Mathematica uses Medicaid data to produce annual output and reports on Medicaid LTSS expenditures and users and assesses the proportion of Medicaid LTSS expenditures and users allocated to HCBS, nationally and by state.
- Long-term services and supports
- Program evaluation
- Quality measure development, testing, and implementation
- Quality assurance/performance improvement
- Value-based payment programs
- Long-Term Services and Supports
- Medicaid and CHIP
- Delivery System Reforms
Jessica Ross’s work focuses on evaluation and improvement of Medicaid long-term services and supports (LTSS) systems. Her expertise includes quantitative and qualitative analyses, quality measure development and testing, and program evaluation.
Ross currently directs the second national evaluation of the Centers for Medicare & Medicaid Services’ (CMS’s) Money Follows the Person Demonstration (MFP). For this project, Ross and her team will design and conduct an evaluation of the MFP program’s impact, identify best practices, and develop new digital tools to facilitate ongoing monitoring by CMS and states. They will also examine nursing facility discharges during the COVID-19 public health emergency (PHE) and develop tools to help states and CMS ensure successful community discharges during future PHEs.
Ross also leads a project to develop and implement a quality assurance and performance improvement system for the North Carolina Department of Health and Human Services’ Transitions to Community Living. The initial phase of the project focused on (1) identifying measures needed to provide a comprehensive picture of program performance and (2) developing the foundation for centralized data management, analysis, and data visualization through a dashboard. In the current phase, Ross and her team will implement and use these tools to conduct ongoing quality assurance and performance improvement in conjunction with the state. She and the Mathematica team are also providing support to implement North Carolina’s Olmstead Plan, including performance monitoring, and development of a data analytics system and dashboards.
In her prior work at Mathematica, Ross led the development of several annual reports on Section 1915(c) waiver program participation and expenditures nationally, by state, and across various populations of Medicaid beneficiaries using LTSS. On behalf of the Minnesota Department of Human Services, she also explored how value-based purchasing could promote new models of care, services, and reimbursement structures for people with disabilities served by fee-for-service waivers for home and community-based services. In addition, Ross served as project director for a multiyear effort to develop new quality measures for various groups of Medicaid beneficiaries, and she led the development of the first nationally standardized measures for managed LTSS plans, many of which were adopted as part of CMS’ first HCBS Quality Measure Set.
Before joining Mathematica in 2010, Ross held research positions at a number of institutions, including RTI International, the Massachusetts Division of Health Care Finance and Policy, the University of Cape Town, and the New York University Medical School. She holds an M.P.H. in epidemiology/global health from the Mailman School of Public Health at Columbia University.
Long-term Services and Supports Expenditure Reports Project
North Carolina Transitions to Community Living Quality Assurance and Performance Improvement
North Carolina’s Department of Health and Human Services partnered with Mathematica to develop a quality assurance and performance improvement system for Transitions to Community Living, which ensures adults with serious mental illness can choose where they live, work, and play in North Carolina.
A Study of Value-Based Payment for Medicaid Home and Community-Based Services Provided to Minnesotans with Disabilities
Mathematica worked with Minnesota’s Department of Human Services (DHS) to explore how value-based payment (VBP) can promote new models of care, services, and reimbursement structures for people with disabilities served by fee-for-service home and community-based services (HCBS) waivers in the state.
Technical Assistance and Analytic Support for the Medicaid and CHIP Core Set Measures
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).
Quality Measure Development: Dual Enrollees, Managed Long-Term Services and Supports, and Medicaid Innovation Accelerator Programs
Mathematica is developing reliable and valid quality measures for Medicaid beneficiaries with chronic or high-cost conditions and for some groups of beneficiaries enrolled in both Medicaid and Medicare.
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.
Using State Data to Paint a National Picture: MAX and Alpha-MAX Data Production
Mathematica produces Medicaid administrative files, including MAX and Alpha-MAX, specifically designed for researchers. MAX contains annual, person-level data files containing Medicaid eligibility, service utilization, and payments, which are derived from the Medicaid Statistical Information System files...
Community-Based Care Transitions Program Implementation and Monitoring
Mathematica and its subcontractors are developing and implementing an electronic transmittal system for collecting, validating, reporting, and paying invoices for care transition services submitted by over 100 participating community-based organizations and their hospital partners; and monitoring and...
Mathematica Showcases Expertise on Medicaid Systems, Long-Term Care, and Health Policy at Medicaid Enterprise Systems Conference
Mathematica’s state and federal Medicaid experts will share their insights at the upcoming Medicaid Enterprise Systems Conference (MESC) in Charlotte, North Carolina.
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.