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Supporting and Refining the Five-Star Quality Rating System for Nursing Homes
Project
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…
Assessing HIV/AIDS Client Factors Associated with Detectable Viral Loads
Project
The Ryan White HIV/AIDS Program (RWHAP), administered by the Health Resources and Services Administration (HRSA), provides services to support comprehensive care for people living with HIV and AIDS. Despite improvements in testing, linkage, and…
Helping Get the Kinks out of Home Health Prospective Payments
Project
Changes in the complex prospective payment system (PPS) for home health agencies (HHAs) may have led to HHA behavior changes that thwarted the modifications’ goals. As a result, the Centers for Medicare & Medicaid Services (CMS) wanted an assessment of…
Analyzing If An Oncology Care Model Will Improve Care and Lower Costs
Project
Cancer strikes 1.6 million Americans each year. It imposes huge costs: heartache, death, and an estimated $263.8 billion in medical care and lost productivity in 2010, the most recent data available. Cancer care is complex and improving it faces a legal…
Medicare Part D Opioid Impact Evaluation
Project
The misuse of opioids is a national crisis. One aspect of the larger problem relates to prescription opioids for Medicare beneficiaries. The Centers for Medicare & Medicaid Services (CMS) needs to evaluate trends to fight potential fraud, waste, and…
Evaluating the Medicaid Innovation Accelerator Program
Project
Medicaid provides critical assistance that enables people with limited resources and incomes to access acute and preventive medical care and long-term services and support. Innovations that simultaneously improve care for beneficiaries and promote…
MA DSRIP TA: Massachusetts Delivery System Reform Incentive Payment Technical Assistance Program
Project
Under a federal waiver program (DSRIP), Massachusetts has the opportunity to restructure MassHealth to improve health outcomes and experience for its members. The challenge is to build the capacity of the state’s newly formed Medicaid ACOs and related…
Evaluating the Accountable Health Communities (AHC) Model
Project
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…
Evaluating Maternal Opioid Misuse Initiative
Project
The prevalence of opioid use disorder (OUD) among pregnant women and the incidence of neonatal opioid withdrawal syndrome (NOWS) due to in-utero exposure to opioids have soared over the past two decades. The prevalence of NOWS among infants enrolled in…
Gympie Nurse Practitioner Program Evaluation
Project
A high number of non-urgent cases that could be addressed by general practice (GP) doctors are presenting unnecessarily at hospital emergency departments (EDs); these are potentially avoidable. Strategies that can save ED health professionals’ time also…