Evaluation of Oregon Medicaid Reform Demonstration

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: Boben, Paul J., Ph.D.
410-786-6629

PIC ID: 6166

PERFORMER: Health Economics Research, Inc.
Waltham, MA

EXPECTED DATE OF COMPLETION: 12/31/2000

Evaluation of the Diamond State Health Plan

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: Pine, Penny
410-786-7718

PIC ID: 6288

PERFORMER: Research Triangle Park
Research Park, NC

EXPECTED DATE OF COMPLETION: 12/30/2000

Evaluation of the Home & Community-Based Services Waiver Program

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: Mentnech, Renee
410-786-6692

PIC ID: 7208

PERFORMER: The Lewin Group
Fairfax, VA

EXPECTED DATE OF COMPLETION: 03/29/2002

Evaluation of the Ohio Behavioral Health Program

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: Pine, Penny
410-786-7718

PIC ID: 7184

PERFORMER: Health Economics Research, Inc.
Waltham, MA

EXPECTED DATE OF COMPLETION: 09/14/2001

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

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: Pine, Penny
410-786-7718

PIC ID: 6289.1

PERFORMER: Urban Institute
Washington, DC

EXPECTED DATE OF COMPLETION: 09/30/2002

Impact of Welfare Reform on Medicaid Populations

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: Pine, Penny
410-786-7718

PIC ID: 7183

PERFORMER: Mathematica Policy Research, Inc.
Washington, DC

EXPECTED DATE OF COMPLETION: 09/29/2001

Project Demonstrating and Evaluating Alternative Methods to Assure and Enhance the Quality of Long-Term Care Services for Persons with Developmental...

This task order will develop and validate a comprehensive set of performance measures and indicators of quality for institutional post-acute and long-term care settings. The post-acute settings involved are: SNF short-stay units, inpatient rehabilitation facilities (which include hospital-based rehabilitation units) and long-term care hospitals.

AGENCY SPONSOR: Ctr. for Medicaid & State Operations

FEDERAL CONTACT: Greenberg, David
410-786-2637

PIC ID: 6310

PERFORMER: Abt Associates, Inc.
Cambridge, MA

EXPECTED DATE OF COMPLETION: 09/29/2002