Mathematica helps Medicare assess whether a new pay-for-performance model reduces heart attacks and strokes for high-risk Medicare beneficiaries.
- Designing and conducting program and policy evaluations
- Costs and quality of care for the chronically ill
- Chronic care management for Medicare beneficiaries and other high-risk patients
- Medicare physician payment system
- Delivery System Reforms
- Medicaid and CHIP
- State Health Policy
Nancy McCall has 30 years of experience conducting successful health services research assessing the effects of health system transformation on quality of care, health care utilization, costs, and health outcomes. Her research and technical assistance efforts have focused on a wide range of subjects, including the evaluation of health care transformation demonstrations within the Medicare and Medicaid programs; federal and state health care delivery reforms; and access to and quality of care for consumers within federal, state, and commercial insurance programs.
McCall has extensive experience leading successful evaluations of health care delivery and payment reform demonstrations that require the use of rigorous quantitative, qualitative, and mixed methods and analysis of a broad set of outcomes using an array of quantitative data, including Medicare, Medicaid, commercial, and all-payer claims databases. Currently, she is co-principal investigator for the Centers for Medicare & Medicaid Services funded evaluation of the 39 Round 2 Health Care Innovation Awards, and she also directs a project evaluating the diffusion and impact of the new Medicare chronic care management payment policy. McCall recently directed a project providing technical assistance to staff in the Montana Office of the Commissioner of Securities and Insurance advising on best practices for collecting and reporting quality of care and acute care utilization provided to patients receiving care from a patient centered medical home.
Before joining Mathematica in 2014, McCall was a chief scientist at RTI International. She was the principal investigator for the Evaluation of the Multi-Payer Advanced Primary Care Practice Demonstration, the Medicare Medical Home Demonstration Evaluation, the High Cost Medicare Beneficiary Demonstration Evaluation, and the Medicare Health Support Evaluation. McCall was a cardiac research nurse at Brigham and Women’s Hospital and primary nurse at the Sidney Farber Cancer Institute, both in Boston, Massachusetts. She also served as an assistant research professor in the Clinical Economics Research Unit at Georgetown University Medical Center and as an economist at the Health Care Financing Administration.
McCall holds a B.S. in nursing from Purdue University, an M.S. in health policy, and a Sc.D. in health economics from the Harvard School of Public Health. Her work has been published in the New England Journal of Medicine, Medical Care, Medical Care Research and Review, and Health Services Research.