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In 2010, Hennepin County, Minn., was one of 16 grantees awarded funds by the U.S. Department of Health and Human Services to replicate with fidelity and rigorously evaluate evidence-based teen pregnancy prevention programs. Abt Global conducted a…

Under traditional Medicare, the Centers for Medicare and Medicaid Services (CMS) pays providers separately for each service delivered, which may incentivize medically unnecessary care.  Providers who participate in CMS’s Bundled Payment for Care…

Misuse of opioid analgesics threatens public health and results in rising numbers of overdose deaths and admissions to emergency departments and treatment facilities. In the absence of adequate patient information systems, patients who engage in “doctor…

EvidenceNOW, funded by the Agency for Healthcare Research and Quality (AHRQ), is helping more than 1,500 small- and medium-sized primary care practices across the U.S. use the latest evidence to improve the heart health of millions of Americans…

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…

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…

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…

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…

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…

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…