Bruce Kinosian, MD is an Associate Professor of Medicine at the Perelman School of Medicine. He is a general internist/geriatrician with involvement among a broad group of researchers. He has produced influential cost-effectiveness analyses of interventions for cardiovascular disease in work spanning a decade, developed sophisticated, pioneering models for Alzheimer’s Disease using Grade of Membership techniques, and has been involved in economic evaluations of a range of VA HSRD-funded clinical trials. He’s evaluated models of integrated, community-based long-term care locally and nationally. He has performed several effectiveness studies using VA data for home-based primary care, and has applied the HCC model, with VA-appropriate modifications, to evaluate demonstration programs in the VA, looking at both VA-specific costs and total federal spending (VA, Medicare, and Medicaid).
His current role as Associate Director of the Geriatrics and Extended Care Data and Analysis Center (GEC DAC) stemmed from earlier VA HSR&D research, which established rigorous methods to use VA and other data to meet VA operational needs. As part of the Geriatric and Extended Care Data Analysis Center, he has developed cost and utilization projection methods calibrated to frail elderly populations with superior levels of explanatory power for costs utilization, including use of Claims Based Frailty Indices. Along with collaborators in Canandaigua and Palo Alto, he has recently completed an HSR&D funded study replicating the CMS evaluation of IAH in the VA for the home-based primary care population, showing HBPC produces significant savings to VA, Medicare and Medicaid, while increasing home time for frail Veterans.