Mathematica is providing data analytics support and technical assistance to support CMS’s efforts to enhance the value of health care services provided to Medicare beneficiaries under the Quality Payment Program.
- Incentive Design
- Performance Measurement
- Long-Term Care
- Delivery System Reforms
- Long-Term Services and Supports
Jeff Ballou’s research focuses on health care payment reform. His work informs efforts to lower costs and improve health care quality through performance measurement and the use of alternative payment strategies.
Ballou regularly advises clients on issues relating to the design, implementation, and assessment of a wide range of alternative payment models (APMs), including shared savings, bundled payment, and pay-for-performance arrangements. From his research and consulting support for the development and implementation of Medicare payment policy—including leading the implementation of a nationwide physician incentive program and advising the federal government on assessments of alternative payment models (APMs), physician-focused payment models, and clinician participation in APMs—he has gained a deep understanding of Medicare policy and regulation, particularly as it applies to clinicians.
In addition to his work on incentives, Ballou has analyzed a wide range of other health care issues, including the effects of Part B drug payment reform; reform of health insurance markets; assessment of methods for conducting comparative effectiveness research; provision of home and community-based services for low-income elderly people and people with disabilities; and competition, market power, and product differentiation in health care markets.
Before joining Mathematica, Ballou held faculty positions in the Northeastern University Department of Economics and Northwestern University’s Institute for Policy Research. He holds a Ph.D. in economics from Northwestern University.
Helping CMS Implement the Alternative Payment Model Track of the Quality Payment Program
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.
Developing Resource Use Reports for Medicare Fee-for-Service Claims
Mathematica assisted the Centers for Medicare and Medicaid Services with designing a system to implement physician value-based purchasing for Medicare beneficiaries, which includes development and distribution of confidential physician feedback reports that inform physicians of their performance on quality...
Supporting Quality and Efficiency in Medicare With Value-Based Payment Modification and Physician Feedback Reports
The Physician Value program provided comparative quality and resource use performance information to medical group practices and physicians as part of Medicare’s efforts to improve the quality and efficiency of medical care.
CIRE Forum: Improving Public Programs: Advanced Analytics for Better Decision Making
This recording of the May 2015 CIRE forum features a discussion on how advanced analytics can help policymakers, program administrators, and direct services staff enhance their programs by providing rapid, reliable, and relevant information.