Drugs priced for value, Medicaid expansion and more.
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NIHCM Foundation Supports Seven New Health Care Studies

Washington, DC — January 17, 2019 — NIHCM Foundation has awarded over $400,000 in grants to support seven investigator-initiated research studies. "Our grants demonstrate NIHCM's ongoing commitment to high-quality research that informs decision makers and ultimately improves health care for all Americans," said NIHCM CEO Nancy Chockley. The following studies were selected:

  • Pricing the Value of a Cure
    Drugs that offer new cures tend to come with high price tags. This study will evaluate different approaches to determining fair, value-based prices for these innovative drugs, apply them to a real-world case study of an emerging potential cure, and incorporate them into ICER’s value assessment framework.
Researchers: Steven D. Pearson, Institute for Clinical and Economic Review 
  Richard Chapman, Institute for Clinical and Economic Review 
  • Impact of Medicaid Expansions on Prenatal Care & Birth Outcomes
    By covering all low-income women regardless of pregnancy status, the ACA Medicaid expansions may lead to better care prior to conception through birth and postpartum care. This study will compare changes in outcomes for mothers in states that expanded Medicaid versus states that did not.
Researchers: Tiffany Green, Virginia Commonwealth University
  Peter Cunningham, Virginia Commonwealth University
  Bassam Dahman, Virginia Commonwealth University
  • Overinvestment in Technology: The Curious Case of MRI Scanners
    Unchecked adoption of new technology is a leading driver of growth in U.S. health care spending. This study will estimate a structural model of MRI market entry, pricing and market share to simulate the impact of policies that could limit overinvestment in MRIs and other technology.
Researchers: Zack Cooper, Yale University
  Fiona M. Scott Morton, Yale University
  Steven Berry, Yale University
  • Impact of Hospital Consolidation on Access, Quality and Disparities
    Hospitals are typically able to negotiate higher prices from private insurers after a merger. Do they use this extra revenue to expand care for Medicaid patients or do they shift care to higher-profit, privately insured patients? This study will investigate the impact of hospital mergers in New York on access and quality for Medicaid patients and disparities relative to privately insured patients.
Researchers: Sunita Desai, New York University
  Sherry Glied, New York University
  • Effects of Tiered Physician Networks on Use & Provider Behavior
    This study will quantify the system-wide effects of tiered physician networks on referrals, hospital choice, and health care use and spending, and assess how impact varies based on the design features of the tiered networks, urban or rural market location, and competitiveness of the local physician market.
Researchers: Anna Sinaiko, Harvard University
  Elena Prager, Northwestern University
  • Persuasion in Physician-Industry Relations: Medical Devices
    Do payments from medical device manufacturers affect doctors’ decisions about device use and choice of device? This study seeks to find out by estimating the causal impacts of industry payments on the use of promoted devices, negotiated prices and patient outcomes.
Researchers: Ashley Swanson, Wharton School, University of Pennsylvania
  Matthew Grennan, Wharton School, University of Pennsylvania
  • High & Low Residual Spenders in Private Health Insurance Markets
    This three-country study will explore the potential to improve health plan payment accuracy by taking a closer look at patients for whom actual spending is much higher or much lower than the plan’s risk-adjusted payment. Investigators will describe patient characteristics affecting spending for these high and low residual spenders and model the impact of strategies to improve the payment system.
Researchers: Tom McGuire, Harvard University
  Richard C. van Kleef, Erasmus University, Rotterdam, The Netherlands
  Sonja Schillo, University of Duisburg-Essen, Germany


The National Institute for Health Care Management (NIHCM) Foundation is a nonprofit, nonpartisan organization dedicated to transforming U.S. health care through evidence and collaboration. More information on the foundation can be found at www.nihcm.org.


Kaitlin Smith
Communications Officer
NIHCM Foundation
email: ksmith@nihcm.org
(202) 296-4426

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