Mathematica is conducting on-the-ground assessment—primarily through case studies—to help ASPE understand the extent and nature of early changes in safety net hospital utilization, services, and financial viability as a result of the Affordable Care Act and other changes in the health care system.
- Qualitative research
- Site visit study design
- Affordable Care Act
- Access to medical care for low-income people
- Accountable care organizations
- Local health care markets
- Children’s Health Insurance Program
- Safety net providers (hospitals and community health centers)
- Health care programs for the uninsured
- Care Delivery Systems
- Medicaid and CHIP
Laurie Felland has more than 15 years of experience conducting qualitative research, designing site visit projects, conducting interviews with leaders of health care organizations, and analyzing qualitative information. Her primary research focuses on low-income people’s access to medical care, including studies of safety net providers, public insurance programs, and programs to improve access to care for the uninsured.
Felland is the former director of qualitative research at the Center for Studying Health System Change (HSC). She directed HSC’s large qualitative research projects to track the financing, organization, and delivery of health care in local markets, including the seventh round of the Community Tracking Study (a longitudinal study of 12 local health care markets), a tracking study of six California health care regions, and research on local commercial and Medicaid insurance markets and their preparations for health reform. Most of Felland’s current projects focus on early impacts of the Affordable Care Act at the community level, including studies of safety net hospitals in six communities throughout the United States and market dynamics among health care providers, insurers, and employers and the safety net in the Washington, DC, metropolitan area. She is also the deputy director of a project to develop learning systems for accountable care organizations to help them improve the quality and coordination of health care services and control the overall costs of treating Medicare beneficiaries.
Felland holds an M.S. in health policy and management from the Harvard School of Public Health. She is a peer reviewer for Health Affairs, Health Economics, Health Services Research, the Journal of Health Care for the Poor and Underserved, Medical Care Research and Review, and Policy and Law.
Trends Shaping DC Metro Area's Health Care Market
DC-area health care leaders recognize the inevitable shift from fee-for-service to value-based payment and the need for their organizations to develop population-management capabilities. Nevertheless, most hospitals are continuing to emphasize fee-for-service strategies. A new report examines market...