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Does Health Insurance Promote Health through Providers and Networks?

Award Number: R01AG075073
ORGANIZATION: NATIONAL INSTITUTE ON AGING
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/01/2022
PERIOD OF PERFORMANCE END DATE: 05/31/2026

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Does Health Insurance Promote Health through Providers and Networks? - OTHER PROJECT INFORMATION – Project Summary/Abstract Does Health Insurance Promote Health through Providers and Networks? Through their varying provider networks and coverages, health insurance plans directly and indirectly steer patients toward some clinicians and hospitals and away from others. If providers differ in their quality of care and especially if they provide better care for certain types of patients, such network variation can meaningfully affect health outcomes at the plan level, and not just the provider level. Yet, consumers selecting health plans lack information about which plans will direct them to better providers, obscuring this potentially important channel to improving population health. This project will develop novel outcome-based measures of insurance plan quality based on where enrollees receive care, and taking account how causal impacts on health vary across provider networks. By furthering the scientific understanding of the relationship between provider quality and patient outcomes at the plan level, we aim to equip patients with new information for selecting insurance plans. Our measures will also provide regulators with new instruments to reward plans that make people healthier. At the core of our research plan are new, causal estimates of how mortality impacts vary across hospitals and physicians and, in turn, across the health plans that rely on different provider networks. We focus on older Americans enrolled in Medicare Advantage plans, leveraging novel data on the provider networks used by different Medicare Advantage plans. The estimates will characterize which hospitals and providers produce the best outcomes for beneficiaries with different demographics and comorbidities and thus which plans are suitable for each type of patient by directing them to providers who produce good outcomes for conditions they have or are likely to develop. The project has four primary aims: Aim 1: Measure and Validate Mortality Effects for Healthcare Providers Aim 2: Link Physician and Hospital Mortality Effects to Plan Mortality Effects Aim 3: Explore Heterogeneity in Mortality Effects Across Beneficiaries Aim 4: Evaluate the Impact of Policy Proposals


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 = $312,791 )
2025	2025	NATIONAL BUREAU OF ECONOMIC RESEARCH INC	1050 MASSACHUSETTS AVE	CAMBRIDGE	MA	02138	MIDDLESEX	USA	Aging Research	000	4	5/7/2025	NON-COMPETING CONTINUATION	$312,791
														Subtotal = $312,791

Issue Date FY: 2024 ( Subtotal = $347,537 )
2024	2024	NATIONAL BUREAU OF ECONOMIC RESEARCH INC	1050 MASSACHUSETTS AVE	CAMBRIDGE	MA	02138	MIDDLESEX	USA	Aging Research	000	3	5/22/2024	NON-COMPETING CONTINUATION	$347,537
														Subtotal = $347,537

Issue Date FY: 2023 ( Subtotal = $347,528 )
2023	2023	NATIONAL BUREAU OF ECONOMIC RESEARCH INC	1050 MASSACHUSETTS AVE	CAMBRIDGE	MA	02138	MIDDLESEX	USA	Aging Research	000	2	6/20/2023	NON-COMPETING CONTINUATION	$347,528
														Subtotal = $347,528

Issue Date FY: 2022 ( Subtotal = $347,566 )
2022	2022	NATIONAL BUREAU OF ECONOMIC RESEARCH, INC.	1050 MASSACHUSETTS AVE	CAMBRIDGE	MA	02138	MIDDLESEX	USA	Aging Research	000	1	8/22/2022	NEW	$347,566
														Subtotal = $347,566

Grand Total All Awards = $1,355,422

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Does Health Insurance Promote Health through Providers and Networks?

Award Number: R01AG075073

ORGANIZATION: NATIONAL INSTITUTE ON AGING

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/01/2022

PERIOD OF PERFORMANCE END DATE: 05/31/2026

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