CHIBEblog

Amol Navathe

CHIBE Associate Director Appointed to GAO’s Medicare Payment Advisory Commission

By | CHIBEblog

CHIBE Associate Director Amol Navathe, MD, PhD, has been appointed as a new member of the Medicare Payment Advisory Commission (MedPAC). Gene L. Dodaro, Comptroller General of the United States and head of the U.S. Government Accountability Office (GAO), made the announcement in a press release on May 23, 2019. “It is a great honor to serve as a new Commissioner on MedPAC,” Dr. Navathe said. “I’m thrilled to re-engage in public service to continue improving health care for Americans. This will build on our team’s work with innovative organizations like Hawaii Medical Services Association, the Blue Cross Blue Shield…

Read More
picture of brown-colored soda in a glass

Philadelphia Soda Tax Debate Drives Scholarly Dissemination Home Run

By | CHIBEblog

Nothing serves the goal of academic research dissemination quite like publishing a relevant study into the eye of a national news storm. Penn Medicine Assistant Professor and LDI Senior Fellow Christina Roberto, PhD, is a great example of that. Since arriving at Penn from Harvard in 2015, Roberto, Director of Penn’s Psychology of Eating and Consumer Health (PEACH) Lab has been studying the use of behavioral economic strategies as well as municipal taxes to reduce consumer consumption of sugary drinks. Meanwhile, Philadelphia, which imposed a 1.5 cent-per-ounce tax on soda in 2017, has become the epicenter of a national controversy…

Read More
NEJM Catalyst logo

NEJM Catalyst: Key Insights on Launching a Nudge Unit within a Health Care System

By | CHIBEblog

Even the most informed and resourced clinicians deliver health care with gaps — overusing surveillance imaging in a patient with cancer, failing to prescribe statins to a patient who meets the guidelines for them, or prescribing an expensive drug when a less expensive equivalent is available. Typically, these gaps are created not because of some error of judgment or knowledge or bad intentions, but because doing everything right all the time is difficult and often the design of practice environments inadvertently makes guideline-concordant care harder — or at least doesn’t make it as easy as it could be. The practice…

Read More

Payment, Lying, and Research Eligibility

By | CHIBEblog

Payment for research participation can raise ethical concerns and legal issues. But it can also raise scientific problems if it causes participants to lie about their eligibility or other things, like adverse events. In our new study in JAMA Network Open, my colleagues and I wanted to see whether payment causes deception about study eligibility, and if so, whether more payment results in more deception. We found the answer to the first question was yes – but contrary to what one might expect, payment amount didn’t matter. It’s hard to study if people are lying, for obvious reasons. To get…

Read More

Strengthening Medicaid Waiver Evaluations

By | CHIBEblog

States are considered “laboratories of democracy,” allowing experimentation with innovative reforms that could potentially be adopted at the national level. To test new approaches in their Medicaid programs, states have embraced Section 1115 waivers, which permit innovations that do not meet federal program rules, but still promote the program’s objectives. Recent proposals have included controversial, previously untested policies, foremost among them community engagement requirements, which mandate that nondisabled, nonpregnant adults participate in one or more of a wide range of activities – such as work, job search, volunteer activities, or school – to maintain Medicaid coverage. In a New England…

Read More

Penn DC Forum Envisions The Future Of Bundled Payments

By | CHIBEblog

Just as Medicare launched its new voluntary bundled payment program, LDI Senior Fellows Amol Navathe, MD, PhD, and Ezekiel Emanuel, MD, PhD, hosted a forum in Washington, DC to discuss current evidence and best practices around payment transformation. The forum, Moving Forward with Bundled Payments, brought policymakers, policy advocates, researchers, health insurers, and health system leaders together to learn from each other’s experiences in implementing new payment models. (l) Amol Navathe, MD, PhD, is Co-Director of the Health Care Transformation Institute and Associate Director of Center for Health Incentives and Behavioral Economics at Penn.(r) Ezekiel Emanuel, MD, PhD is Vice Provost for Global Initiatives,…

Read More

CHOP Research Network: Novel Measures Of Cell Phone Use While Driving

By | CHIBEblog

  Cell phone use while driving is a serious problem for adolescent drivers, placing them at risk for injury and death. We know from previous research that adolescents are heavily reliant on their cell phones for communication and connectivity, and admit to using their cell phone while driving in self-report surveys. In addition, we know from studies that use video cameras in cars that adolescents use their phones while driving. My colleague and CIRP Senior Fellow Kit Delgado, MD, MS and I are particularly interested in how to measure behaviors related to cell phone use while driving, while staying on top of…

Read More

The Evidence on Health Behavior Incentives in State Medicaid Programs

By | CHIBEblog

AcademyHealth Panel Rounds Up the Research As a number of states experiment with health incentives as an element of their Medicaid programs, researchers are analyzing the results with an eye towards informing future evidence-based policies. At this week’s AcademyHealth Annual Research Meeting, CHIBE affiliated faculty member Charlene Wong, MD led a panel in which investigators discussed the latest evidence on the impact of these incentives on healthy behaviors among Medicaid beneficiaries. The panel began with a presentation by Rob Saunders, PhD of the Duke Margolis Center for Health Policy. Saunders and his colleagues, including Dr. Wong, recently authored an issue…

Read More