Center to Improve Patient-centered Care and Reduce Disparities in Care Delivered by Patient Aligned Care Teams (PACT)

Co-Director: Rachel Werner

A key tenet of Patient Aligned Care Teams (PACTs) is to make care more patient-centered. Despite accumulating evidence that patient-centered care is key to improving patient outcomes, PACT has had variable success in achieving patient-centered care. There are large racial disparities in patient-reported experiences with care driven largely by inter-facility variation.  The project aims to experiment with and evaluate the implementation of the Veteran Health Administration’s patient-centered medical home in VISN 4, with the focus of improving patient-centered care and reducing racial disparities in patient-centered care by disseminating best practices within VISN 4 and building tools to disseminate best practices nationwide.

Funder: Department of Veterans Affairs

Improving consumer response to nursing home quality information: An evaluation of composite measures

Principal Investigator: Rachel Werner

Significant resources have been invested in the creation and use of composite measures to report on nursing home quality, but it is unknown how consumers have responded to them. This project aims to evaluate the effect of composite vs. individual quality measures on consumer’s nursing home choice and to evaluate the effect of composite vs. individual quality measures on matching of consumers to nursing homes.

Funder: AHRQ

Essential Health Benefits: 50-State Variations on a Theme

Principal Investigators: Dan Polsky

All qualified health plans under the Affordable Care Act must cover a package of essential health benefits (EHBs) equal in scope to a typical employer plan. The law laid out 10 general categories of services that EHBs must cover, but did not itemize those services. As an interim policy for 2014 and 2015, the Department of Health and Human Services allowed each state to identify an existing plan as a benchmark for these EHBs. The result of this policy is that EHBs vary from state to state, often because of a legacy of different state-mandated benefits (such as treatments for autism, infertility, or temporomandibular joint disorders). This project analyzes state variation in coverage and limits for these non-uniform benefits..

Funder: Robert Wood Johnson Foundation

Effects of Commercial Insurer Payment Policy on Chemotherapy Use and Costs

Principal Investigator: Justin Bekelman

Over the past several years, a large, national commercial insurer implemented reimbursement changes to incentivize the use of generic chemotherapies, presenting a natural experiment which we will leverage to examine the effects of chemotherapy reimbursement policy changes on treatment patterns, quality and costs.

Funder: American Cancer Society