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Healthcare

Abt delivers vital research, technology solutions, and implementation support to strengthen private and public systems that improve health and well-being across the United States. We help federal and state partners design, implement, and evaluate programs that expand access and improve quality. We pair deep policy and data expertise with advanced analytics, business intelligence tools, and human-in-the-loop AI. 

As a long-time partner to the Centers for Medicare & Medicaid Services (CMS), we support high-performing Medicaid, Medicare, and CHIP programs through rigorous measurement, rapid-cycle learning, and practical technical assistance that builds lasting capacity for sustained impact.
 

Expertise

  • Policy analysis and implementation
  • Claims analytics and dashboards
  • Quality measurement and reporting
  • Payment models and monitoring
  • Workforce technical assistance
  • Fraud, waste, and abuse
  • Fraud, waste, and abuse
  • Clients Include

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    Centers for Medicare & Medicaid Services (CMS)

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    Health Resources & Services Administration (HRSA)

    AHRQ

    Agency for Healthcare Research and Quality (AHRQ)

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    Substance Abuse and Mental Health Services (SAMHSA)

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    State and Local

    Our Work

    Strategic Support for Medicaid & CHIP Managed Care Programs

    Technical assistance for the Center for Medicaid and CHIP Services and partner states to deliver quality care

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    When individuals need long-term care, information on provider quality is critical to making an informed choice. The major ongoing challenge in the project is preparing the monthly updates to Care Compare and its Five-Star Quality Rating System to support…

    Home Health Prospective Payment System, Hospice and Home Infusion

    Support and payment analyses for a new CMS home infusion therapy benefit for intravenous immune globulin treatment

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    Multi-sectoral evaluation of the Integrated Care for Kids model to assess impacts of its innovative service delivery and payment approach

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    As part of a team with NORC, Abt conducted a mixed methods evaluation of the CMS ACO REACH Model and found savings and quality improvements.

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    Our Experts

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    Insights

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    Strengthening CMS Programs

    We combine deep expertise in policy and data with advanced analytics and business intelligence tools to help CMS programs achieve maximum performance.

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    Resource

    When the Stakes Are High: Our Take on Client-Centricity at CMS

    Abt partners with CMS by listening, anticipating needs, and co-creating solutions that make the agency’s work easier, more efficient, and more impactful.

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    Blog

    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.

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    Blog
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    Transforming Rural Health: How Abt Delivers

    Abt Global offers the technology and expertise states need to make strategic investments
    for transforming rural health systems.

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    Resource

    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.

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    Blog

    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.

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    Publication

    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…

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    Project

    $381.5m in Net Savings Delivered by Medicare Program That Promotes Rural Health Care

    Abt’s evaluation of Medicare’s AIM found $381.5 million in savings, and raised questions about how those savings—and risks—are shared.

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    News

    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…

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    Project

    Assessing and Addressing Burnout in Primary Care

    Burnout among primary care clinicians and staff is a serious and growing concern but administrators and practice leaders can address it using organization-wide approaches.

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    Publication

    A State Playbook to Transform America’s Rural Health Workforce

    An informative playbook to build, retain, and support the rural health workforce through GYO pipelines, pathways, residencies, telehealth, and team-based care.

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    Blog

    Health Policy Research to Improve Healthcare Quality

    Learn more about Abt’s expertise in health policy research to support improvements in healthcare quality for all people.

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    Publication