Research Seminar: Can Global Budgets in Healthcare Create the Right Quality Incentives?

Wednesday, May 22, 2013, 3:00 to 4:30 p.m.

Carlson School of Management, Room 2-215

Karoline Mortensen is an assistant professor in the Department of Health Services Administration in the School of Public Health at the University of Maryland, College Park. She earned her Ph.D. in Health Services Organization and Policy with a concentration in Economics from the University of Michigan. She holds a Masters of Arts in Applied Economics from the University of Michigan, and a Bachelor of Science in Economics and Political Science from Florida State University. Dr. Mortensen's research interests focus on the factors related to health services utilization of vulnerable populations. Her research is currently funded by the NIH National Institute of Child Health and Human Development, and her work has been published in journals including JAMA Internal Medicine, Health Affairs, and Medical Care.

Join us at MILI’s May Research Seminar to take a look into the research below:

The state of Maryland implemented innovative global budgeting of outpatient and inpatient services in eight rural hospitals under the Total Patient Revenue (TPR) system in July, 2010. To investigate the effect of financial incentives to integrate outpatient and inpatient care on hospital readmissions, this paper uses data on Maryland discharges from the 2009-2011 Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases (SID). Individual inpatient discharges from eight treatment hospitals and five control hospitals comprise the sample (n=423,101). Difference-in-differences probit and linear probability models with hospital fixed effects are estimated to determine the effect of the global budgeting system on hospital readmissions.

The analysis controls for patient demographics and characteristics, as well as hospital quality ratings. Difference-in-differences estimates show that after implementation of TPR in the treatment hospitals, the predicted probability of readmissions increased by .01 (p≤.01). Hospital quality ratings are associated with a statistically significant decline in readmissions (coefficient= .0224, p≤.01). Early evidence from the TPR program shows that readmissions increased slightly after implementation. Hospital quality did not appear to be negatively affected. As the health care system innovates, it is important to evaluate the success of these innovations. One of the goals of TPR was to lower readmission rates, however these rates did not show consistent downward trends after implementation. Our results suggest that payment innovations that provide financial incentives to lower spending while maintaining quality of care may not have immediate effects on commonly used measures of hospital quality, particularly for rural hospitals that may lack coordinated care delivery infrastructure.

This seminar is free and open to the public, RSVP is not required.

Co-sponsored by the Department of Health Policy & Management, School of Public Health, U of MN

 

Bring your lunch and join MILI for our monthly "Lunch and Learn" series. Hear the latest on health policy, regulatory affairs, and news from Washington DC.

Sessions will feature:
Susan Alpert, PhD, MD, MILI Executive in Residence
Stephen Parente, PhD, Director, Medical Industry Leadership Institute
Michael Ramlet, Director of Healthcare Policy, American Action Forum

Time: 12:00-1:00pm
Location: Carlson School of Management -- 1-135
321 19th Ave S, Minneapolis, MN 55455

If you are unable to attend in person we invite you to join the conversation via web conference. To participate in the meeting follow the links below:

Date	Link
June 24, 2013	https://umconnect.umn.edu/mililnl/
July 29, 2013	https://umconnect.umn.edu/mililnl/
August 26, 2013	https://umconnect.umn.edu/mililnl/

 

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Actuarial Seminar Series

Please check back in the fall for details on our next Actuarial Seminar.

We want to thank UnitedHealth Group for its sponsorship of the UnitedHealth Group Actuarial Scholarship Program and this seminar series.

 

 

Bates White Healthcare & Life Sciences Symposium

Monday, June 10 - Tuesday, June 11, 2013

Bates White's Washington, DC Office

The program will include presentations of academic papers, case studies drawn from current areas of litigation and regulatory activity in the industry, and a panel discussion on reverse settlements.

Speakers include:

Ernst, Perndt, PhD - Drug Shortages

David Bradford, PhD - Off-Label Perscribing

Iain Cockburn, PhD - Price Inflation in Clinical Trials

Henry Grabowsky, PhD - Biosimilars of Paragraph IV

David Meltzer, MD, PhD - Comparative Effectiveness or Clinical Management

Tomas Philipson, PhD - Health Policy and Medical Innovation

David Ridley, PhD - Pharmaceutical Innovation

John Rizzo, PhD - Markets for Biosimilars

Marta Wosinska, PhD - Drug Shortages

Case studies will cover topics such as off-label/fraud, exclusionary conduct, co-pay coupons, and injunction analysis.

Panelists include:

Kent Bernard, JD - Professor, Fordham University School of Law

Leemore Dafny, PhD - Deputy Director, Bureau of Economics, FTC

Eric Grannon, JD - Parnter, White & Case

Scott Hemphill, PhD, JD - Professor, Columbia Law School

For more information email events@bateswhite.com.

 

2013 Healthcare Payments and Policy Conference

July 15-16, 2013

Washington, DC

HOCON is produced by the American Research & Policy Institute (ARPI), one of the leading information sources on the trend towards consumerism in healthcare. Headquartered in Washington, DC, ARPI and its subsidiary organization the Consumer Driven Healthcare Institute (CDHCI) are publishers of the CDHS Market Data Advisory, a quarterly report on consumer healthcare spending and investment. The University of Minnesota's Medical Industry Leadership Institute is also a sponsor of HCON 2013 and long-term institutional partner with ARPI and CDHCI. In addition, leading key Washington health policy makers and industry leaders will present key information about payment and technology trends that will likely shape their future of healthcare payments. Past speakers at previous events have included Sen. Orrin Hatch (R-UT), Sen. Ron Wyden (D-OR) and Rep. Dave Camp (R-MI).

Click here for conference details.

 

Travel with MILI

With two treks offered a year, MILI Director Steve Parente leads trips to San Francisco in January and Washington, D.C. in March. By meeting with industry leaders located outside of the Midwest, students and alumni are able to expand upon their classroom learnings and broaden their national networks.

 

DATES FOR THE JANUARY AND MARCH 2014 TRIPS WILL BE POSTED IN THE UPCOMING MONTHS.