Health Policy Research Seminar: Ravi Gupta, MD, Assistant Professor of General Internal Medicine, Johns Hopkins University

Topic: "Payment Policy for Dementia Care in the 21st Century."

Medicare Advantage (MA) now covers over half of Medicare beneficiaries, yet its impact on older adults remains unclear. While capitated payments may improve care coordination, they also incentivize prior authorization, narrow provider networks, and increased coding intensity of diagnoses that can shape both access and spending. In this talk, Dr. Gupta will describe how payment policy affects people living with dementia, comparing dementia diagnoses in MA vs. traditional Medicare. He will also discuss empirical work on claims-based dementia identification, with implications for clinical care, population health, and risk adjustment.

Dr. Gupta is an Assistant Professor of General Internal Medicine at the Johns Hopkins School of Medicine. His current work focuses on FDA regulation and prescription drug policy; areas of private provision of public services, including Medicare Advantage and value-based and alternative payment models; and systems of care for people living with dementia. His work has appeared in JAMA, JAMA Internal Medicine, New England Journal of Medicine, British Medical Journal, Health Affairs, Journal of General Internal Medicine, Boston Review, STAT News, and the New York Times.

Dr. Gupta received his BA in Political Science and BS in Molecular Genetics from The Ohio State University. He subsequently worked in India as a Research Associate for the MIT Jameel Poverty Action Lab. He graduated from the Yale School of Medicine and completed his residency in Internal Medicine in the Johns Hopkins Hospital Osler Medical Training Program within the Urban Health track. He is a primary care physician at the Johns Hopkins Outpatient Center.