Senior Researcher; Assistant Director
Dominick Esposito is a senior researcher and assistant director of the Center on Health Care Effectiveness. His primary expertise and research interests include prescription drug policy, particularly Medicare Part D, pharmaceutical outcomes research, evaluations of disease management programs in Medicare, and assessments of quality improvement programs in Medicaid.
Currently, he is the deputy project director of a project for the Office of the Assistant Secretary for Planning and Evaluation that evaluates the impact and identifies lessons learned among the more than 400 comparative effectiveness research projects funded under the American Reinvestment and Recovery Act of 2009. He also leads evaluations for the Center for Health Care Strategies that examine financing misalignments and the integration of physical and behavioral health services in Medicaid. He recently directed a project that used Part D data to examine the effects of benefit design on Medicare beneficiaries’ drug use patterns and out-of-pocket costs. He was also the principal investigator of a Substance Abuse and Mental Health Services Administration project that assessed the impact of a utilization management intervention on physicians’ prescribing patterns.
His work on Medicaid quality improvement issues is highlighted by three evaluations he directs for the Center for Health Care Strategies for the Business Case for Quality: Phase II, Rethinking Care Program, and Reducing Disparities at the Practice Site Initiative projects. For each, he has led the design of impact analyses using Medicaid claims data for a variety of Medicaid interventions. He also directs an evaluation of a disease management program for dual eligibles for the Centers for Medicare & Medicaid Services.
Esposito is an active member of both AcademyHealth and the International Society for Pharmacoeconomics and Outcomes Research (ISPOR). His recent publications appear in a range of journals, such as Health Care Financing Review and the American Journal of Managed Care, and include papers on the association of congestive heart failure medication adherence to health care use and costs, antidepressant use patterns, and evaluation methods for disease management. His is also the lead editor of the forthcoming ISPOR book Reliability and Validity of Data for Outcomes Research and Disease and Health Management Programs. He has a Ph.D. in economics from the University of California, Santa Barbara.
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- Areas of Expertise
- Key Projects
- Professional Activities
- Prescription drug policy, particularly Medicare Part D
- Pharmaceutical outcomes research
- Evaluations of disease management programs in Medicare