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