National Implementation of the Medicare fee-For-Service CAHPS Survey Data Collection and Data File Preparation
Project Overview The Centers for Medicare & Medicaid Services has used the Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) since 1998 to fulfill requirements of the 1997 Balanced Budget Act, the 2003 Medicare Modernization Act, and the 2010 Affordable Care Act. The survey provides measures of patient experience and quality of care provided[...]
Read MoreLong-Term Care Survey: Process, Operational Support, and Analysis
Project Overview The Centers for Medicare & Medicaid Services (CMS) developed and tested a new long-term care survey process for nationwide use that will replace the Quality Indicator Survey (QIS), previously used by 27 states and the District of Columbia for nursing home inspections. This project provides support to CMS in the implementation of the[...]
Read MoreCMS End-Stage Renal Disease Services Monitoring and Evaluation
Project Overview The Centers for Medicare & Medicaid Services (CMS) implemented the End-State Renal Disease (ESRD) Services Prospective Payment System (PPS) in 2011 and the ESRD Quality Incentive Program (QIP) in 2012 to improve the quality and efficiency of treatment for ESRD, a condition of permanent kidney failure. The most common treatment for ESRD is dialysis. In January[...]
Read MoreEvaluation of the Diffusion and Impact of the Chronic Care Management Fees
Project Overview In 2015, the Centers for Medicare & Medicaid Services (CMS) issued a new billing code to allow eligible professionals to be reimbursed for chronic care management (CCM) activities. The fee was designed to support primary care through financial investment in care management services. Under the program, eligible professionals can bill CMS and participating[...]
Read MoreEvaluation of the Accountable Care Organization Investment Model
Project Overview This project evaluated the Accountable Care Organization (ACO) Investment Model (AIM). It assessed whether infrastructure funding provided to AIM ACOs resulted in increased ACO participation in the Medicare Shared Savings Program (MSSP), sustained ACO participation in those programs that were previously MSSPs, and increased willingness by ACOs to accept greater financial risk. The[...]
Read MoreEvaluation of the Coverage to Care Initiative
Project Overview The Centers for Medicare & Medicaid Services launched its From Coverage to Care Initiative (C2C) in 2014 to help the newly insured understand what it means to have health insurance, how to find a provider, and when and where to seek health services. The initiative also aimed to educate consumers on the importance[...]
Read MoreCenters for Medicare & Medicaid Services’ Office of Minority Health Analytical Support
Project Overview This study explored whether and how a business case could be made for addressing health equity and disparities. For the purposes of this project, a “business case” was identified as an investment in a socially responsible action (e.g., reducing health disparities) that also promised the investing entity financial return within a reasonable timeframe[...]
Read MoreConsumer Research on Personal Responsibility and Its Relationship to Choice of Coverage and Willingness to Navigate the Health Care System
Project Overview The study investigated personal responsibility and health insurance choice, coverage, and payment to develop strategies for encouraging increased personal responsibility among Medicare beneficiaries. The study explored the relationship between personal responsibility and beneficiary willingness to navigate the healthcare system as guided by t wo research questions: (1) Who do beneficiaries believe is responsible[...]
Read MoreEvaluating a Pilot Mobile Health Program
Project Overview The Centers for Medicare & Medicaid Services (CMS) supported a pilot of the mobile health (mHealth) program Text4baby. This pilot assessed the effect of Text4baby on enrollment in Medicaid and the Children’s Health Insurance Program (CHIP) and on health knowledge, health behaviors, and healthcare engagement among those eligible for CHIP. Despite the interest[...]
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