Research (by topic)

My research is primarily focused on the quality of healthcare as well as payment options to improve health and health care.

Each topic below has a list of take-away points – click them to be brought to a relevant article (pages will open in a new tab).

                                                     Value-Based Incentive Design

Pay for Performance

Qualitative Insights into how Pediatric Pay-for-Performance Programs are Being Designed;

Improving Timely Childhood Immunizations through Pay for Performance;

Two-year impact of the alternative quality contract on pediatric health care quality and spending;

How Accountable Care Organizations Responded to Pediatric Incentives in the Alternative Quality Contract

                                                     Measuring Maternal and Pediatric Health

Parity and Out-of-Pocket Spending for Children with High Mental Health or Substance Abuse Expenditures;

Massachusetts Health Reform and Access for Children with Special Health Care Needs;

Development of the Children with Disabilities Algorithm;

Quality of Primary Care for Children with Disabilities Enrolled in Medicaid

                                                     Health Care Delivery System Complexity

Price Transparency

Hospital Executives’ Perspectives on Pay-for-Performance and Racial/Ethnic Disparities in Care;

How Primary Care Physicians Integrate Price Information into Clinical Decision-Making;

The Effect of Price Information on the Ordering of Images and Procedures;

A Randomized Trial of Displaying Paid Price Information on Imaging Study and Procedure Ordering Rates

 

 

 

 

 

 

The following area is outdated and does not accurately reflect current priorities.

 

 

Primary Care Redesign

Primary Care Redesign

Improving care quality is a complex process. The Aims of this study are to:

1. Describe the tactics academically-affiliated primary care practices use to implement the main elements of the Academic Innovations Collaborative (AIC) – improve Team-Based Care, Population Management, Complex Care, and Patient Engagement.

2. Evaluate the professional satisfaction of the staff at these

academically-affiliated primary care practices.

3. Examine the degree to which the AIC improves health care quality and spending.

 

Price Transparency

This study evaluates whether varying the type of price information that physicians receive changes:
1. physicians’ test ordering rates,
2. care quality, and
3. use of price information in clinical decision-making and conversations with patients.

Geocoded Socioeconomic Information and Risk Adjustment

This NICHD and foundation-funded set of studies examine the degree to which incorporating geographically-derived socioeconomic information advances our ability to match healthcare payments with patient complexity.