The Money Follows the Person Demonstration is a federal initiative to help states reduce their reliance on institutional care for people needing long-term care, and expand options for elderly people and individuals with disabilities to receive care in the community.
- Program evaluation
- Health services of frail older adults and people with disabilities
- Medicaid waiver programs
- Health Care
- Care Delivery Systems
- Long-Term Services and Supports
- Medicaid and CHIP
Carol Irvin’s career has focused on assessing policies and programs related to health care access, particularly for vulnerable populations. She has extensive experience evaluating programs that extend coverage or transform health care services for people of all ages and with a wide range of chronic conditions and disabilities.
Irvin currently directs two national evaluations of Medicaid programs. Since 2007 she has directed the national evaluation of the Money Follows the Person demonstration, a Medicaid program that seeks to help states develop and strengthen approaches to transitioning people from institutional to community-based care. She also directs Mathematica’s evaluation of four different types of Section 1115 Medicaid demonstration programs: (1) delivery system reform incentive payments, (2) premium assistance, (3) healthy behaviors/value-based purchasing incentives, and (4) managed long-term services and supports.
Her state-level evaluation work includes leading an evaluation of Oregon’s Medicaid 1115 Research and Demonstration waiver that seeks to transform how Medicaid services are managed and delivered. She also conducted an evaluation of the Healthy Indiana Plan, an innovative program that provides a high deductible health program for uninsured, working age Hoosiers. In other work, she contributed to studies of Medicare-Medicaid enrollees and evaluations of statewide plans to improve services for children with autism spectrum disorders.
Irvin, who publishes in peer-reviewed journals including Pediatrics and Psychiatric Services, presents at professional meetings sponsored by AcademyHealth and the American Public Health Association. She holds a Ph.D. in economics from the University of Wisconsin-Madison.
Research and Evaluation of the Money Follows the Person (MFP) Demonstration Grants
New Approaches for Medicaid: The 1115 Demonstration Evaluation
Mathematica's evaluation of Medicaid Section 1115 waiver demonstrations, approximately 40 in number, seeks to assess the implementation and outcomes of four different types of innovations and help CMCS shift toward data-driven decision making for future waiver approvals.
Mathematica Appoints New Senior Fellows
Mathematica is pleased to announce the appointment of two new senior fellows, Sally Atkins-Burnett and Carol Irvin, nationally recognized experts in program evaluation and policy analysis. Their contributions to public policy research continuously help us inform policy and program decisions.
CSDP Forum: Rebalancing Long-Term Care Services and Supports
In this forum, participants discussed CMS' efforts to reduce independence on institutional care and expand access to home- and community-based services for Medicaid beneficiaries.