How health systems affect care for patients with complex medical needs
Official title: Health Systems and High-Need Populations: The Effect of Vertical Integration on Utilization, Spending, and Quality for Medically ComplexPatients
Funded at Weill Medical Coll of Cornell Univ · NIH-11002698 · Data updated 2026-11-12
This study looks at how combining hospitals and doctors into larger health systems affects the care of patients with complicated health needs, especially those on Medicare, to see if it leads to better care, lower costs, and more efficient services.
Quick facts
| Grant type | R01 grant |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Weill Medical Coll of Cornell Univ NIH-funded |
| Lab location | 1 site (New York, United States) |
| Project start | April 1, 2023 |
| Project end | January 31, 2027 |
| Funding year | 2025 |
| Award (this year) | $394,423 |
| NIH project number | 5R01HS029012-03 |
| Project ID | NIH-11002698 on NIH RePORTER |
Who could benefit from this research
✓Could help
Ideal candidates for this research are Medicare beneficiaries with multiple health conditions who frequently interact with the healthcare system.
✕Less likely to help
Patients who are not on Medicare or do not have complex medical needs may not benefit from this research.
What this research studies
This research investigates how the integration of hospitals and physician practices into health systems impacts the care of medically complex patients, particularly those on Medicare. It aims to understand whether these health systems improve the quality of care, reduce spending, and enhance utilization for patients with high health needs. By analyzing data from various health systems, the study will identify effective strategies and characteristics that contribute to better outcomes for these patients. The findings will help inform healthcare leaders and policymakers about the implications of health system growth on patient care.
Why it matters
Potential benefit: If successful, this research could lead to improved healthcare delivery and outcomes for medically complex patients.
How similar studies have gone: Previous research has indicated that vertical integration in healthcare can lead to higher costs, but the effects on quality and utilization for complex patients remain largely untested.
Where this research is happening
-
Weill Medical Coll of Cornell Univ
New York, United States Active
Researchers
- Principal investigator: Bond, Amelia — Weill Medical Coll of Cornell Univ
- Study coordinator: Bond, Amelia
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About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.