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- Costs and quality of care for the chronically ill, long-term care recipients, and managed care enrollees
- Medicare and Medicaid populations
- Care coordination and disease management programs
- Evaluation design
- Evaluation methodology
- Care Delivery Systems
- Long-Term Services and Supports
- Human Services
Randall Brown is an expert in health care policy issues related to care for the chronically ill, long-term care, managed care, and quality of care. His work has dealt primarily with Medicare and Medicaid populations.
Brown is nationally known for his evaluations of care coordination and disease management programs for Medicare beneficiaries, as well as studies of long-term care issues and Medicare managed care. As director for the firm’s work with the Centers for Medicare & Medicaid Services (CMS) from 2000 to 2007, he oversaw scores of studies funded by this agency. He has also directed studies for the Robert Wood Johnson Foundation and prepared papers on key policy issues for the Kaiser Family Foundation. Brown led the study team that received the 2009 Health Services Research Impact Award from AcademyHealth for work on the Cash & Counseling Demonstration, a three-state demonstration that tested an innovative form of expanded consumer direction for Medicaid beneficiaries who are frail or have disabilities. The award recognizes outstanding examples of the positive impact of research on health policy or practice. He also was senior author on a paper on care coordination published in the Journal of the American Medical Association that was awarded Best Paper in 2009 by both AcademyHealth and the National Institute for Health Care Management.
His current work includes leading a major study for the Office of the Assistant Secretary for Planning and Evaluation to evaluate eight innovative programs designed to coordinate and integrate care for people with disabilities, and leading the evaluation of CMS’s Comprehensive Primary Care Initiative, a program intended to improve primary care. He is also principal investigator for Mathematica’s evaluation of the Money Follows the Person program, which provides enhanced federal support for states to facilitate the ability of Medicaid beneficiaries in institutions to return to the community.
Brown, who has been with the firm since 1977, has co-authored six reports to Congress, briefed congressional staff, published widely in peer-reviewed journals, and made numerous invited presentations at professional meetings. He has also served on the board of directors for Mathematica and the Center for Studying Health System Change. He has participated in numerous advisory boards and expert panels for federal government agencies and foundations, and is a member of AcademyHealth’s methods council. He has a Ph.D. in economics from the University of Wisconsin.
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.
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.
Evaluation of the Comprehensive Primary Care Initiative
Mathematica and its partner, Group Health Cooperative, evaluated the effects of CPC on cost, quality, utilization, and patient and provider experience. We also provided rapid cycle (quarterly) feedback to participating practices, CMS, and CMS’s regional partners.
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....
Evaluation of Three Cash and Counseling Programs
The cash and counseling program was implemented as a demonstration in Arkansas, Florida, and New Jersey between 1998 and 2004. Approximately 2,000 adults in each state (plus 500 Florida children) who volunteered for the study were randomly assigned to participant or control groups. Our evaluation investigated...
Cash and Counseling Demonstration Finds Large Favorable Effects, Leading to Policy Changes
Through the Medicaid Cash and Counseling Demonstration, participants managed a monthly allowance to purchase assistance with routine daily living activities from sources other than traditional home care agencies. Mathematica conducted a rigorous evaluation to assess program effects on consumers, paid...
CIRE Forum: The Growing Demand for Rapid-Cycle Assessment: What Works Best and When?
Pressure to improve program performance and accountability while dealing with limited resources has led to a growing demand for rapid-cycle assessment. However, researchers conducting such assessments face a unique set of challenges that may affect their ability to evaluate programs effectively and objectively....