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.
Related Publications for Maggie Samra
Innovations in Medicaid: Impacts of a Home-Based Intensive Care Model for Complex Medicaid BeneficiariesFeb 28, 2021
Selecting the Best Comparison Group and Evaluation Design: A Guidance Document for State Section 1115 Demonstration EvaluationsOct 30, 2020
This guidance document focuses on quantitative impact evaluations, which assess the causal effects of an intervention by comparing outcomes under the demonstration’s policies with an estimate of what would have happened under a counterfactual—that is, what would have happened in the absence of those...
Section 1115 Alternative Medicaid Expansions: Summative Evaluation ReportJan 17, 2020
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 Impact of Affordable Care Act Medicaid Expansions on Applications to Federal Disability ProgramsDec 01, 2019
In this paper, the authors estimate the impact of Medicaid expansions via the Patient Protection and Affordable Care Act (ACA) on applications to federal disability programs in 14 states that expanded Medicaid in January 2014.
Paying for Medicaid Coverage: An Overview of Monthly Payments in Section 1115 DemonstrationsSep 01, 2017
Five states—Arkansas, Indiana, Iowa, Michigan, and Montana—operate section 1115 Medicaid demonstrations that require or encourage monthly payments from Medicaid beneficiaries with incomes up to 133 percent of the federal poverty level.
Wraparound Benefits in Premium Assistance DemonstrationsSep 01, 2017
Arkansas, Iowa, and New Hampshire expanded Medicaid coverage to adults with incomes up to 138 percent of the federal poverty level using section 1115 authority to support beneficiaries’ purchase of coverage from qualified health plans.
Premium Assistance, Monthly Payments, and Beneficiary Engagement Design Plan Supplement: Interim Outcomes EvaluationJul 31, 2017
This document is a supplement to the Medicaid 1115 Demonstration Evaluation Design Plan prepared by Mathematica Policy Research and submitted to CMS in May 2015.
Beneficiary Engagement Strategies in Medicaid DemonstrationsJun 01, 2017
Four states—Arkansas, Indiana, Iowa, and Michigan—implemented policies that are intended to engage beneficiaries in their health care as part of section 1115 Medicaid demonstrations that expanded coverage.
Reporting on Pathways to Health Insurance Coverage: California's ExperienceFeb 12, 2016
California recently launched a report series that provides data about the enrollment process for public insurance coverage. This brief highlights findings from California’s first few reports and offers lessons for other states considering comparable reporting efforts.
Health Care Utilization Among Children Enrolled in Medicaid and CHIP via Express Lane EligibilityJun 01, 2015
We compared health care utilization among children enrolled via ELE and nondisabled children who enrolled through standard pathways in each state. We used a two-step estimation approach, examining the likelihood of utilization and then the volume and cost of services among users.
Medicaid 1115 Demonstration Evaluation Design PlanMay 15, 2015
This report lays out the general design and approach Mathematica will use to evaluate four types of Medicaid section 1115 demonstration waivers: (1) Delivery System Reform Incentive Payments (DSRIP), (2) Premium Assistance Medicaid expansions, (3) Beneficiary Engagement/Premium Payment demonstrations,...
Findings from HeA PA and Implications for ACA ImplementationOct 30, 2013
California's Health-e-App Public Access (HeA PA) system enables low-income families to apply online for publicly funded children's health insurance.
Evaluation of Healthy San FranciscoAug 25, 2011
This report summarizes a comprehensive evaluation of Healthy San Francisco, a program for uninsured adults ages 18 to 64.
Value for the Money Spent? Exploring the Relationship Between Medicaid Costs and QualityAug 30, 2010
This study examines the value of state Medicaid program spending by exploring the relationship between both sides of the efficiency coin—costs and outcomes.