Health services utilization during the covid-19 pandemic

Active Project Grant Awarded Last action

Award ID
R01AG073286
Recipient
Awarding agency
Obligated
$3,797,751

Award facts

Assistance listing
93.866 Aging Research
Completion date 84% complete
Place of performance
Providence, RI 02903, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
The covid-19 pandemic has created an unprecedented shock to the U.S. Health care system and to care delivery for patients. As documented by the study team, the covid-19 pandemic suddenly and dramatically changed health care utilization patterns, including a rapid escalation in use of telehealth services, an abrupt decline in in-person services, and a large volume of deferred services. IT is unclear how these care patterns will evolve over the course of the pandemic (e.g., the degree to which deferred services will occur later, telehealth will substitute for in-person services, and new levels of telehealth services will be sustained), much less in the years following the covid-19 pandemic, and how continuing care patterns will differ for socially and clinically vulnerable patient populations. Physician organizations (POS) face differing burdens in rapidly adopting telemedicine, and PO barriers to telemedicine adoption may be reflected in the outcomes of patients treated by these POS. The reduction in in-person care has placed financial stress on many POS, leading to concerns that many POS may go out of business or consolidate. The impacts of care reductions, the adoption of telemedicine as a new care delivery modality, and access to POS are likely to have larger effects among vulnerable patient populations, including lower-income, rural, and racial/ethnic minority populations, and patients with multiple chronic conditions. Understanding patient and provider responses to the covid-19 public health crisis and the care patients receive, particularly those who are medically and socially vulnerable, is essential to inform immediate-term and longer-term policymaking intended to help the health delivery system respond to covid- 19. We propose to conduct a set of analyses to 1) estimate how health services have changed during the covid-19 pandemic, the factors associated with changes in health service use, if health delayed care remains unmet once the covid-19 pandemic subsides, how policy responses (social distancing policies and covid- 19 vaccination) have impacted care delivery, and how these patterns differ for medically and socially vulnerable patient populations; 2) asses PO barriers to adopting telemedicine and assess if PO adoption of telemedicine lessens adverse health outcomes, particularly among vulnerable patient populations; and 3) examine if PO closure or consolidation due to covid-19 leads to gaps in patient care continuity or access barriers among vulnerable patient populations. To do so, we will leverage the existing data assets and expertise of the rand U19 center of excellence that the research team has built over the past 5 years. We will use 100% medicare fee-for-service claims data. Findings from this study will help inform an array of immediate-term and longer-term policies and regulatory changes, including changes to payment policies, use of technology, financial assistance to providers to ensure their survival, and improving the ability of health systems to respond to how the covid-19 pandemic has reshaped the US health care system.

Transactions

Action Obligated Date
Amendment $265,238
Amendment $262,216
Amendment $262,216
Amendment Health care utilization during recent shocks to the US provider delivery system - recent years have created numerous shocks to the U.S. Health care system and… $262,216
Amendment $600,794
Amendment -$116,218
Amendment Health care utilization during the covid-19 pandemic -$484,576
Amendment $600,794
Amendment -$116,218
Amendment -$484,576
Amendment $0
Amendment Health care utilization during recent shocks to the US provider delivery system - recent years have created numerous shocks to the U.S. Health care system and… $0
Amendment $0
Amendment Health care utilization during the covid-19 pandemic $0
Amendment $0
Amendment Health care utilization during recent shocks to the US provider delivery system - recent years have created numerous shocks to the U.S. Health care system and… $0
Amendment $271,227
Amendment $271,227
Amendment $271,227
Amendment $0
Amendment $0
Amendment Health care utilization during the covid-19 pandemic $0
Amendment $484,576
Amendment $484,576
Amendment $0
Amendment $0
Amendment $481,516
Original award $481,516
Show all 28

Subawards

Subrecipient Amount Awarded
The Rand Corporation The scope of work for the group of RAND researchers consists of analyses using the Medicare claims data. The RAND team will assist in monitoring trends and… $75,000
University Of Southern California Dr. Agrawal at the University of Southern California will assist Dr. Whaley (PI) in executing the research for his NIA-funded project related to the health… $100,000
The Rand Corporation The scope of work for the group of RAND researchers consists of analyses using the Medicare claims data. The RAND team will assist in monitoring trends and… $99,441
University Of Southern California Dr. Agrawal at the University of Southern California will assist Dr. Whaley (PI) in executing the research for his NIA-funded project related to the health… $60,000
The Rand Corporation The scope of work for the group of RAND researchers consists of analyses using the Medicare claims data. The RAND team will assist in monitoring trends and… $254,387

Quick answers

Who received award R01AG073286?

R01AG073286 was awarded to Brown University by National Institute on Aging (National Institutes of Health) on September 30, 2022.

How much is award R01AG073286 worth?

$3,797,751 has been obligated on R01AG073286.

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