Mathematica has extensive experience partnering with states and federal agencies, in addition to payer and provider communities, implementing state-based models similar to AHEAD, including the Vermont All-Payer Accountable Care Organization Model, Maryland Total Cost of Care Model, and Pennsylvania Rural Health Model. Our recent engagements include work in the following areas: 

• Global budgets: Developing and implementing hospital global budgets and other population-based alternative payment models in states including Pennsylvania, Maryland, and Vermont
• Multi-payer alignment: Achieving multi-payer alignment for alternative payment models through data analyses and collaborating with providers, payers, and model administrators 
• State accountability and data infrastructure: Assisting states, including Massachusetts, New Jersey, Connecticut, and California, with cost growth benchmark programs and exploring health care cost drivers through an interactive tool
• Methodology development: Working with states to develop and refine the methodology of alternative payment and delivery models to align incentives with state and model goals; helping states use data to make informed decisions
• Health equity: Improving equity by working within programs to measure and track health care disparities
• Primary care: Evaluating state-based and federal total cost of care and primary care models and partnering to improve the delivery of primary care
• Medicaid: Working with states and the Center for Medicaid and Children’s Health Insurance Program Services on Medicaid policy innovation and assessing state waivers
• Recruitment: Recruiting providers and payers to participate in voluntary alternative payment models by producing financial models for informed decision making 

Mathematica’s team of policy and data experts optimize the use of available data to support states considering innovative solutions to the complex issues facing their health systems. The AHEAD Model presents an exciting opportunity to help states lead the way in improving health outcomes throughout the country.