Professional Summary
Dr. Grazier is a Professor in the Department of Health Management and Policy. She holds masters degrees in engineering and in public health and a doctorate in administrative sciences from the University of California at Berkeley. She teaches graduate courses in corporate finance, insurance and payment systems, and the capstone case studies in healthcare management. She is the editor of the Journal of Healthcare Management and is on the editorial board of the Health Administration Press/AUPHA Press. She currently serves on the Services Research Review Committee for the National Institute of Mental Health, and has been a member of grants review committees for AHCPR, NIAAA, and the Health Care Financing Administration. She has completed a six-year term on the Board of Directors of AUPHA, the last three of which were as Treasurer. SHe currently serves as chair of the University's Committee on Sustainable Health Benefits, Co-chair of the MHealthy Advisory Board, and is a member of the Provost's Faculty Budget Committee. Prior to Michigan, she was the J. Thomas Clark Professor of Entrepreneurship and the Director of the Sloan Graduate Program in Health Services Administration at Cornell University. She has also held the King Sweesy and Robert Womack Chair in Medical Science and Public Health at the University of California at Berkeley, and was on the faculty at Yale University School of Medicine.
Courses Taught
HMP606: Managerial Accounting for Health Care Administrators
HMP631: Health Insurance and Payment Systems
HMP632: Managed Care Administration
HMP667: Advanced Seminar in Health Care Financial Management
HMP682: Case Studies in Health Services Administration
Education
Dr.P.H., University of California Berkeley, 1981
M.P.H., University of California Berkeley, 1978
M.S., Engineering, University of Notre Dame, 1976
B.S., Nursing and Biology, Valparaiso University, 1973
Research Interest & Projects
One major area of Dr. Grazier's research is in health care finance, with special emphasis on the effect of managed care arrangements and risk adjustment methods on mental health and substance abuse services, costs, and quality of care. Currently supported by the Robert Wood Johnson Foundation, she is identifying models of integrated services for vulnerable populations. She has just completed a study of health plan choice behavior, funded by AHRQ and BCBS-M Foundation. With support from the NIMH and NIAAA, she has studied the effects of a mental health carve-out on use and cost of mental health and medical services among an employed population, and the long term consequences of alcoholism in a community-based sample. Through support from the Robert Wood Johnson Foundation and the BCBS-M Foundation, she has examined the reintegration of medical and mental health services in employed and Medicaid populations. These sponsors have also supported study of the variation in risk adjustment methods used in provider profiling. Current funded research projects:
Integrated Health, Social, Human Services, and Financial Systems for Vulnerable Families
Principal Investigator: Kyle L. Grazier
Sponsor: Robert Wood Johnson Foundation
The goal of the project is to identify and document models of integrated care for adults and children, and determine the factors responsible for their success.
Integrating Depression Management in Primary Care
Sponsor: Robert Wood Johnson Foundation
Behavioral Healthcare for Women Under Medicaid Managed Care
Sponsor: BCBS-M Foundation
Cost and Use of Health Services: A Longitudinal Study of Community-Based Alcoholics
Sponsor: National Institute on Alcohol Abuse and Alcoholism
Selected Publications
Grazier, K.L. (2008). Integrating Behavioral Health Care and Primary Care: Application of a Clinical and Economic Model in Culturally Diverse Communities International Journal of Public Administration, 31 (14), 1532-1547.
Edens, E.L., Glowinski, A.L. , Grazier ,K.L, Bucholz,K.K." (January, 2008). The 14-year course of alcoholism in a community sample: Do men and women differ? Drug and Alcohol Dependence, 1-2, 1-11.
Hirth, R. Grazier, K.L. Chernew, M., Okeke, E." (2008). Insurer Competitive Strategy and Enrollment in Newly Offered Preferred Provider Organizations (PPOs) Inquiry, 2007-2008 Winter 44(4), 400-11.
Zeber, J., Grazier, K.L., Valenstein, M, Lantz, P. (2007). The Effect of a Medication Copayment Increase in Veterans with Schizophrenia The American Journal of Managed Care, 13 (6) Part 2, 41-53.
Grazier, K.L., Klinkman M.S." (2006). The Economics of Integrated Depression Care Administration and Policy in Mental Health, 33(1), 16-20.
Zeber, J,E., L.A. Copeland, K.L. Grazier. (2006). Serious Mental Illness, Aging, and Utilization Patterns among Veterans(2006) Military Medicine 171(7):619-626
Grazier, K.L. (February 2005). Efficiency / Value-Based Measures for Services, Defined Populations, Acute Episodes and Chronic Conditions In Performance Measurement: Accelerating Improvement (222-249). The National Academies Press, Washington D.C..
Grazier, K.L., Mowbray C., Holter M. (Sept/Oct 2005). Rationing Psychosocial Treatments in the United States International Journal of Law and Psychiatry, 28(5), 545-560.
Thomas, W.T., Grazier K.L., Ward K. (2004). Economic Profiling of Primary Care Physicians: Consistency among Risk Adjusted Measures. Health Services Research, 39(4), 985-1004.
Grazier, K.L., Hegedus A.M., Carli T., Neal D., Reynolds K. (2003). Integration of Behavioral and Physical Health Care for a Medicaid Population Through a Public-Public Partnership Psychiatric Services, 54, 1508-1512.
Professional Affiliations
Academy for Health Services Research
American Public Health Association
Association of University Programs in Health Administration
American College of Healthcare Executives
Additional Information
Editor, Journal of Healthcare Management 2000-2009 Member, NIMH Services Review Committee 2007- NCQA Technical Advisory Board 2006- Chair, University Committee on Sustainable Health Benefits 2008-2009 Co-Chair MHealthy University Advisory Committee 2007- Member, Provost Faculty Budget Committee2007-
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