Medicare and Medicaid

Medicare and Medicaid, along with other federal health insurance programs like the Children’s Health Insurance Program, account for more than 20 percent of the federal budget. Ensuring the quality, accessibility, and cost-effectiveness of care is paramount to the Centers for Medicare & Medicaid Services (CMS) and other agencies involved in administering these programs, as well as to providers and patients.

NORC’s long partnership with CMS spans a wide variety of projects including surveys, technical assistance, and evaluation research. Among these projects, NORC supports a CMS initiative to test new administrative, service, and payment models for those enrolled in both Medicare and Medicaid. NORC also conducts the Medicare Current Beneficiary Survey for CMS, which provides critical information on health care access, use, living arrangements, and spending by Medicare enrollees, and informs program policymaking.

Representative Projects

California Health Benefit Exchange. The California Health Benefit exchange is seeking to increase the number of insured Californians, improve health care quality, lower costs, and reduce health disparities through an innovative, competitive marketplace that empowers consumers to choose the health plan and providers that give them the best value. More

Comparing Employer and Non-Group Health Plans Against the Health Reform Benefit Standard. The Commonwealth Fund is sponsoring this project, which builds upon previous research conducted by NORC.  This study examines trends in the affordability, actuarial value, and expected out-of-pocket expenses of health insurance in the small group, large group, and individual health insurance markets using 2010 data. More

Developing a Value-Based Insurance Design for Medicare. For this project, NORC produced a report for the Medicare Payment Advisory Commission (MedPAC) about approaches that payers are taking to redesign their benefit packages. More

Kaiser Family Foundation Medicaid Managed Care Organization Survey. ​In collaboration with the Kaiser Family Foundation, NORC is developing and fielding a web-based survey of Medicaid managed care organizations (MCOs). The primary purpose of the survey is to learn more about how MCOs provide and monitor access to care for Medicaid enrollees.  More

Medicare Payment for Post-Acute Care Transfers. This study helped inform the expansion of Medicare’s post-acute care (PAC) transfer payment policy to additional DRG codes being considered by the Centers for Medicare and Medicaid Services by providing objective analyses that highlight the perspective of rural hospitals.  More

Nationwide Adult Medicaid CAHPS. NORC at the University of Chicago is conducting a Nationwide Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey for Adults Enrolled in Medicaid, known also as the Nationwide Adult Medicaid CAHPS.  This survey, sponsored by the Centers for Medicare & Medicaid Services, is the first of its kind intended to capture baseline national and state-level estimates of adult Medicaid enrollees’ experiences with the health care system beginning in 2014, when many Affordable Care Act provisions take effect.  More

Quality Oral Health Care in Medicaid through Health IT. Under contract with the Agency for Healthcare Research and Quality (AHRQ), NORC is leading an effort to identify whether and how health IT can be used as a tool to improve access to high-quality oral health care for children enrolled in Medicaid and the Children's Health Insurance Program (CHIP).  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

Section 1115 Demonstration Management and Evaluation. NORC is assisting CMS by monitoring state compliance with the Special Terms and Conditions (STCs) that govern approved section 1115 demonstrations; developing evaluation design plans for CMS-approved section 1115 demonstrations; and developing a toolkit that CMS can use to assess delivery system reform proposals submitted by states for CMS approval.   More

Trends in Health Insurance Premiums. This study for the Assistant Secretary for Planning and Evaluation (ASPE) in the Department of Health and Human Services (HHS) aims to build a baseline data set for the years 2008-2011 from 30 states that will enable the HHS and others to evaluate the impact of the Affordable Care Act. More

See all Medicare and Medicaid projects


Sparks: The NORC Blog Lynne Page Snyder: Home is where your health is, and Medicare cost savings, too More
Posted: 3.10.2017 9:18AM


Jeffrey Hackett
Director of Business Development
(312) 759-4266