TITLE: Evaluation of the Municipal Health Services Program

ABSTRACT: The Services Program (MHSP) is a four-site demonstration (Baltimore, Maryland; Cincinnati, Ohio; San Jose, California; and Milwaukee, Wisconsin) to improve access to primary care in underserved urban areas, and to reduce the costs of health care. Since 1979 the program has undergone two evaluations. The project focuses on: (1) consideration of costs to Medicaid and other payers if the MHSP is terminated; (2) access to care, (3) outcomes, (4) beneficiary satisfaction, and (5) utilization differences among different populations being served by the MHSP sites. Because of the long length of this mandated demonstration, three additional questions are also being addressed: (1) What can be learned from the MHSP experience about the demand for managed systems of care for the elderly? (2) How critical are copay-exempted pharmacy and dental benefits for low-income elderly in encouraging enrollment in systems of care that limit choice of primary care physician? (3) What is the future of community-based systems of care? The project is being carried out primarily through case studies. Cost report data will be used and supplemented with Medicare program data.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Spike Duzor

PHONE NUMBER: 410-786-1794

PIC ID: 7211

PERFORMER ORGANIZATION: Urban Institute Washington, D.C.

PROJECTED DATE OF COMPLETION: 12/31/98
 

TITLE: Comparison of Pharmaceutical Quality of Care for Pediatric Asthma

ABSTRACT: This project examines the quality of care in the treatment of asthma in Medicaid children in Alabama and Michigan. It assesses the extent of prescribing problems for pediatric asthma in these Medicaid programs.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Mary E. Benedict

PHONE NUMBER: 410-786-7724

PIC ID: 7192

PERFORMER ORGANIZATION: University of Alabama, School of Public Health Birmingham, AL

PROJECTED DATE OF COMPLETION: 3/30/99
 

TITLE: Evaluation of Oregon Medicaid Reform Demonstration

ABSTRACT: The Oregon Medicaid Reform Demonstration seeks to increase the number of individuals with access to affordable health care services and to contain State and Federal expenditures for health care. Under the demonstration, Medicaid coverage is made available to all State residents with family incomes less than, or equal to, the Federal poverty level (FPL) and who meet an assets test. The objectives of the evaluation are to determine the impact on: (1) access to care, (2) quality of care, (3) enrollee satisfaction, and (4) the cost of care, for both new enrollees and those previously enrolled in Medicaid. To the extent possible, the impact of the prioritized list and the increased use of managed care will be identified separately. Other areas of interest include: (1) the impact of the demonstration on the number of uninsured in the State, (2) provider participation and satisfaction, and (3) the number of private employers who offer health insurance as a fringe benefit.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Paul J. Boben, Ph.D.

PHONE NUMBER: 410-786-6629

PIC ID: 6166

PERFORMER ORGANIZATION: Health Economics Research, Inc. Waltham, MA

PROJECTED DATE OF COMPLETION: 9/29/99
 

TITLE: Evaluation of the Diamond State Health Plan

ABSTRACT: The original purpose of this project was to evaluate the Delaware Health Care Partnership for Children, specifically the effectiveness of the demonstration in reaching its goal of improving access to, and the quality of, health care services delivered to Medicaid-eligible children in a cost-effective way. In May 1996, the contract was modified to focus more generally on the impacts of the Diamond State Health Plan (DSHP) on children, including children with special health care needs (the original evaluation had been limited to the Nemours Children's Clinics). The goal of the evaluation was broadened to assess whether this section 1115 demonstration's objective of increased access to high-quality, cost-effective care for Medicaid children is being met.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Penny Pine

PHONE NUMBER: 410-786-7718

PIC ID: 7207

PERFORMER ORGANIZATION: Research Triangle Institute Washington, DC

PROJECTED DATE OF COMPLETION: 9/29/99
 

TITLE: Evaluation of the Home & Community-Based Services Waiver Program

ABSTRACT: The Home and Community-Based Services (HCBS) waiver program has been operating since 1981 and has experienced tremendous growth in recent years. The percent of Medicaid long-term care spending devoted to HCBS has increased from 10 percent to 19 percent (between the financial and beneficiary-level impacts of the program) in over a decade. The aim of this task order is to gain a better understanding of the broader HCBS waiver program and determine what programmatic mechanisms have been successful.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Melissa Hulbert, M.P.S.

PHONE NUMBER: 410-786-8494

PIC ID: 7208

PERFORMER ORGANIZATION: The Lewin Group Fairfax, VA

PROJECTED DATE OF COMPLETION: 9/29/99
 

TITLE: Evaluation of the Demonstration Entitled Delaware Health Care Partnership for Children

ABSTRACT: This project will evaluate whether the demonstration is reaching its goal of improving access to, and the quality of, health care services to Medicaid-eligible children in a cost-effective way. The State believes that, by enrolling children in a managed care system operated by the Nemours Foundation, patients will reap the benefits from a higher level of coordinated care, while the State and Federal government will benefit from lower Medicaid costs.

AGENCY SPONSOR: Center for Medicaid and State Operations

FEDERAL CONTACT: Joan Peterson

PHONE NUMBER: 410-786-0621

PIC ID: 6288

PERFORMER ORGANIZATION: Research Triangle Institute Research Triangle Park, NC

PROJECTED DATE OF COMPLETION: 9/30/99
 

TITLE: Evaluation of the District of Columbia's Demonstration Project: Managed Care System for Disabled and Special Needs Children

ABSTRACT: This project tests the efficacy of a managed care service delivery system designed for children and adolescents under the age of 22 who are eligible for Medicaid and are classified as disabled according to Supplemental Security Income (SSI) Program guidelines. The study represents a unique opportunity to examine the experiences of a managed care system with voluntary enrollment of children with disabilities.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Paul W. Eggers

PHONE NUMBER: 410-786-6691

PIC ID: 7187

PERFORMER ORGANIZATION: Abt Associates, Inc. Cambridge, MA

PROJECTED DATE OF COMPLETION: 3/24/00
 

TITLE: Impact of Welfare Reform on Medicaid Populations

ABSTRACT: This project will develop data and examine the impact of welfare reform on Medicaid eligibility, utilization and payments for various populations. It will study the effects of the following four changes: (1) de-linking Aid to Families with Dependent Children (AFDC) and Medicaid eligibility, (2) terminating access to Medicaid for some legal immigrants because of lost eligibility for Supplementary Security Income (SSI), (3) barring most future legal immigrants from Medicaid, and (4) narrowing Medicaid eligibility for selected disabled children and disabled alcohol and substance abuse populations.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Penny Pine

PHONE NUMBER: 410-786-7718

PIC ID: 7183

PERFORMER ORGANIZATION: Mathematica Policy Research, Inc. Washington, DC

PROJECTED DATE OF COMPLETION: 9/29/00
 

TITLE: Evaluation of the State Health Reform Demonstrations (OH, MN)

ABSTRACT: This project will evaluate Hawaii, Rhode Island, Tennessee, Oklahoma and Maryland State Health Reform Demonstrations. The evaluator is conducting State-specific and cross-State analyses of demonstration impacts on utilization, insurance coverage, public and private expenditures, quality, access and satisfaction.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Penny Pine

PHONE NUMBER: 410-786-7718

PIC ID: 6289.1

PERFORMER ORGANIZATION: Urban Institute Washington, D.C.

PROJECTED DATE OF COMPLETION: 9/30/00
 

TITLE: Evaluation of the Ohio Behavioral Health Program

ABSTRACT: This project will address the following two components: (1) a focused evaluation of the behavioral health component of OhioCare, and (2) a case study of the implementation of Ohio's section 1115 State health reform demonstration, OhioCare. The case study will complement the focused evaluation by providing a context for findings and supplementing findings.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Penny Pine

PHONE NUMBER: 410-786-7718

PIC ID: 7184

PERFORMER ORGANIZATION: Health Economics Research, Inc. Waltham, MA

PROJECTED DATE OF COMPLETION: 9/14/01