Andrew Ryan, Ph.D., M.A.
Dr. Ryan’s health services research focuses on pay-for-performance and public quality reporting, disparities, and healthcare policy analysis, including the evaluation of value-based purchasing programs implemented for hospitals, physicians, and Medicare Advantage plans. His main goal is to improve the quality of U.S. healthcare by identifying the incentive systems and practices that reduce quality of care, and by identifying new models of quality improvement. Other research seeks to understand the best ways to profile healthcare providers' outcome performance, and to evaluate the properties of difference-in-difference estimators.
- Ph.D., Social Policy, Brandeis University
- M.A., Economics, Boston University
- B.A., Economics, Boston University
Health Services Research & Policy Focus
What are you thinking about?
I am thinking about how payment to health care providers can be changed to encourage high value care. Value-based payment programs are now widespread in U.S. healthcare, but we have little idea if these programs work. We also don’t know how these programs should be structured to be more effective and to minimize unintended consequences. What measures should be used to assess quality and cost in these programs? What should be the criteria for bonuses or penalties? How large should financial incentives be? Should individual physicians, physicians groups, or larger accountable groups be targeted by financial incentives?
Why is this interesting to you?
To inform evidence-based policy, we need to understand these issues, and to understand successes and failures of current value-based payment programs. To better design these programs, we also need to understand how providers understand, internalize, and respond to financial incentives.
What are the practical implications for healthcare?
Changing how we pay health care providers remains one of our key levers to improve the value of U.S. healthcare. It’s important to figure out how to do it right.