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The Roger C. Lipitz Center for Integrated Health Care

Lipitz Center Research Projects

Current Projects

Lowering Health Care Prices in the Private Sector

To develop legislative and regulatory approaches to set a maximum price that hospitals and physicians can charge. By reducing the amount of money going to hospitals and physicians, total US health care spending will be lower. Working with five states we hopefully will be able to help the states develop effective policy solutions to reduce prices.

Policy Options that Maximize Access to and Affordability of Prescription Drugs

To develop research on policy options that maximize access to and affordability of prescription drugs.

Johns Hopkins Drug Access and Affordability Initiative

The purpose of this project is to continue work done in a previous grant that examines the impact of drug prices on access and affordability, and develop policy options within the United States.

Private Sector Pricing

To lower prices paid by the private sector.

Formulary Design

To improve drug formularies.

Integrating Palliative Care with Chronic Disease Management in Ambulatory Care

The goal of this project is to conduct an integrative review on palliative care in chronic illness.

Training in Health Services Research

The goal of this project is to train predoctoral students in health services research and policy.

Caregiving for Alzheimer's Disease and Related Dementias: Enhancing the National Study of Caregiving (NSOC)

Conduct a 3rd wave of the National Study of Caregiving and compare trajectories of caregiving for persons with and without dementia.

Adverse Financial Events Before and After Dementia Diagnosis: Understanding the Timing and Need for Representative Payees Among Households Impacted by Dementia

This grant studies the frequency and timing of adverse financial events ranging from missed bill payment to home foreclosure and bankruptcy relative to the timing of dementia diagnoses among older adults.

Baseline Assessment of Payer Strategies to Improve Treatment of Opioid Disorder

To pilot a method of systematically collecting data about public and private healthcare payment practices to improve treatment of opioid use disorder.

Supplemental Benefit Availability and Uptake in Medicare Advantage

This project will collect and disseminate new longitudinal national data to enhance understanding of informal caregiving to older adults with ADRD. The study will also provide new knowledge of how informal ADRD caregivers’ experiences and outcomes are changing over recent (2011-2020) and longer-term (1999-2020) time periods.

Trends and Dynamics in Caregiving for Alzheimer's Disease and Related Dementias: Extending the National Study of Caregiving 

This project will collect and disseminate new longitudinal national data to enhance understanding of informal caregiving to older adults with ADRD. The study will also provide new knowledge of how informal ADRD caregivers’ experiences and outcomes are changing over recent (2011-2020) and longer-term (1999-2020) time periods.

Pragmatic Trial to Improve Communication for Primary Care Patients with ADRD

This study will refine and test the effectiveness of an advance care planning intervention for older adults including those with ADRD through proactive engagement of families in primary care.

Achieving Excellence in Biopsychosocial Cancer Pain Management Through a Comprehensive Quality Education Program

This study will educate health care professionals on non-opioid approaches to cancer pain management.

Understanding and Respecting End-of-Life Treatment Preferences Among Older Adults with Alzheimer’s Disease and Related Dementias 

This grant studies surrogate decision-making for ADRD patients to better inform the advance care planning process and communication with surrogates. Results from this study can help to design interventions to increase the likelihood that a patient engaging in advance care planning has the conversations or prepares the documents that allow family, friends, and clinicians to act in a patient’s best interest after dementia onset. Findings can also inform decision-making when ACP may no longer apply or was not completed.

Optimal Medication Management in Alzheimer’s Disease and Dementias

This study will refine and test a patient-centered and pragmatic de-prescribing intervention for persons with ADRD.

NSOC: Caregiving for Alzheimer’s Disease and Related Dementias:  Enhancing the National Study of Caregiving

This project enhances understanding of caregiving to older adults with Alzheimer's disease and related dementias (ADRD) through new national longitudinal data that provides both care recipient and caregiver perspectives to inform planning and policies to meet demands for ADRD care and support ADRD caregivers.

NHATS: National Health and Aging Trends Study

Study to design, test, field and disseminate a new national study to enable analyses of disability trends and trajectories in older people. The new study will be a platform for scientific inquiry to guide efforts to reduce disability, maximized functioning, and enhance older adults' quality of life.

Hearing Loss and Medicare Beneficiaries

To highlight measurement challenges in identifying hearing loss through existing nationally representative datasets; to examine the adverse consequences associated with hearing loss and the benefits of treated hearing loss; to consider what policy opportunities there may be to improve access to hearing devices and hearing services among Medicare beneficiaries with hearing loss.

Involving Family to Improve Communication in Breast Cancer Care

This study will pilot test a brief intervention to effectively and purposely involve family members in the cancer care of patients being actively treated for breast cancer. 

What is Patient Safety in the Medical Home?

This evaluate the implementation of patient safety in a national sample of primary care medical homes using mixed-methods approaches.

Strengthening Informal Support Resources with Strategic Methodological Advances

The Roybal Center at Johns Hopkins University provides visionary leadership and critical infrastructure to stimulate, facilitate, and advance translational research on the informal support resources of vulnerable older adult populations.

Using Consumer Credit Data to Identify Precursors and Consequences of Cognitive Impairment

To date, the potential health uses of consumer financial data have largely been ignored, particularly for the older population. This exploratory project considers the utility of a big data resource from outside healthcare; consumer debt characteristics collected in credit reports, to predict new cases of cognitive impairment and dementia and healthcare utilization of cognitively impaired patients.

Prognostic Significance of Family Caregiver Factors for Older Adult Health Outcomes

This study draws from linked nationally representative disability and family caregiver surveys, administrative claims, and vital statistics files to determine whether and which family caregiver factors predict disabled older adults’ risk for all-cause hospitalization, nursing home entry, and all-cause mortality and to develop prognostic models for these outcomes.

Controlling Drug Spending: Four Action Steps that will Promote Policy Change

Prescription drug spending has reached record highs in recent years, which has put a strain on both patient and government budgets. Total spending on prescription medicines in the U.S. grew 12.2% in 2014 to a total of nearly $298 billion. This spurred the initiatives to fund research into the concept and field pilot projects testing particular deals aimed at addressing the rising cost of pharmaceutical drugs and reducing the financial barriers that can make it difficult to obtain life-saving treatments. Particularly, the Johns Hopkins Bloomberg School of Public Health has been primed to conduct policy research that will aid in the development of fair pricing solutions for highly effective and expensive specialty drugs.

The purpose of this project is to evaluate policies that will help control drug spending. Additionally, the Commonwealth Fund funded the project to evaluate the budget impact of cost-sharing between Medicare, private drug plans and beneficiaries for high-cost specialty drugs: Who Should Pay for Drugs When the Medicare Beneficiary Has Reached Catastrophic Limit?

Best Practices in State Support for Family Caregivers

This policy project will describe best practices and compile lessons from forward-thinking states that have successfully developed, implemented, and sustained more comprehensive and/or innovative family caregiver support policies and programs.

Health Policy Dissemination and Rapid Data Response

Disseminate Lipitz Center policy research to federal and state health policy officials, provide Congressional testimony and technical assistance to policy officials on request, and provide rapid response to request for data from major health and aging national surveys.

Medicare Benefit Design and Long-Term Services and Supports: Gaps, Opportunities, and Implications for Beneficiaries

This work will inform Medicare reform policy proposals to restructure Medicare benefits and cost-sharing, as well as longer term understanding of the implications of an aging population on access to and cost of long-term services and supports.

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