policy – zoey chopra

my research aims to evaluate and improve upon legislation and reforms transforming healthcare

policy resolutions

Michigan House Bill 06549’20
Amends state of Michigan’s “Emergency Management Act” (1976 PA 390) section 11 (MCL 30.411) to afford greater legal protections to healthcare providers in times of crisis (2020).

Michigan State Medical Society
Supports Medicare Prescription Drug Price Negotiation Act (H.R. 275) at state level (2020).

Michigan State Medical Society
Supports CMS in developing new payment and service models for drug price negotiations (2020).

Michigan State Medical Society
Demands mandatory tele-CPR training for 9-1-1 dispatchers to address cardiac arrests (2020).

projects — payment reform

implications of Medicare Advantage
with Andy Ryan (Brown University)

efficacy of bundled payment reforms
with Andy Ryan (Brown University)

abstract

Especially in select procedures like joint replacement, bundled payments have proven to be cost-effective without affecting quality of care. We aim to understand whether these same effects are evident across broader clinical episodes, in light of recent CMS bundled payment programs.

presentations

1. AcademyHealth Annual Research Meeting 2021 (poster)
2. AcademyHealth Annual Research Meeting 2021 (poster)
3. ASHEcon 2021 (oral)
4. ASHEcon 2021 (oral)

publications

1. Chopra Z, Gulseren B, Chhabra KR, Ryan AM. Bundled Payments for Care Improvement (BPCI) Efficacy across Three Common Operations. Annals of Surgery (2021).
2. Berlin NL, Peterson TA, Chopra Z, Gulseren B, Ryan AM. Hospital Participation Decisions In Medicare Bundled Payment Program Were Influenced By Third-Party Conveners. Health Affairs (2021).

provider incentives in prescription choices
with Colin Holtze and Parth Modi (Michigan Medicine)
abstract

Building upon literature that explores associations between pharmaceutical company payments to physicians and subsequent prescribing patterns, we further this research in a context specific to pulmonary medicine.

institutional reactions to—and implications of—CMS price transparency policies
with Jeff Kullgren and Nicholas Berlin (Michigan Medicine)

abstract

Since January 2021, CMS has required hospitals to release insurer-negotiated prices for healthcare services, focused upon 300 “shoppable services.” We curate a stratified random sample of 485 U.S. hospitals to explore institutional compliance with federal price transparency mandates. Current work explores these “shoppable services” in greater depth.

presentations

1. AcademyHealth Annual Research Meeting 2021 (poster)

publications

1. Berlin NL, Chopra Z, Bryant A, Agius J, Singh SR, Chhabra KR, Schulz P, West BT, Ryan AM, Kullgren JT. Individualized Out-Of-Pocket Price Estimators for “Shoppable” Surgical Procedures: A Nationwide Cross-Sectional Study of U.S. Hospitals. Annals of Surgery Open (2022).

projects — COVID-19

community health externalities of COVID-19 policy
with Yeşim Orhun (Ross School of Business)

abstract

In response to the COVID-19 pandemic, a range of local policies were instituted across communities to combat viral transmission. We exploit this heterogeneity to explore externalities of these policies at the household level.

understanding clinical outcomes during COVID-19 pandemic
with Frederick Korley (Michigan Medicine)

abstract

With survey and electronic health record (EHR) data from a single academic hospital center, we provide a stream of research to study (1) clinical predictors of health outcomes for the COVID-19 patient population; and (2) wellness of emergency department (ED) clinicians, during the initial months of the COVID-19 pandemic.

presentations

1. American College of Emergency Physicians (ACEP) Research Forum 2020 (oral)
2. American College of Emergency Physicians (ACEP) Research Forum 2020 (oral)
3. Red Sea Emergency Medicine Conference 2020 (oral)
4. Red Sea Emergency Medicine Conference 2020 (oral)
5. American College of Cardiology Annual Scientific Session & Expo 2021 (poster)
6. American College of Emergency Physicians (ACEP) Research Forum 2021 (poster)

optimizing drug cocktails for COVID-19 patients
with Jonathan Sexton (University of Michigan)
abstract

To date, no sure treatment is available for COVID-19 patients. Using a combination of wet lab techniques and econometric survival analyses, we aim to determine combinations of drugs that may prove safe and efficacious for COVID-19.

projects — reproductive healthcare

cervical cancer screening
with Vanessa Dalton (Michigan Medicine) and Mark Fendrick (Michigan Medicine)
abstract

As part of the Affordable Care Act (ACA), medical guideline recommended cervical cancer screenings are covered by health insurance plans at no cost to individual patients. Follow-up care, however, is often not covered. We determine the extent to which the current payment scheme serves as a deterrent for effective population health.

abortion access
with Vanessa Dalton (Michigan Medicine) and Yeşim Orhun (Ross School of Business)
abstract

We seek to understand the long-term implications of abortion clinic closures in local communities.

projects — drug delivery

cost-effectiveness analysis of drug delivery mechanisms
with Garth Strohbehn (VA Ann Arbor Center for Clinical Management and Research)

publications & contributions

full list

* denotes equal contribution

Berlin NL, Chopra Z, Bryant A, Agius J, Singh SR, Chhabra KR, Schulz P, West BT, Ryan AM, Kullgren JT. Individualized Out-Of-Pocket Price Estimators for “Shoppable” Surgical Procedures: A Nationwide Cross-Sectional Study of U.S. Hospitals. Annals of Surgery Open (2022).
Chopra Z, Gulseren B, Chhabra KR, Ryan AM. Bundled Payments for Care Improvement (BPCI) Efficacy across Three Common Operations. Annals of Surgery (2021).
Berlin NL, Peterson TA, Chopra Z, Gulseren B, Ryan AM. Hospital Participation Decisions In Medicare Bundled Payment Program Were Influenced By Third-Party Conveners. Health Affairs (2021).