Chad Ellimoottil, M.D., M.S.
Dr. Ellimoottil's research specifically focuses on understanding the details of an "episode of care" and how these details can inform major healthcare initiatives like the Hospital Readmission Reduction Program, the Improving Medicare Post-Acute Care Transformation Act of 2014 and the Comprehensive Care for Joint Replacement bundled payment program. His health policy research is augmented by his role as the Director of Analytics for the Michigan Value Collaborative.
- M.D., Loyola University
- M.S., Health and Healthcare Research, University of Michigan
- B.A., Economics, Northwestern University
Health Services Research & Policy Focus
Collaborating Centers & Programs
What are you thinking about?
Currently, my research is focused on measuring costs associated with “episodes of care.” In the context of my research and national healthcare policy, an episode of care begins when a patient is hospitalized and ends a certain number of days after discharge. Accordingly, episode costs include expenditures that are derived from hospitals, physicians, skilled nursing facilities and other providers. The accurate measurement of episode costs is a science. It involves precisely identifying and attributing claims, finding standard units of measurement and developing reliable risk-adjustment models. My research teams include collaborators who are physicians, policy experts, economists, hospital administrators, and biostatisticians. I’ve been fortunate to pursue this line of research at a world-class institution like the University of Michigan. U-M and IHPI have given me the opportunity to work with national academic experts and with thriving organizations like the Michigan Value Collaborative.
Why is this interesting to you?
This topic is interesting to me because I think that healthcare providers (including myself) often function in a silo without considering the total cost of healthcare delivery. While the fee-for-service system has long supported this type of mentality, future models will require an episode-based approach.
What are the practical implications for healthcare?
This research has important implications for future healthcare payment models. Existing payment models such as bundled payments utilize episodes of care. In addition, many commercial and governmental payers consider episode costs as they design performance metrics. As we move toward an episode-based approach to healthcare delivery, it is imperative that we measure episodes accurately and that we perform risk-adjustment to the best of our ability. Without a thoughtful approach to episode-based cost measurement, new policies can lead to unintended consequences such as decreased access to care for patients and unfair penalties to hospitals.