States evaluating their Medicaid section 1115 demonstration often use a comparison group design to estimate demonstration impacts. This white paper describes matching methods, that states can use to make the comparison group more similar to the group affected by demonstration policies.
Evaluation of the Medicare Care Choices Model’s effects on beneficiaries’ outcomes from January 2016 to March 2021.
Comprehensiveness is a key element of primary care and is highlighted in several national primary care transformation initiatives.
Health system leaders and clinicians recognize the importance of integrating data that elucidates both the medical and social needs of patients.
The authors calculated practice‐site‐level comprehensiveness measures (new problem management and involvement in patient conditions) across 5286 primary care physicians (PCPs) at 1339 practices in the Comprehensive Primary Care initiative evaluation in 2013.
This issue brief summarizes Mathematica’s evaluation of Landmark Health’s home-based intensive care model as it was delivered to complex Medicaid and dually eligible beneficiaries in California from 2016-2018. The evaluation assessed the model’s impacts on health care utilization and quality.
The objective of this study was to determine whether the Affordable Care Act’s expansion of Medicaid eligibility was associated with changes in racial disparities in access, treatments, and outcomes after AMI.
The authors evaluated whether randomization to permanent supportive housing (PSH) versus usual care reduces the use of acute health care and other services among chronically homeless high users of county‐funded services.
Uninsured patients have decreased access to care, lower rates of percutaneous coronary intervention (PCI), and worse outcomes after acute myocardial infarction (AMI).
Several distinct types of relationships between academic-affiliated health systems (AHSs) and medical schools exist. The traditional vision of a medical school having an exclusive relationship with a single AHS is no longer prominent.
This report presents findings from an evaluation of section 1115 demonstrations in six states—Arkansas, Indiana, Iowa, Michigan, Montana, and New Hampshire—that tested new approaches to administering Medicaid for low-income adults during the period 2014 - 2017.
The authors conducted difference‐in‐differences analyses, comparing health care expenditures among EITC‐eligible adults in February (immediately following EITC refund receipt) with expenditures during other months, using non‐EITC‐eligible individuals to difference out seasonal variation in health care...
Frequent emergency department (ED) users often have complex behavioral health and social needs.
This groundbreaking study in the January issue of Health Affairs finds that frequent emergency department (ED) users are at higher risk for mortality compared with similar patients receiving emergency care.
Emergency medical services (EMS) provide critical prehospital care, and disparities in response times to time-sensitive conditions, such as cardiac arrest, may contribute to disparities in patient outcomes.
An association between frequent use of the emergency department (ED) and mental health diagnoses is frequently documented in the literature, but little has been done to more thoroughly understand why mental illness is associated with increased ED use.