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Programs

Medicaid Waiver and Program Evaluation

HSAG provides rigorous analyses to assess the impact of Medicaid waivers and other programs on healthcare quality, access, timeliness, and cost.

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Overview

HSAG has served as a Medicaid Waiver Independent Evaluator for over 15 years.

Medicaid waivers allow states to “waive” certain Medicaid regulations to implement innovative programs that address specific healthcare-related issues. To do so, states are required to engage an independent evaluator to determine if the waiver program is meeting its stated objectives. As an independent evaluator for Medicaid waivers, HSAG uses robust statistical and qualitative methods to assess the areas where the program has met, exceeded, or fallen short of its stated objectives and goals.

By The Numbers

Our Impact

Medicaid 1915b Waiver Independent Evaluator for

8 States

Medicaid 1115 Waiver Independent Evaluator for

7 States

Why HSAG

HSAG has the capability and experience to assist states with every phase of the evaluation process.

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This extends from the design of evaluation plans to mid-point assessments and interim and summative reports. To date, HSAG has conducted waiver Section 1115 and 1915 evaluations for over 10 states, and our team of experts is ready to help answer the following questions:

  • What is the impact of the waiver program?
  • Has the program successfully reached its target population?
  • Where does the program need additional attention?

Commitment to Scientific Rigor

We maintain a high standard of scientific rigor across a wide range of quantitative and qualitative methods to match the needs of each evaluation. HSAG’s evaluation reports provide a clear and concise explanation of program impact, policy implications, and actionable recommendations to ensure the program is functioning as intended.

Multidisciplinary Expertise

Our Program Evaluation Team includes experts in data science, statistics, public health, economics, actuarial science, and health policy (with specific focus on policy areas relevant to waiver programs).

Statistical Methods

Our experts utilize the most rigorous statistical techniques available. HSAG employs mixed methods (i.e., quantitative and qualitative) to evaluate a diverse range of waiver programs, ensuring the right measurement tools are used.

Robust Analyses

HSAG generates counterfactual hypotheses that allow for causal inference, removing trends and confounding factors to isolate and identify program impacts.

Evaluation Approach

HSAG’s efforts as an independent evaluator continue after the completion of evaluation results. HSAG provides clear explanations of the policy implications, and actionable recommendations to help the program optimize performance.

Quantify Impact

HSAG uses a mix of quantitative and qualitative analyses to isolate the impact of Medicaid waiver programs from other programs and initiatives.