Loading grant details…
The Effect of Hospital-Physician Vertical Integration on Costs, Quality, and Utilization for Insured Patients with Multiple Chronic Conditions
| Funder | AGENCY FOR HEALTHCARE RESEARCH AND QUALITY |
|---|---|
| Recipient Organization | Northwestern University At Chicago |
| Country | United States |
| Start Date | Sep 01, 2024 |
| End Date | Aug 31, 2025 |
| Duration | 364 days |
| Number of Grantees | 1 |
| Roles | Principal Investigator |
| Data Source | NIH (US) |
| Grant ID | 10895028 |
Grant Description
Project Summary Improving the quality of care for patients with multiple chronic conditions (MCCs) continues to be a national priority. Concurrently, hospital-physician vertical integration – namely, hospitals acquiring independent physician practices, directly employing physicians, or having significant
financial ties to physician practices – has become commonplace. Prior research has largely shown hospital-physician integration to be associated with higher healthcare costs with mixed effects on quality and utilization outcomes. However, no known study has examined the effect of hospital-physician vertical integration on outcomes for patients with MCCs, who tend to be
costly, high utilizers of health care. To address this gap and inform future policymaking, we will examine the association between hospital-physician vertical integration and costs, quality, and health services utilization for patients with MCCs. To meet the objectives, Aim 1 will evaluate the association between hospital-physician vertical integration and health services utilization for
an insured panel of patients with MCCs, while Aims 2 and 3 will evaluate the effect of this type of vertical integration on costs and quality, respectively. We will use data from four
Sources & References
- 1) the Virginia All-Payer Claims Database (VA APCD), a longitudinally linked state-level database consisting of de-identified patient-level medical and pharmacy claims for millions of Virginia residents with commercial
- Medicaid, and/or Medicare coverage 2) the Medicare Data on Provider Practice and Specialty (MD-PPAS) file, a data repository of specialties, practice affiliation, demographics, and geography for more than 1 million providers 3) the American Hospital Association Annual Survey, a nationally representative survey of more than 6,000 hospitals and 400 health systems that will be used to define hospital-level covariates, and 4) the American Community Survey (ACS), a publicly-available survey database that includes 5-digit zip code-level data related to neighborhood-level socioeconomic status, such as median household income, educational attainment, and poverty status. The study aligns with AHRQ’s mission and strategy by addressing two priority areas: 1) research that advances whole-person, 360-degree care for those with MCCs and/or socioeconomic disadvantage, and 2) harnessing data to contribute novel information about the accessibility and affordability of health care by examining how hospital-physician vertical integration (an innovative market approach) is impacting care delivery and financing.
All Grantees
Northwestern University At Chicago
Interested in applying for this grant?
Complete our application form to express your interest and we'll guide you through the process.
Apply for This GrantQuick Summary
Related Grants
