Julia Baller
Director, Advisory Services
View Bio PageUnlock the Power of Medicaid Data to Drive Meaningful Results
Medicaid is a cornerstone of the U.S. healthcare system, providing insurance coverage to nearly 80 million people through most hospitals and providers. The program generates a vast amount of valuable data with the potential to make programs and policies more effective and efficient—but the scale, complexity, and state-by-state variation of Medicaid programs make it difficult to turn that data into action.
Drawing on extensive Medicaid program and policy experience, a deep understanding of Medicaid and other healthcare data, and advanced data analytics and technical solutions, Mathematica helps our clients turn complexity into clarity. We unlock the full power of Medicaid data to drive smarter decisions, improve program performance, and achieve better outcomes for the people our clients serve.
Whether you’re enhancing federal oversight, managing a state Medicaid program under a tight budget, improving care delivery as a provider or payer, or driving innovation in life sciences, progress starts with data you can trust and insights you can act on. Mathematica is your trusted partner in making that possible.
Discover Tools to Harness Medicaid Data
Tools and Guidance Turn Medicaid Data into Results
Drawing on integrated expertise, our team creates tools and methodologies that help you make the most of Medicaid data. The resources below can guide you in assessing, improving, and using your data to support more efficient and effective care and programs.
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Compare state Medicaid administration and health outcomes
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Explore quality of care provided to Medicaid and CHIP beneficiaries
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Review assessments of Medicaid data quality
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Access Medicaid trends on substance use disorder and mental health services
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Find technical guidance for using the T-MSIS Analytic Files (TAF)
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How to use Medicaid data to identify beneficiaries who were pregnant or postpartum in a calendar year
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How to use Medicaid data to identify beneficiaries with severe maternal morbidity
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How to use Medicaid data to identify newborn beneficiaries diagnosed with neonatal abstinence syndrome
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How to use Medicaid data to identify beneficiaries who could benefit from integrated physical and behavioral health care
Our Medicaid Analytic Solutions
We partner with agencies across the U.S. Department of Health and Human Services, over 20 state Medicaid programs, health plans, life sciences companies, foundations, and managed care organizations to transform complex data into powerful solutions by offering a full range of data, analytic, operation, and advisory services.
To help our clients navigate complex challenges and strengthen their programs, we bring deep, practical knowledge of Medicaid policy and program operations in areas such as:
- Section 1115 demonstration design and implementation
- Eligibility and enrollment
- Access to care
- Program integrity and oversight
- Quality measurement and improvement
- Value-based care and payment innovation
- Long-term services and supports, home and community-based services, and post-acute care
- People dually eligible for Medicare and Medicaid
- Maternal and child health
- Behavioral health
Gain a comprehensive view of health and healthcare through secure access to public and private data sets, such as 100 percent of CMS’s Medicare and Medicaid data, including the Transformed Medicaid Statistical Information System Analytic Files (TAF).
Mathematica’s Data Innovation Lab
A high-tech data sandbox that provides fast access to high quality data to test new ideas.
Achieve improved Medicaid data quality to satisfy certification requirements for federal reporting and meet programmatic and analysis needs.
Optimize systems performance, forecast risk, and improve outcomes with our advanced analytic methods such as machine learning, predictive modeling, Bayesian methods, and spatial and network analysis that turn complex data into practical insights. Mathematica’s use of analytics goes beyond surface insights to reveal a deeper understanding that informs better decisions.
Our experts situate data in each client’s unique program and policy context, grounding their insights and advice in real-world requirements. We help clients translate insight into action and assist them with implementing new rules, policies, and improvements.
Our Work in Action
Secure your policy and program aims with our established methodologies and expertise in applying the best modern tools for ingesting new data sets and linking them to create action-ready systems. We design data architectures that provide blueprints for impact: flexible, scalable frameworks for advancing organizational goals and priorities.
Benefit from our design of user-centered dashboards, apps, and other tools that integrate with modern platforms and cloud environments, helping you visualize data to convey complex topics.
Leverage Mathematica’s expertise in measurement science, CMS quality programs, and clinical care to develop, test, and maintain measures for use in quality improvement, quality reporting, and payment programs.
Innovative Solutions
Imersis, a Cloud-Based Data Quality Tool for State Medicaid Agencies
States are required to submit administrative data to CMS. Imersis gives states the tools they need to get ahead and fix issues prior to submission.
Learn MoreFeatured Projects and Insights
Explore how we're helping our clients achieve their mission
Meet Our Experts
Our integrated approach brings together data scientists, social scientists, technologists, and policy and program experts to help our clients solve tough public and private sector challenges.
Partner with Us
We provide services under contracts for CMS (RMADA II, MIDS 3, NOIIC), GSA MSA, and OASIS, as well as IDIQs in many states, and work as a prime contractor or a subcontractor on projects related to Medicaid and the use of Medicaid data.
Together, we can deliver trusted data, integrated systems, and action-ready insights that lead to better outcomes and lasting impact. Reach out to us at MedicaidAnalyticOfferings@mathematica-mpr.com.