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Current Projects

The following list provides information on research projects currently underway at Rutgers Center for State Health Policy. To help you navigate, projects are classified by focus area and include the project name, funder, a brief description, and a link if you would like to request additional information.

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Health System Performance Improvement

  • Identifying and Addressing Patient and System Factors Associated with Racial and Ethnic Disparities in Care of Adults with Intellectual and Developmental Disabilities

    Agency for Healthcare Research and Quality

    Individuals with intellectual and developmental disabilities (IDD) face complex health problems and experience substantially higher rates of chronic conditions and behavioral health (BH) problems. This project focuses on patient and system-level factors that drive racial/ethnic disparities in adequacy of ambulatory medical and BH services among Medicaid-enrolled adults with IDD, with a particular focus on the potential positive impact of non-medical community services in improving acute care outcomes.

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  • Evaluation Design and Implementation for the Transforming Complex Care (TCC) Initiative

    Center for Health Care Strategies and the MedStar Health Research Institute

    This project provides technical assistance to help six sites across the nation evaluate their complex care initiatives. The project also supports in-depth rigorous evaluations for a subset of the sites.

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  • Understanding Which Injured Older Adults Benefit from Triage to a Trauma Center

    National Institute on Aging

    This project has two aims: 1) determine which clinical subgroups of injured older adults benefit most from triage to a trauma center vs. a non-trauma center; and 2) determine whether rates of complications and death after the development of complications for older adults differ by trauma center status and injury severity.

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  • Return on Investment Analysis – An Evaluation of "Promising Path to Success"

    New Jersey Department of Children and Families, Division of Children’s System of Care

    This return on investment (ROI) analysis is evaluating New Jersey’s systems of care for children and adolescents with severe emotional and mental health needs. Funded by the Substance Abuse and Mental Health Services Administration (SAMHSA), the Department of Children and Families’ Division of Children’s System of Care (CSOC) is conducting an incremental roll-out of two trauma-informed interventions across the state’s 21 counties over the next four years. To evaluate this initiative, this project employs an ROI analysis, with an advisory committee to inform study development, execution, and dissemination. Although contingent upon further engagement with this ROI Advisory Committee, the evaluation is expected to develop and subsequently use a longitudinal database that links multiple administrative datasets, such as NJ Medicaid claims and the behavioral health managed care company’s (PerformCare) administrative data.

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  • Evaluation of Medicaid ACO Operations and Care Management Strategies

    The Nicholson Foundation

    This project is a detailed qualitative evaluation of the operations and care management strategies pursued by the three certified Accountable Care Organizations (ACOs) participating in the NJ Medicaid ACO Demonstration Project and one “look-alike ACO” in Paterson. The approach involves semi-structured interviews of ACO clinical and administrative leaders and observations of care management strategies. Performance metrics for each ACO based on analysis of Medicaid claims data will be shared during interviews in order to elicit leaders’ assessments of the implications for current and future care management efforts.

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  • Development and Performance of Medicaid ACOs

    Agency for Healthcare Research and Quality and the MedStar Health Research Institute

    This project is providing a largescale evaluation of Medicaid ACO outcomes. It is also rigorously assessing key strategies for ACO performance measurement, which are essential for further development of accountable care strategies by Medicaid and other payers. The first project aim is to test the hypothesis that patients in Medicaid ACOs experience lower spending and/or improved quality relative to other Medicaid enrollees. Under this aim, difference-in-differences models will be applied to multiple years of statewide Medicaid claims and managed care encounter records. In a subaim, simulation models based on the claims/encounter data will be used to assess the accuracy and statistical reliability of alternative methods for measuring savings associated with Medicaid ACO activities. Under the second project aim, in-depth qualitative interviews will be used to assess how ACOs are redesigning care, engaging with patients, and modifying their strategies with accumulated experience. The third project aim is to engage regularly with Medicaid officials and accountable care stakeholders in NJ and across the nation to directly inform decision making about accountable care policy and practice. Input on evaluation measures and simulation scenarios will be solicited from these groups via existing state and national collaborations at every stage of the project to maximize the practical relevance and rapid dissemination of project findings. Dissemination products include early data reports to Medicaid ACOs, webinars, in-person briefings, policy oriented issue briefs, and peer-reviewed manuscripts.

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  • Evaluating the New Jersey Comprehensive Medicaid Waiver Demonstration

    New Jersey Department of Human Services, Division of Medical Assistance and Health Services and the Robert Wood Johnson Foundation

    The Center is evaluating New Jersey's Comprehensive Waiver Demonstration that introduces several policy changes to the state Medicaid program aimed at improving access to care, quality of care and health outcomes. The evaluation is examining the effect of these policy changes that include: 1) expansion of managed care to include additional services including long term services and supports; 2) provision of additional services to Medicaid/CHIP beneficiaries with serious emotional disturbance, autism spectrum disorder, and intellectual/developmental disabilities; 3) administrative changes relating to long term care eligibility to ease the burden of obtaining community benefits and institutional placement; and 4) transitioning the previously existing Hospital Relief Subsidy Fund to a pay-for-performance (and reporting) system aimed at improving access and care for individuals, improving population health, and lowering costs through such improvements. The evaluation design utilizes both quantitative and qualitative techniques that include analysis of Medicaid fee-for-service claims and managed care encounter data, stakeholder interviews, and Web surveys.

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There are no current projects for this focus area at this time.