Burke Fellow 2017: Jose Figueroa

Jose F. Figueroa, MD, MPH

Jose Figueroa is an Instructor of Medicine at Harvard Medical School and an Associate Physician at Brigham & Women’s Hospital. He graduated from Harvard Medical School and the Harvard School of Public Health in 2011 and he completed his residency in Internal Medicine at the Brigham & Women’s Hospital, where he now serves as Faculty Director of the BWH Residency Management & Leadership Track. Jose previously worked at GAVI, the Vaccine Alliance. His main research interests include 1) identifying needs and successful models of care for high-need, high-cost populations, 2) improving health equity, and 3) evaluating the impact of pay-for-performance efforts globally on health care quality and costs. Most recently, Jose has been developing and evaluating the quality framework for a large-scale pay-for-performance intervention in rural China directed at county hospitals responsible for the care of over 63 million people.

Project Title: Impact of Financial Incentives to Promote Hospital Quality in Rural China

Burke Fellowship Research Abstract:
Recently, China completed the largest insurance enrollment in human history, with approximately 1.2 billion citizens enrolled. A major focus of this reform now is to ensure China achieves better health outcomes at an affordable price. As a result, China is currently investing on large-scale experiments with different payment models to promote quality. One promising model is a multi-year pay-for-performance project aimed at Chinese rural hospitals called project APPROACH, the Analysis of Provider Payment Reforms on Advancing China’s Health. This project utilizes a mixed payment model, combining a capitated global budget and pay-for-performance incentives, directed at Chinese rural county hospitals. As part of this project, Jose will be leading the effort to identify and validate the quality framework for this large-scale program targeting hospitals that care for a population of over 63 million people. In addition, he will evaluate the impact of this incentive program on the quality of care delivered by Chinese rural hospitals. Insights gained from this project will be valuable for other countries similarly interested in moving towards value-based health systems.