In this report, the authors address how the Centers for Medicare and Medicaid Services can improve the methodology or update data used for setting practice expense payment rates under the Medicare Physician Fee Schedule.
Aug 4, 2020
Joachim O. Hero, is an associate policy researcher at the RAND Corporation. He applies frameworks and methods in quantitative survey research and policy analysis to study topics including health insurance, provider payment, patient-centered outcomes, and health disparities. His recent experience includes evaluating the data and methods of the Medicare PFS, designing a framework for measuring health insurance literacy, and leading an evaluation of TRICARE coverage for children with special health care needs using patient-reported outcomes from the National Survey of Child Health. He has also lead research on the patient-provider relationship in the areas of physician trust and opioid disposal behavior. His interests include patient and consumer satisfaction and attitudes as they relate to insurance decision-making, patient and consumer knowledge, insurance benefit design, and the role of politics in health care. He has studied these issues from both domestic and international perspectives.
Before joining RAND, he was a Research Fellow at Harvard Pilgrim Healthcare Institute, where he studied health care decision-making on the individual insurance market. He worked as a senior policy fellow at Connecticut Voices for Children, a state-focused policy research organization, where he advocated for policy in service of low-income children and their families. Hero received his Ph.D. in health policy from Harvard University and his M.P.H. in health policy from Yale University. He also has a B.A. from the University of Michigan, where he majored in political science.