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Centre for Health Economics and Policy Analysis


Paris health economist to talk about outcomes of efforts to develop primary care teams in France

27 Apr 2016

French health economist Julien Mousquès says France has more barriers preventing the development of group medical practices than other countries, many of which have policies that explicitly encourage integrated primary care systems as a way to promote  efficiency in health care.

In a CHEPA seminar on May 18, Mousquès, the Research Director at the Institute for Research and Information in Health Economics (Institut de Recherche et Documentation en Economie de la santé, IRDES) in Paris, will describe the impact on efficiency, productivity, and patient outcomes of a reform in France designed to encourage the development of integrated Primary Care Teams (PCTs).

He also will describe his qualitative and explanatory research on Accountable Care Organizations (ACOs) in the United States. ACOs are groups of healthcare providers that treat patients under a payment and care delivery model which ties how much providers earn to the measured quality of care provided and to reductions in the total cost of providing care to an assigned population of patients.

Mousquès’ presentation, Learnings about the impact of integrated care on efficiency - The cases of  French Primary Care Teams in France and Accountable Care Organizations in the USA, will show how a mixed-method design that combines qualitative and/or taxonomy frameworks to quasi-experimental ones is helpful in disentangling the estimation of an overall impact for all PCTs or ACOs -- with specific ones depending on how the PCTs or ACOs are organized, where they are geographically located and who the patients are.

Mousquès holds a PhD in Economics from Université Paris-Dauphine and a Master of Science in Health Economics and Health Services from Pantheon-Sorbonne University in Paris. He is on the Administrative Board of The College of Health Economists (The French Health Economist Association).

For the last eight years, Mousquès’ research has focused on analyzing links between the organizational structure of health care professionals working in primary care practices and their economic performance. He also led a team at IRDES in evaluating a major pilot experiment in primary care involving medical homes and the skill-mix between GPs and Nurses.

He is a 2015-16 French Harkness Fellow in Health Care Policy and Practice from the Commonwealth Fund, working as a visiting scientist at The Dartmouth Institute for Health Care Policy and Clinical Practice, with Jonathan Skinner as mentor and Carrie Colla as co-mentor.  Mousquès’ research at Dartmouth is about the impact on efficiency of health care delivery of alternative remuneration schemes to pure fee-for-services for primary care teams within ACO contracts. 

The seminar will be held on Weds. May 18 from 12:30 p.m. to 1:30 p.m. in Communications Research Lab (CRL) B119. All are welcome. The seminar will be available remotely for those unable to attend.


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