This project is examining an innovative care delivery model built on a partnership between Landmark Health and the Inland Empire Health Plan to deliver coordinated services to eligible Medi-Cal managed care members with multiple medical and behavioral health needs.
- Medicare and commercial claims analysis
- Payment reform
- Physician clinical behavior
James Reschovsky is an expert in health care payment systems and health care quality.
He holds key leadership roles on several Center for Medicare & Medicaid Innovation projects, including a bundled payment demonstration that is determining whether hospitals receive shared savings or bear extra costs as a result of the cost and quality of providing joint replacements to Medicare beneficiaries. He also oversees impact evaluations for two Health Care Innovation Award grantees testing a patient-centered medical home intervention as well as an intervention to improve treatment of patients with high risk of major cardiovascular events.
For the National Institute for Health Care Reform, Reschovsky contributes to an evaluation of Blue Cross and Blue Shield of Michigan’s patient-centered medical home program, a study estimating the cost of defensive medicine, and an evaluation of the impact of benefit design changes on patient costs and quality. He also helped lead a project for the Agency for Healthcare Reform and Quality (AHRQ) to improve data collection on physicians and their practices.
At the Center for Studying Health System Change, Reschovsky led survey and quantitative efforts for the long-running Community Tracking Study and studied a range of health policy topics, including insurance coverage and markets, managed care, care delivery, and determinants of health care costs and quality.
Reschovsky also held research positions at AHRQ and academic posts at Cornell University and Michigan State. He publishes regularly in peer-reviewed journals, including Health Affairs, the Journal of General Internal Medicine, and the American Journal of Managed Care. He is a member of AcademyHealth and the Association for Public Policy Analysis and Management and a referee/reviewer for Journal of the American Medical Association and the New England Journal of Medicine. He holds a Ph.D. in public policy studies from the University of Michigan.
Adapting a Model of Integrated and In-Home Care for Safety-Net Patients with Multiple Chronic Conditions
Facilitating Evidence-Based Clinical Decision Making
Mathematica Policy Research will examine health care payment and purchasing policies that facilitate the goals of campaigns to promote evidence-based health care, such as the Choosing Wisely initiative.
Payment Reform Essential to Improve Health Care, Reduce Cost
A permanent repeal of the sustainable growth rate as part of a package of other payment reforms can lead to lower health care costs and improved care, according to a Health Affairs article released by Mathematica senior fellow James Reschovsky and his coauthors.
CHCE Forum: The SGR Fix: A Pathway to Fundamental Physician Payment Reform?
In a new publication released in March, Mathematica senior fellow James Reschovsky unpacked the details of the proposed sustainable growth rate replacement, including the new Merit-Based Incentive Payment System and several other payment models encouraged in the legislation. Reschovsky and a panel of...