MARGUERITE E. BURNS Department of Population Health Sciences Room 501 WARF Building Madison, WI 53726 Ph. 608-265-5282 Email: meburns@wisc.edu EDUCATION 1989 B.A. Political Science and French, 1992 M.A. Political Science, 2008 Ph.D. Population Health, ACADEMIC POSITIONS 2008-2009 AHRQ Postdoctoral Trainee, Department of Population Health Sciences 2009-2012 Instructor, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute 2012 - Assistant Professor, Department of Population Health Sciences 2012- Affiliate, Institute for Research on Poverty HONORS AND AWARDS 2006 2007 Vilas Travel Fellowship 2007 Institute for Research on Poverty Graduate Fellow, UW- Madison 2007 AcademyHealth Best Student Poster Award PREVIOUS PROFESSIONAL POSITIONS 1993-1995 Associate Administrator, Division of Health Services, Brazos Valley Community Action Agency, Inc., Bryan, TX 1996-1997 Planning & Development Administrator, Division of Health Services, Brazos Valley Community Action Agency, Inc., Bryan, TX 1997-2001 Deputy Director, Robert Wood Johnson Foundation National Program Office on Addressing Tobacco in Managed Care, 2001-2002 Associate Researcher, Center for Tobacco Research and Intervention, 2002-2005 Graduate Research Assistant, Center for Tobacco Research and Intervention, Burns 1/7
GRANTS AND CONTRACTS AWARDED Current K01 (Burns, Marguerite) 6/21/11 4/30/16 National Institute of Mental Health Role: PI (75% FTE) K01 MH092338-01A1 Converting Public Health Insurance into Guideline Concordant Mental Health Care. The proposed Career Development Award will allow Dr. Burns to supplement her expertise in health policy and economics with the clinical, methodological, and additional economic training necessary to lead clinically and policy-relevant research on the economics of public health insurance design for adults with serious mental illness (SMI). The proposed studies will examine how Medicaid policy changes that foreshadow potential state responses to the new ACA and MHPAEA federal regulations affect mental health care access, concordance with treatment guidelines, and cost for adults with SMI. State of Wisconsin Department of Health Services (PI: Friedsam, Donna) 8/1/2013 8/30/2014 Badger Care and Badger Care for Childless Adults Evaluations Role: Co-I (10% FTE) This evaluation assesses the effects of new cost-sharing and anti-crowd out provisions that the Wisconsin Badger Care program implemented in July 2012 on beneficiaries enrollment, health care use and expenditures. Specifically, this project evaluates the effects on these outcomes of the: 1) 12-month restrictive re-enrollment period; 2) change in premium structure; and 3) new affordability test for access to other insurance Wisconsin Partnership Program (PI: Pandhi, Nancy) 1/1/2014 12/31/2015 University of Wisconsin Role: Co-I (5% FTE In Kind) The Effectiveness of an integrated mental health and primary care model for Wisconsin patients with severe mental illness. In this study, we will compare the effectiveness of an integrated model of care relative to usual care on the volume of health care use and on the receipt of recommended cancer screening and secondary diabetes preventive care for adults with bipolar disorder or schizophrenia. Under Review State Health Access Reform Evaluation (SHARE) (PI: Burns, Marguerite) 10/1/2014 3/1/2016 Robert Wood Johnson Foundation Role: PI Effects of extending parity for behavioral health care to adult Medicaid beneficiaries. In the proposed study, we will exploit a natural experiment to evaluate parity s effects for childless adult Medicaid beneficiaries on: 1) the use and costs of MHSUD and medical care; and 2) the type of provider from whom beneficiaries obtain outpatient MHSUD care. Past Funded Projects and Activities ICTR-CAP Type 2 Translational Research Award (DeLeire, Thomas) 7/1/2012 6/30/2013 Role: Co-PI How insurance coverage of low-income childless adults affect their health care utilization: Learning from the Marshfield Clinic. This study evaluates the change in service utilization of low-income childless adults as the move from being uninsured patients to publicly insured. Additionally, the project assesses whether the newly insured who had previously received services from a safety net program demonstrate lower pent-up demand and acute care utilization relative to other newly insured. Burns 2/7
Faculty Grant (Burns, Marguerite) 2/1/11 6/30/12 Harvard Medical School Department of Population Medicine Role: PI (10%FTE) The impact of co-morbid mental illness on hospital readmission risk, cost, and responsiveness to intervention. This study examines the extent to which co-morbid mental illness increases the frequency and cost of readmission, and modifies the effectiveness of a post-discharge care transition intervention to reduce the probability and cost of readmission within a safety net health care system. U58 1U58DP002719N (Ross-Degnan, Dennis) 2010-2011 Centers for Disease Control and Prevention Role: Co-I The Impact of Emerging Health Insurance Designs on Diabetes Outcomes and Disparities Using a national database of 1.9 million insurance system members, this project aims to determine the impact of high deductible health plans on disease monitoring and clinical outcomes among diabetes patients overall and among black, Hispanic, low SES, and high morbidity diabetic populations. [Receipt of the NIMH K01 award necessitated my withdrawl from a funded position on this grant.] (Burns, Marguerite) 7/12/10-7/15/10 National Poverty Center Role: PI Analyzing Poverty and Socioeconomic Trends Using the American Community Survey This grant supported participation in a summer workshop to obtain training in the use of the American Community Survey. 42804 (Fiore, Michael) 4/1/01-2/28/06 The Robert Wood Johnson Foundation Role: Co-I, Project Director Examining the decision to purchase health insurance coverage for tobacco dependence treatment This project examined the adoption, use and cost of insurance coverage for smoking cessation treatment in the public employee sector. Pre-doctoral Fellowship in Health Economics (Mullahy, John) 2005-2006; 2007-2008 Merck Role: Pre-doctoral Fellow Dissertation Research Grant (Burns, Marguerite) 2007 UW-Madison Institute for Research on Poverty Grant Role: PI Pre-Doctoral Traineeship in Health Economics (Wolfe, Bobbi) 2006-2007 National Institute of Mental Health Economics Role: Trainee BIBLIOGRAPHY Peer-Reviewed Original Articles (Published or Accepted for Publication) Burns ME, Galbraith AA, Ross-Degnan D, Balaban RB. Feasibility and evaluation of a pilot community health worker intervention to reduce hospital readmissions. International Journal of Health Care Quality. Forthcoming. Burns ME, Busch AB, Madden J, Le Cates R, Zhang F, Adams A, Ross-Degnan D, Soumerai SB, Huskamp HA. The effect of Medicare Part D on the quality of pharmacotherapy for bipolar 1 disorder among dually enrolled beneficiaries. Psychiatric Services. 2014;(3):323-329. PMID 2433744 Burns ME, Leininger LJ. Understanding the Gap in Primary Care Access and Use between Teens and Younger Burns 3/7
Children. Medical Care Research and Review. 2012;69(5):581-601. Burns ME, O Hara BJ, Huskamp HA, Soumerai SB. Uninsurance and its correlates among poor adults with disabilities. Journal of Health Care for the Poor and Underserved.2012;23:630-1646. PMCID #3671490 Leininger LJ, Burns ME. Why are low-income teens more likely to lack health insurance than their younger peers? Inquiry.2011;48(Summer):123-137. Borah BJ, Burns ME, Shah ND. Assessing the impact of high deductible health plans on healthcare utilization and cost: A changes-in-changes approach. Health Economics. 2011;20(9):1025-1042. Burns ME, Shah ND, Smith MA. Why some disabled adults in Medicaid face large out-of-pocket expenses. Health Affairs. 2010;29(8):1517-1522. Burns ME. Medicaid managed care and cost containment for adult beneficiaries with disabilities. Medical Care. 2009;47(1):1069-1076. Burns ME. Medicaid managed care and health care access for adult beneficiaries with disabilities. Health Services Research. 2009;45(5):1521-1541. Burns ME, Rosenberg MA, Fiore MC. Use and employer costs of a pharmacotherapy smoking cessation treatment benefit. American Journal of Preventive Medicine. 2007;32(2):139-142. Woolf NH, Burns ME, Bosworth TW, Fiore MC. Purchasing health insurance coverage for smoking cessation treatment: Employers describe the most influential information in this decision. Nicotine & Tobacco Research. 2006;8(6):717-725. Burns ME, Rosenberg MA, Fiore MC. Use of a new comprehensive insurance benefit for smoking-cessation treatment. Prev Chronic Dis. 2005;2(4):A15. Burns ME, Bosworth TW, Fiore MC. Insurance coverage for smoking cessation treatment for state employees. Am J Public Health. 2004;94(8):1338-1340. Burns ME, Fiore MC. Under-use of tobacco dependence treatment among Wisconsin's fee-for-service Medicaid recipients. Wisconsin Medical Journal. 2001;100(3). Curry SJ, Fiore MC, Burns ME. Community-level tobacco interventions: Perspective of managed care. American Journal of Preventive Medicine, 20:2 (Supplement 1)(February 2001): 6-7 Fiore MC, Fleming MF, Burns ME. Tobacco and alcohol abuse: clinical opportunities for effective intervention. Proceedings of the Association of American Physicians. 111(2):131-40, 1999 Mar-Apr. Letters and Commentaries Burns M, Long S. Medicaid managed care for elderly, disabled populations. Health Affairs. 2011;30(11):2217. Manuscripts Under Review Burns ME, Dague L, DeLeire T, Dorsch M, Friedsam D, Leininger LJ, Palmucci G, Schmelzer J, Voskuil K. Expanding public insurance to rural Wisconsin low-income childless adults increases medical care use (Revision under review) Wherry L, Burns ME, Leininger LJ. Using self-reported health measures to predict high-need cases among Medicaid-eligible adults. (Revision under review) Adams AS, Soumerai SB, Zang F, Gilden D, Burns ME, Huskamp HA, Trinacty C, Alegria M, LeCates R, Griggs J, Ross-Degnan D, Madden JM. The effect of removing drug coverage caps on racial differences in antidepressant use among dual enrollees with diabetes and depression. (Under Review) Fondow M, Pandhi N, Ricco J, Schreiter E, Fahey L, Serrano N, Burns M, Jacobs EA. Visit patterns for patients with severe mental illness within a primary care setting before and after integration of a behavioral health model. (Under Review) Balaban RB, Galbraith AA, Burns ME, Vialle-Valentin CE, Larochelle MR, Ross-Degnan D. Randomized Burns 4/7
controlled trial to test a patient navigator intervention to improve post-discharge care transitions in a high risk safety net population. (Under Review) Working Papers Burns ME, Gollu G, Wolfe, BL. The effects of the ACA young adult dependent coverage expansion on health care use and health. Invited Presentations Burns ME. The ACA young adult dependent coverage expansion and the demand for mental health care.. Access, Quality and Outcomes Research Network. May 31, 2013. Burns, ME Effect of Medicare Part D on quality of care: Dual enrollees with Bipolar 1 Disorder. UW Institute for Research on Poverty, Madison, WI. May 2, 2013 Burns, ME. Effect of Medicare Part D on quality of care: Dual enrollees with Bipolar 1 Disorder. Demography Workshop, Population Research Center, University of Chicago. April 17, 2012. Burns ME. Medicaid managed care: Health care access and expenditures for adults with disabilities. Merck Quantitative Sciences Fellowship Symposium, Blue Bell, PA. June 30, 2011. Burns ME. Evaluating sequential strategies to reduce readmissions in a diverse population. University of Wisconsin- Madison, Access, Quality and Outcomes Research Network. May 24, 2010. Burns ME. Smith MA. Linking employee health risks to health insurance premiums: Does it reduce employer medical costs?, Access, Quality and Outcomes Research Network. July 18, 2008 Burns ME. Cost-effective health care for adults with disabilities over the life cycle. University of Wisconsin- Madison, Access, Quality and Outcomes Research Network. November 21, 2008 Selected peer-reviewed presentations Burns, ME. Effect of Medicare Part D on quality of care: Dual enrollees with Bipolar 1 Disorder. AcademyHealth Annual Research Meeting. Baltimore, MD. June 23-25, 2013. Oral Presentation Burns, ME. Effect of Medicare Part D on quality of care: Dual enrollees with Bipolar 1 Disorder. Association for Public Policy Analysis and Management Fall Research Conference. Baltimore, MD. November 8-10, 2012. Oral Presentation. Burns ME, Leininger LJ. The Promise of U.S. Health Care Reform for Low-Income Adolescents. International Health Economic Association 8 th World Congress. Toronto, Ontario. July 10-13, 2011. Oral Presentation Burns ME, Huskamp HA, Soumerai SB. Medicaid eligible but not enrolled: Lack of health insurance among adults with severe mental and physical disabilities. 15 th National Institute of Mental Health Biennial Research Conference on the Economics of Mental Health. Washington, D.C. September 27-28, 2010. Oral Presentation Burns ME, Shah ND. Designing value-based incentives for worksite health promotion programs. American Society of Health Economists Biennial Conference. Ithaca, NY, June 23, 2010. Oral presentation Burns ME, Shah ND, Smith MA. Spending at the thin margin of health: Out-of-pocket expenditures and Medicaid beneficiaries with disabilities. Academy Health Annual Research Meeting. Chicago, IL., June 29, 2009. Poster Presentation Burns ME. Medicaid Managed Care and Cost Containment in the Adult Disabled Population. National Institute of Mental Health Biennial Conference on Health Economics. Bethesda, MD, September 25, 2008. Poster Presentation Burns 5/7
Burns ME. Medicaid Managed Care and Cost Containment in the Adult Disabled Population. American Society of Health Economists Biennial Conference. Durham, NC, June 23, 2008. Oral presentation Burns ME. Health Care Access for Adult Medicaid Beneficiaries with Disabilities. AcademyHealth Annual Research Meeting. Washington, D.C., June 10, 2008. Oral presentation Burns ME, Mullahy J. MCO Enrollment and the Health Care Expenditures of Adult Medicaid Beneficaries with disabilities. AcademyHealth Annual Research Meeting. Orlando, FL., June 4, 2007. Oral and poster presentations TEACHING Department of Population Medicine, Harvard Medical School 2010-2012 Director of Strategies Seminar Series 2010-2011 Preceptor for MPH student internship, Beth O Donnell, Dartmouth College University of Wisconsin Madison Courses Taught: Introduction to Health Services Research, PHS 796 (Spring 2013, 2014) Independent Study, PHS 990: Ifna Ejebe (Fall 2013); Jessica Cathey Smith (Fall 2013); Hollis Moore (Fall 2013) Guest Lectures October 2013 November 2012 March 2009 PHS 795. Medical Care as a Determinant of Health (1.5 hour seminar) Preparing a successful NIH career development award (1.5 hour seminar) RWJF Health & Society Scholars program Defining mental health (1.5 hour seminar) RWJF Health & Society Scholars program Access to Health Care Lecture (2 hour lecture) PA 519 Issues in Professional Physician Assistant Practice Graduate course in Physician Assistant Program 1991-1992 Teaching Assistant (20 hours/week, 2 semesters) History of Western Political, Social, and Economic Thought STUDENTS Population Health Committee Member Chair Co-Chair Masters Margaret Wallace (2013- ) PhD Jason Palzer (2012 - ); Kim Johnson (2013 - ); Sophia Johnson (2012- ); Kohei Enami (2013 - ); Ifna Ejebe (2013 - ) Jessica Smith (2014 - ) Hollis Moore (2013 - ) SERVICE University of Wisconsin - Madison 2012- Graduate admissions committee member, Population Health Sciences 2012- Grader, PhD Qualifier Exam, Population Health Sciences 2013- Qualifier exam committee member, Population Health Sciences PROFESSIONAL ACTIVITIES Burns 6/7
Journal Reviewer (year of first review) Annals of Internal Medicine (2010); Health Economics (2008); Health Services Research (2007); Journal of Human Resources (2013); Psychiatric Services (2009); Health Affairs (2014) Membership in Professional Societies AcademyHealth, American Society of Health Economists, International Health Economics Association Planning Committee Member AcademyHealth Annual Research Conference (2008); AcademyHealth Annual Research Conference, Behavioral Health Committee (2011); AcademyHealth Annual Research Conference, Student Poster Award Committee (2012); Midwest Health Economic Conference (2013) Scientific Advisory Board UCLA-L.A. Care Seniors and Persons with Disabilities Transition Evaluation Project. (2014- ) Burns 7/7