Mathematica simulated the Drug Price Negotiation Program process to estimate ceiling prices and out-of-pocket spending on the 10 highest-expenditure drugs to better understand the program’s effect on different groups of Medicare Part D enrollees.
This brief examines how new requirements for price transparency may change the dynamics between health plans, employers, hospitals, other providers, and patients, and whether those changes could lead to lower health care costs.
Improving upon the Merit-based Incentive Payment System—Medicare’s pay-for-performance program for clinicians—requires taking an evidence-based approach, including relying on lessons of the literature, engaging a broad range of stakeholders, and performing ongoing testing and evaluation.
This report is a summary of data contained in the 2012 Quality and Resource Use Reports (QRUR) to illustrate how the Value-based Modifier (VBM) was calculated as well as the properties of the cost and quality measures that make up the VBM.
To better understand the population of Medicaid enrollees living in nursing homes or intermediate care facilities for individuals with intellectual disabilities (ICFs/IID), researchers analyzed data from the Medicaid Analytic eXtract (MAX) from 2006 and 2007 to determine the characteristics of enrollees...
This article presents methodological and design issues for researchers to consider when addressing disability-related comparative effectiveness research questions.
This annual report shows that the national Money Follows the Person (MFP) demonstration, now in its fourth full year of implementation, appears to be achieving its broad goals.
Individuals with disabilities have complex characteristics and health service needs, which can make strong study design and implementation a challenge.
The Money Follows the Person program is based on the premise that many Medicaid beneficiaries in institutions would rather live in the community and could do so with adequate support, which would cost less than the institutional care they receive.
The fourth report of the Money Follows the Person (MFP) Demonstration provides an early assessment of the balance of home and community-based care services (HCBS) and institutional long-term care systems in states before MFP was implemented.
This report is intended to help policy makers and stakeholder understand the number of uninsured in Rhode Island, current health care spending by and for the uninsured, and the change in health care spending that would occur if they became insured.
The development of skilled and ethical researchers in the United States is a well documented national objective. A core component of this objective is to train and educate new researchers about ethical research standards.
Research found that physicians were being reimbursed far in excess of what they were paying for Part B drugs and that there was little incentive in the Medicare payment system to contain drug expenditures.
Although entrepreneurial activity is an important part of a capitalist economy, data about U.S. businesses in their early years of operation have been extremely limited.
There is increasing interest in the question of what, if anything, research subjects are owed after their participation in a clinical trial ends. This article reports on 93 individuals who participated in 10 focus groups.
Mathematica evaluated five health care reform proposals for the state of Washington in 2008.
Many academic institutions pursue mission-related activities that are unprofitable and engage in profitable revenue raising activities to finance them. This book presents research on schools’ revenue sources from tuition, donations, research, patents, endowments, and other activities.
This report, submitted as a discussion draft, constitutes Mathematica’s analysis of a “Preliminary Expanded Health Insurance Partnership” or PHIP.
Although entrepreneurship is crucial to a capitalist economy, little information is available about U.S. businesses in their first years of operation.
The Kauffman Firm Survey is a panel study of 4,928 businesses founded in 2004 that are being tracked annually over their first eight years. The survey focuses on the nature of new business formation activity, characteristics of the strategy, offerings, and employment patterns of new businesses.
Although entrepreneurial activity is an important part of a capitalist economy, only a small amount of data is available about U.S. businesses in their first years of operation.
New Jersey has the challenging task of providing cost-effective, high-quality services to people with developmental disabilities and their families.
The National Science Foundation is charged with supporting and strengthening our nation's science and engineering workforce.