health and the Inland Empire Health Plan to deliver coordinated services to eligible Medi-Cal managed care members with multiple medical and behavioral health needs.
Long-Term Services and Support
Mathematica is working with the Centers for Medicare & Medicaid Services (CMS) to evaluate a major initiative―Money Follows the Person (MFP)―aimed at helping state Medicaid programs reduce their reliance on institutional care for people needing long-term care, and expand options for receiving care in the community. Also for CMS, we are identifying ways to improve the identification of Medicaid home- and community-based services in Medicaid Analytic eXtract (MAX) data files so that both states and the federal government can get a better understanding of the nature, scope, and cost of these services. MAX files can also be used for detailed studies of nursing facility residents and their care.
Adapting a Model of Integrated and In-Home Care for Safety-Net Patients with Multiple Chronic Conditions
Technical Assistance Helps States Share Best Practices for Delivering Coordinated Care
We are working with the Integrated Care Resource Center to provide technical assistance to states developing integrated programs to coordinate medical, behavioral health, and long-term services and supports for people eligible for both Medicare and Medicaid.
Quality Measure Development: Dual Enrollees, Managed Long-Term Services and Supports, and Medicaid Innovation Accelerator Programs
Mathematica is developing reliable and valid quality measures for certain groups of people enrolled in Medicaid who have the highest costs and greatest needs for health care and social support.
Research and Evaluation of the Money Follows the Person (MFP) Demonstration Grants
The Money Follows the Person Demonstration is a federal initiative to help states reduce their reliance on institutional care for people needing long-term care, and expand options for elderly people and individuals with disabilities to receive care in the community.
New Approaches for Medicaid: The 1115 Demonstration Evaluation
Mathematica's evaluation of Medicaid Section 1115 waiver demonstrations, approximately 40 in number, seeks to assess the implementation and outcomes of four different types of innovations and help CMCS shift toward data-driven decision making for future waiver approvals.
Evaluation of the Independence at Home Demonstration
Mathematica is using a mixed-methods design approach to evaluate the Independence at Home Demonstration. The demonstration’s goal is to improve the provision of comprehensive, coordinated, continuous, and accessible care to chronically ill, disabled beneficiaries.
Medicaid Managed Care and Integrated Delivery Systems: Technical Assistance to States and Strengthening Federal Oversight
Mathematica and its subcontractors are providing technical assistance to CMS and to states to support the four building blocks of effective managed care and health home programs: (1) contracts, (2) payment methodology, (3) data collection and information management, and (4) quality and performance measurement....
Demonstration to Maintain Independence and Employment (DMIE)
The Demonstration to Maintain Independence and Employment, authorized under the Ticket to Work and Work Incentives Improvement Act of 1999, awards funds to states to develop, implement, and evaluate interventions for workers with potentially disabling health conditions.