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Boyd H. Gilman
Senior Researcher
Boyd Gilman is a senior researcher at Mathematica, with more than 15 years of experience leading program evaluations and policy studies in health economics and financing for the federal and state governments. His work focuses on Medicare hospital and post-acute care payment policy reform, Medicare outpatient prescription drug coverage, and cost of care for individuals with chronic conditions and other special health care needs, including those living with HIV/AIDS.
Gilman’s experience includes evaluations of the Medicare critical access hospital program and the Medicare rural community hospital demonstration to ensure that beneficiaries living in the least populated regions of the country have continued access to acute and emergency health care services. He has also used commercial, Medicaid, and Medicare claims to analyze the impact of drug benefit design on the use and cost of prescription medications and the potential offsetting effect of outpatient drug coverage on the use and cost of nondrug medical services, including a study to assess the cost effectiveness of influenza vaccinations among the elderly.
In addition, Gilman has conducted numerous studies for the Centers for Medicare & Medicaid Services, the Health Resources and Services Administration, the Centers for Disease Control and Prevention, and the Agency for Healthcare Research and Quality on access to and cost of health care services for people living with potentially disabling chronic conditions. For example, he helped develop a national needs-based system for allocating Ryan White CARE Act funds to state and local jurisdictions. He also recently evaluated the workforce needs of health care providers who treat a disproportionately large share of people living with HIV/AIDS, and the implications of improving linkages to and retention in care among the estimated 20 percent of the HIV population who are unaware of their serostatus for the capacity of frontline clinicians to meet the projected increase in demand for primary and specialty care services. Gilman has also evaluated the savings associated with reducing adverse drug events in ambulatory care settings and the cost of implementing computerized physician order entry and clinical decision support systems in long-term care facilities.
Gilman publishes regularly in peer-reviewed journals such as Health Services Research, Medical Care, Health Care Financing Review, Journal of Rural Health, American Journal of Preventive Medicine, AIDS Care, and American Journal of Managed Care and presents at professional conferences for the AcademyHealth Annual Research Meeting, the American Public Health Association, the International AIDS Conference, and other groups. Before joining Mathematica in 2006, he was a senior economist at RTI International and Health Economics Research, Inc. He has a Ph.D. in economics from Boston University.
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- Areas of Expertise
- Key Projects
- Professional Activities
- Publications
- Policy studies in health economics and financing
- Medicare hospital and post-acute care payment policy reform
- Medicare outpatient prescription drug coverage
- HIV/AIDS Epidemic Among Latinos: Best Practices from Ryan White HIV/AIDS Program Grantees
- HIV Care for Newly Diagnosed HIV-Positive Persons in Racial and Ethnic Minority Communities Disproportionately Impacted by HIV/AIDS
- Retention of Clinical Providers and Other Key Personnel in Ryan White HIV/AIDS Program Care Settings
- "Assessment of Clinician Workforce Capacity Issues in Ryan White HIV/AIDS Program Care Settings.” (presenter) HIV/AIDS Bureau staff, Health Resources and Services Administration (November 2009)
- "Evaluation of Medicare Part D Late Enrollment Penalty Demonstration for Low-Income Subsidy Applicants and Residents Affected by Hurricane Katrina" (September 2010)
- "The Demonstration to Maintain Independence and Employment: Implications for National Health Care Reform." Working with Disability, Work and Insurance In Brief #10 (December 2009)
- "Interim Report on the Demonstration to Maintain Independence and Employment" (April 2009)