Andrew Spicer-Winson

Andrew Spicer’s work focuses on Medicaid access policy and monitoring, qualitative data collection and analysis, clinical quality measure testing and maintenance, and 1115 demonstration waiver technical assistance. Spicer is passionate about program innovation as an avenue to achieving health equity.

Since joining Mathematica in 2022, Spicer has worked on various projects focused on Medicaid access policy. These include policies that examine access to physician services and its relation to Medicaid payment policy and others that seek to understand best practices to monitor Medicaid access standards and quality of care. Spicer is also experienced in qualitative data collection, analysis, and interviewing. Previously, he helped the Centers for Medicare and Medicaid Services (CMS) cognitively test a health equity language services measure that ensured access to trained interpreters for patients whose primary language is not English. He has also interviewed experts, beneficiaries, clinicians, and policy practitioners, analyzing the resulting data to help inform access policy, payment models, and health equity initiatives. Spicer provides technical assistance to CMS on Section 1115 demonstration waiver budget neutrality policy and financial modeling, and brings experience in quality measure maintenance and policy.

Spicer started his career in direct patient care for elders with Alzheimer’s and related dementias, where his passion for health care quality and equity was born. His experience in providing care for people with traumatic brain injuries motivated him to help ensure that quality health care is accessible to everyone, regardless of ability, location, and financial status. Spicer seeks out opportunities to talk to beneficiaries about their experiences and to help federal agencies drive equitable change. Before joining Mathematica, Spicer was an intern at the U.S. House of Representatives for Rep. Slotkin, and a policy fellow at the AFL-CIO. He holds a master’s degree in public policy from Michigan State University.