The Third Annual Report presents findings from the independent evaluation of the first three years of CPC+ for practices that began the model in 2017. The report examines CPC+ participation, supports, implementation, and impacts.
To better understand how various policies unfolded during open enrollment for ACA-related coverage in 2019, the Robert Wood Johnson Foundation (RWJF) engaged Mathematica to assess outreach and enrollment strategies and outcomes.
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.
This article summarizes results from a study of how the Comprehensive Primary Care initiative affected primary care physician experience.
In fall 2017 the Robert Wood Johnson Foundation (RWJF) invested over $3 million to shore up outreach and enrollment support. To better understand the effects of these investments, RWJF engaged Mathematica Policy Research to conduct a process assessment.
This is the fourth and final report evaluating the four-year Comprehensive Primary Care (CPC) initiative, which was launched by the Center for Medicare & Medicaid Innovation (CMMI) of the Centers for Medicare & Medicaid Services (CMS) to improve primary care delivery, health care quality, and patient...
This is the appendix to the fourth and final report evaluating the four-year Comprehensive Primary Care (CPC) initiative, which was launched by the Center for Medicare & Medicaid Innovation (CMMI) of the Centers for Medicare & Medicaid Services (CMS) to improve primary care delivery, health care quality,...
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.
Technical assistance (TA) is nonfinancial assistance meant to impart information, skills, and expertise from one person or entity to others.
The Cities Expanding Health Access for Children and Families (CEHACF) project was designed to capitalize on both cities’ responsibility for protecting the health and well-being of their residents and municipal leaders’ platform for engaging residents.
The primary goal of the KidsWell Campaign was to ensure access to health insurance for all children, which in turn was expected to lead to improved health outcomes.
The Cities Expanding Health Access for Children and Families (CEHACF) project was designed to capitalize on both cities’ responsibility for protecting the health and well-being of their residents and municipal leaders’ platform for engaging residents.
When the Patient Protection and Affordable Care Act (ACA) passed in 2010, about 6.2 million children were uninsured; of those, nearly 70 percent were already eligible for coverage through Medicaid or the Children’s Health Insurance Program (CHIP) but not enrolled (Kenney et al. 2012).
This report examines the implementation of Enroll America’s Get Covered Academy training program during the third open enrollment period. Findings describe the program and assess partners’ ability to implement, use, and institutionalize Enroll America’s strategies and tools.
The evaluation focused on grantees in the final phase of the Consumer Voices for Coverage initiative, which built capacity in underserved communities to engage leaders and consumers to put systems in place to help consumers obtain and keep coverage and establish feedback loops to inform program and policy...
Mathematica Policy Research examined the implementation of Enroll America’s field outreach campaign during the second open enrollment period, to (1) understand whether and how it adapted the campaign compared to its first-year activities, (2) assess second-year performance, and (3) document Enroll America’s...
As the Patient Protection and Affordable Care Act ushers in a new era in health care coverage and delivery, significant changes to the health insurance landscape have personal implications for individuals whose insurance options change.
This report examines the implementation of Enroll America’s outreach campaign in two states—North Carolina and Ohio—during the second open enrollment period under the Affordable Care Act (ACA).
The Atlantic Philanthropies contracted with Mathematica to explore the advantages and disadvantages of competitive grant-making to achieve foundations’ grant-making objectives.
Express Lane Eligibility (ELE) lets states enroll children in Medicaid or the Children's Health Insurance Program or lets them renew children's coverage using findings from other public programs.
The Children's Health Insurance Program and Medicaid continue to play a critical role in extending affordable access to quality care for children.
Recognizing the Affordable Care Act as a crucial opportunity to close the children’s insurance coverage gap, the Atlantic Philanthropies created the KidsWell Campaign to try to achieve universal children’s health care coverage and support an enduring infrastructure that would remain after Atlantic’s...
Recognizing the Affordable Care Act as a crucial opportunity to close the children’s insurance coverage gap, the Atlantic Philanthropies created the KidsWell Campaign to try to achieve universal children’s health care coverage and support an enduring infrastructure that would remain after Atlantic’s...
As part of the evaluation of the Cities Expanding Health Access for Children and Families program for Atlantic Philanthropies, Mathematica conducted a targeted literature review of scholarly and other published sources to identify previous publications regarding competitive grant-making strategies.
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 is the final report on findings from an evaluation of the Children’s Health Insurance Program (CHIP) that was mandated in the CHIP Reauthorization Act.
KidsWell's premise is that the Affordable Care Act is the most viable near term policy option to cover all children.
The expansion of Medicaid eligibility to low income adults and subsidies to purchase private insurance are arguably the most significant provisions of the Affordable Care Act (ACA).
As part of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA), Congress permitted Express Lane Eligibility (ELE), which allows state Medicaid and/or CHIP programs to rely on another public agency's eligibility determination to qualify children for public health coverage or renew...
The Children’s Health Insurance Program (CHIP), a landmark initiative to broaden health insurance coverage for low-income children, was created with bipartisan support as part of the Balanced Budget Act of 1997 (BBA) and funded for a period of 10 years with an appropriation of approximately $40 billion.
In September 2010, the Oklahoma Health Care Authority (OHCA) implemented the first real-time online enrollment system for Medicaid and the Children’s Health Insurance Program (CHIP).
This report summarizes findings from a case study of New Jersey’s ELE processes, conducted in January 2013.
This report describes the nine programs approved for Express Lane Eligibility (ELE) as of April 2012.
This brief summarizes key findings of the Narrative Communications Project sponsored by the David and Lucile Packard Foundation.
This report summarizes findings about Florida’s KidCare from a case study conducted March 12-16, 2012 by staff from Mathematica Policy Research on behalf of the Assistant Secretary for Planning and Evaluation (ASPE).
This interim report, the first of two reports to Congress, uses qualitative and quantitative data to document the development of the Children's Health Insurance Program (CHIP), particularly focusing on changes states have made since Congress reauthorized CHIP in 2009.
To promote health care policies that achieve meaningful increases in health coverage at the state or federal level, and enhance the role that consumer advocates play in shaping health coverage policy, the Robert Wood Johnson Foundation (RWJF) created the Consumer Voices for Coverage (CVC) program, which...
This report describes the progress made by CVC participants during the first two years of the initiative.
This article describes lessons from Covering Kids & Families® (CKF) and covers topics such as how outreach, simplification, and coordination increase enrollment of low-income children and their families in Medicaid and SCHIP.
Over the past eight years the Robert Wood Johnson Foundation (RWJF) invested nearly $150 million to help increase and maintain enrollment of children and families eligible for but not enrolled in Medicaid and the State Children’s Health Insurance Program (SCHIP).
This brief examines CKF’s work in Washington State, one of only a handful of states that has achieved near-universal health insurance coverage for children.
Health insurance coverage in New Jersey is threatened on all sides: private insurance coverage is eroding; the number of uninsured individuals is growing; and state budget pressure, combined with federal policy pressure, could lead to public insurance coverage cutbacks.
Advocates and funders seek effective ways to modify state policies and procedures.
This brief looks at experiences of some state Medicaid and SCHIP agencies in using a process change model to strengthen the way they approach enrollment and retention, concluding that committed leadership and resources are an effective model for changing Medicaid and SCHIP enrollment and retention processes...
This report examines the types of barriers CKF grantees encountered when trying to achieve these goals. Most CKF grantees named environmental barriers—for example, limited state funding, policy changes, difficult processes, political climate, or government bureaucracy—as the greatest hurdles they faced....
This brief presents the results of a survey of Covering Kids & Families grantees in 31 states within the first month that citizenship requirements were in effect.
This highlight memo examines grantees’ and state officials’ opinions on their success in improving Medicaid and SCHIP using the simplification and coordination strategies.
Examines the types of organizations that CKF grantees partner with, the kinds of support that partners offer grantees, and whether and how these community partners factor into grantee plans to sustain their efforts after the CKF program ends.
Looks at expansion of Medicaid managed care in Tennessee, Hawaii, Rhode Island, Oklahoma, and Maryland, noting that projects were controversial and chaotic in the beginning but matured with time.