Policy Analysis and Recommendations

NORC supports a range of federal clients by providing background research, developing options to address a given challenge, or assessing the impact of a policy change.

Representative Projects

Financial Alignment Initiative Operation Support Contract. The purpose of this project is to assist the Centers for Medicare & Medicaid Services (CMS) with services to support the implementation of the Financial Alignment Initiative, a demonstration to test new approaches to providing integrated administrative, service delivery, and payment models for those individuals enrolled in both Medicare and Medicaid. States may choose to participate in two different models under the demonstration: 1) capitated model, and 2) managed-fee-for service model (MFFS). Under the capitated model, CMS and the state enter into a three-way contract with selected health plans to provide integrated benefits to individuals dually enrolled in Medicare and Medicaid and health plans receive a capitation rate for the full continuum of benefits provided to enrollees. Under the MFFS model, states have the flexibility to develop innovative approaches to coordinate care for this population, building upon Medicaid health homes, primary care case management programs, or other models. States participating in the MFFS model are eligible for a retrospective performance payment based on federal savings and quality outcomes achieved by enrollees. Any intervention must ensure seamless integration and access to all necessary services through coordination across the Medicare and Medicaid programs.  More

Frontier Community Health Integration Demonstration. ​For the Centers for Medicare & Medicaid Services, NORC and IMPAQ International are designing and evaluating demonstration models with Rural Hospital Flexibility grantees in four states.  More

Impact of the Home Health PPS on Access in Rural America. Under the PPS, home care agencies are reimbursed based on a 60-day episode of care, with adjustments to the base payment that reflect differences in resource needs.  More

Rural Health Reform Policy Research Center. The NORC Walsh Center for Rural Health Analysis and the University of North Dakota Center for Rural Health partnered to establish the Rural Health Reform Policy Research Center (RHR-PRC), one of seven rural health research centers funded by the HRSA Federal Office of Rural Health Policy. More

Rural Hospital Participation in the 340B Drug Discount Program. The 340B drug pricing program enables certain types of safety net organizations to obtain deeply discounted medications, at prices below the "best price" typically offered to Medicaid agencies. The 2003 Medicare Modernization Act revised eligibility criteria, thereby allowing many rural hospitals to participate. More

See all Policy Analysis and Recommendations projects