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R. Tamara Konetzka

TitleProfessor
InstitutionUniversity of Chicago
DepartmentPublic Health Sciences
AddressChicago IL 60637
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    Collapse Overview 
    Collapse overview
    R. Tamara Konetzka, PhD, is the Louis Block Professor of Public Health Sciences and the College, with a secondary appointment in the Department of Medicine, Section of Geriatrics and Palliative Medicine. She is an internationally recognized expert in the health economics of long-term and post-acute care. Her research focuses on the incentives created by health care policy, including payment policy, and their effects on quality of care. She has been the PI on numerous major federal research grants, leading to significant advances in knowledge of the drivers of nursing home quality, how public reporting of quality changes the behavior of providers and consumers, and the unintended consequences of home-based long-term and post-acute care. In May 2020, she testified before the U.S. Senate on COVID-19 and nursing homes. Konetzka serves on several editorial boards and is Editor in Chief of Medical Care Research and Review.


    Collapse Biography 
    Collapse education and training
    University of Pennsylvania and Philadelphia VAPost-doctoral fellowship06/2004Health Economics
    University of North Carolina at Chapel HillPhD08/2003Health Policy and Administration (Health Economics)
    University of PennsylvaniaAM12/1992Economics
    Collapse awards and honors
    2020Invited Testimony on COVID-19 and Nursing Homes,, US Senate Special Committee on Aging
    2020 - -Member, Committee on the Quality of Care in Nursing Homes, National Academy of Sciences, Engineering, and Medicine
    2018 - -Editor in Chief, Medical Care Research and Review
    2019 - -Standing Member, NIH HSOD/ODHS Study Section
    2014 - -Invited member, Five-Star Quality Rating System Technical Expert Panel (TEP), Centers for Medicare and Medicaid Services

    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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    1. Wang S, Temkin-Greener H, Simning A, Konetzka RT, Cai S. Medicaid home- and community-based services and discharge from skilled nursing facilities. Health Serv Res. 2021 Jun 17. PMID: 34145567.
      View in: PubMed
    2. Konetzka RT, Davila H, Brauner DJ, Cursio JF, Sharma H, Werner RM, Park YS, Shippee TP. The Quality Measures Domain in Nursing Home Compare: Is High Performance Meaningful or Misleading? Gerontologist. 2021 Apr 27. PMID: 33903898.
      View in: PubMed
    3. Dong J, He D, Nyman JA, Konetzka RT. Wealth and the utilization of long-term care services: evidence from the United States. Int J Health Econ Manag. 2021 Mar 30. PMID: 33782835.
      View in: PubMed
    4. Sloane PD, Yearby R, Konetzka RT, Li Y, Espinoza R, Zimmerman S. Addressing Systemic Racism in Nursing Homes: A Time for Action. J Am Med Dir Assoc. 2021 04; 22(4):886-892. PMID: 33775548.
      View in: PubMed
    5. Miller KEM, Gorges RJ, Konetzka RT, Van Houtven CH. The Metrics Matter: Improving Comparisons of COVID-19 Outbreaks in Nursing Homes. J Am Med Dir Assoc. 2021 05; 22(5):955-959.e3. PMID: 33812840.
      View in: PubMed
    6. Gorges RJ, Konetzka RT. Factors Associated With Racial Differences in Deaths Among Nursing Home Residents With COVID-19 Infection in the US. JAMA Netw Open. 2021 02 01; 4(2):e2037431. PMID: 33566110.
      View in: PubMed
    7. Konetzka RT. Improving the Fate of Nursing Homes During the COVID-19 Pandemic: The Need for Policy. Am J Public Health. 2021 Apr; 111(4):632-634. PMID: 33507802.
      View in: PubMed
    8. Coe NB, Konetzka RT, Berkowitz M, Blecker E, Van Houtven CH. The Effects of Home Care Provider Mix on the Care Recipient: An International, Systematic Review of Articles from 2000 to 2020. Annu Rev Public Health. 2021 04 01; 42:483-503. PMID: 33395544.
      View in: PubMed
    9. Konetzka RT, Jung DH, Gorges RJ, Sanghavi P. Outcomes of Medicaid home- and community-based long-term services relative to nursing home care among dual eligibles. Health Serv Res. 2020 12; 55(6):973-982. PMID: 33258129.
      View in: PubMed
    10. Konetzka RT, Gorges RJ. Nothing Much Has Changed: COVID-19 Nursing Home Cases and Deaths Follow Fall Surges. J Am Geriatr Soc. 2021 01; 69(1):46-47. PMID: 33179760.
      View in: PubMed
    11. Davila H, Shippee TP, Park YS, Brauner D, Werner RM, Konetzka RT. Inside the Black Box of Improving on Nursing Home Quality Measures. Med Care Res Rev. 2020 Sep 28; 1077558720960326. PMID: 32988275.
      View in: PubMed
    12. Shashikumar SA, Huang K, Konetzka RT, Joynt Maddox KE. Claims-based Frailty Indices: A Systematic Review. Med Care. 2020 09; 58(9):815-825. PMID: 32520767.
      View in: PubMed
    13. Gorges RJ, Konetzka RT. Staffing Levels and COVID-19 Cases and Outbreaks in U.S. Nursing Homes. J Am Geriatr Soc. 2020 11; 68(11):2462-2466. PMID: 32770832.
      View in: PubMed
    14. Van Houtven CH, Konetzka RT, Taggert E, Coe NB. Informal And Formal Home Care For Older Adults With Disabilities Increased, 2004-16. Health Aff (Millwood). 2020 08; 39(8):1297-1301. PMID: 32744936.
      View in: PubMed
    15. Konetzka RT. The Challenges of Improving Nursing Home Quality. JAMA Netw Open. 2020 Jan 03; 3(1):e1920231. PMID: 31995209.
      View in: PubMed
    16. Werner RM, Konetzka RT, Qi M, Coe NB. The impact of Medicare copayments for skilled nursing facilities on length of stay, outcomes, and costs. Health Serv Res. 2019 12; 54(6):1184-1192. PMID: 31657002.
      View in: PubMed
    17. Busch SH, Cohen MS, Konetzka RT. Assessing the Relative Contribution of Resident Versus Facility Characteristics Associated With Antipsychotic Medication Receipt Among Nursing Facility Residents. Med Care. 2019 10; 57(10):822-829. PMID: 31415339.
      View in: PubMed
    18. Chatterjee P, Qi M, Coe NB, Konetzka RT, Werner RM. Association Between High Discharge Rates of Vulnerable Patients and Skilled Nursing Facility Copayments. JAMA Intern Med. 2019 Sep 01; 179(9):1296-1298. PMID: 31135825.
      View in: PubMed
    19. Gorges RJ, Sanghavi P, Konetzka RT. A National Examination Of Long-Term Care Setting, Outcomes, And Disparities Among Elderly Dual Eligibles. Health Aff (Millwood). 2019 07; 38(7):1110-1118. PMID: 31260370.
      View in: PubMed
    20. Werner RM, Coe NB, Qi M, Konetzka RT. Patient Outcomes After Hospital Discharge to Home With Home Health Care vs to a Skilled Nursing Facility. JAMA Intern Med. 2019 05 01; 179(5):617-623. PMID: 30855652.
      View in: PubMed
    21. Perraillon MC, Konetzka RT, He D, Werner RM. Consumer Response to Composite Ratings of Nursing Home Quality. Am J Health Econ. 2019; 5(2):165-190. PMID: 31579236.
      View in: PubMed
    22. Sharma H, Perraillon MC, Werner RM, Grabowski DC, Konetzka RT. Medicaid and Nursing Home Choice: Why Do Duals End Up in Low-Quality Facilities? J Appl Gerontol. 2020 09; 39(9):981-990. PMID: 30957619.
      View in: PubMed
    23. Davidson C, Loganathan S, Bishop L, Imhof L, Bergofsky L, Spector W, Konetzka RT. Scalability of an IT Intervention to Prevent Pressure Ulcers in Nursing Homes. J Am Med Dir Assoc. 2019 07; 20(7):816-821.e2. PMID: 30954418.
      View in: PubMed
    24. Coe NB, Guo J, Konetzka RT, Van Houtven CH. What is the marginal benefit of payment-induced family care? Impact on Medicaid spending and health of care recipients. Health Econ. 2019 05; 28(5):678-692. PMID: 30887623.
      View in: PubMed
    25. Konetzka RT, Yang F, Werner RM. Use of instrumental variables for endogenous treatment at the provider level. Health Econ. 2019 05; 28(5):710-716. PMID: 30672042.
      View in: PubMed
    26. Konetzka RT, Lasater KB, Norton EC, Werner RM. Are Recessions Good for Staffing in Nursing Homes? Am J Health Econ. 2018; 4(4):411-432. PMID: 30637298.
      View in: PubMed
    27. Brauner D, Werner RM, Shippee TP, Cursio J, Sharma H, Konetzka RT. Does Nursing Home Compare Reflect Patient Safety In Nursing Homes? Health Aff (Millwood). 2018 11; 37(11):1770-1778. PMID: 30395505.
      View in: PubMed
    28. Dong J, Pollack H, Konetzka RT. Effects of long-term care setting on spousal health outcomes. Health Serv Res. 2019 02; 54(1):158-166. PMID: 30246337.
      View in: PubMed
    29. Gonçalves J, Weaver F, Konetzka RT. Measuring State Medicaid Home Care Participation and Intensity Using Latent Variables. J Appl Gerontol. 2020 07; 39(7):731-744. PMID: 29978735.
      View in: PubMed
    30. Liao JM, Konetzka RT, Werner RM. Trends in hospital-SNF relationships in the care of Medicare beneficiaries. Healthc (Amst). 2018 Sep; 6(3):175-179. PMID: 29748087.
      View in: PubMed
    31. Werner RM, Konetzka RT. Trends in Post-Acute Care Use Among Medicare Beneficiaries: 2000 to 2015. JAMA. 2018 04 17; 319(15):1616-1617. PMID: 29677292.
      View in: PubMed
    32. Press VG, Konetzka RT, White SR. Insights about the economic impact of chronic obstructive pulmonary disease readmissions post implementation of the hospital readmission reduction program. Curr Opin Pulm Med. 2018 03; 24(2):138-146. PMID: 29210750.
      View in: PubMed
    33. Konetzka RT, Stuart EA, Werner RM. The effect of integration of hospitals and post-acute care providers on Medicare payment and patient outcomes. J Health Econ. 2018 09; 61:244-258. PMID: 29428772.
      View in: PubMed
    34. Konetzka RT, Skira MM, Werner RM. Incentive Design and Quality Improvements: Evidence from State Medicaid Nursing Home Pay-for-Performance Programs. Am J Health Econ. 2018; 4(1):105-130. PMID: 29594189.
      View in: PubMed
    35. Ryskina KL, Konetzka RT, Werner RM. Association Between 5-Star Nursing Home Report Card Ratings and Potentially Preventable Hospitalizations. Inquiry. 2018 Jan-Dec; 55:46958018787323. PMID: 30027799.
      View in: PubMed
    36. Konetzka RT, Sharma H, Park J. Malpractice Environment vs Direct Litigation: What Drives Nursing Home Exit? Inquiry. 2018 Jan-Dec; 55:46958018787995. PMID: 30111267.
      View in: PubMed
    37. Sharma H, Konetzka RT, Smieliauskas F. The Relationship Between Reported Staffing and Expenditures in Nursing Homes. Med Care Res Rev. 2019 12; 76(6):758-783. PMID: 29094651.
      View in: PubMed
    38. Perraillon MC, Brauner DJ, Konetzka RT. Nursing Home Response to Nursing Home Compare: The Provider Perspective. Med Care Res Rev. 2019 08; 76(4):425-443. PMID: 29148352.
      View in: PubMed
    39. Konetzka RT, Werner RM. Relationships between Acute and Postacute Care Providers: Measurement and Estimation. Health Serv Res. 2017 10; 52(5):1621-1628. PMID: 28580644.
      View in: PubMed
    40. Sperber NR, Voils CI, Coe NB, Konetzka RT, Boles J, Van Houtven CH. How Can Adult Children Influence Parents' Long-Term Care Insurance Purchase Decisions? Gerontologist. 2017 04 01; 57(2):292-299. PMID: 25209446.
      View in: PubMed
    41. Konetzka RT, Perraillon MC. Use Of Nursing Home Compare Website Appears Limited By Lack Of Awareness And Initial Mistrust Of The Data. Health Aff (Millwood). 2016 Apr; 35(4):706-13. PMID: 27044972.
      View in: PubMed
    42. Werner RM, Skira M, Konetzka RT. An Evaluation of Performance Thresholds in Nursing Home Pay-for-Performance. Health Serv Res. 2016 Dec; 51(6):2282-2304. PMID: 26932527.
      View in: PubMed
    43. Konetzka RT. Are Home- and Community-Based Services Cost-Effective? Med Care. 2016 Mar; 54(3):219-20. PMID: 26871641.
      View in: PubMed
    44. Werner RM, Konetzka RT, Polsky D. Changes in Consumer Demand Following Public Reporting of Summary Quality Ratings: An Evaluation in Nursing Homes. Health Serv Res. 2016 Jun; 51 Suppl 2:1291-309. PMID: 26868034.
      View in: PubMed
    45. Broyles IH, Sperber NR, Voils CI, Konetzka RT, Coe NB, Van Houtven CH. Understanding the Context for Long-Term Care Planning. Med Care Res Rev. 2016 06; 73(3):349-68. PMID: 26553887.
      View in: PubMed
    46. Foley K, Konetzka RT, Bunin A, Yonan C. Prevalence of pseudobulbar affect symptoms and clinical correlates in nursing home residents. Int J Geriatr Psychiatry. 2016 07; 31(7):694-701. PMID: 26526856.
      View in: PubMed
    47. Shah T, Churpek MM, Coca Perraillon M, Konetzka RT. Response. Chest. 2015 Oct; 148(4):e134-e135. PMID: 26437829.
      View in: PubMed
    48. Konetzka RT, Brauner DJ, Coca Perraillon M, Werner RM. The Role of Severe Dementia in Nursing Home Report Cards. Med Care Res Rev. 2015 Oct; 72(5):562-79. PMID: 26018596.
      View in: PubMed
    49. Shah T, Churpek MM, Coca Perraillon M, Konetzka RT. Understanding why patients with COPD get readmitted: a large national study to delineate the Medicare population for the readmissions penalty expansion. Chest. 2015 May; 147(5):1219-1226. PMID: 25539483.
      View in: PubMed
    50. Konetzka RT, Grabowski DC, Perraillon MC, Werner RM. Nursing home 5-star rating system exacerbates disparities in quality, by payer source. Health Aff (Millwood). 2015 May; 34(5):819-27. PMID: 25941284.
      View in: PubMed
    51. Guo J, Konetzka RT, Manning WG. The causal effects of home care use on institutional long-term care utilization and expenditures. Health Econ. 2015 Mar; 24 Suppl 1:4-17. PMID: 25760579.
      View in: PubMed
    52. Van Houtven CH, Coe NB, Konetzka RT. Family structure and long-term care insurance purchase. Health Econ. 2015 Mar; 24 Suppl 1:58-73. PMID: 25760583.
      View in: PubMed
    53. Guo J, Konetzka RT, Magett E, Dale W. Quantifying long-term care preferences. Med Decis Making. 2015 01; 35(1):106-13. PMID: 25297656.
      View in: PubMed
    54. He D, Konetzka RT. Public Reporting and Demand Rationing: Evidence from the Nursing Home Industry. Health Econ. 2015 Nov; 24(11):1437-51. PMID: 25236842.
      View in: PubMed
    55. Konetzka RT. The hidden costs of rebalancing long-term care. Health Serv Res. 2014 Jun; 49(3):771-7. PMID: 24831192.
      View in: PubMed
    56. Konetzka RT, Brauner DJ, Shega J, Werner RM. The effects of public reporting on physical restraints and antipsychotic use in nursing home residents with severe cognitive impairment. J Am Geriatr Soc. 2014 Mar; 62(3):454-61. PMID: 24617991.
      View in: PubMed
    57. Guo J, Konetzka RT, Dale W. Using time trade-off methods to assess preferences over health care delivery options: a feasibility study. Value Health. 2014 Mar; 17(2):302-5. PMID: 24636391.
      View in: PubMed
    58. Werner RM, Konetzka RT, Kim MM. Quality improvement under nursing home compare: the association between changes in process and outcome measures. Med Care. 2013 Jul; 51(7):582-8. PMID: 23756645.
      View in: PubMed
    59. Konetzka RT, Park J, Ellis R, Abbo E. Malpractice litigation and nursing home quality of care. Health Serv Res. 2013 Dec; 48(6 Pt 1):1920-38. PMID: 23741985.
      View in: PubMed
    60. Werner RM, Konetzka RT, Polsky D. The effect of pay-for-performance in nursing homes: evidence from state Medicaid programs. Health Serv Res. 2013 Aug; 48(4):1393-414. PMID: 23398330.
      View in: PubMed
    61. Lindrooth RC, Konetzka RT, Navathe AS, Zhu J, Chen W, Volpp K. The impact of profitability of hospital admissions on mortality. Health Serv Res. 2013 Apr; 48(2 Pt 2):792-809. PMID: 23346946.
      View in: PubMed
    62. Konetzka RT, Polsky D, Werner RM. Shipping out instead of shaping up: rehospitalization from nursing homes as an unintended effect of public reporting. J Health Econ. 2013 Mar; 32(2):341-52. PMID: 23333954.
      View in: PubMed
    63. Konetzka RT, Karon SL, Potter DE. Users of Medicaid home and community-based services are especially vulnerable to costly avoidable hospital admissions. Health Aff (Millwood). 2012 Jun; 31(6):1167-75. PMID: 22665828.
      View in: PubMed
    64. Navathe AS, Volpp KG, Konetzka RT, Press MJ, Zhu J, Chen W, Lindrooth RC. A longitudinal analysis of the impact of hospital service line profitability on the likelihood of readmission. Med Care Res Rev. 2012 Aug; 69(4):414-31. PMID: 22466577.
      View in: PubMed
    65. Werner RM, Norton EC, Konetzka RT, Polsky D. Do consumers respond to publicly reported quality information? Evidence from nursing homes. J Health Econ. 2012 Jan; 31(1):50-61. PMID: 22307033.
      View in: PubMed
    66. Hinami K, Whelan CT, Konetzka RT, Meltzer DO. Provider expectations and experiences of comanagement. J Hosp Med. 2011 Sep; 6(7):401-4. PMID: 21916002.
      View in: PubMed
    67. Werner RM, Polsky D, Konetzka RT. The pay-off on nursing home report cards. LDI Issue Brief. 2011 Apr; 16(6):1-4. PMID: 21688691.
      View in: PubMed
    68. Werner RM, Konetzka RT, Stuart EA, Polsky D. Changes in patient sorting to nursing homes under public reporting: improved patient matching or provider gaming? Health Serv Res. 2011 Apr; 46(2):555-71. PMID: 21105869.
      View in: PubMed
    69. Hinami K, Whelan CT, Konetzka RT, Edelson DP, Casalino LP, Meltzer DO. Effects of provider characteristics on care coordination under comanagement. J Hosp Med. 2010 Nov-Dec; 5(9):508-13. PMID: 20635410.
      View in: PubMed
    70. Park J, Konetzka RT, Werner RM. Performing well on nursing home report cards: does it pay off? Health Serv Res. 2011 Apr; 46(2):531-54. PMID: 21029093.
      View in: PubMed
    71. Konetzka RT, Luo Y. Explaining lapse in long-term care insurance markets. Health Econ. 2011 Oct; 20(10):1169-83. PMID: 20882573.
      View in: PubMed
    72. Konetzka RT, Werner RM. Applying market-based reforms to long-term care. Health Aff (Millwood). 2010 Jan-Feb; 29(1):74-80. PMID: 20048363.
      View in: PubMed
    73. Werner RM, Konetzka RT. Advancing nursing home quality through quality improvement itself. Health Aff (Millwood). 2010 Jan-Feb; 29(1):81-6. PMID: 20048364.
      View in: PubMed
    74. Konetzka RT. Do not-for-profit nursing homes provide better quality? BMJ. 2009 Aug 04; 339:b2683. PMID: 19654183.
      View in: PubMed
    75. Werner RM, Konetzka RT, Stuart EA, Norton EC, Polsky D, Park J. Impact of public reporting on quality of postacute care. Health Serv Res. 2009 Aug; 44(4):1169-87. PMID: 19490160.
      View in: PubMed
    76. Konetzka RT, Werner RM. Disparities in long-term care: building equity into market-based reforms. Med Care Res Rev. 2009 Oct; 66(5):491-521. PMID: 19228634.
      View in: PubMed
    77. Werner RM, Konetzka RT, Kruse GB. Impact of public reporting on unreported quality of care. Health Serv Res. 2009 Apr; 44(2 Pt 1):379-98. PMID: 19178586.
      View in: PubMed
    78. Sochalski J, Konetzka RT, Zhu J, Volpp K. Will mandated minimum nurse staffing ratios lead to better patient outcomes? Med Care. 2008 Jun; 46(6):606-13. PMID: 18520315.
      View in: PubMed
    79. Konetzka RT, Stearns SC, Park J. The staffing-outcomes relationship in nursing homes. Health Serv Res. 2008 Jun; 43(3):1025-42. PMID: 18454779.
      View in: PubMed
    80. Konetzka RT, Zhu J, Sochalski J, Volpp KG. Managed care and hospital cost containment. Inquiry. 2008; 45(1):98-111. PMID: 18524295.
      View in: PubMed
    81. Konetzka RT, Spector W, Limcangco MR. Reducing hospitalizations from long-term care settings. Med Care Res Rev. 2008 Feb; 65(1):40-66. PMID: 17895516.
      View in: PubMed
    82. Casalino LP, Alexander GC, Jin L, Konetzka RT. General internists' views on pay-for-performance and public reporting of quality scores: a national survey. Health Aff (Millwood). 2007 Mar-Apr; 26(2):492-9. PMID: 17339678.
      View in: PubMed
    83. Konetzka RT, Norton EC, Stearns SC. Medicare payment changes and nursing home quality: effects on long-stay residents. Int J Health Care Finance Econ. 2006 Sep; 6(3):173-89. PMID: 17016764.
      View in: PubMed
    84. Konetzka RT, Norton EC, Sloane PD, Kilpatrick KE, Stearns SC. Medicare prospective payment and quality of care for long-stay nursing facility residents. Med Care. 2006 Mar; 44(3):270-6. PMID: 16501399.
      View in: PubMed
    85. Konetzka RT, Zhu J, Volpp KG. Did recent changes in Medicare reimbursement hit teaching hospitals harder? Acad Med. 2005 Nov; 80(11):1069-74. PMID: 16249310.
      View in: PubMed
    86. Volpp KG, Konetzka RT, Zhu J, Parsons L, Peterson E. Effect of cuts in Medicare reimbursement on process and outcome of care for acute myocardial infarction patients. Circulation. 2005 Oct 11; 112(15):2268-75. PMID: 16203913.
      View in: PubMed
    87. Konetzka RT, Spector W, Shaffer T. Effects of nursing home ownership type and resident payer source on hospitalization for suspected pneumonia. Med Care. 2004 Oct; 42(10):1001-8. PMID: 15377933.
      View in: PubMed
    88. Konetzka RT, Yi D, Norton EC, Kilpatrick KE. Effects of Medicare payment changes on nursing home staffing and deficiencies. Health Serv Res. 2004 Jun; 39(3):463-88. PMID: 15149474.
      View in: PubMed
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