Penn Bioethics Seminar Series (PBS): Salama S. Freed, PhD

Using a Home Time Measure to Differentiate ACO Performance for their Seriously Ill Populations 

Salama S. Freed, PhD, NPC and Duke-Margolis Center for Health Policy Post-doctoral Health Policy Fellow 

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Description: Alternative Payment Models (APMs) being piloted by the Centers for Medicare and Medicaid Services (CMS) such as Primary Care First (PCF) and Direct Contracting (DCE) seek to improve care and quality of life among seriously ill populations. However, these models lack measures to accurately evaluate success. We 1) evaluate the feasibility and usefulness of one proposed measure, days at home, by simulating its implementation on existing Accountable Care Organization (ACO) contracts, 2) identify factors associated with ACOs whose seriously ill beneficiaries spend more days at home.

Bio: Salama Freed, PhD is the Duke-Margolis and National Pharmaceutical Council (NPC) post-doctoral health policy fellow. Dr. Freed’s research portfolio has highlighted two intertwined investigational tracks focused on innovations in health care access and delivery: how vulnerable populations may be affected by disruptions in these innovations, and how these innovations may help to contain costs.

Salama’s fellowship research focuses on the intersection of payment reform such as provider rate changes, insurance rate setting and bundled payment initiatives and how this can encourage, rather than discourage, equitable health care access. Prior to her fellowship with NPC and Duke-Margolis, she completed a post-doctoral fellowship at University of Pennsylvania’s Leonard Davis Institute of Health Economics and Perelman School of Medicine focused on understanding the landscape of and ensuring equitable access to formal long-term care options.

Salama holds a PhD in Economics from Vanderbilt University and an MA in Economics from Duke University. She also received a MS in Electrical Engineering from North Carolina State University and a BE in Electrical Engineering from Vanderbilt University.

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