ICCONIC PROJECT

International Collaborative on Costs, Outcomes and Needs in Care

Founded in 2018, the International Collaborative on Costs, Outcomes and Needs in Care (ICCONIC) consists of 11 partners from North America, Europe and the Pacific who are committed to answering critical questions about this understudied patient population. Drawing on regional and national data, the Collaborative is creating foundational research that will provide key policy insights on how to address rising costs while simultaneously improving HNHC patient outcomes.

Across health systems, high-need, high-cost (HNHC) patients tend to constitute a relatively small segment of the population while accounting for a disproportionately large share of healthcare expenditures. Little is known, however, about how patterns of healthcare utilization, spending, and outcomes for HNHC patients vary across health systems.

ICCONIC hopes to develop a innovative methodology to compare the cost, utilisation and outcomes of high-need, high-cost populations in different health systems.

Project Coordinator

Led by the Harvard T.H. Chan School of Public Health and the London School of Economics

Participation in ICCONIC

IACS participate in ICCONIC. Consists of a diverse set of 12 institutions, including think-tanks, international organizations and research centers.

Funding

This project is partially funded by the Commonwealth Fund and the Health Foundation

More information page



ICCONIC PUBLICATIONS

International comparison of spending and utilization at the end of life for hip fracture patientsHealth Serv Res. 2021 Sept

Carl Rudolf Blankart PhD, Kees van Gool PhD, MEc, Irene Papanicolas PhD, Enrique Bernal-Delgado MD, PhD, Nicholas Bowden MCom, Francisco Estupiñán-Romero MD, MPH, Robin Gauld PhD, Hannah Knight PhD, Olukorede Abiona PhD, Kristen Riley BA, Andrew J. Schoenfeld MD, MSc, Kosta Shatrov MSc, Walter P. Wodchis PhD, Jose F. Figueroa MD, MPH, on behalf of the ICCONIC.

10.1111/1475-6773.13734

Within and across country variations in treatment of patients with heart failure and diabetesHealth Serv Res. 2021 Aug

Or Z, Shatrov K, Penneau A, Wodchis W, Abiona O, Blankart CR, Bowden N, Bernal-Delgado E, Knight H, Lorenzoni L, Marino A, Papanicolas I, Riley K, Pellet L, Estupiñán-Romero F, van Gool K, Figueroa JF.

10.1111/1475-6773.13854

Differences in health care spending and utilization among older frail adults in high-income countries: ICCONIC hip fractureHealth Serv Res. 2021 Aug

Papanicolas I, Figueroa JF, Schoenfeld AJ, Riley K, Abiona O, Arvin M, Atsma F, Bernal-Delgado E, Bowden N, Blankart CR, Deeny S, Estupiñán-Romero F, Gauld R, Haywood P, Janlov N, Knight H, Lorenzoni L, Marino A, Or Z, Penneau A, Shatrov K, Stafford M, van de Galien O, van Gool K, Wodchis W, Jha AK.

10.1111/1475-6773.13739

Differences in health outcomes for high-need high-cost patients across high-income countriesHealth Serv Res. 2021 Aug

Papanicolas I, Riley K, Abiona O, Arvin M, Atsma F, Bernal-Delgado E, Bowden N, Blankart CR, Deeny S, Estupiñán-Romero F, Gauld R, Haywood P, Janlov N, Knight H, Lorenzoni L, Marino A, Or Z, Penneau A, Schoenfeld AJ, Shatrov K, Stafford M, van de Galien O, van Gool K, Wodchis W, Jha AK, Figueroa JF.

10.1111/1475-6773.13735

International comparison of health spending and utilization among people with complex multimorbidityHealth Serv Res. 2021 Aug

Figueroa JF, Papanicolas I, Riley K, Abiona O, Arvin M, Atsma F, Bernal-Delgado E, Bowden N, Blankart CR, Deeny S, Estupiñán-Romero F, Gauld R, Haywood P, Janlov N, Knight H, Lorenzoni L, Marino A, Or Z, Penneau A, Shatrov K, van de Galien O, van Gool K, Wodchis W, Jha AK.

10.1111/1475-6773.13708



PARTNERS

Project Team Lead

United States/Project Team Lead

Jose F. Figueroa, MD, MPH, Assistant Professor of Medicine, Harvard Medical School

Irene Papanicolas, PhD, Associate Professor of Health Economics, London School of Economics

Ashish K. Jha, MD, MPH, Dean of the School of Public Health, Brown University School of Public Health

Kristen Riley, BA, Project Coordinator, Harvard T.H. Chan School of Public Health

Aaron Hedquist, MSc, Project Manager, Harvard T.H. Chan School of Public Health

Ciara Duggan, BA, Research Assistant, Harvard T.H. Chan School of Public Health

The ICCONIC Team

Australia

Kees Van Gool, PhD, MEc, Associate Professor, Centre for Health Economics Research and Evaluation, University of Technology, Sydney Australia

Olukorede Abiona, PhD, Research Fellow, Centre for Health Economics Research and Evaluation

Philip Haywood, PhD, Senior Research Fellow, Centre for Health Economics Research and Evaluation

Canada

Walter Wodchis, PhD, Professor, Institute of Health Policy Management & Evaluation, University of Toronto, Toronto CA

England

Hannah Knight, PhD, Principal Data Analyst, The Health Foundation

France

Zeynep Or, PhD, Research Director, Institute for Research and Documentation in Health Economics (IRDES)

Anne Penneau, PhD Candidate, Research Fellow, Institute for Research and Documentation in Health Economics (IRDES)

Germany

Rudolf Blankart, PhD, Professor of Regulatory Affairs, Center of Competence for Public Management, University of Bern, Switzerland

Netherlands

Femke Atsma, PhD, Radboud University Medical Center Nijmegen, The Netherlands

Yvonne de Man, MsC, Radboud University Medical Center Nijmegen, The Netherlands

Onno de Galien, Zilveren Kruis, Leusden, The Netherlands

OECD

Luca Lorenzoni, MSc, Health Economist, OECD

New Zealand

Robin Gauld, PhD, Dean & Pro-Vice-Chancellor, Otago Business School, University of Otago

Nick Bowden, MCom, Research Fellow, Dunedin School of Medicine, University of Otago

Spain

Enrique Bernal-Delgado, MD, PhD, Senior Health Services Researcher, Institute for Health Sciences in Aragon, IACS

Francisco Estupiñán-Romero, MD, MPH, Health Services Researcher, Institute for Health Sciences in Aragon, IACS

Carlos Tellería-Orriols, BSc, Data Scientist, Institute for Health Sciences in Aragon, IACS

Juan González-García, PhD, Computing Scientist, Institute for Health Sciences in Aragon, IACS

Sweden

Nils Janlöv, PhD, Project Director, The Swedish Agency for Health and Care Services Analysis

Switzerland

Rudolf Blankart, PhD, Professor of Regulatory Affairs, Center of Competence for Public Management, University of Bern

Kosta Shatrov, PhD Candidate, University of Bern