Medicare

Mathematica brings the highest standards of quality, objectivity and excellence to bear on the collection and analysis of information about Medicare. We are at the forefront of studying how the Medicare program can meet its growing challenges, and we are working to improve public wellbeing with clients including CMS in areas such as:

  • Cost control and payment method reform
  • Quality and access to care
  • Coordinated care and disease management
  • Health information technology
  • Dual eligible beneficiaries
  • Prescription drugs

  • Managed care and private health plans

 


Our Work
  • 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.

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    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.

  • Evaluation of the Comprehensive Primary Care Initiative

    Mathematica and its partner, Group Health Cooperative, are evaluating the effects of CPC on cost, quality, utilization, and patient and provider experience. We are providing rapid cycle (quarterly) feedback to participating practices, CMS, and CMS’s regional partners.

  • Evaluation of the Medicare Care Management Performance Demonstration

    This congressionally mandated demonstration offered financial incentives—pay for performance—for small and medium-sized physician practices to adopt health information technology.

  • Medicare Coordinated Care Demonstration

    Mathematica tested whether care coordination and disease management programs in the fee-for-service setting lower Medicare expenditures, or increase the quality of health care services and beneficiary and provider satisfaction without increasing expenditures for beneficiaries with chronic illnesses....

  • Community-Based Care Transitions Program Implementation and Monitoring

    Mathematica and its subcontractors are developing and implementing an electronic transmittal system for collecting, validating, reporting, and paying invoices for care transition services submitted by over 100 participating community-based organizations and their hospital partners; and monitoring and...

  • man in wheelchair with female friend
    Accelerated Benefits Demonstration

    This demonstration tested the efficacy of providing immediate medical benefits to Social Security Disability Insurance beneficiaries. Under current law, these beneficiaries must wait 24 months before becoming eligible for Medicare. During this time, a beneficiary's health may deteriorate for a number...

  • health-computer
    Developing Resource Use Reports for Medicare Fee-for-Service Claims

    Mathematica assisted the Centers for Medicare and Medicaid Services with designing a system to implement physician value-based purchasing for Medicare beneficiaries, which includes development and distribution of confidential physician feedback reports that inform physicians of their performance on quality...