Medicaid & Medicare
As a longtime partner of the Centers for Medicare & Medicaid Services (CMS), we advance health equity, expand access to high-quality, affordable healthcare, test innovation in value-based, person-centered care, and improve health outcomes for people across the lifespan. Our multidisciplinary teams provide rigorous research, economic analyses, clinical insight, digital expertise, and holistic approaches to Medicaid, Medicare, and the Children’s Health Insurance Program (CHIP). We specialize in examining the interconnected social-related issues that shape health outcomes and support CMS’s transformational mission: to deliver high-quality care, innovate and manage healthcare dollars wisely, and achieve optimal health outcomes for vulnerable Americans.
Expertise
- Alternative Payment Models
- Home Health and Hospice
- Quality Reporting and Analysis
- Children With Special Healthcare Needs
- Mixed Methods Evaluations
- Social Determinants of Health
Clients Include
Centers for Medicare & Medicaid Services
The Medicaid and CHIP Payment and Access Commission (MACPAC)
Minnesota Department of Human Services
Our Work
Technical assistance for the Center for Medicaid and CHIP Services and partner states to deliver quality care
Multi-sectoral evaluation of the Integrated Care for Kids model to assess impacts of its innovative service delivery and payment approach
Comprehensive, evidence-based training program in 60 nursing homes to enhance person-centered dementia care in Massachusetts
Support and payment analyses for a new CMS home infusion therapy benefit for intravenous immune globulin treatment
Our Experts
Insights
Assessing HUD’s IWISH Model for Aging in Place
The U.S. Department of Housing and Urban Development (HUD) designed the Integrated Wellness in Supportive Housing (IWISH) model to help elderly adults in HUD-assisted multifamily housing age in place. New staff at IWISH sites—full-time Resident Wellness…
Tracking Minnesotans' Access and Use of Home and Community-based Health Services
Minnesota’s Department of Human Services wanted to leverage existing state data to develop measures to help monitor access to Medicaid-funded home and community-based services (HCBS). To build on our prior work evaluating critical access to the state’s…
3 Tips for States Considering a Medicaid and CHIP Quality Rating System
Abt offers three tips to help states set up a quality rating system for their Medicaid and CHIP managed care programs.
Evaluating the Accountable Health Communities (AHC) Model
CMS launched the Accountable Health Communities (AHC) Model to address the gap between clinical care and community services in the health care system. The AHC Model is based on emerging evidence that addressing health-related social needs can improve…
Managing Opioid Use and Misuse in Older Adults
Older adults are twice as likely as the general population to have pain, and clinicians often rely on opioid treatment. As a result, opioid use, misuse, and opioid use disorder have increased among older adults, who are vulnerable to adverse reactions…
Preparing for Medicaid’s Transition to ACOs: Three Tips for States
In this blog, we offer tips to help states meets CMS’s goal of transitioning Medicaid managed care beneficiaries to accountable care relationships.
Achieving Health Equity Takes More Than Data
Health equity isn’t just about data, policy, or DEIA goals, it’s about combining solutions to health, housing, climate, and more with those most impacted.
Addressing Health-Related Social Needs via Community Resources: Lessons from the Accountable Health Communities Model
This Health Affairs article explains how CMS’s Accountable Health Communities links people to social services & needs resources, & how more research could help.