The Data & Methods Core will provide the personnel, expertise, and computational resources needed for effective use of Medicare data and other data to be acquired and analyzed by the investigators in the Program Project. Additionally, it will provide leadership on the data-related issues common to all projects as well as day-to-day direction in the management of complex data sets and analyses. This Core involves four aims. First, the Core will be responsible for all data management and oversight activities including dataset acquisition, preparation, integration, management, and quality control. Second, the Core will offer and coordinate clinical expertise in measurement, specification of key analytic variables, and interpretation across the projects. Almost all aims in the Program Project projects involve some clinical or health data. The explicit clinical linkage will help ensure cross-project learning about fruitful approaches and maximize consistency in approaches across projects. Third, the Core will offer and coordinate expertise on statistical model building and other data analysis methods across all projects. A coordinated approach is particularly important given the common features across projects in the data used and interrelated research questions. Fourth, the Core will apply theory from health economics to supply- and demand-side setting payment innovations. The Data & Methods Core is staffed by senior researchers with extensive experience with the data and methods involved in the Program Project projects. The Medicare program is of enormous importance to the health, welfare and financial status of the elderly and to the federal government and its budget. It is crucial to conduct empirical analysis with broadly representative data, carefully specified measures of clinical quality and resource use, and rigorous statistical methods.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Program Projects (P01)
Project #
5P01AG032952-10
Application #
9756138
Study Section
Special Emphasis Panel (ZAG1)
Project Start
Project End
Budget Start
2019-04-01
Budget End
2020-03-31
Support Year
10
Fiscal Year
2019
Total Cost
Indirect Cost
Name
Harvard Medical School
Department
Type
DUNS #
047006379
City
Boston
State
MA
Country
United States
Zip Code
02115
Landon, Bruce E; Zaslavsky, Alan M; Souza, Jeffrey et al. (2018) Trends in Diabetes Treatment and Monitoring among Medicare Beneficiaries. J Gen Intern Med 33:471-480
Roberts, Eric T; Zaslavsky, Alan M; McWilliams, J Michael (2018) The Value-Based Payment Modifier: Program Outcomes and Implications for Disparities. Ann Intern Med 168:255-265
Daw, Jamie R; Hatfield, Laura A (2018) Matching and Regression to the Mean in Difference-in-Differences Analysis. Health Serv Res 53:4138-4156
Barnett, Michael L; McWilliams, J Michael (2018) Changes in specialty care use and leakage in Medicare accountable care organizations. Am J Manag Care 24:e141-e149
Roberts, Eric T; Hatfield, Laura A; McWilliams, J Michael et al. (2018) Changes In Hospital Utilization Three Years Into Maryland's Global Budget Program For Rural Hospitals. Health Aff (Millwood) 37:644-653
Gilstrap, Lauren G; Huskamp, Haiden A; Stevenson, David G et al. (2018) Changes In End-Of-Life Care In The Medicare Shared Savings Program. Health Aff (Millwood) 37:1693-1700
McWilliams, J Michael; Hatfield, Laura A; Landon, Bruce E et al. (2018) Medicare Spending after 3 Years of the Medicare Shared Savings Program. N Engl J Med 379:1139-1149
Roberts, Eric T; McWilliams, J Michael; Hatfield, Laura A et al. (2018) Changes in Health Care Use Associated With the Introduction of Hospital Global Budgets in Maryland. JAMA Intern Med 178:260-268
Schwartz, Aaron L; Zaslavsky, Alan M; Landon, Bruce E et al. (2018) Low-Value Service Use in Provider Organizations. Health Serv Res 53:87-119
Ganguli, Ishani; Souza, Jeffrey; McWilliams, J Michael et al. (2018) Practices Caring For The Underserved Are Less Likely To Adopt Medicare's Annual Wellness Visit. Health Aff (Millwood) 37:283-291

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