The Centers for Medicare & Medicaid Services’ States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model will provide selected states with funding to implement an alternative health care payment and service delivery model. The model aims to curb rising health care costs, strengthen primary care, and improve health equity and population health outcomes.

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.  

State-Only Discussion Series: The AHEAD Model and State Considerations

NASHP and Mathematica are collaborating on a series of conversations for states interested in AHEAD. The first three calls will focus on critical considerations for states as they assess their capacity and readiness for the AHEAD model. Participants will have the opportunity to hear from and engage with experts, and discuss with their peers in other states on three key model issues for states: governance, hospital global budgets, and primary care AHEAD.

Medicare Global Budget Details

Thursday, February 22, 2024, 2–3 p.m. ET 

Please note: These calls are open to state officials only.

Register Now

Partners In Progress

Joshua Baker

Joshua Baker

Vice President, State Medicaid and Health Policy

View Bio Page
Marian V. Wrobel

Marian V. Wrobel

Principal Researcher

View Bio Page
Steven Weiss

Steven Weiss

Senior Researcher

View Bio Page
Sandra Chao

Sandra Chao

Senior Researcher

View Bio Page
Solutions

Progress is best made together.

Partner with us at the intersection of data science, social science, and technology to progress from inquiry to insight to impact. Our evidence-informed solutions empower you to see clearly and act quickly.

Advisory Services

Advisory Services

Learn more
Learn more about Advisory Services
Strategy Development

Strategy Development

Learn more
Learn more about Strategy Development
Technical Assistance

Technical Assistance

Learn more
Learn more about Technical Assistance
Monitoring, Evaluation, and Learning

Monitoring, Evaluation, and Learning

Learn more
Learn more about Monitoring, Evaluation, and Learning
Data Analytics

Data Analytics

Learn more
Learn more about Data Analytics
Resources
Filter
Hide
result(s) for All Resources are listed below
Select View

A Data Use Strategy for State Action to Address Health Care Cost Growth

The Peterson-Milbank Program for Sustainable Health Care Costs
Summary

Learn More

AHEAD Model Home Page

Centers for Medicare & Medicaid Services
Summary

Learn More

CMS Innovation Center Primary Care Models Comparison

Centers for Medicare & Medicaid Services
Summary

Learn More

Databook - Making the Case for State Health Care Affordability Sample Slides

Peterson-Milbank Program for Sustainable Health Care Costs
Summary

Learn More

Examining TCOC in WA using the ADI

Washington Health Alliance
Summary

Learn More

Health Care Cost and Affordability Data Resource Inventory

Peterson-Milbank Program for Sustainable Health Care Costs
Summary

Learn More

Hospital Cost Tool (HCT 2.0)

National Academy for State Health Policy’s (NASHP)
Summary

Learn More

Making the Case for State Health Care Affordability Sample Slides

Peterson-Milbank Program for Sustainable Health Care Costs
Summary

Learn More

Maryland Total Cost of Care Model

Centers for Medicare & Medicaid Services
Summary

Learn More

Pennsylvania Rural Health Model

Centers for Medicare & Medicaid Services
Summary

Learn More

State Innovation in Controlling Health Care Costs in Consolidated Markets (Webinar)

University of Pennsylvania's Leonard Davis Institute of Health Economics (LDI)
Summary

Learn More

Thinking Ahead on the AHEAD Model: Governance

The National Academy for State Health Policy
January 19, 2024
Summary

Learn More

Vermont All-Payer ACO Model

Centers for Medicare & Medicaid Services
Summary

Learn More

Contact Us

So we can help serve you better, please complete the form below. We will respond as soon as possible, usually within a few business days.