Overview
Dr. Casalino is interested in comparative effectiveness research focused on the health care delivery system. Put simply, this means asking: which types of organizations, using which types of processes, provide higher quality, cost-effective care? For example: at present, large numbers of primary care and specialist physician practices are being purchased by hospitals. Does this lead to higher or lower quality care? Higher or lower cost care? Delivery system comparative effectiveness research also asks: what are the effects of incentives created by public and private payors in influencing the types of organization that succeed (and thus become more prevalent) and the processes they use to provide care? Dr. Casalino is particularly interested in unintended consequences of policies and in the effects of policies and of the organization of practice on physician professionalism and on racial/ethnic and socioeconomic disparities in health care delivery.
At present, Dr. Casalino is working on projects that (1) seek to define the demography of physician practices in the U.S., to describe the processes used by practices to improve care, and to analyze which factors are related to increased use of such processes; (2) analyze the relationship between different types or practices, different types of processes, and the quality and cost of care provided; (3) seek to identify physician referral networks, describe their characteristics, and analyze which types of network provide better care; (4) analyze the effect of pay for performance programs on physician practices located in sociodemographically disadvantaged areas; (5) analyze the effects of a large program that helps small practices in disadvantaged areas install electronic medical records and use them to improve care; (6) explore ways in which the primary care workday might be transformed.
Dr. Casalino uses several research methods, including medical record review, surveys, linkage of survey data to Medicare claims data, interviews and case studies. He is particularly interested in mixed methods research. In addition, he has written a number of conceptual articles and reports intended to introduce new problems and/or to help provide new frameworks for thinking about problems.
Highlights
- 1JAMA · 2020
- 2Health affairs (Project Hope) · 2021
- 3Ophthalmology · 2023
Publications
Funding
Active
1 grant- Co-IR01AG072605-01A1Skilled Nursing Facility Participation in Health Information Exchange and Quality of Care for Patients with Alzheimer's Disease and Related DementiasNational Institute on Aging · 2022–2026
Completed grants (29)
- Co-I22-06918The Role of Value-Based Payment in Promoting Health Equity: Evidence from ACOsLaura & John Arnold Foundation · 2022–2025
- Co-IR01AG072546-01Higher Primary Care Reimbursements and the Quality of Care for Dually-Eligible Patients with Alzheimer's Disease and Related Dementias in Skilled Nursing FacilitiesNational Institute on Aging · 2021–2025
- Co-IR01AG063935-01A1Higher Reimbursements for Primary Care Services and the Quality of Care for Dually-Eligible Nursing Home Residents with Alzheimer's Disease and Related Dementias.National Institute on Aging · 2020–2024
- Co-I78956Comparing Healthcare Quality, Costs, and Utilization among Different Models of Telehealth ProvisionRobert Wood Johnson Foundation · 2021–2023
- KPNYPH 223829-01The Impacts of a Healthcare Delivery System's Telemedicine Initiatives on Patient Loyalty, Healthcare Utilization and SpendingNew York Presbyterian Hospital · 2020–2023
- MPINYAM 222703-01The Effect of Hospital Market Concentration on the Diffusion of Technology in Cardiovascular DiseaseNew York Academy of Medicine · 2022–2023
- PIPF 170352-05Weill Cornell Center for the Study of Physician Practice and LeadershipPhysicians Foundation, Inc. · 2018–2022
- Co-IHSD 1604-35187Identifying and Predicting Patients With Preventable High UtilizationPatient-Centered Outcomes Research Institute · 2016–2022
- Co-ILJAF 21-05529Real Estate Investment Trust Acquisition of Nursing Homes and the Cost and Quality of Nursing Home CareLaura & John Arnold Foundation · 2021–2022
- PIR01HS025716-03Primary Care Physician-Staff Dyads (“Teamlets”): A Simple, Efficient Means to Improve Healthcare Quality and Decrease Cost?Agency for Healthcare Research and Quality · 2018–2022
- Co-IR56AG072605-01Skilled Nursing Facility Participation in Health Information Exchange and Quality of Care for Patients with Alzheimer's Disease and Related DementiasNational Institute on Aging · 2021–2022
- Co-IR01HL135199-04Healthcare Fragmentation and Cardiovascular OutcomesNational Heart, Lung, and Blood Institute · 2017–2022
- PI19-02836Private Equity Firms, Physician Management Companies and the Prices, Cost and Quality of Medical CareLaura & John Arnold Foundation · 2019–2021
- Sub-PICMWF 20213141Physician Management Companies and Health Care Delivery: Evidence from AnesthesiologyCommonwealth Fund · 2020–2021 · via Columbia University
- PIDUA 203921-01Comparative Effectiveness of Different Types of Physician Practice Organization on the Quality and Cost of Medical CareWeill Cornell Medical College · 2020–2021Contract
- PIDUA 203272-01extension of HCCI ContractHealth Care Cost Institute, INC. · 2020–2021Contract
- Co-IAMA 200681-01Understanding the Costs of Participating in MIPS for Physician PracticesAmerican Medical Association · 2019–2020
- Sub-PIR01AG047932-05Comparative Effectiveness of the Sequential Implementation of Hospital Value-Based PurchasingNational Institute on Aging · 2015–2020 · via University of Michigan
- PISA 192986-01service agreement with SSRS (National Survey of Primary Care Physicians}Agency for Healthcare Research and Quality · 2019–2020Contract
- PISA 192987-01Service Agreement with SSRS (National Hospital Leaders Survey)Agency for Healthcare Research and Quality · 2019–2020Contract
- Sub-PIMathematica 50319S05218Evaluation of the Comprehensive Primary Care Plus Model (Mathematica Project)Centers for Medicare & Medicaid Services · 2016–2019 · via Mathematica, Inc.
- Co-IECRIP 183284-1Improving Population Health Through Data Analytics: Identifying High Cost, High Need Patients Who Would Benefit From Care Coordination (ECRIP)New York State Department of Health · 2017–2019 · via New York Presbyterian HospitalNo publications yet
- PIABFM 194269-01Physician Burnout and the Quality and Cost of Care for Medicare PatientsABFM Foundation, Inc · 2019–2019
- Sub-PISA 190065-01Service agreement with USC for Physician Foundation Center grantWeill Cornell Medical College · 2018–2019 · via University of Southern CaliforniaContract
- PI2650886How Do Physicians Spend Their TimePhysicians Foundation, Inc. · 2016–2018
- KP73805The Medicaid Fee Bump: Increased Reimbursements to Primary Care Providers and Health Care Utilization Among Dual-Eligibles With Chronic ConditionsRobert Wood Johnson Foundation · 2016–2018
- KP20170769Healthcare Fragmentation Among Medicare and Medicaid BeneficiariesCommonwealth Fund · 2017–2018
- Co-IR01HS024556-02Use of Push and Pull Health Information Exchange Technologies by Ambulatory Care Practices and the Impact on Potentially Avoidable Health Care UtilizationAgency for Healthcare Research and Quality · 2016–2018 · via Indiana University
- Sub-PICF 20150261How Physician Organizations Manage Care for High-Need, High-Cost PatientsCommonwealth Fund · 2015–2017 · via University of California, Berkeley
News mentions
- Using New Method, Study Highlights Physician Turnover TrendJuly 19, 2023
Using an innovative method for measuring doctor turnover, Weill Cornell Medicine researchers determined that between 2010 and 2018, the annual rate at which physicians left their practices increased by 43 percent, from 5.3 percent to 7.6 percent a year.
- Study Shows Anesthesia Costs Rise with Corporate OutsourcingFebruary 28, 2022
Anesthesiology prices jump significantly after medical facilities contract with corporate physician management companies – especially those backed by private equity firms – and threaten to hike patient costs, according to new research by Weill Cornell Medicine and Columbia University Mailman School of Public Health investigators.
- Department of Population Health Sciences Established at Weill Cornell Medicine and NewYork-Presbyterian/Weill Cornell Medical CenterJuly 22, 2020
Weill Cornell Medicine and NewYork-Presbyterian have realigned the Department of Healthcare Policy and Research to address the intersection of research and practice. The newly named Department of Population Health Sciences, led by distinguished health services researcher, information scientist and leader Dr. Rainu Kaushal, aims to improve the health of populations through data-driven research, innovative technology and novel education programs.
- Dr. Lawrence Casalino Appointed to Medicare Payment Advisory CommissionJuly 11, 2019
Dr. Lawrence Casalino, chief of the Division of Health Policy and Economics in the Department of Healthcare Policy and Research, and the Livingston Farrand Professor of Public Health at Weill Cornell Medicine, has been appointed to the Medicare Payment Advisory Commission (MedPAC) by the U.S. Government Accountability Office.
Media highlights
- Bipartisan Senate Bill Would Send $10 Billion To Primary Care And Rework How Medicare Values Physician WorkMedical Economics · September 11, 2026
Mentoring
- LYLeah YaoMD mentee · Class of 2023
- ZMZachary MyslinskiMD mentee · Class of 2021
- BBBenjamin BrownMD mentee · Class of 2019