Supportive Services at End of Life Can Help Reduce Acute Care Services: Observations from the Medicare Care Choices Model

This study identifies the mechanisms through which supportive and palliative care services at the end-of-life helped prevent unnecessary use of acute care services.

Evaluation of the Medicare Care Choices Model: Fifth and Final Annual Evaluation Report

This is the final report on the evaluation of the Medicare Care Choices Model, which tested offering eligible beneficiaries the option to receive supportive and palliative care services through hospice providers without forgoing payment for the treatment of their terminal conditions.

Coordinating Care for People With HIV Who Have Lower Incomes and Alternative Sources of Health Care Coverage

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.

Evaluation of the Primary Care First Model: First Annual Report

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.

Primary Care First Model Evaluation of the First Year (2021): Findings at a Glance

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.

Effects of a Nursing Home Telehealth Program on Spending and Utilization for Medicare Residents

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.

Features of Health Care Interventions Associated With Reduced Services and Spending

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.

Development of a Mathematical Model to Estimate the Cost-Effectiveness of the Ryan White HIV/AIDS Program

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.

Cost-Effectiveness of the Health Resources and Services Administration’s Ryan White HIV/AIDS Program

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.

Cost-Effectiveness of HRSA's Ryan White HIV/AIDS Program?

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...

Evaluation of the Health Care Innovation Awards, Round 2: Final Report

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.

Health Care Innovation Awards, Round 2: Final Awardee Evaluation Report (2014-2018), Findings at a Glance

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.

Effects of a Behavioral Health and Chronic Illness Care Intervention on Patient Outcomes in Primary Care Practices in the Dakotas

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.

Effects of a Community-Based Care Management Model for Super Utilizers

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.

Rural Hospital Transitional Care Program Reduces Medicare Spending

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.

The Impact of a Health Information Technology–Focused Patient-Centered Medical Neighborhood Program Among Medicare Beneficiaries in Primary Care Practices: The Effect on Patient Outcomes and Spending

This paper estimates impacts of TransforMED’s HCIA-funded program on patient outcomes and Medicare parts A and B spending.

Association Between Extending CareFirst's Medical Home Program to Medicare Patients and Quality of Care, Utilization, and 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.

Building the Evidence Base for Tele-Emergency Care: Efforts to Identify a Standardized Set of Outcome Measures

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.

Medicare Payment for Extended Stay Services in Frontier Clinics: Impact on the Use and Cost of Emergency Care in Alaska

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.

Characteristics of the Ryan White HIV/AIDS Program Provider Network: Implications for Access to Care Under the Affordable Care Act

This study provides a baseline view of the HIV care system prior to implementation of the Patient Protection and Affordable Care Act (ACA).

Supply and Demand Projections from 2010 to 2015

Evidence suggests that the supply of HIV clinicians might not be keeping pace with the growth in the demand for HIV health care services.

Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs, First Annual Report Volume I: Technical Report

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.

Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs First Annual Report, Volume II: Individual Program Summarires

HIV Clinician Workforce Study

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.

The Effects of Transitional Care Models on Re-Admissions: A Review of the Current Evidence (Journal Article)

Reviews the evidence for six promising models being implemented by the Centers for Medicare and Medicaid Services' Community-based Care Transitions Program (CCTP) awardees.

Evaluation of Medicare Part D Late Enrollment Penalty Demonstration for Low-Income Subsidy Applicants and Residents Affected by Hurricane Katrina

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...

The Demonstration to Maintain Independence and Employment: Implications for National Health Care Reform

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.

Interim Report on the Demonstration to Maintain Independence and Employment

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.