This initiative is building an infrastructure for robust data analytics, and integrating and aligning federal and state data sources, to support data-driven policy decisions about Medicaid and CHIP policy and programs.
- Medicaid data and data analytics
- Program evaluation
- Health services of frail older adults and people with disabilities
- Medicaid waiver programs
- Delivery System Reforms
- Long-Term Services and Supports
- Medicaid and CHIP
- Human Services
Carol Irvin’s career has focused on using data to assess policies and programs related to health care access, particularly for vulnerable populations. She has extensive experience evaluating programs that extend coverage or transform health care services for people of all ages and with a wide range of chronic conditions and disabilities.
Irvin currently directs Mathematica’s Medicaid and CHIP (Children’s Health Insurance Program) Business Information System Business Analytics and Data Quality Development contract. This project supports the Center for Medicaid and CHIP Services as it upgrades the national Medicaid and CHIP data systems, primarily the Transformed Medicaid Statistical Information System (T-MSIS), and enhances its ability to make data-driven decisions about Medicaid and CHIP policies and programs. Under this contract, Mathematica monitors the quality of state T-MSIS data submissions, provides technical assistance to help states improve their T-MSIS data, designs and produces research versions of the T-MSIS data, conducts stakeholder engagement and training activities, produces reports and other analytic products that respond to stakeholder needs, and provides subject matter expertise on data design and management. This contract also provides technical support for the Medicaid and CHIP Accountability Scorecard, a new Centers for Medicare & Medicaid Services initiative to improve the performance of Medicaid and CHIP programs.
Her program evaluation work includes leading Mathematica’s national evaluation of the Money Follows the Person demonstration, a Medicaid program that seeks to help states develop and strengthen approaches to transitioning people from institutional to community-based care. She also directed Mathematica’s evaluation of Section 1115 Medicaid demonstration programs. Her state-level evaluation work includes leading an evaluation of Oregon’s Medicaid 1115 demonstration that seeks to transform how Medicaid services are managed and delivered. She also conducted an evaluation of the Healthy Indiana Plan, an innovative program that provides a high deductible health program for uninsured, working age Hoosiers. In other work, she contributes to studies of Medicare-Medicaid enrollees and evaluations of statewide plans to improve services of children with autism spectrum disorders.
Irvin, who publishes in peer-reviewed journals including Pediatrics and Psychiatric Services, presents at professional meetings sponsored by AcademyHealth and the American Public Health Association. She holds a Ph.D. in economics from the University of Wisconsin–Madison.
Providing Business Analytics and Data Quality Development for Medicaid and CHIP Business Information Solutions (MACBIS)
New Approaches for Medicaid: The 1115 Demonstration Evaluation
Mathematica's evaluation of Medicaid Section 1115 waiver demonstrations, approximately 40 in number, seeks to assess the implementation and outcomes of four different types of innovations and help CMCS shift toward data-driven decision making for future waiver approvals.
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.
Employment Policy and Measurement Rehabilitation Research and Training Center
Mathematica partnered with the University of New Hampshire’s Employment Policy and Measurement Research and Rehabilitation Training Center (RRTC) on a five-year grant from the U.S. Department of Education, National Institute on Disability and Rehabilitation Research to study and measure the impact of...
Using Data to Inform Medicaid Behavioral Health Policies and Services
Mathematica conducted research, surveys, data collection, and analysis to offer insights and information about current trends in Medicaid-funded behavioral health services. We conducted a survey of Medicaid officials on state administration of mental health services and compared multiple national data...
Demonstration to Maintain Independence and Employment (DMIE)
The Demonstration to Maintain Independence and Employment, authorized under the Ticket to Work and Work Incentives Improvement Act of 1999, awards funds to states to develop, implement, and evaluate interventions for workers with potentially disabling health conditions.
Medicaid Section 1115 MidPoint Evaluation
Section 1115 waivers give states flexibility to test new approaches to managing and delivering care to Medicaid and CHIP populations. In 2012, Oregon launched a demonstration waiver program that redesigns the state’s Medicaid delivery and payment system. Our study involves formative and summative evaluations...
Mathematica to Share Latest Evidence and Insights with Medicaid Experts at National Association of Medicaid Directors Conference
As the U.S. continues to grapple with the COVID-19 pandemic and opioid epidemic, Mathematica experts are working with the Centers for Medicare & Medicaid Services (CMS) and states to help Medicaid and the Children’s Health Insurance Program (CHIP) better address the nation’s pressing health needs.
Recent Insights Can Strengthen the Behavioral Health Care System
May is Mental Health Awareness Month, providing a renewed opportunity to reflect on this important health area, especially as the COVID-19 pandemic has exposed how millions across the country struggle with mental health and substance use disorders (SUDs).
Making Medicaid and Children’s Health Insurance Program Data More Accessible for Policy and Program Analysis and Research: Updates to DQ Atlas
As part of its work helping clients such as the Centers for Medicare & Medicaid Services (CMS) modernize their information technology and data analytics, Mathematica recently released new information and enhancements to DQ Atlas.
Mathematica Supports the Centers for Medicare & Medicaid Services’s State Medicaid and Children’s Health Insurance Program Transformation and Innovation Milestones
Mathematica will showcase state Medicaid services and support for CMS projects to modernize data analytics for Medicaid and the Children’s Health Insurance Program at the National Association of Medicaid Directors fall conference.
Mathematica Experts Showcase MACBIS Expertise and Present on Medicaid Methods and Topics at Medicaid Enterprise Systems Conference
Mathematica experts will showcase their expertise in providing business analytics and data quality development for the Medicaid and CHIP (Children’s Health Insurance Program) Business Information Solution (MACBIS) at this year’s Medicaid Enterprise Systems Conference in Chicago.
Mathematica Experts Present at 2017 AcademyHealth Annual Research Meeting
More than 25 of Mathematica’s health policy experts will attend the AcademyHealth annual research meeting in New Orleans, Louisiana, on June 24 to 27. Researchers will take part in panel discussions, poster sessions, and presentations.
Mathematica Appoints New Senior Fellows
Mathematica is pleased to announce the appointment of two new senior fellows, Sally Atkins-Burnett and Carol Irvin, nationally recognized experts in program evaluation and policy analysis. Their contributions to public policy research continuously help us inform policy and program decisions.
CSDP Forum: Rebalancing Long-Term Care Services and Supports
In this forum, participants discussed CMS' efforts to reduce independence on institutional care and expand access to home- and community-based services for Medicaid beneficiaries.