In July 2012, the Center for Medicare & Medicaid Innovation (CMMI) awarded cooperative agreements to a select group of programs proposing innovative ways to improve the quality and lower the cost of care for Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) enrollees....

This brief, developed by staff at Mathematica and the Kaiser Family Foundation, looks at efforts by a number of states to set up accountable care organizations (ACOs) within their Medicaid programs. The analysis reveals that many initiatives are in a very early stage of development. Medicaid's...

This issue brief documents a detailed analysis of the behavioral health organization (BHO) encounter data in the 2009 Medicaid Analytic eXtract files (MAX 2009) and assesses the viability of using these data for research. The initial assessment of the availability, completeness, and quality of...

The Affordable Care Act authorized the Center for Medicare & Medicaid Innovation (CMMI) in the Centers for Medicare & Medicaid Services (CMS) to test innovative health care payment and service delivery models with the potential to lower spending on Medicare, Medicaid, and Children’s...

This study used Medicaid Analytic eXtract (MAX) files to develop national estimates of Medicaid substance abuse (SA) treatment spending, as well as estimates of state spending in 18 states with predominantly fee-for-service coverage of SA treatment. Nationally, medical expenditures to treat SA...

This technical assistance brief explores ways of improving the coordination of these overlapping benefits in the Centers for Medicare & Medicaid Services (CMS) Financial Alignment Initiative’s capitated model demonstrations.

This issue brief documents a detailed analysis of the behavioral health organization (BHO) encounter data in the 2009 Medicaid Analytic eXtract files (MAX 2009) and assesses the viability of using these data for research. The initial assessment of the availability, completeness, and quality of...

Growing numbers of state Medicaid agencies are developing or expanding risk-based managed care programs that cover long-term services and supports for older adults and people with disabilities, individuals with costly and complex health care needs. This study was conducted for the AARP Public...