CPC+, a national multipayer primary care improvement model developed by CMS, is the largest and most ambitious primary care and delivery reform ever tested in the United States. Mathematica is independently evaluating CPC+ implementation, impacts, and implications for sustainability and spread.
- Children’s Health Insurance Program
- Public coverage outreach and enrollment
- Enrollment and retention trends
- Medicaid and CHIP
- Population Health
Sean Orzol is an expert in Medicaid coverage expansion programs for children and families. He has played a key role on congressionally mandated evaluations and other major studies focused on outreach and enrollment in public coverage.
Orzol has contributed his expertise to studies of programs of coordinated care and disease management, parental resources and child well-being, and impacts of the Affordable Care Act (ACA) on the Special Supplemental Nutrition Program for Women, Infants, and Children. His current work includes directing an evaluation of Enroll America, an initiative to enroll uninsured people who are eligible for free or subsidized coverage under the ACA. As a co-principal investigator for a study of state efforts to increase the number of eligible children enrolled and retained in public coverage, he developed the matched comparison group design used to measure impacts. He also directed a project on best practices for reaching and enrolling people newly eligible for subsidized coverage, offering recommendations on practices most helpful to coverage advocates and policymakers in the state of Missouri.
Orzol played a major role on two congressionally mandated evaluations related to children’s coverage. He led a descriptive analysis of Express Lane Eligibility and evaluated Children’s Health Insurance Program enrollment and retention outcomes across 10 states.
Orzol holds a Ph.D. in health services organization and policy from the University of Michigan’s School of Public Health. He is a reviewer for the B.E. Journal of Economic Analysis and Policy, Contemporary Economic Policy, and the Journal of Applied Research on Children.
Evaluating the Nation's Largest Primary Care Delivery Model: Comprehensive Primary Care Plus (CPC+)
Enroll America Evaluation
Enroll America is a nonprofit organization with a mission of maximizing the number of Americans who enroll in and retain coverage through the Affordable Care Act. Year 2 includes qualitative research to understand how Enroll America implements its ACA outreach and enrollment activities in states that...
SNAP Analysis for Health Impact Assessment of U.S. Farm Bill
Two of the changes to the Supplemental Nutrition Assistance Program (SNAP) proposed in the 2014 U.S. Farm Bills were (1) eliminating the standard utility allowance for those receiving a nominal Low-Income Home Energy Assistance Program benefit and (2) eliminating broad-based categorical eligibility for...
Medicare Coordinated Care Demonstration
Mathematica tested whether care coordination and disease management programs in the fee-for-service setting lower Medicare expenditures, or increase the quality of health care services and beneficiary and provider satisfaction without increasing expenditures for beneficiaries with chronic illnesses....
Emergency Department Visits, Hospitalizations, and Hospital Expenditures Decrease for CPC+ Practices
Results from the fourth year of Mathematica’s evaluation of Comprehensive Primary Care Plus show impacts.