We help design high-value, safe & efficient health care.

Top-down & bottom-up approach to health reform

Evidence-based Health Policy


We perform systematic reviews on health policy topics of national importance and publish our findings in high-impact peer-reviewed journals. Our research is driven by an organized effort around an independent research agenda. 

Process Improvement & Patient Safety


We partner with healthcare organizations to eliminate waste and medical errors through physician-led and evidence-based process improvement. Our physician leaders are experts in Lean Six Sigma, evidence-based medicine and patient safety principles. 

Our Publications

Agarwal R, Mazurenko O, Menachemi N: High Deductible Health Plans Reduce Health Care Cost And Utilization, Including Use of Needed Preventive Services. Health Affairs (Millwood). 2017; 36(10): 1762-1768 (PubMed)

Mazurenko O, Balio CP, Agarwal R, Carroll AE, Menachemi N: The effect of Medicaid expansion under the ACA: a systematic review. Health Affairs (Millwood). 2018; 37(6): 944-950 (PubMed)

Agarwal R, Gupta A, Fendrick AM: Value-based insurance design improves medication adherence without an increase in total health care spending. Health Affairs (Millwood). 2018; 37(7): 1057-1064  (PubMed)

Agarwal R, Gupta A, Gupta S: The impact of tort reform on defensive medicine, quality of care, and physician supply: a systematic review. Health Services Research. 2019; 54(4): 851-859 (PubMed)

Agarwal R, Liao JM, Gupta A, Navathe AS: The impact of bundled payment on health care spending, utilization, and quality: a systematic review. Health Affairs (Millwood). 2020; 39(1): 50-57 (PubMed)