Mathematica is providing data analytics support and technical assistance to support CMS’s efforts to enhance the value of health care services provided to Medicare beneficiaries under the Quality Payment Program.
- Incentive Design
- Performance Measurement
- Long-Term Care
- Delivery System Reforms
- Long-Term Services and Supports
Jeffrey Ballou’s research focuses on performance measurement and health care payment reform. His work informs efforts to lower costs and improve health care quality through physician performance measurement.
Ballou directs a project for the Centers for Medicare & Medicaid Services that advises on incentives to encourage physicians to deliver high-value care to Medicare beneficiaries and develops confidential feedback reports for physicians to support practice improvement. He also advises on work related to incentives to participate in alternative payment models and the nature and extent of participation in these models. He has analyzed effects of Part B drug payment reform; reform of health insurance markets; comparative assessments of methods used to conduct comparative effectiveness research studies and standards for evaluating the quality of those studies; and provision of home and community-based services, relative to institutional long-term care, for low-income elderly people and people with disabilities. His research on competition and the effects of incentives in health care and higher education markets focused on analyses of market power and product differentiation in nursing home markets.
Before joining Mathematica, Ballou held faculty positions in the Northeastern University Department of Economics and Northwestern University’s Institute for Policy Research. He holds a Ph.D. in economics from Northwestern University.
Helping CMS Implement the Alternative Payment Model Track of the Quality Payment Program
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.
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...
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.
CIRE Forum: Improving Public Programs: Advanced Analytics for Better Decision Making
This recording of the May 2015 CIRE forum features a discussion on how advanced analytics can help policymakers, program administrators, and direct services staff enhance their programs by providing rapid, reliable, and relevant information.