This report summarizes the evaluation findings for the Electronic Health Records Demonstration (EHRD), funded and implemented by the Centers for Medicare & Medicaid Services (CMS). A large proportion of practices (43 percent) were unable or unwilling to meet program requirements to continue...

Using data from patients surveyed after primary care provider visits, this working paper found patients had favorable perceptions of electronic health records (EHRs). Patients believed that EHRs improved the quality of care, and most were not concerned with confidentiality of records. Adopters'...

This working paper reviews impacts of the Electronic Health Records Demonstration implemented by the Centers for Medicare & Medicaid Services, finding that moderate incentive payments did not lead to universal electronic health record (EHR) adoption and use in a two-year time frame. However, the...

Summary for publication How Caregivers and Workers Fare in Cash and Counseling

This report examines how Cash and Counseling affected Medicaid and Medicare service use and cost. In all three states, costs incurred by the treatment group were higher than those incurred by the control group. However, the reasons were different across states, and the patterns differed over...

This issue brief provides a concise description for decision makers of why and how to commission effective evaluations of patient-centered medical home demonstrations. The authors discuss what outcomes to assess, why to include comparison practices, and the importance of accounting for clustering.

Communication between patients and providers is critical in hospital emergency departments, but most interpretive services for non-English speakers—often provided via telephone or ad hoc by untrained bilingual staff or family member(s)—vary in quality. This issue brief identifies...

The Cash and Counseling Demonstration gives Medicaid beneficiaries who are eligible for personal care services a consumer-directed allowance in lieu of traditional agency services. Using survey and Medicaid claims data on 2,008 adult applicants randomly assigned to treatment or control groups,...

A growing number of Medicaid beneficiaries receiving disability-related assistance in their homes hire workers and manage the services themselves under consumer-directed care. Although consumer direction clearly benefits beneficiaries, it is sustainable only if workers are satisfied with their...