This chartbook includes more than 25 graphics and tables developed by Mathematica to analyze the characteristics and service use of Medicaid beneficiaries with special health care needs, using State Medicaid Research Files data for four states. Offers recommendations for designing managed care...

As states consider options for incorporating disease management programs into Medicaid, they can benefit from Medicare's experience in this area. This four-page issue brief summarizes a study of best practices in care coordination for people with chronic illnesses and suggests key factors for...

Examines best practices in care coordination for Medicare beneficiaries with chronic illnesses and recommends design options for a congressionally mandated demonstration.

Many of the findings from this analysis of employer responses to the parity law run counter to popular perceptions. Even though many employer organizations are wary of mental health and substance abuse parity, most Vermont employers were satisfied with the parity law overall. Employers did not...

Care for beneficiaries with chronic illnesses, such as heart disease and diabetes, is a major expense to the Medicare program, and a major detriment to beneficiaries’ quality of life. The Medicare Coordinated Care Demonstration is testing whether case management and disease management...

To provide better value and improve patient care in the U.S. health care system, comparative effectiveness research (CER) needs to be disseminated, implemented, and interpreted. This brief, the second from Mathematica’s Center on Health Care Effectiveness, examines how to put CER into use...

The Centers for Medicare & Medicaid Services (CMS) operates the Quality Improvement Organization (QIO) Program to ensure and improve the quality of health care for Medicare beneficiaries. This report presents the results of an independent evaluation of the ninth scope of work, QIO Program,...

The Medicare Coordinated Care Demonstration is testing a range of models aimed at improving the care of chronically ill beneficiaries with Medicare fee-for-service coverage. This report, from Mathematica’s evaluation of 15 coordinated care/disease management programs, describes Medical...

Beneficiaries with chronic diseases account for nearly two-thirds of all Medicare expenditures. The mandated Medicare Coordinated Care Demonstration tested specifically whether care coordination programs reduced hospitalizations and Medicare expenditures and improved quality of care for...