Improving Hospital Quality Risk-Adjustment Models Using Interactions Identified by Hierarchical Group Lasso Regularisation

Risk-adjustment (RA) models are used to account for severity of illness in comparing patient outcomes across hospitals.

Community Connector: AHRQ's Visualization of Community-Level Social Determinants of Health Challenge (SDoH)

Our Community Connector tool (https://communityconnector.mathematica.org/) is designed to summarize a community’s social needs in one picture, or fingerprint; identify communities with similar fingerprints; and compare communities across key indicators of health care utilization and cost.

A COVID-19 Primer: Analyzing Health Care Claims, Administrative Data, and Public Use Files

This primer is designed to help researchers, data scientists, and others who analyze health care claims or administrative data (herein referred to as “claims”) quickly join the effort to better understand, track, and contain COVID-19.

Community Connector: The AHRQ Social Determinants of Health Data Viz Challenge Winner

Clinical care accounts for a small part of the factors that affect population health. The rest is determined by social determinants of health (SDoH)—social, behavioral, and environmental factors that interact dynamically to keep people healthy.

Medicaid Home- and Community-Based Services: Characteristics and Spending of High-Cost Users

UsersMedicaid enrollees increasingly are receiving long-term services and supports (LTSS) in the home and community.

HCBS Claims Analysis Chartbook: Final Report

This MACPAC-commissioned report describes the characteristics and service use of Medicaid enrollees who used HCBS, and analyzes Medicaid spending for these HCBS users, by state and over time.

Money Follows the Person 2015 Annual Evaluation Report

This seventh annual report from the national evaluation of the Money Follows the Person rebalancing demonstration provides information about (1) the program; (2) how it grew and changed since transitions began in 2007; and (3) demonstration outcomes such as cost savings, transition rates, and quality...

Building Managed Long-Term Services and Supports Risk-Adjustment Models: State Experiences Using Functional Data

This brief describes New York’s and Wisconsin’s sophisticated Medicaid managed long-term services and supports risk-adjustment models that use functional status data to predict long-term services and supports costs.

Money Follows the Person 2014 Annual Evaluation Report

This report details the findings to date for the national evaluation of the Money Follows the Person (MFP) Rebalancing Demonstration.

Development of an HCBS Pressure Ulcer Measure, Volume 1

This is the first of two reports describing the development of a measure to assess potentially avoidable hospitalizations due to pressure ulcers among Medicaid fee-for-service (FFS) beneficiaries using home- and community-based services (HCBS).

Money Follows the Person 2013 Annual Evaluation Report

This is the fifth in a series of annual reports from the national evaluation of the Money Follows the Person (MFP) rebalancing demonstration.

Proposed Methods for Developing and Testing Risk- and Reliability-Adjustment Models for HCBS Composite Measures

This methods report describes Mathematica Policy Research’s approach to creating risk-adjustment models using composite measures to profile care delivered to the home- and community-based service (HCBS) population.

Improving the AHRQ Quality Indicators: Summary of Findings and Recommendations for Improving the Methodological Approach

The Changing Medical and Long-Term Care Expenditures of People Who Transition from Institutional Care to Home- and Community-Based Services

This report focuses on the medical and long-term care expenditures for Medicaid beneficiaries who transition from institutional to community-based long-term services and supports (LTSS) and how those expenditures change after the transition.

The HCBS Taxonomy: A New Language for Classifying Home- and Community-Based Services (Journal Article)

For calendar year 2010, 28 states spent almost $23.6 billion on HCBS, with 80 percent of expenditures categorized as round-the-clock, home-based, and day services.

Money Follows the Person 2012 Annual Evaluation Report

The fourth annual report of the Money Follows the Person (MFP) Evaluation includes analyses on (1) program implementation for the first five years; (2) descriptions of MFP participants and costs and types of services received; (3) trend analyses to detect shifts in the balance of state long-term care...

The HCBS Taxonomy: A New Language for Classifying Home- and Community-Based Services

As states make home- and community-based services (HCBS) more accessible, researchers have become more interested in understanding service use and spending, but analyzing HCBS at the national level can be challenging.

Money Follows the Person 2011 Annual Evaluation Report

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.

How Are the Costs of Care for Medical Falls Distributed? The Costs of Medical Falls by Component of Cost, Timing, and Injury Severity

This article examines the cost components that drive increased total costs after a medical fall over time, by severity of injury.

Post-Institutional Services of MFP Participants: Use and Costs of Community Services and Supports

This report uses aggregate data from annual financial reports and service claims records submitted by grantees to examine the costs and types of community-based services received by participants in the Money Follows the Person program.

Money Follows the Person 2010 Annual Evaluation Report

This is the second annual report on the Money Follows the Person (MFP) demonstration, 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....