Kyle L. Grazier, DrPH
- Richard Carl Jelinek Professor of Health Services Management and Policy, Health Management and Policy, School of Public Health
- Professor, Department of Psychiatry, School of Medicine
- 1420 Washington Heights
- M3507 SPH II
- Ann Arbor, Michigan 48109-2029
Kyle L. Grazier is the Richard Carl Jelinek Professor of Health Systems Management and Policy in the School of Public Health and Professor of Psychiatry in the School of Medicine at the University of Michigan. In 2017-18, she is a Fulbright Scholar conducting research on behavioral health integration in Eastern Europe.
She is past chair of the department of Health Management and Policy in SPH. She served as director of evaluation for the Michigan clinical and translational research center (MICHR) and as a member of the initial leadership team for IHPI. Dr. Grazier chaired two University multidisciplinary committees on redesigning and sustaining health benefits. She is faculty and advisor to the University of Michigan Comprehensive Depression Center and served on its inaugural leadership board.
She serves on the Board of Trustees of the Health Research and Education Trust (HRET) and is a member of the NCQA Utilization Management Advisory Panel. As a Director of the Indiana University Health System (IUHealth), she chairs the patient safety and quality committees of the academic health center and the system. She was a member of the Leadership Advisory Board for Ascension Health, a former director and treasurer of AUPHA, and former director of the Commission on Accreditation for Healthcare Management Education (CAHME). She received the ACHE Distinguished Faculty award and was the editor of the ACHE Journal of Healthcare Management from 2000 to 2010.
She has been a standing and ad hoc member of review committees for the National Institute on Minority Health and Health Disparities, the NIMH, NIAAA, AHRQ, RWJF and the Nuffield Trust. Foundations and the NIH have supported her research on financing mental health, payment system models, and behavioral health integration with primary care and social services; physician profiling; and mental health parity. At Michigan, she teaches graduate courses on insurance, payment systems, and health services advances.
Prior to joining the University of Michigan, she was the J. Thomas Clark Professor of Entrepreneurship and the Director of the Sloan Graduate Program in Health Services Administration at Cornell University. She also held the King Sweesy and Robert Womack Chair in Medical Science and Public Health at the University of California at Berkeley, and was on the faculty at Yale University School of Medicine. She holds a master’s degree in Engineering from the University of Notre Dame, and a Master’s in Public Health and a doctorate in Administrative Sciences from the University of California at Berkeley. The Robert Wood Johnson Foundation named her one of five post-doctoral Finance Fellows at the Johns Hopkins University.
- HMP631: Risk and Insurance
- HMP641: Behavioral Health Services Research and Policy
- HMP609 Advanced Healthcare Financial Management
- Dr.P.H., University of California Berkeley,
- M.P.H., University of California Berkeley,
- M.S., Engineering, University of Notre Dame,
- B.S., Nursing and Biology, Valparaiso University,
- RWJF Post-Doctoral Fellowship- Healthcare Finance, Johns Hopkins University
Research Interests & Projects
One major area of Dr. Grazier's research is health care finance, with special emphasis on the effect of insurance, managed care, ACO, and primary care models on mental health and substance abuse services, costs, and quality of care.
Selected Sponsored Research:
State of Michigan Department of Community Health and Department of Financial and Insurance
Evaluation of the Effects of Health Michigan Plan (Medicaid Expansion) on Uncompensated Care and Health Insurance Premiums (Grazier- Principal Investigator)
National Institutes of Health, National Institute of Mental Health
Emergency Department Screening for Teens at Risk for Suicide (ED-STARS) (King, PI); Grazier, Co-Investigator
Health Resources and Services Administration
Health Workforce Research Center (HWRC) Program (Beck, PI); Grazier, Co-Investigator and Deputy Director.
Agency for Health Care Quality and Research
Impact of CMS Hospital-Acquired Conditions on Vulnerable Patients and Hospitals; (McMahon, PI); Grazier, Co- Investigator
National Center for Advancing Translational Sciences (NCATS) (formerly National Center
for Research Resources) (NIH)
Evaluation Key Function of the CTSA: Michigan Center for Clinical and Health Research; Evaluation (Pienta, Shanley, PI) Grazier- Director of Evaluation
Center for Healthcare Research and Transformation
System Changes, Outcomes, and Incentives Related to the Integration of Depression in Primary Care Settings: A Meta-Analysis and Site Evaluation; Grazier- Principal Investigator, 07/2010 – 05/2013
Center for Healthcare Research and Transformation
Impact of Expansion of Mental Health and Addiction Treatment Benefits on Quality, Patterns, and Costs of Care; Grazier- Principal Investigator
Society of Actuaries
Health Services Utilization under Conditions of Increasing Employee Cost Sharing and Behavioral Health Benefit Changes, Grazier- Principal Investigator
National Institute on Drug Abuse/ Substance Abuse and Mental Health Services Administration
Network for the Improvement of Addiction Treatment: Evaluation of the Accelerating Reform Initiative; Grazier- Co- Investigator
Robert Wood Johnson Foundation
Integrated Health, Human, Social and Financial Services for Vulnerable Families. Grazier- Principal Investigator
Agency for Healthcare Research and Quality
Health Plan and Tier Switching: A Natural Experiment. Grazier- Principal Investigator,
Blue Cross Blue Shield of Michigan Foundation
Retiree Health Benefits: The Role of Premiums and PPOs. Grazier- Principal Investigator
Blue Cross Blue Shield of Michigan. “Secondary Screening” for Comorbid Mental Health Problems in Depressed Primary Care Patients. Grazier-Co-investigator
Michigan Department of Community Health. Integrated Care for Medicaid Consumers with Behavioral Health Care Needs, Grazier-Co-investigator
Robert Wood Johnson Foundation. Integrated Depression Management in Primary Care, Grazier- Co-Principal Investigator
Robert Wood Johnson Foundation. Measurement of the Impact of a Benefit Change Authorizing Nonpsychiatric Physicians to Bill for Treatment of Psychiatric Disorders; Grazier- Co-Investigator
Society of Actuaries. Group Medical Insurance Claims Database Collection and Analysis, Grazier- Principal Investigator
National Institute on Alcohol Abuse and Alcoholism. Alcoholics’ Long Term Use of Health Services. (RO1 AA10333, PI: Bucholz) Grazier- Co- Principal Investigator
University of Michigan Provost Office and Michigan Department of Community Health. Addressing Managed Behavioral Healthcare Policy: Evaluation of the Washtenaw County Integrated Health Care Project: The Development of Indicators for Integrated Health Care. PI: Mowbry; Grazier- Co- Principal Investigator
National Institute of Mental Health. Managed Care: Impact of Mental Health “Carve-Outs." (RO1 MH54135) Principal Investigator
Grazier, K.L. The Economic Impact of Depression in the Workplace, in Mental Health in the Workplace-Strategies and Tools to Optimize Outcomes. Eds. Michelle B. Riba, Sagar V. Parikh, John F. Greden. Series Title: Integrating Psychiatry and Primary Care. Springer. In Press.
Grazier, K.L. Using Evidence in Decision-Making in Integrating Chronic Care Management, Eds. Kovner, A. and D’Aunno, T. Evidence-Based Management in Healthcare, Chicago: Health Administration Press, 2017
Grazier, K.L., Smiley, M.L., Bondalapati, K.S. Overcoming Barriers to Integrating Behavioral Health and Primary Care Services. J Prim Care Community Health. 2016 Oct;7(4):242-8.
Reiss-Brennan, B., Kimberly D. Brunisholz, K.D., Dredge, C., Briot, P., Grazier, K.L., Wilcox, A., Savitz, L., James, B. Impact of Continuous Long-term Integrated Team Based Care on Healthcare Quality, Utilization and Costs, Journal of the American Medical Association JAMA. 2016;316(8):826-834. doi:10.1001/jama.2016.11232.
Grazier, K.L. Eisenberg, D.E., Jedele, J., Smiley, M. Effects of Mental Health Parity on High Utilizers of Services: Pre-Post Evidence from a Large, Self-Insured Employer. Psychiatric Services: The Journal of the American Psychiatric Association. 2016 Apr 1;67(4):448-51.
Grazier, K.L. The Emergence of the Entrepreneurial Hospital, Journal of Innovation and Entrepreneurship in Health, 2015 April; 2015:2: 19-24.
Meddings, J., McMahon, L., Reichert, H., Rogers, M. Hofer, T., Grazier, K.L. Under Pressure: Financial Impact of the Hospital-Acquired Conditions Initiative: A Statewide Analysis of Pressure Ulcer Development and Payment, Journal of the American Geriatrics Society, 2015 July; 63 (7): 1407-1412.
Grazier, K.L., Quanbeck, A.R., Oruonga, J., Robinson, J., Ford III, J.H., McCarty, D. Pulvermacher, A. Johnson, R.A., Gustafson, D. H. What Influences Participation in Quality Improvement? A Randomized Trial of Addiction Treatment Organizations. Journal of Healthcare Quality. 2014, doi: 10.1111/jhq.12064.
Grazier, K.L., Smith, J.E., Song, J., Smiley, M. Integration of Depression and Primary Care: Barriers to Adoption. Journal of Primary Care & Community Health 2014 Jan 1; 5(1):67-73.
Grazier, K.L., Trochim, W.M., Dilts, D.M. Kirk, R. Estimating Return on Investment in Translational Research: Methods and Protocols, Evaluation & the Health Professions 2013, 36(4) 478-491.
Buchmueller, T.C., Grazier, K.L., Hirth, R A., Okeke, E.N. The Price Sensitivity of Medicare Beneficiaries: A Regression Discontinuity Approach. Health Economics, 22(1), January 2013, 35051.
Grazier, K.L. Risk-Adjusted Payment and Performance Assessment for Primary Care. Medical Care. August 2012. Vol 50(8) 640-642.
Capoccia, V.A., Grazier, K.L., Toal, C., Ford, II, J.H., Gustafson, D.H. Massachusetts’s Experience Suggests Coverage Alone Is Insufficient To Increase Addiction Disorders Treatment, Health Affairs. May 2012 vol. 31 no. 5 1000-1008.
Stensland, M., Watson, P.R., Grazier, K.L. An Examination of Costs, Charges, and Payments for Inpatient Psychiatric Treatment in Community Hospitals. Psychiatric Services, Journal of the American Psychiatric Association, 2012 Jul; 63(7):666-71.
Okeke, E.N. Hirth, R.A., Grazier, K.L.Workers On The Margin: Who Drops Health Coverage When Prices Rise? Inquiry. Volume 47(1):33-37, Spring 2010
Grazier, K.L. Integrating Behavioral Health Care and Primary Care: Application of a Clinical and Economic Model in Culturally Diverse Communities, International Journal of Public Administration, December 2008, Volume 31 Issue 14, 1532-1547.
Edens, E.L., Glowinski, A.L., Grazier, K.L., Bucholz, K.K. The 14-Year Course of Alcoholism in a Community Sample: Do Men and Women Differ? Drug and Alcohol Dependence January 2008, Volume 93, Issues 1-2, 1-11.
- Academy for Health Services Research
- American Public Health Association
- Association of University Programs in Health Administration
- American College of Healthcare Executives