Monday, June 30, 2025 6/30/2025

The Effects of Insurance Benefit Design Innovation on Patient Health

Award Number: K01AG061274
ORGANIZATION: NATIONAL INSTITUTE ON AGING
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 03/15/2019
PERIOD OF PERFORMANCE END DATE: 02/28/2025

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The Effects of Insurance Benefit Design Innovation on Patient Health - Abstract My research in health economics has focused on how information and targeted consumer cost-sharing influences how patients choose providers and the financial savings of incentivizing patients to choose low-price providers. I have also examined the opposite side of the market, how patient use of information and targeted consumer incentives spurs provider price competition. These topics provided the framework for my research as a PhD student in Health Economics at the University of California, Berkeley and I continue to build on these topics while a policy researcher at the RAND Corporation. A natural next step for my career is to expand this line of research but in a more in-depth manner and using more advanced statistical methods. Performing mentored research in these areas will help me successfully make the transition from directed to independent research. The proposed study will help me to (1) contribute to a deeper understanding of patient health effects of an innovative insurance benefit design that is particularly relevant for the aging population; (2) continue to build capabilities working with large medical claims data sets and develop expertise in innovative statistical methods from different disciplines; (3) gain training in aging-related health-services research; (4) expand my exposure to the aging, health economics, and health services research communities; and (5) develop my abilities as an independent health services researcher and build the foundations to successfully compete for R01-level grants. In this project, I propose to examine whether reference pricing for colonoscopies and pharmaceuticals decreases adherence to recommended colorectal cancer screening and medication therapies among the near- elderly population. I will also examine the impact of reference pricing on patient health outcomes and the aging process. To do so, I intend to apply novel machine-learning statistical methods that have been recently developed in the computer science and statistics fields. As part of this proposal, I have built a formal training plan to develop expertise in these methods. This project will provide me with the flexibility and support to develop a long-term research agenda that focuses on using innovative statistical methods to evaluate the comprehensive effects of consumer cost- sharing programs. Although this study focuses on a single cost- sharing program, reference pricing, the skills I gain through this award will allow me to independently lead evaluations of future benefit designs. The application of machine-learning methods to the setting of reference pricing will provide a framework that I or other researchers can use to evaluate other insurance benefit designs or alternative patient populations. !


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $0 )
2025	2023	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	003	6	2/21/2025	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$179,762
2025	2023	THE RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Aging Research	002	5	2/21/2025	NON-COMPETING CONTINUATION	-$1
2025	2022	THE RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Aging Research	001	4	2/21/2025	NON-COMPETING CONTINUATION	-$129,541
2025	2021	THE RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Aging Research	000	3	2/21/2025	NON-COMPETING CONTINUATION	-$50,220
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2023	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	001	6	2/9/2024	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$129,158
2024	2023	THE RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Aging Research	000	5	2/8/2024	NON-COMPETING CONTINUATION	-$129,158
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $129,159 )
2023	2023	THE RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Aging Research	000	5	6/2/2023	NON-COMPETING CONTINUATION	$129,159
														Subtotal = $129,159

Issue Date FY: 2022 ( Subtotal = $129,541 )
2022	2022	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Aging Research	000	4	3/14/2022	NON-COMPETING CONTINUATION	$129,541
														Subtotal = $129,541

Issue Date FY: 2021 ( Subtotal = $129,913 )
2021	2021	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Aging Research	000	3	2/19/2021	NON-COMPETING CONTINUATION	$129,913
														Subtotal = $129,913

Issue Date FY: 2020 ( Subtotal = $130,228 )
2020	2020	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Aging Research	000	2	6/10/2020	NON-COMPETING CONTINUATION	$130,228
														Subtotal = $130,228

Issue Date FY: 2019 ( Subtotal = $130,618 )
2019	2019	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Aging Research	000	1	3/12/2019	NEW	$130,618
														Subtotal = $130,618

Grand Total All Awards = $649,459

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The Effects of Insurance Benefit Design Innovation on Patient Health

Award Number: K01AG061274

ORGANIZATION: NATIONAL INSTITUTE ON AGING

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 03/15/2019

PERIOD OF PERFORMANCE END DATE: 02/28/2025

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