The Agency for Healthcare Research and Quality created the Comparative Health System Performance Initiative (1) to study how health care delivery systems promote evidence-based practices in delivering care and (2) to understand the connections between the dissemination of patient-centered outcomes research...
- Practice variation in medical care
- Influences on health professionals’ decision making
- Organization and financing of medical practice
- Clinician payment reform and primary health care
- Comparative effectiveness research policy
- Care Delivery Systems
- State Health Policy
- Population Health
- Health Care
Eugene Rich, M.D., is an expert on sources of practice variation in medical care with a focus on the influence of the policy, payment, and practice environments on health professionals’ decision making. As a practicing general internist, he also has a longstanding interest in improving the delivery of primary care and the policies needed to accomplish this.
In addition to his expertise in health services and health policy research, he has deep experience with clinical practice leadership, including roles as medical director, clinical program leader, and medicine department chair. Thus, he has a strong practical understanding of the diverse range of provider organizations—their structure, financing, governance, and motivations—and how they vary across urban, suburban, and rural communities.
Since joining Mathematica in 2010, Rich has led a number of projects, including an effort to collect policy-relevant national data on clinicians and their practices for the Agency for Healthcare Research and Quality (AHRQ), and a Robert Wood Johnson Foundation project identifying barriers to and facilitators of evidence-based care in medical and surgical specialty practice. He is project director for AHRQ’s Coordinating Center for Comparative Health System Performance; for the Alternative Payment Model Program Analysis Contract with the Center for Medicare & Medicaid Innovation he leads the review and analysis of Physician-Focused Payment Model proposals submitted to the Technical Advisory Committee. He is senior advisor and provides quality assurance oversight on a number of other current projects for the Centers for Medicare & Medicaid Services and foundations, including Mathematica’s work to develop a physician value-based payment modifier, the evaluation of the Comprehensive Primary Care Plus model, and the evaluation of the diffusion and impact of the Chronic Care Management Fee.
The author of more than 140 peer-reviewed publications, Rich is a frequent consultant to federal agencies, foundations, and managed care organizations. Past recognition includes co-authorship on the 2001 AcademyHealth Article of the Year, Robert Wood Johnson Health Policy Fellowship working on physician payment reform with the House Committee on Ways and Means, past president of the Society of General Internal Medicine, and scholar in residence at the Association of American Medical Colleges. He is a senior editor of the Journal of Comparative Effectiveness Research and holds an M.D. from Washington University in St. Louis
Coordinating Center for Comparative Health System Performance
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.
HCIA Evaluations: Primary Care Redesign
Mathematica is evaluating the 14 primary care redesign programs, which operate at different levels (that is, physician practices, hospitals, or health systems). The evaluation team is assessing improvements in the coordination, efficiency, and quality of patient care.
Developing Resource Use Reports for Medicare Fee-for-Service Claims
Mathematica assisted the Centers for Medicare and Medicaid Services with designing a system to implement physician value-based purchasing for Medicare beneficiaries, which includes development and distribution of confidential physician feedback reports that inform physicians of their performance on quality...
The Feasibility of Collecting Data on Physicians and Their Practices
Mathematica is conducting a feasibility study identifying critical issues on physician behavior and physician practices faced by public and private policymakers.
Special Journal Edition Features Mathematica's Findings on ARRA $1.1 Billion Investment in CER
A special issue of the Journal of Comparative Effectiveness Research presents findings from Mathematica's midstream evaluation of the $1.1 billion investment by the American Recovery and Reinvestment Acts of 2009 in comparative effectiveness research.
Gene Rich Talks About Big Data and Medicine on the Diane Rehm Show
Doctors and their patients often don’t have the information they need on the relative effectiveness of different treatments. Clinical trials provide invaluable data but can’t and don’t cover the myriad of individual circumstances in the real world of patients. As part of the Affordable Care Act, a number...
Scientists Embark on Unprecedented Effort to Connect Millions of Patient Medical Records
Read the Washington Post article. http://www.washingtonpost.com/national/health-science/scientists-embark-on-unprecedented-effort-to-connect-millions-of-patient-medical-records/2014/04/15/ea7c966a-b12e-11e3-9627-c65021d6d572_story.html
CHCE Forum: Efforts to Measure and Improve Patient-Centered Primary Care
Mathematica’s Center on Health Care Effectiveness (CHCE) hosted a forum to discuss past, present, and potential future efforts to measure comprehensiveness and improve patient-centered primary care. Topics covered included prior efforts to measure comprehensiveness in primary care, measures of comprehensiveness...
Comparative Effectiveness Research and the Environment for Health Care Decision Making
The National Pharmaceutical Council survey offers an important snapshot of the health care and CER landscape, one that is changing with each passing year. In addition to assessing the key players in the CER effort, the survey also assesses the status of several issues affecting the current health care...