Graduate School of Medical Sciences
A partnership with the Sloan Kettering Institute

Lawrence Casalino

Professor
Casalino
My current work focuses on consolidation and corporatization in health care, particularly with regard to private equity firm, health insurer, and hospital acquisition of medical groups.

Research

What are the causes and consequences of corporatization and consolidation in health care, particularly with regard to acquisition of physician practices by large health insurance companies, hospitals, and private equity firms?  Why is this happening, and what are the consequences for the quality and cost of care, patient experience, and physician professionalism? 

Current Projects:

  • Health insurer acquisition of physician practices 
  • Altruism and the quality of care 
  • Physician turnover and burnout 
  • Private equity and dermatology practices 
  • Health systems and the quality and cost of care 
  • Accountable care organizations and disparities 

Bio

B.A. in Philosophy at Boston College; MD at University of California, San Francisco; MPH and Ph.D. in Health Services Research at the University of California, Berkeley; family physician in private practice (1980-1995) and within Stanford’s health system (1995-2000).  Community organizer (e.g. United Farmworkers Union/UFW).  I serve as as a Medicare Payment and Advisory Commission (MedPAC) Commissioner, and have served as a member of the Panel of Health Advisors for the Congressional Budget Office, as a consultant to the Federal Trade Commission, as senior advisor to the director of the U.S. Agency for Healthcare Research and Quality (AHRQ), as Chair of the Academy Health Annual Research Meeting, and on multiple national committees, technical advisory panels, and on the board of directors of Fair Health. 

Distinctions:

  • Commissioner, Medicare Payment Advisory Commission (MedPAC)  2019-2025 
  • Founding Director, Physicians Foundation Center for the Study of Physician Practice and Leadership at Weill Cornell Medical College   2018 
  • Senior Advisor to the Director of the Agency for Healthcare Research and Quality (AHRQ)  2014-2016 
  • John A. Benson Jr., MD Professionalism Article Prize from the American Board of Internal Medicine  2016 
  • Herbert W. Vaughan Visiting Professor in General Internal Medicine and Primary Care, Harvard Medical College and Brigham & Women’s Hospital   2011 
  • John Fry Fellow, Nuffield Trust, London  2010 
  • Chair, Academy Health Annual Research Meeting  2010 
  • Robert Wood Johnson Investigator Award in Health Policy Research 2000 

Selected Publications:

Casalino LPHealth Systems-The Present and the Future. Editorial in JAMA: the Journal of the American Medical Association. 2023;329(4):293-294. https://jamanetwork.com/journals/jama/article-abstract/2800683 

Li J, Casalino LP, Fisman R, Kariv S, Markovits D. Experimental evidence of physician social preferences. Proc Natl Acad Sci U S A. 2022;119(28):e2112726119. 
https://www.pnas.org/doi/full/10.1073/pnas.2112726119 

La Forgia A, Bond AM, Braun RT, Yao LZ, Kjaer K, Zhang M, Casalino, LP. Association of Physician Management Companies and Private Equity Investment With Commercial Health Care Prices Paid to Anesthesia Practitioners. JAMA Internal Medicine. 2022;182(4):396-404. https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2789280 

Casalino LP, Saini R, Bhidya S, Khullar D, O’Donnell E. Private Equity Acquisition of Physician Practices. Annals of Internal Medicine. 2019;70(2):114-115.  https://www.acpjournals.org/doi/10.7326/m18-2363 

Casalino LP. The unintended consequences of measuring quality on the quality of medical care. New England Journal of Medicine. 1999;341(15):1147-1150. https://pubmed.ncbi.nlm.nih.gov/10511617/ 

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