R. Tamara Konetzka

Research Summary
R. Tamara Konetzka, PhD, is a professor of Health Services Research in the Department of Public Health Sciences, with a secondary appointment in the Department of Medicine, Section of Geriatrics and Palliative Care. Professor Konetzka conducts research in health economics; aging, post-acute and long-term care; quality of care; and Medicare and Medicaid policy, focusing on the relationship between economic incentives and quality of care. Her research combines rigorous methodological training with extensive institutional knowledge of long-term care providers and policies acquired through previous experience in the industry. She has been the PI on 6 federally funded major research grants to study the financing and quality of long-term and post-acute care, several of them using mixed methods. Much of her research involves econometric analysis of large data sets including Medicare claims, Medicaid claims, nursing home MDS, and the Health and Retirement Study. Professor Konetzka currently serves on the editorial board of Health Services Research and is Editor in Chief of Medical Care Research and Review.
Keywords
Health Economics, Long-Term Care, Post-Acute Care, Medicaid, Medicare
Education
  • University of Pennsylvania and Philadelphia VA, Post-doctoral fellowship Health Economics 06/2004
  • University of North Carolina at Chapel Hill, PhD Health Policy and Administration (Health Economics) 08/2003
  • University of Pennsylvania, AM Economics 12/1992
Biosciences Graduate Program Association
Awards & Honors
  • 2012 - - Editorial Board Health Services Research
  • 2014 - - Invited member, Five-Star Quality Rating System Technical Expert Panel (TEP) Centers for Medicare and Medicaid Services
  • 2018 - - Editor in Chief Medical Care Research and Review
  • 2019 - - Standing Member NIH HSOD Study Section
  • 2020 - Invited Testimony on COVID-19 and Nursing Homes, US Senate Special Committee on Aging
Publications
  1. 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. View in: PubMed

  2. Gorges RJ, Konetzka RT. Staffing Levels and COVID-19 Cases and Outbreaks in U.S. Nursing Homes. J Am Geriatr Soc. 2020 Aug 08. View in: PubMed

  3. 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 Aug; 39(8):1297-1301. View in: PubMed

  4. Shashikumar SA, Huang K, Konetzka RT, Joynt Maddox KE. Claims-based Frailty Indices: A Systematic Review. Med Care. 2020 09; 58(9):815-825. View in: PubMed

  5. Konetzka RT. The Challenges of Improving Nursing Home Quality. JAMA Netw Open. 2020 Jan 03; 3(1):e1920231. View in: PubMed

  6. 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. View in: PubMed

  7. 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. View in: PubMed

  8. 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. View in: PubMed

  9. 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. View in: PubMed

  10. 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 May 28. View in: PubMed

  11. 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 Sep; 39(9):981-990. View in: PubMed

  12. 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. View in: PubMed

  13. 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. View in: PubMed

  14. 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. View in: PubMed

  15. 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. View in: PubMed

  16. 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. View in: PubMed

  17. 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. View in: PubMed

  18. 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. View in: PubMed

  19. Konetzka RT, Sharma H, Park J. Malpractice Environment vs Direct Litigation: What Drives Nursing Home Exit? Inquiry. 2018 Jan-Dec; 55:46958018787995. View in: PubMed

  20. 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. View in: PubMed

  21. Gonçalves J, Weaver F, Konetzka RT. Measuring State Medicaid Home Care Participation and Intensity Using Latent Variables. J Appl Gerontol. 2020 Jul; 39(7):731-744. View in: PubMed

  22. 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. View in: PubMed

  23. Werner RM, Konetzka RT. Trends in Post-Acute Care Use Among Medicare Beneficiaries: 2000 to 2015. JAMA. 2018 04 17; 319(15):1616-1617. View in: PubMed

  24. 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. View in: PubMed

  25. 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. View in: PubMed

  26. 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. View in: PubMed

  27. 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. View in: PubMed

  28. 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. View in: PubMed

  29. Konetzka RT, Werner RM. Relationships between Acute and Postacute Care Providers: Measurement and Estimation. Health Serv Res. 2017 10; 52(5):1621-1628. View in: PubMed

  30. 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. View in: PubMed

  31. 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. View in: PubMed

  32. Konetzka RT. Are Home- and Community-Based Services Cost-Effective? Med Care. 2016 Mar; 54(3):219-20. View in: PubMed

  33. 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. View in: PubMed

  34. 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. View in: PubMed

  35. 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. View in: PubMed

  36. Shah T, Churpek MM, Coca Perraillon M, Konetzka RT. Response. Chest. 2015 Oct; 148(4):e134-e135. View in: PubMed

  37. 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. View in: PubMed

  38. 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. View in: PubMed

  39. Van Houtven CH, Coe NB, Konetzka RT. Family structure and long-term care insurance purchase. Health Econ. 2015 Mar; 24 Suppl 1:58-73. View in: PubMed

  40. 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. View in: PubMed

  41. 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. View in: PubMed

  42. Guo J, Konetzka RT, Magett E, Dale W. Quantifying long-term care preferences. Med Decis Making. 2015 01; 35(1):106-13. View in: PubMed

  43. He D, Konetzka RT. Public Reporting and Demand Rationing: Evidence from the Nursing Home Industry. Health Econ. 2015 Nov; 24(11):1437-51. View in: PubMed

  44. 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. View in: PubMed

  45. Konetzka RT. The hidden costs of rebalancing long-term care. Health Serv Res. 2014 Jun; 49(3):771-7. View in: PubMed

  46. 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. View in: PubMed

  47. 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. View in: PubMed

  48. 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. View in: PubMed

  49. 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. View in: PubMed

  50. 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. View in: PubMed

  51. 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. View in: PubMed

  52. 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. View in: PubMed

  53. 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. View in: PubMed

  54. 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. View in: PubMed

  55. 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. View in: PubMed

  56. Hinami K, Whelan CT, Konetzka RT, Meltzer DO. Provider expectations and experiences of comanagement. J Hosp Med. 2011 Sep; 6(7):401-4. View in: PubMed

  57. Werner RM, Polsky D, Konetzka RT. The pay-off on nursing home report cards. LDI Issue Brief. 2011 Apr; 16(6):1-4. View in: PubMed

  58. 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. View in: PubMed

  59. 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. View in: PubMed

  60. Konetzka RT, Luo Y. Explaining lapse in long-term care insurance markets. Health Econ. 2011 Oct; 20(10):1169-83. View in: PubMed

  61. 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. View in: PubMed

  62. Werner RM, Konetzka RT. Advancing nursing home quality through quality improvement itself. Health Aff (Millwood). 2010 Jan-Feb; 29(1):81-6. View in: PubMed

  63. Konetzka RT, Werner RM. Applying market-based reforms to long-term care. Health Aff (Millwood). 2010 Jan-Feb; 29(1):74-80. View in: PubMed

  64. Konetzka RT. Do not-for-profit nursing homes provide better quality? BMJ. 2009 Aug 04; 339:b2683. View in: PubMed

  65. 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. View in: PubMed

  66. 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. View in: PubMed

  67. 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. View in: PubMed

  68. Konetzka RT, Zhu J, Sochalski J, Volpp KG. Managed care and hospital cost containment. Inquiry. 2008; 45(1):98-111. View in: PubMed

  69. 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. View in: PubMed

  70. Konetzka RT, Stearns SC, Park J. The staffing-outcomes relationship in nursing homes. Health Serv Res. 2008 Jun; 43(3):1025-42. View in: PubMed

  71. Konetzka RT, Spector W, Limcangco MR. Reducing hospitalizations from long-term care settings. Med Care Res Rev. 2008 Feb; 65(1):40-66. View in: PubMed

  72. 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. View in: PubMed

  73. 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. View in: PubMed

  74. 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. View in: PubMed

  75. Konetzka RT, Zhu J, Volpp KG. Did recent changes in Medicare reimbursement hit teaching hospitals harder? Acad Med. 2005 Nov; 80(11):1069-74. View in: PubMed

  76. 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. View in: PubMed

  77. 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. View in: PubMed

  78. 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. View in: PubMed