Econometrica’s Learning, Training & Diffusion Team has been developing a web-based training course for CDC’s Office of Antibiotic Stewardship.
In 2011, Econometrica was awarded our first-ever contract on our Centers for Medicare & Medicaid Services (CMS) Small Business Research and Demonstration (SBRAD) Programs Indefinite Delivery/Indefinite Quantity (IDIQ) contract. The contract, Medicaid Incentives for Prevention of Chronic Diseases (MIPCD) Technical Support, was within the Center for Medicare & Medicaid Innovation, Medicare Demonstration Program Group.
MIPCD Program to Help People Adopt Healthy Behaviors
On behalf of CMS, Econometrica supported the implementation of the MIPCD demonstration program. Enacted under Section 4108 of the Patient Protection and Affordable Care Act of 2010, the MIPCD program is designed to test the effectiveness of providing incentives to Medicaid beneficiaries who participate in prevention programs and demonstrate changes in health risk and outcomes, including the adoption of healthy behaviors.
Ten States were funded to participate in MIPCD. The programs addressed at least one of the following prevention goals: tobacco cessation, controlling or reducing weight, lowering cholesterol, lowering blood pressure, and avoiding the onset of diabetes or (in the case of a diabetic) improving the management of the condition.
Participants Receive Incentives to Promote Healthy Behaviors
Depending on the program, participants could receive incentives for activities (such as attending a gym, attending diabetes self-management education classes or weight loss programs, calling a Quitline for smoking cessation counseling, or having an eye exam) or outcomes (reduced weight, reduced blood glucose, confirmed smoking abstinence). The levels and types of incentives that the States offered varied and included cash, gift cards, points that could be redeemed for products, weight loss program memberships, and health club memberships.
Under its MIPCD contract, the Econometrica Team provided technical support to the 10 State grantees and provided support to CMS in monitoring the program. In addition to providing monthly and annual progress reports to CMS, our contract included three main task areas:
- Design and implement a learning collaborative. Econometrica facilitated monthly meetings with the States, planned biannual webinars that addressed States’ needs, hosted biannual face-to-face meetings, and maintained MIPCD.net, a Section 508 compliant, interactive program website.
- Monitor grantee progress and needs and provide technical assistance to grantees. Econometrica attended biweekly (later decreased in frequency to monthly) calls with each grantee and CMS, reviewed grantee quarterly reports, and solicited feedback from grantees on their needs. Grantees also requested assistance on specific topics. Once a technical assistance need was identified, the team conducted research, literature reviews, and other activities to provide information and strategies to assist the grantees.
- Collect and analyze data. The Econometrica Team compiled and analyzed secondary participant- and program-level data to assess grantee program implementation and to support the Federal Evaluation Contractor’s data collection efforts. This included developing the data collection protocol for the program’s minimum dataset and tracking current enrollment against each State’s target numbers.
Econometrica successfully met its commitments under this contract, and CMS accepted our final report. This inaugural CMS SBRAD contract has led to many more in the ensuing years.
The programs addressed at least one of the following prevention goals: tobacco cessation, controlling or reducing weight, lowering cholesterol, lowering blood pressure, and avoiding the onset of diabetes or (in the case of a diabetic) improving the management of the condition.
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