Author Archives: Noha Sherif, Nan Tracy Zheng, Qinghua Li, Franziska Rokoske

About Noha Sherif, Nan Tracy Zheng, Qinghua Li, Franziska Rokoske

Nan Tracy Zheng, PhD, a senior research analyst in RTI International’s End-of-Life, Palliative, and Hospice Care program, has 10 years of experience in health services research, health policies, and program evaluation regarding the elderly. Her current research focuses on (1) quality of care for the elderly across the spectrum of care such as post-acute care, long-term care, and end-of-life care; and (2) health services utilization and care processes. Dr. Zheng currently serves as Associate Project Director of the project under contract with the Centers for Medicare & Medicaid Services (CMS) to develop, implement, and maintain the Hospice Quality Reporting Program. She also leads the analyses under the evaluations of the CMS Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents and the Financial Alignment Initiative to evaluate the impact of the demonstrations on quality of care. Dr. Zheng was the lead analyst of the study conducted for the Medicaid and CHIP Payment and Access Commission on the effect of the gap between Medicare cost sharing amounts and Medicaid payments on use of primary care services among Medicare-Medicaid dually eligible beneficiaries.

One Step Ahead: A Composite Measure to Capture Critical Hospice and Palliative Care Processes

The Centers for Medicare and Medicaid Services (CMS) wants to empower consumers to make informed healthcare decisions. CMS also wants providers to improve the quality of care they provide. One step towards accomplishing both of these goals is by public reporting of quality measures (QM). However, with multiple quality measures focusing on different care processes–all of which… Read More »

Gap in Payment for Medicare Cost Sharing Limits Access to Care for the Poor

Dual eligibility for Medicare and Medicaid is expected to improve access to care for low-income individuals who qualify for both programs, relative to eligibility for either program alone. Medicaid coverage of Medicare deductibles and co-payments can reduce the financial burdens that these cost sharing requirements may pose for low-income Medicare beneficiaries. These dual eligible beneficiaries… Read More »

Quality Measurement in Home Care: Avoiding Unintended Effects

In theory, quality measurement and reporting generally benefits patients and their families, as (PDF link) public data on quality increases transparency and provider accountability. It also may benefit providers as a tool for quality assurance and improvement; however, the evidence does not always provide a clear picture. Unique challenges exist for patients receiving home care… Read More »