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.
- Hospital quality and payment programs
- Hospital-acquired condition reduction program
- Medicaid and CHIP
- Long-Term Services and Supports
- Quality Measurement
Jessica Ross leads development and testing of quality measures for Medicare and Medicaid beneficiaries. She has substantial experience leading the production and reporting of Medicare hospital quality and payment program results.
Ross currently serves as the deputy project director for a project assessing gaps and developing and testing measures for three groups of Medicaid beneficiaries including: dual beneficiaries; people with disabilities and older adults receiving long-term services and supports in institutions or home- and community-based settings; and people with substance use disorders, physical and mental health needs, or other complex conditions. Ross also helps lead technical assistance for the Medicaid Adult Core Set reporting program, which supports state Medicaid and Children’s Health Insurance Program agencies in collecting, reporting, and using these data. In addition, she led the development and risk adjustment of two potentially avoidable hospitalization measures and a pressure ulcer measure for Medicaid fee-for-service beneficiaries using home- and community-based services, as well as activities related to Medicare hospital quality reporting.
Before joining Mathematica in 2010, Ross held research positions at a number of institutions, including RTI International, the Massachusetts Health Care Quality and Cost Council, the University of Cape Town, and the New York University Medical School. Her work has appeared in Thorax, Molecular Microbiology, The Journal of Biological Chemistry, and Proceedings of the National Academy of Science. Ross holds an M.P.H. in epidemiology/global health from the Mailman School of Public Health at Columbia University.
Quality Measure Development: Dual Enrollees, Managed Long-Term Services and Supports, and Medicaid Innovation Accelerator Programs
Research and Evaluation of the Money Follows the Person (MFP) Demonstration Grants
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Using State Data to Paint a National Picture: MAX and Beta-MAX Data Production
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Community-Based Care Transitions Program Implementation and Monitoring
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