Mathematica experts will showcase their expertise in providing business analytics and data quality development for the Medicaid and CHIP (Children’s Health Insurance Program) Business Information Solution (MACBIS) at this year’s Medicaid Enterprise Systems Conference in Chicago.
Amy Wodarek O’Reilly
- Measurement for Program Monitoring
- Eligibility and Enrollment
- Technical Assistance
- Data Quality and Analytics
- Learning Collaboratives
- Medicaid and CHIP
- Health Information Technology and Analytics
- Long-Term Services and Supports
Amy Wodarek O’Reilly’s work has focused on the federal-state partnership to oversee efficient program operations. She has extensive experience working with agencies across the full spectrum of program performance, operations, analytics, and data quality. Her work includes developing technical assistance and training events for federal and state agencies for Medicaid and the Children’s Health Insurance Program (CHIP).
She currently directs Mathematica’s Medicaid and CHIP Learning Collaborative project for CMS. On this project, she leverages expertise with eligibility and enrollment systems, data exchanges, and performance measurement to lead analysis and facilitate a peer-to-peer learning environment. Some examples of her work include identifying measures for achieving Medicaid and CHIP program goal, and outlining efforts to address common implementation issues using a facilitated.
Her technical assistance work includes efforts to improve data quality and report on the Medicaid and CHIP Business Information Solution (MACBIS) project. To support CMS’s data-driven decisions activities, she developed operational policies for MACBIS initiatives to streamline state reporting burden and improve CMS’s administrative oversight of its efforts. Previously, she directed a project to support CMS and 50 states and DC with data quality assurance for the Transformed Medicaid Statistical Information System. She led a team to assess Medicaid and CHIP data quality in key program areas: enrollment, claims, expenditures, managed care encounter data, and provider data.
Before joining Mathematica in 2007, O’Reilly was an analyst at the Ohio Medicaid program focusing on hospital policy. Since joining Mathematica, she has become a parent representative on the board of directors at A Rosie Place for Children advocating for the interests of children with medical complexity. She holds an M.P.A. from the Ohio State University.