As people with HIV increasingly access affordable health care coverage—enabling them to obtain medical care from private providers—understanding how they use the Ryan White HIV/AIDS Program (RWHAP), and their unmet health care needs, can enhance their overall care.
This report presents findings from Mathematica’s independent evaluation of the first year of the Primary Care First model. The model is a continuation of CMS’ efforts to enhance primary care and move primary care practitioners toward value-based payment.
This is a summary of findings from Mathematica’s independent evaluation of the first year of the Primary Care First model. The model is a continuation of CMS’ efforts to enhance primary care and move primary care practitioners toward value-based payment.
Telehealth can be a valuable tool for nursing homes to enhance care coordination and provide timely access to care, leading to lower spending for nursing home residents.
This study identifies several factors shared by locally defined delivery system innovations that have been shown to reduce service use and lower health care spending.
The Health Resources and Services Administration’s (HRSA) Ryan White HIV/AIDS Program (RWHAP) provides services to more than half of all people with diagnosed HIV in the United States.
With an annual budget of more than $2 billion, the Health Resources and Services Administration’s Ryan White HIV/AIDS Program (RWHAP) is the third largest source of public funding for HIV care and treatment in the United States.
With an annual budget of more than $2 billion, the Health Resources and Services Administration's Ryan White HIV/AIDS Program (RWHAP) is the third largest source of public funding for HIV care and treatment in the United States, yet little analysis has been done to quantify the long-term public health...
The findings in this report focus on (1) evidence of program impacts on health care service use and costs, (2) factors associated with evidence of favorable impacts, and (3) awardees’ experiences sustaining programs and implementing payment models after the end of the awards.
This document includes 39 two-page briefs. The first brief provides a high-level overview and summary of key findings from the full evaluation. The remaining briefs provide an overview and summary of key findings for each of the 38 funded programs.
From 2012 to 2015, Sanford Health, a large health care system, integrated behavioral health services and chronic condition care management in some of its primary care practices in the Dakotas and rural Minnesota.
The purpose of this study was to test the effectiveness of a high-intensity care management program that the Rutgers University Center for State Health Policy (CSHP) implemented as an adaptation of a promising model developed by the Camden Coalition of Healthcare Providers.
A telephonic transitional care program at a rural hospital reduced postdischarge Medicare spending by 31% and reduced inpatient spending for Medicare fee-for-service beneficiaries.
This paper estimates impacts of TransforMED’s HCIA-funded program on patient outcomes and Medicare parts A and B spending.
CareFirst, the largest commercial insurer in the mid-Atlantic Region of the United States, runs a medical home program focusing on financial incentives for primary care practices and care coordination for high-risk patients.
The environmental scan identified numerous ED-specific measures and a limited set of telehealth-specific measures, but no clearly defined measures specific to tele-ED.
The goal of this study was to assess the impact of providing enhanced Medicare payments to frontier clinics for extended stay services on the use and cost of emergency care.
This study provides a baseline view of the HIV care system prior to implementation of the Patient Protection and Affordable Care Act (ACA).
Evidence suggests that the supply of HIV clinicians might not be keeping pace with the growth in the demand for HIV health care services.
In July 2012, the Center for Medicare & Medicaid Innovation (CMMI) awarded cooperative agreements to a select group of programs proposing innovative ways to improve the quality and lower the cost of care for Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) enrollees.
This study is the first large-scale effort to identify the number of HIV clinicians practicing in the United States, to characterize their workforce behavior, and to assess HIV workforce needs at the national and regional levels.
Reviews the evidence for six promising models being implemented by the Centers for Medicare and Medicaid Services' Community-based Care Transitions Program (CCTP) awardees.
This report presents findings from the Medicare Part D late enrollment penalty demonstration, which encouraged enrollment in Part D among low-income beneficiaries by eliminating the penalty for certain Medicare beneficiaries in the low-income subsidy program and those living in areas affected by Hurricane...
Individuals with potentially disabling conditions have distinct health care needs, which if left unmet, can lead to the onset of a disability and enrollment in a federal disability benefit program.
With better access to health care and employment supports, individuals with physical and mental impairments can stay employed, maintain health, and avoid becoming dependent on federal disability benefits.