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Luke O'Shea

2015-2016 Harkness Fellow Head of Integrated Personal Commissioning and Person-Centered Care NHS England

Placement: University of California San Francisco

Mentor: Andrew Bindman, M.D. (Philip R. Lee Institute for Health Policy Studies at the University of California, San Francisco.)

Co-mentor: Carrie Graham, Ph.D., M.G.S., (University of California, Berkeley)

ProjectComparison of Integrated Care Models to Support and Empower Vulnerable Patients in the U.S. and U.K.

Luke O’Shea, M.A., is a 2015–16 U.K. Harkness Fellow in Health Care Policy and Practice. He is currently the head of Integrated Personal Commissioning and Person-Centered Care at NHS England, where he oversees a team of people leading national policy, strategy, and programs on person-centered care. O’Shea led the development of an Integrated Personal Commissioning program to test new care models including whole systems person-centered care and self-directed support, as well as integrated capitated payment models across health and social care. O’Shea has held a number of positions within the public sector, including senior policy and strategy roles in government at the Department of Health, the Prime Minister’s Strategy Unit, and as private secretary to a Children’s Minister. At the Department of Health, he worked on a range of areas including NHS financial strategy, the government response to the Mid Staffordshire Public Inquiry, the Public Health White Paper, and on a national information strategy. O’Shea received an M.A. from the University of Cambridge.

Project Abstract

Integrated care, a term reflecting concern to improve quality and drive efficiency in the healthcare system, has become a major priority on the policy agenda in both the U.S. and U.K. O’Shea aims to assess whether new integrated care models, designed to align health and social care, have moved funding to new non-medical ‘upstream’ interventions, supports and services. This assessment will help identify the key components of the emerging models, as well as an optimal implementation approach, in order to make recommendations to improve coordination of care for high need, vulnerable people. The research will use the Centers for Medicare and Medicaid Services (CMS) Dual Financial Alignment demonstration for duel-eligibles as the principle case study, identifying where health plans are offering new non-medical ‘optional services’, what those are, and which policy mechanisms are driving in a shift in investment. Dual eligible beneficiaries include individuals who receive full Medicaid benefits as well as those who only receive assistance with Medicare premiums or cost sharing. O’Shea will also examine other innovative Medicaid models, such as consumer-directed support models, where participants to have responsibility for managing all aspects of service delivery in a person-centered planning process, as a means of changing investment patterns. The project will draw on data from health plans, as well as interviews with policy makers, the health plan employees and consumers. His research will also include fieldwork with duel-eligibles, including interviews, participant observation, and a film component. The proposed research will aim to make a significant contribution to policy and key integration programs in the U.K. and the U.S. in the coming years.

Career Activity since Fellowship: 

Current Position: Head of Quality Strategy, NHS England (updated 04/2017)

Email: [email protected]

Harkness Related Publications:

L. O’Shea, A. Bindman. “Personal Health Budgets for Patients with Complex Needs,” New England Journal of Medicine. 2016. 

C. Graham, C. Harrington, A. Wong, L. O'Shea, E. Kurtovich, B. Nussey, P.J. Liu. “Cal MediConnect: How Have Health Systems Responded?” SCAN Foundation. July 2016.
C. Graham, C. Harrington, A. Wong, L. O'Shea, E. Kurtovich, B. Nussey, P.J. Liu. “Cal MediConnect: How Have Health Systems Responded?” SCAN Foundation. July 2016.