Research Overview

Dr. Chien's research focuses on whether performance incentives (in the form of pay-for-performance, public reporting, and payment systems)

  1. are effective;
  2. improve the quality of care provided to children and adults, and vulnerable populations (i.e., the medically complex, minorities, and the socially disadvantaged);
  3. can eliminate healthcare disparities;
  4. are associated with unintended consequences.

Research Goals

  1. Provide the empirical basis for aligning performance incentives with healthcare quality and health outcomes
  2. Improving the quality of care delivered to children, adults, and vulnerable populations.

Translational Implications of Research

Dr. Chien's research helps physicians, payors and policymakers understand how to align monetary and reputational incentives with quality healthcare or health outcomes.

Key Publications

  • Chien AT, Davis AM, Chin MH, Casalino LP. Pay-for-performance, public reporting and racial disparities in health care. Medical Care Research and Review 2007;64:283S-304S.
  • Chien AT, Coleman M, Friedman-Ross LS. Qualitative insights into how pediatric pay-for-performance programs are being designed. Academic Pediatrics 2009;9(3):185-191.
  • Weinick RM, Chien AT, Rosenthal MB, Bristol SJ, Blumenthal DR. Pay-for-Performance to Reduce Racial and Ethnic Disparities in Health Care: The Perspective of Hospital Executives. Medical Care Research and Review (in press).

Grants, Awards and Honors

Agency for Healthcare Research and Quality Career Development Award K08HS017146 entitled, "Do performance incentives improve healthcare quality for vulnerable populations?"

Postgraduate Training

Internship: The University of Chicago, Department of Pediatrics Residency

Fellowship: The University of Chicago, Department of Pediatrics, The University of Chicago, Robert Wood Johnson Clinical Scholars Program

Researcher Services

Researcher Areas

  • Quality of Care
  • Pay-For-Performance
  • Public Reporting
  • Payment Systems
  • Health Disparities