Measuring and improving the quality of care for children and adults in Medicaid and the Children’s Health Insurance Program (CHIP) is a high priority for the Centers for Medicare & Medicaid Services (CMS) and its Center for Medicaid and CHIP Services (CMCS).
Bailey G. Orshan
- Hospital quality and payment programs
- Quality measures
- Technical assistance
- Medicaid and CHIP
- State Health Policy
Bailey G. Orshan leads Mathematica’s state health portfolio, which is dedicated to solving complex problems and creating new solutions for state agencies through a combination of policy, data analysis, methods, and program evaluation expertise. She specializes in quality measures and hospital payment programs and has extensive experience producing and reporting quality and payment program results and providing technical support on implementing payment programs.
She previously directed a project to provide analytic support to Maryland on its performance-based payment programs and a projects that supports the Centers for Medicare & Medicaid Services (CMS) in implementing the Hospital Readmissions Reduction and Hospital-Acquired Conditions Reduction Programs. She has also played large roles on projects that calculate inpatient hospital outcome, efficiency, and patient safety quality measures for public reporting and use in CMS’s payment programs. Finally, she led a task to provide technical assistance to support state reporting of the Health Home Core Set for the Center for Medicaid and CHIP (Children’s Health Insurance Program) Services.
Before joining Mathematica, Orshan held a position in the Office of Evaluation and Inspections in the Office of Inspector General, U.S. Department of Health and Human Services. She holds an M.P.A. in health policy and management from New York University’s Robert F. Wagner Graduate School of Public Service.
Technical Assistance and Analytic Support for the Medicaid and CHIP Core Set Measures
Providing Technical Assistance for Performance-Based Payment Methodologies
Mathematica provided technical assistance to the Maryland Health Services Cost Review Commission (HSCRC) as the commission worked to refine its performance-based payment methods.
Research and Evaluation of the Money Follows the Person (MFP) Demonstration Grants
The Money Follows the Person Demonstration is a federal initiative to help states reduce their reliance on institutional care for people needing long-term care, and expand options for elderly people and individuals with disabilities to receive care in the community.
Production and Implementation of the CMS Hospital Outcomes and Efficiency Measures
In 2009, CMS assessed a broad range of health care activities that affect patients’ well-being and made that information publicly available, to help improve health care quality and decision making. Mathematica implemented measures based on mortality and readmissions for six medical conditions to help...
National Hospital Price Transparency Conference Showcases Mathematica’s Price and Quality Dashboards
Mathematica’s partners will showcase two digital innovations at the Employers’ Forum of Indiana National Hospital Price Transparency Conference,. Mathematica served as the technology developer for Sage Transparency, created in partnership with the Employers’ Forum of Indiana, and the Hospital Cost Tool...