Wellcome Trust Research Training Fellow and Junior Research Fellow in Clinical Medicine
University of Oxford
Public Health Specialty Registrar
Oxford University Hospitals NHS Foundation Trust
Placement: The Dartmouth Institute of Health Policy and Clinical Practice
Mentor: Elliott Fisher, Ph.D. (Director, The Dartmouth Institute for Health Policy and Clinical Practice)
Project: Learning Lessons from Accountable Care Organizations to Improve the Delivery of Preventive Care in the U.S. and U.K.
Adam Briggs, D.Phil. M.A., M.Sc., B.M.B.Ch., MRCP, MFPH, is a 2017-18 U.K. Harkness Fellow in Health Care Policy and Practice. He is a Public Health Specialty Registrar in Oxford, England. Briggs recently completed a clinical Wellcome Trust Research Training Fellowship and earned a Doctorate of Philosophy for his investigation of the cost-effectiveness of public health policies. He concurrently served as a Junior Research Fellow at Lady Margaret Hall and a Senior Hulme Scholar at Brasenose College. Prior to his doctoral studies, Briggs was an NIHR Academic Clinical Fellow in Public Health and helped establish a public health strategy for Oxford University Hospitals NHS Foundation Trust. His previous research includes estimating the health impact of soft drink taxes and serving as an expert collaborator on the Global Burden of Disease Study. In addition to multiple peer-reviewed publications, he co-authored the Physical Health chapter of the Chief Medical Officer’s 2015 Annual Report, and published a book on practicing public health. He holds an M.A. in Natural Sciences from Cambridge University and an M.Sc. in Global Health Science from Oxford University, where he also completed his medical degree.
Project Abstract: The Patient Protection and Affordable Care Act (ACA) was intended to both increase health insurance enrollment in the United States and improve population health. The ACA resulted in an estimated 20 million insured Americans and the introduction of alternative payment models and Accountable Care Organizations (ACOs). In the United Kingdom, ACO-like models are now being developed as part of NHS England’s new care models programme and sustainability and transformation partnerships. To date, however, there is little published research on the effect of the ACA and new care models on disease prevention and reducing health inequalities.
This research aims to identify the major enablers and barriers to the implementation of effective disease prevention screening, interventions, and follow-up by health care organizations in the U.S., to determine if any lessons learned can be applied in the NHS. Survey data from U.S. healthcare organizations and insurance claims data will be supplemented by interviews to quantify the delivery of preventive services and gain an understanding what motivates healthcare providers to perform these services. The research will focus on hard-to-reach groups who may be at a systematic disadvantage in accessing preventive care, and on high need patients who account for a disproportionate share of heath care expenditure.