Academic Research

Our academic research contributes to knowledge about delivery system and payment reform, with a focus on state Medicaid programs. Several key projects are highlighted below.

 

Medicaid Reform in Oregon

Oregon transformed its Medicaid program by creating coordinated care organizations (CCOs), regional networks that are responsible for health care access and quality among their members. Our team has undertaken extensive work to understand the impacts of this novel policy experiment, including comparison of health care quality and spending trends among Oregon's Medicaid members with trends in Colorado and Washington State, which carried out more limited reforms.
 
Select publications:

Oregon's Medicaid Reform And Transition To Global Budgets Were Associated With Reductions In Expenditures. Health Affairs, 2017

Early Performance in Medicaid Accountable Care Organizations: A Comparison of Oregon and Colorado. JAMA Intern Med, 2017

Oregon's Emphasis On Equity Shows Signs Of Early Success For Black And American Indian Medicaid Enrollees. Health Affairs, 2018

Decomposing Medicaid Spending During Health System Reform and ACA Expansion: Evidence from Oregon. Medical Care, 2018 

 

Opioid Prescribing Patterns

We partnered with OHSU researcher and emergency medicine physician Dr. Benjamin Sun to identify opioid prescribing patterns in Washington State and understand how opioid prescribing responds to policy interventions.
 
Select publications:

Impact of Hospital "Best Practice" Mandates on Prescription Opioid Dispensing After an Emergency Department Visit. Academic Emerg Med, 2017

Does Prescription Opioid Shopping Increase Overdose Rates in Medicaid Beneficiaries? Annals of Emerg Med, 2017

Effect of Automated Prescription Drug Monitoring Program Queries on Emergency Department Opioid Prescribing. Annals of Emerg Med, 2018

 

Value-Based Payment for Joint Replacement

Comprehensive Care for Joint Replacement (CJR)—Medicare's first mandatory bundled payment program—reflects a national move towards value-based payment. Led by Dr. Hyunjee Kim, our team is examining whether CJR affects well-documented racial disparities in joint replacement care.
 
Select publications:

The CMS Comprehensive Care Model and Racial Disparity in Joint Replacement. JAMA, 2016

A complete list of CHSE's publications can be found here.