Estimating the Costs of Supporting Safety-Net Transformation into Patient-Centered Medical Homes in Post-Katrina New Orleans
The study aimed to understand the characteristics of clinics that transformed into patient-centered medical homes and the incremental cost for transformation. We found Larger sized clinics and those with a higher female proportion were more likely to transform. The PCASG program provided approximately $24.86 per visit over the two and a half years. This estimated incremental cost could be used to guide policy recommendations to support primary care transformation in the United States.
Cost Sharing of Disease Modifying Treatments (DMTs): as Policy Level to Improve DMTs Access in Multiple Sclerosis
The objective of this study is to examine the relationship between out-of-pocket (OOP) payment for DMTs and DMT use/adherence. We found the use of DMTs and DMT adherence appeared inelastic to OOP payment below $442 and $890, respectively. Insurance plans with OOP payment above $442 is expected to cover more than 50% of the MS patients in 2016. This information can inform designing valued based insurance plan.
- Lizheng Shi, PhD
Evaluation of Rwanda’s Hospital Accreditation Strategy
In 2014, the Government of Rwanda approved a set of national hospital accreditation standards. Since that time, hospitals have engaged in the institutionalization of quality improvement processes in preparation for periodic accreditation surveys. The evaluation, which is funded by the United States Agency for International Development, uses a mixed-methods approach examine the impact of the accreditation process on quality metrics, staff satisfaction and motivation, and hospital financial status. The evaluation is being conducted in partnership with the National University of Rwanda School of Public Health.
Evaluation of the Simplified Community Scorecard Approach in the Democratic Republic of Congo
The simplified community scorecard approach is an intervention underway in rural areas of the Democratic Republic of Congo. Funded by the United Kingdom Government’s Department for International Development, the aim of this intervention is to empower communities to participate in the management and governance of health services. The evaluation uses primary quantitative and qualitative data to examine the impact on levels of community empowerment, the quality and scope of health services, and health provider satisfaction.
- Janna Wisniewski, PhD