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Kyle Grazier

Kyle L. Grazier,

Chair, Health Management and Policy, School of Public Health

Richard Carl Jelinek Professor of Health Services Management and Policy, Health Management and Policy, School of Public Health

Professor, Department of Psychiatry, School of Medicine

1420 Washington Heights      Vcard icon
M3507 SPH II
Ann Arbor, Michigan 48109-2029

Office: (734) 936-1222; Fax: (734) 764-4338

E-mail: kgrazier@umich.edu

Curriculum Vitae (PDF)

Professional Summary

Dr. Grazier is Chair of the Department of Health Management and Policy. She holds a master's degree in engineering from the University of Notre Dame, and a master's in public health and a doctorate in administrative sciences from the University of California at Berkeley. She was a RWJF Post-doctoral Finance Fellow at the Johns Hopkins University. She teaches graduate courses in corporate finance, insurance and payment systems, and case studies in healthcare management (Capstone Course).

Professor Grazier is also Professor, Department of Psychiatry at the Medical School, and serves on the Steering Committee of the UM Comprehensive Depression Center, and the leadership group of the Institute of Health Policy and Innovation (IHPI). 

She has served on the Specialty Services Research Review Committee for the National Institute of Mental Health, and has been a member of grants review committees for AHRQ, NIMH, NIAAA, CMS, RWJF and other foundations. Dr. Grazier is a member of the Technical Advisory Committee for the NCQA, and a member of the Leadership Advisory Board for Ascension Health. She is a former director and treasurer of AUPHA, and currently serves as chair of the Graham Health Services Prize committee, and as a member of the John Thompson Young Investigator Award Committee. Dr. Grazier also serves on the Board of Directors of the Commission on Accreditation for Healthcare Management Education (CAHME). She chaired the University's Committee on Health Benefits Redesign, chaired the University's Committee on Sustainable Health Benefits, Co-chaired the University's MHealthy Advisory Board, served as a member of the Provost's Faculty Budget Committee. She currently serves on the University's Long Term Disability Plan Review Committee, the University's committee on Retiree Health Benefits, and the University's MHealthy Committee on Keeping the Well and At-Risk Healthy.

Prior to joining the faculty of the University of 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 Associate Professor at Yale University School of Medicine.

Courses Taught

HMP601: Healthcare Quality, Performance Measurement and Improvement
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,
M.P.H., University of California Berkeley,
M.S., Engineering, University of Notre Dame,
B.S., Nursing and Biology, Valparaiso University,
RWJF Post-Doctoral Fellowship- Healthcare Finance, Johns Hopkins University, ____

Research Interests & Projects

One major area of Dr. Grazier's research is in health care finance, with special emphasis on the effect of managed care, ACO, and other alternative arrangements and risk adjustment methods on mental health and substance abuse services, costs, and quality of care. Under sponsorship from the Center for Healthcare Research and Transformation, she is studying the impact of changes in the federal behavioral health parity law, and conducting a meta-analysis of depression and primary care. Supported by the Robert Wood Johnson Foundation, she identified models of integrated services for vulnerable populations.  She 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.

Sponsored research projects:

Consequences of Expansion of Mental Health and Addiction Treatment Benefits at a Large Employer
Principal Investigator: Kyle L. Grazier
Sponsor: Center for Healthcare Research and Transformation

Determine the impact among a large employer’s employees and their dependents of changes in behavioral health (mental health and substance abuse/addiction) plan benefits due to Federal parity legislation and regulations.

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.

System Changes, Outcomes, and Incentives Related to the Integration of Depression in Primary Care Settings: A Meta-Analysis and Site Evaluation
Principal Investigator: Kyle L. Grazier
Sponsor: Center for Healthcare Research and Transformation

The overall goal is to improve the recognition, treatment, and/or referral of persons with depression who present in primary care practices, including FQHCs.

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

Search PubMed for publications by Kyle Grazier >>

Capoccia, Victor; Grazier, Kyle; Toal, Christopher; Ford II, James; Gustafson, David H. (May, 2012). Massachusetts's Experience Suggests Coverage Alone Is Insufficient To Increase Addiction Disorders Treatment Health Affairs, 31(5), 1000-8.

Grazier, K.L. (2012). Grazier, K.L. Risk-adjusted Payment and Performance Assessment for Primary Care,  In Press. Medical Care

Stensland, M., Watson, P., Grazier, K.L. (May, 2012). An Examination of Costs, Charges, and Payments for Inpatient Psychiatric Treatment in Community Hospitals Psychiatric Services

Buchmueller, T. C., Grazier, K.L., Hirth, R.H., Okeke, E. (2012). The Price Sensitivity of Medicare Beneficiaries: a Regression Discontinuity Approach. Health Economics, [Epub ahead of print]

Okeke ,E.N.,Hirth, R.A.,Grazier,K.L. (2010). Workers On The Margin: Who Drops Health Coverage when Prices Rise? Inquiry, 1, 33-47.

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.

Grazier, K.L., Klinkman M.S." (2006). The Economics of Integrated Depression Care Administration and Policy in Mental Health, 33(1), 16-20.

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.

Grazier, K.L., Mowbray C., Holter M. (2005). Rationing Psychosocial Treatments in the United States International Journal of Law and Psychiatry, 28(5), 545-560.

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 2000-2010

Leadership Advisory Board, Ascension Health 2012-

Member, NIMH Services Review Committee  2007-2011

NCQA Technical Advisory Board 2006-present

Chair, University Committee on Health Benefit Redesign

Chair, University Committee on Sustainable Health Benefits 

Co-Chair MHealthy University Advisory Committee 

Member, Provost Faculty Budget Committee 

Member, Long-term Disability Plan Review Committe

Member, MHealthy Committee on Keeping the At-Risk and Well Healthy