Mathematica's evaluation of Medicaid Section 1115 waiver demonstrations, approximately 40 in number, seeks to assess the implementation and outcomes of four different types of innovations and help CMCS shift toward data-driven decision making for future waiver approvals.
- Medicaid data and data analytics
- Program evaluation
- Health services of frail older adults and people with disabilities
- Medicaid waiver programs
- Health Care
- Care Delivery Systems
- Long-Term Services and Supports
- Medicaid and CHIP
Carol Irvin’s career has focused on using data to assess policies and programs related to health care access, particularly for vulnerable populations. She has extensive experience evaluating programs that extend coverage or transform health care services for people of all ages and with a wide range of chronic conditions and disabilities.
Irvin currently directs Mathematica’s Medicaid and CHIP (Children’s Health Insurance Program) Business Information System Business Analytics and Data Quality Development contract. This project supports the Center for Medicaid and CHIP Services as it upgrades the national Medicaid and CHIP data systems, primarily the Transformed Medicaid Statistical Information System (T-MSIS), and enhances its ability to make data-driven decisions about Medicaid and CHIP policies and programs. Under this contract, Mathematica monitors the quality of state T-MSIS data submissions, provides technical assistance to help states improve their T-MSIS data, designs and produces research versions of the T-MSIS data, conducts stakeholder engagement and training activities, produces reports and other analytic products that respond to stakeholder needs, and provides subject matter expertise on data design and management. This contract also provides technical support for the Medicaid and CHIP Accountability Scorecard, a new Centers for Medicare & Medicaid Services initiative to improve the performance of Medicaid and CHIP programs.
Her program evaluation work includes leading Mathematica’s national evaluation of the Money Follows the Person demonstration, a Medicaid program that seeks to help states develop and strengthen approaches to transitioning people from institutional to community-based care. She also directed Mathematica’s evaluation of Section 1115 Medicaid demonstration programs. Her state-level evaluation work includes leading an evaluation of Oregon’s Medicaid 1115 demonstration that seeks to transform how Medicaid services are managed and delivered. She also conducted an evaluation of the Healthy Indiana Plan, an innovative program that provides a high deductible health program for uninsured, working age Hoosiers. In other work, she contributes to studies of Medicare-Medicaid enrollees and evaluations of statewide plans to improve services of children with autism spectrum disorders.
Irvin, who publishes in peer-reviewed journals including Pediatrics and Psychiatric Services, presents at professional meetings sponsored by AcademyHealth and the American Public Health Association. She holds a Ph.D. in economics from the University of Wisconsin–Madison.
New Approaches for Medicaid: The 1115 Demonstration Evaluation
Research and Evaluation of the Money Follows the Person (MFP) Demonstration Grants
The Money Follows the Person Demonstration is a federal initiative to help states reduce their reliance on institutional care for people needing long-term care, and expand options for elderly people and individuals with disabilities to receive care in the community.
Employment Policy and Measurement Rehabilitation Research and Training Center
Mathematica is partnering with the University of New Hampshire’s Employment Policy and Measurement Research and Rehabilitation Training Center (RRTC) on a five-year grant from the U.S. Department of Education, National Institute on Disability and Rehabilitation Research to study and measure the impact...
Using Data to Inform Medicaid Behavioral Health Policies and Services
Mathematica conducted research, surveys, data collection, and analysis to offer insights and information about current trends in Medicaid-funded behavioral health services. We conducted a survey of Medicaid officials on state administration of mental health services and compared multiple national data...
Demonstration to Maintain Independence and Employment (DMIE)
The Demonstration to Maintain Independence and Employment, authorized under the Ticket to Work and Work Incentives Improvement Act of 1999, awards funds to states to develop, implement, and evaluate interventions for workers with potentially disabling health conditions.
Mathematica Experts Present at 2017 AcademyHealth Annual Research Meeting
More than 25 of Mathematica’s health policy experts will attend the AcademyHealth annual research meeting in New Orleans, Louisiana, on June 24 to 27. Researchers will take part in panel discussions, poster sessions, and presentations.
Mathematica Appoints New Senior Fellows
Mathematica is pleased to announce the appointment of two new senior fellows, Sally Atkins-Burnett and Carol Irvin, nationally recognized experts in program evaluation and policy analysis. Their contributions to public policy research continuously help us inform policy and program decisions.
CSDP Forum: Rebalancing Long-Term Care Services and Supports
In this forum, participants discussed CMS' efforts to reduce independence on institutional care and expand access to home- and community-based services for Medicaid beneficiaries.