Research


Reversing Hospital Consolidation: The Promise Of Physician-Owned Hospitals

April 12, 2021

Economic theory holds that competition drives innovation, improves the quality of goods and services, and lowers prices for consumers. Health care delivery is no exception. More

Competition or Conflict of Interest—Stark Choices

February 22, 2021

The coronavirus disease 2019 pandemic has brought into focus the limits on flexibility and innovation associated with market consolidation in care delivery. While anecdotes about the ossification in care delivery predominate, broader economic indicators point to the negative outcomes of consolidation. More

Solutions for Medicare’s Continual Fiscal Crisis

January 28, 2021

There are bipartisan Medicare payment proposals that would reduce Medicare payments included in previous Obama and Trump budgets that could go a long way to filling the budget shortfall. While previous policy proposals either proposed new revenue sources or payment reductions, recent policies are pragmatic in nature and attempt to modify either beneficiary or provider behavior. More

Focusing Provider Attention: An Empirical Examination of Incentives and Feedback in Flu Vaccinations

January 19, 2021

Background: Influenza imposes heavy societal costs through healthcare expenditures, missed days of work, and numerous hospitalizations each year. Considering these costs, the healthcare and behavioral science literature offers suggestions on increasing demand for flu vaccinations. And yet, the adult flu vaccination rate fluctuated between 37% and 46% between 2010 and 2019.

Aim: Although a demand-side approach represents one viable strategy, an operations management approach would also highlight the need to consider a supply-side approach. In this paper, we investigate how to improve clinic vaccination rates by altering provider behavior.

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The Public Can Trust the FDA’s Vaccine Review Process

October 16, 2020

With the upcoming November election and calls by President Trump for 1 or more vaccines for coronavirus disease 2019 (COVID-19) to be ready before the end of the year, if not by the election, many have started to wonder whether the US Food and Drug Administration (FDA) can withstand this type of political pressure. More

Hospital Star Ratings and Sociodemographics: A Scoring System in Need of Revision

October 01, 2020

Still in its infancy, the Hospital Compare overall hospital quality star rating program introduced by the Centers for Medicare & Medicaid Services (CMS) has generated intense industry debate. More

Policy Lessons from Our Covid Experience

August 26, 2020

As the country reopens, it’s important to assess how we can be better prepared to stave off such enormous economic losses during the next wave or the next epidemic. More

Choice, Competition, And Flexibility, Part I: Post-ACA Consumer Challenges

August 19, 2020

This is the first part of a two-part post discussing the current state of health reform and where we should go from here. Part I examines the effects of the ACA and progressive reform initiatives. Part II will outline a market-driven path forward. More

Assessing the Economic Value of Changing Various Health Behaviors Using Mobile Health Interventions

August 01, 2020

In December 2019, the University of North Carolina at Chapel Hill (UNC) Center for the Business of Health (CBOH) began a research partnership with Sharecare, a leading digital health company founded by technology entrepreneur, Jeff Arnold, to assess the economic value of changing various health behaviors via mobile health (mHealth) interventions. More

Pandemic Preparedness Infrastructure: An Action Plan for North Carolina

July 31, 2020

The coronavirus pandemic of 2020 exemplifies a worst-case scenario for federal, state, and local disaster preparedness planning and illustrates some of the United States’ fundamental public health infrastructure flaws. While stay-at-home orders and economic shutdowns initially depressed disease spread, they harmed businesses and organizations, threatened individuals’ livelihoods, and negatively impacted community well-being. National standards for COVID-19 management tools and protocols were not available when needed, and state, local, and federal guidance differed, and often conflicted, in ways that confused the public and created economic uncertainty. More