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.
- Hospital quality and payment programs
- Hospital-acquired condition reduction program
- Long-Term Services and Supports
- Medicaid and CHIP
Jessica Ross leads development and testing of quality measures for Medicare and Medicaid beneficiaries. She has substantial experience leading the production and reporting of Medicare hospital quality and payment program results.
Ross currently serves as the deputy project director for a project assessing gaps and developing and testing measures for three groups of Medicaid beneficiaries including: dual beneficiaries; people with disabilities and older adults receiving long-term services and supports in institutions or home- and community-based settings; and people with substance use disorders, physical and mental health needs, or other complex conditions. Ross also helps lead technical assistance for the Medicaid Adult Core Set reporting program, which supports state Medicaid and Children’s Health Insurance Program agencies in collecting, reporting, and using these data. In addition, she led the development and risk adjustment of two potentially avoidable hospitalization measures and a pressure ulcer measure for Medicaid fee-for-service beneficiaries using home- and community-based services, as well as activities related to Medicare hospital quality reporting.
Before joining Mathematica in 2010, Ross held research positions at a number of institutions, including RTI International, the Massachusetts Health Care Quality and Cost Council, the University of Cape Town, and the New York University Medical School. Her work has appeared in Thorax, Molecular Microbiology, The Journal of Biological Chemistry, and Proceedings of the National Academy of Science. Ross holds an M.P.H. in epidemiology/global health from the Mailman School of Public Health at Columbia University.
Quality Measure Development: Dual Enrollees, Managed Long-Term Services and Supports, and Medicaid Innovation Accelerator Programs
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...