Zachary Predmore

@zspredmore on Twitter

Associate Policy Researcher

Boston Office

Education

Ph.D. in health policy and management, Johns Hopkins University; B.A. in chemistry, Princeton University

One Page Bio

Overview

Zach Predmore (he/him) is an associate policy researcher at the RAND Corporation. His research focuses on assessing how patients view and value health care services, including new technologies, medications, and health system improvements. He has worked across a variety of clinical areas, including gastroenterology, psychiatry, and infectious disease, with an emphasis on health care services for people with HIV/AIDS. He is a mixed-methods researcher and has authored more than 50 peer-reviewed articles and reports.

He earned his Ph.D. in health policy and management from the Johns Hopkins Bloomberg School of Public Health.

Research Focus

Selected Publications

Quigley DD, Predmore Z, "What Parents have to Say: Content and Actionability of Narrative Comments from Child HCAHPS Survey," Hospital Pediatrics, 2022

Predmore ZS; Roth E; Breslau J; Fischer SH; Uscher-Pines L, "Assessment of Patient Preferences for Telehealth in Post–COVID-19 Pandemic Health Care," JAMA Network Open, 4(12), 2021

Predmore Z, Doby B, Durand CM, Segev DL, Sugarman J, Tobian AAR, Wu AW, "Potential donor characteristics and decisions made by organ procurement organization staff: Results of a discrete choice experiment ," Transplant Infectious Disease , 23(5), 2021

Predmore Z, Doby B, Bozzi DG, Durand C, Segev D, Sugarman J, Tobian AAR, Wu AW, "Barriers experienced by organ procurement organizations in implementing the HOPE act and HIV-positive organ donation," AIDS Care (forthcoming)

Faherty, Laura J., Benjamin K. Master, Elizabeth D. Steiner, Julia H. Kaufman, Zachary Predmore, Laura Stelitano, Jennifer T. Leschitz, Brian Phillips, Heather L. Schwartz, and Rebecca L. Wolfe, COVID-19 Testing in K–12 Schools: Insights from Early Adopters, RAND Corporation (RR-A1103-1), 2021

Predmore Z, Hatef E, Weiner JP, "Integrating Social Determinants into Health Care Analytics: A Conceptual Framework and Suggested Road Map. ," Population Health Management, 2019

Predmore Z, Nie X, Main R, Mattke S, Liu H, "Anesthesia Service Use during Outpatient Gastroenterology Procedures Continued to Increase from 2010 to 2013 and Potentially Discretionary Spending Remained High," American Journal of Gastroenterology, 112(2), 2017

Predmore Z, Ramchand R, Ayer L, Kotzias V, Engel C, Ebener P, Kemp JE, Karras E, Haas GL, "Expanding Suicide Crisis Services to Text and Chat: Responders Perspectives of the Differences Between Communication Modalities," Crisis, 38(4), 2017

Commentary

Telemedicine

Telemedicine Abortion? It's Not as Easy as It Sounds
The Supreme Court decision to overturn Roe v. Wade has providers and health advocates strategizing about how to provide more abortions where it is still legal. Expanding virtual medical visits is one popular idea. Policymakers and clinics could take steps to make telemedicine better understood, easier to use, and more equitable.
Aug 19, 2022
The Hill
Telemedicine

The Doctor Will Call Me Maybe: The Uncertain Future of Audio-Only Visits and Why We Need Them to Address Disparities
Audio-only health care visits have been instrumental in maintaining access to care during the pandemic. Despite this, coverage for audio-only visits is likely temporary. Devaluing and prematurely casting off a key telemedicine modality could mean the difference between a needed doctor visit and no visit at all.
Mar 12, 2021
Health Affairs

Publications

Journal Article
State Experiences Linking Medicaid Data With Birth Certificates and Other Data Sources
We completed a literature review, developed an inventory of linkage efforts, and facilitated discussions to understand the technical details, experiences creating and maintaining linkages, and barriers or facilitators to establishing linkages.
May 4, 2023
Journal Article
Treatment Goals for Rheumatoid Arthritis: Patient Engagement and Goal Collection
We worked with a steering committee and surveyed patients with rheumatoid arthritis to test a new method for engaging patients in healthcare valuation using patient goals.
May 4, 2023
Journal Article
Optimizing Uptake of Long-Acting Injectable Pre-exposure Prophylaxis for HIV Prevention for Men Who Have Sex with Men
We conducted a discrete choice experiment on preferences for HIV pre-exposure prophylaxis among gay, bisexual, and other men who have sex with men.
Jan 25, 2023
Journal Article
Use Of And Willingness To Use Video Telehealth Through The COVID-19 Pandemic
We examined use of and willingness to use video telehealth during the COVID-19 pandemic in a longitudinally followed cohort.
Nov 16, 2022
Journal Article
Paying for PrEP: A Qualitative Study of Cost Factors That Impact Pre-Exposure Prophylaxis Uptake in the US
We conducted semi-structured interviews with 25 men who have sex with men who presented for routine health care at a STD clinic about their experiences with accessing and paying for PrEP.
Nov 11, 2022
Journal Article
Part D Senior Savings Model: Model Reach and Scope
This report describes the reach and scope of Medicare's Part D Senior Savings model, which has lower, fixed cost sharing for a specified set of model drugs.
Nov 9, 2022
Journal Article
What Parents Have to Say: Content and Actionability of Narrative Comments from Child HCAHPS Survey
The purpose of this paper is to examine the content and actionability of written comments from parents and guardians on the Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) survey.
Oct 27, 2022
Journal Article
Linking Medicaid Claims, Birth Certificates, and Other Sources to Advance Maternal and Infant Health
Medicaid claims linked with birth certificates and other data can be used for maternal and infant health research. We reviewed literature and facilitated group discussions with representatives from nine states to better understand linkage efforts.
Oct 20, 2022
Journal Article
Use of Telehealth Across Pediatric Subspecialties Before and During the COVID-19 Pandemic
In this cohort study, 8 large pediatric medical groups in California collaborated to share aggregate data on telehealth use for 11 pediatric subspecialties from January 1, 2019, to December 31, 2021.
Sep 8, 2022
Report
Improving Care for Veterans with Traumatic Brain Injury Across the Lifespan
This report presents findings from a study designed to identify the long-term outcomes of traumatic brain injury for veterans, the future needs of this population, effective treatments, and the availability of community-based resources.
Apr 28, 2022
Research Brief
Strategies to Improve Long-Term Outcomes for Veterans with Traumatic Brain Injury
This brief describes findings from a study on the long-term outcomes of traumatic brain injury for veterans, the future needs of this population, effective treatments, and the availability of community-based resources.
Apr 28, 2022
Report
Experiences of Health Centers in Implementing Telehealth Visits for Underserved Patients During the COVID-19 Pandemic: Results from the Connected Care Accelerator Initiative
This mixed-methods study followed 45 health centers serving low-income populations for 18 months of the COVID-19 pandemic. Researchers investigated changes in telehealth utilization and health center staff experiences with implementation.
Mar 14, 2022
Journal Article
Value-Based Payment and Health Care System Preparedness and Resilience
This report explores issues related to VBP and health system preparedness and resiliency to inform discussions about policy options for jointly promoting value, efficiency, and preparedness in the health care system.
Oct 7, 2021
Journal Article
Electronic Health Data Quality and Population Health Management Algorithms
In this perspective piece, we explore the implications of poor quality electronic health data on the use of population health management algorithms for patients, clinicians, and policymakers.
Aug 27, 2021
Report
COVID-19 Testing in K–12 Schools: Insights from Early Adopters
This report describes approaches that early adopters of COVID-19 testing in U.S. K–12 schools were using as of December 2020, highlighting key facilitators that made testing feasible, acceptable, and effective.
Mar 9, 2021
Journal Article
Assessment of Patient Preferences for Telehealth in Post-COVID-19 Pandemic Health Care
Most adults in this survey study were willing to use video visits for nonemergency care but preferred in-person care, suggesting that patient preferences will help define telehealth's role in US health care after the COVID-19 pandemic.
2021
Journal Article
Potential Benefits to Patients and Payers From Increased Measurement of Antipsychotic Plasma Levels in the Management of Schizophrenia
Improvements in disease management enabled by antipsychotic plasma level information could improve outcomes for patients with complicated treatment courses and thus improve the value of schizophrenia care.
Jan 12, 2018
Journal Article
Evidence for Misspecification of a Nationally Used Quality Measure for Substance Use Treatment
Our results suggest that the omission of MAT in the current version of the HEDIS measure "Initiation and Engagement of Alcohol and Other Drug Dependence Treatment" results in meaningful measurement error.
2018
Journal Article
Core Components for a Clinically Integrated mHealth App for Asthma Symptom Monitoring
Smartphone-based health apps - using patient reported outcomes - can help asthma patients monitor symptoms between doctor visits.
Dec 15, 2017
Report
Personalizing Antipsychotic Treatment of Schizophrenia: Monitoring Plasma Levels for Improved Treatment Decisions
Uncertainty in the pharmacological management of schizophrenia remains a challenge for prescribers, and this Perspective describes the rationale and opportunity for using a point-of-care diagnostic technology to improve health outcomes.
Sep 28, 2017
Journal Article
The Role of Antipsychotic Plasma Levels in the Treatment of Schizophrenia
Antipsychotic plasma levels may be used to guide the management of patients with schizophrenia who exhibit poor response or poor tolerance.
Jun 12, 2017
Journal Article
Expanding Suicide Crisis Services to Text and Chat: Responders' Perspectives of the Differences Between Communication Modalities
Internet chat and text messaging offer anonymity and increased access to suicide hotline callers, but they are not yet a replacement for telephone crisis support services.
Jun 6, 2017
Journal Article
Implementation and Sequencing of Practice Transformation in Urban Practices with Underserved Patients
The comprehensiveness of the patient centered medical home model requires coordination among many care components as well as time and effort for thorough and systematic changes in delivering care.Â
Feb 7, 2017
Report
Identifying and Coordinating Care for Complex Patients: Findings from the Leading Edge of Analytics and Health Information Technology
Analytics and HIT are currently being used in innovative ways to coordinate care for complex patients, but evidence of their effectiveness is lacking and important foundational work is still needed.
Sep 19, 2016
Journal Article
Suicide Risk Among Women Veterans in Distress: Perspectives of Responders on the Veterans Crisis Line
Actions to help women veterans, and possibly curtail suicide among them, could include addressing military sexual trauma, adding questions about deliberate self-harm to suicide risk assessments, and reducing access to lethal suicide means.
Sep 19, 2016
Journal Article
Anesthesia Service Use During Outpatient Gastroenterology Procedures Continued to Increase from 2010 to 2013 and Potentially Discretionary Spending Remained High
Previous studies have identified an increasing number of gastroenterology (GI) procedures using anesthesia services to provide sedation, with a majority of these services delivered to low-risk patients. The aim of this study was to update these trends with the most recent years of data.
Jul 19, 2016
Journal Article
Upcoding and Anesthesia Risk in Outpatient Gastrointestinal Endoscopy Procedures
Claims data analysis suggests that physicians may be identifying more patients in the coding system as being at high risk of complications from some outpatient procedures in order to ensure payment for anesthesia services.
May 9, 2016
Report
National Patient-Centered Clinical Research Network (PCORnet) Phase I: Final Evaluation Report
PCORnet, the National Patient-Centered Clinical Research Network, seeks to conduct clinical trials and observational research quickly and at low cost. This report contains the results of a formative evaluation of PCORnet's implementation phase.
Dec 31, 2015
Report
Resources and Capabilities of the Department of Veterans Affairs to Provide Timely and Accessible Care to Veterans
The Department of Veterans Affairs health care system, with broad resources and capabilities, provides timely and high-quality care to most, but not all, patients. Meeting veterans' needs over the next five years will require additional capacity.
Dec 31, 2015
Journal Article
Medicare Coverage of Anesthesia Services During Screening Colonoscopies for Patients at Low Risk of Sedation-Related Complications
Provide abstract text to pubcat@rand.org alias if you wish to add optional text to this extra tag for this metadata record.
Sep 25, 2015
Journal Article
Breast Implant-associated Anaplastic Large Cell Lymphoma: Updated Results from a Structured Expert Consultation Process
The authors conducted a second structured expert consultation process to rate statements related to the diagnosis, management, and surveillance of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).
Mar 9, 2015
Journal Article
Breast Implant-Associated Anaplastic Large Cell Lymphoma: A Systematic Review
The purpose of this study was to identify and analyze recently published cases of breast implant-associated anaplastic large cell lymphoma (ALCL), with an emphasis on diagnosis, staging, treatment, and outcomes.
Mar 9, 2015
Research Brief
Rare, Nonaggressive Form of Lymphoma Linked to Breast Implants: An Update
Breast implant-associated anaplastic large cell lymphoma is a rare, nonaggressive cancer that can be treated by removal of the implant and surrounding capsule. Research is needed to identify risk factors; a patient registry would aid this process.
Feb 23, 2015
Journal Article
Improving Antipsychotic Adherence Among Patients with Schizophrenia: Savings for States
This column presents findings of an analysis conducted to quantify the potential net savings to state budgets from interventions to improve adherence to antipsychotic drugs among patients with schizophrenia.
Feb 2, 2015
Journal Article
Use of CAHPS Patient Experience Survey Data as Part of a Patient-Centered Medical Home Quality Improvement Initiative
Practice leaders at a large urban Federally Qualified Health Center in California. regularly engaged and used CAHPS scores, trends, and benchmarks alongside other data while making changes related to QI and patient centered medical homes
2015
Report
Patient Safety in the Commonwealth of Massachusetts: Current Status and Opportunities for Improvement
In a RAND study about the landscape of patient safety in Massachusetts, researchers interviewed expert observers (patients, health care leaders, and others) about progress to date and future opportunities to produce safer patient care.
Dec 2, 2014
Report
The Cost Savings Potential of Biosimilar Drugs in the United States
The U.S. Food and Drug Administration is expected to release regulations outlining lower-cost approval requirements for so-called biosimilar drugs. This Perspective combines prior research and recent data to estimate cost savings in the U.S. market.
Nov 3, 2014