The Integrated Care Resource Center provides technical assistance to states developing integrated care programs to coordinate medical, behavioral health, and long-term services and supports for people eligible for both Medicare and Medicaid.
Designing, producing and testing tools to measure quality are critical first steps in quality improvement. Quality measures can be designed to increase quality of care for specific populations or to monitor adherence to specific best practices, or they can aim to measure the overall quality of health system outcomes. Increasingly, quality measures must be designed to be compatible with, and take advantage of, health information technology.
Technical Assistance Helps States Share Best Practices for Delivering Coordinated Care
Evaluating the Nation's Largest Primary Care Delivery Initiative
The evaluation is assessing whether CPC+ achieves better health, improved care, and smarter spending for Medicare and Medicaid beneficiaries.
Encouraging High Quality, Efficient Inpatient Care for Mental Health and Substance Use: Case-Mix Adjustment in the Optum Achievements in Clinical Excellence Facility
We are reviewing the case mix adjustments in the Achievements in Clinical Excellence Facility program, which encourages delivery of high quality, efficient inpatient care for mental health and substance use disorders.
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 Medicaid beneficiaries with chronic or high-cost conditions and for some groups of beneficiaries enrolled in both Medicaid and Medicare.
National Evaluation of CHIPRA Quality Demonstration Grant
This program aims to identify effective, replicable strategies for enhancing quality of care for children. Mathematica’s evaluation is assessing whether states achieved their objectives and evaluating which strategies proved most effective.
Evaluation of the Medicaid Emergency Psychiatric Services Demonstration (MEPD)
Through this demonstration, 11 states and the District of Columbia receive federal Medicaid matching funds for inpatient treatment in participating private institutions for beneficiaries with psychiatric emergency medical conditions. As mandated by the Affordable Care Act, the evaluation is addressing...
Developing and Testing Quality Measures to Improve the Quality of Behavioral Health Services
Mathematica is working with the National Committee for Quality Assurance (NCQA) to develop and test measures that can be used to monitor progress toward reaching the goals of the National Behavioral Health Quality Framework.
Supporting Quality and Efficiency in Medicare With Value-Based Payment Modification and Physician Feedback Reports
The Physician Value program provided comparative quality and resource use performance information to medical group practices and physicians as part of Medicare’s efforts to improve the quality and efficiency of medical care.
Production and Implementation of the CMS Hospital Outcomes and Efficiency Measures
In 2009, CMS assessed a broad range of health care activities that affect patients’ well-being and made that information publicly available, to help improve health care quality and decision making. Mathematica implemented measures based on mortality and readmissions for six medical conditions to help...
Development of Quality Measures for Post-Traumatic Stress Disorder
This project involves developing and pre-testing a quality measure of PTSD care in ambulatory settings.