Mathematica assisted the Centers for Medicare and Medicaid Services with designing a system to implement physician value-based purchasing for Medicare beneficiaries, which includes development and distribution of confidential physician feedback reports that inform physicians of their performance on quality...
- Data acquisition, testing, and analysis
- Quality improvement and cost analyses
- Medicare administrative data
- Care Delivery Systems
Matthew Gillingham has significant experience in leading projects and directing data acquisition, testing, and analysis for a variety of health program evaluations focusing on quality improvement and cost analyses. He also manages health research systems staff. He has recently authored a book titled SAS Programming with Medicare Administrative Data.
Currently, Gillingham is the systems director for the Development of Resource Use Reports (RURs) for the Medicare Fee-for-Service Claims project. In this role, he directs the engineering, design, development, production, and documentation of software based on SAS and XML for the creation of RURs for eligible Medicare providers and provider groups. Gillingham has also conducted and led analyses for many other projects involving the use of Medicare data to improve quality of care. Key projects include an evaluation of the Health Information Technology for Economic and Clinical Health Act of 2009, the Physician Quality Reporting Initiative, and the Medicare Quality Monitoring System.
Before joining Mathematica in 2003, Gillingham served as a decision support specialist for Highmark Blue Cross Blue Shield and as an economist with the U.S. Department of Commerce. He has been published in peer-reviewed journals and holds an M.A. in economic theory from American University.