Patient-Centered Economic Impacts Project

Uncovering the True Cost of Healthcare

According to the Kaiser Family Foundation, 45% of U.S. adults are worried about their ability to pay medical bills. More than 25% delayed or skipped care due to cost AND people in the U.S. collectively owe at least $220 billion in medical debt. (KFF-Peterson Health System Tracker)

Patients and their families often face significant financial burdens beyond direct healthcare costs, including medical debt, costs and time needed to travel to and from medical appointments, lost wages due to unpaid sick time, and forced retirement. Despite their importance, these costs, referred to as patient-centered economic impacts (PCEI), are often missed in research and decision-making processes. Understanding these impacts is essential to making healthcare more affordable and equitable.

The Center for Innovation & Value Research’s Patient-Centered Economics Impact project aims to partner with patients and caregivers in identifying economic impacts beyond direct medical costs and empower researchers, value assessors, and decision-makers to comprehensively address a broader range of economic challenges patients experience. A diverse multi-stakeholder Steering Committee and a Community Advisory Board comprised of patients, patient advocates, and caregivers, will provide insights, guidance, and co-leadership throughout the project.

This project was partially funded through two Patient-Centered Outcomes Research Institute (PCORI) Eugene Washington PCORI Engagement Awards (#EASCS-24272 and #EACB-32695).

Learn More

For more information about this program, please contact the Center’s Director of Patient Engagement, Ushma Patel, at ushma.patel@thevalueinitiative.org.

Phase 1

In the first phase of the work, “A Research Framework to Understand the Full Range of Economic Impacts on Patients and Caregivers,” the Center for Innovation & Value Research and AcademyHealth partnered with stakeholders to create a framework for patient-centered economic impacts in research.

Phase 2

The second and current phase of work aims to explore practical approaches for implementing the framework by engaging patients, caregivers, researchers, and other stakeholders in a series of interactive workshops. These workshops will focus on various topics, such as mapping the patient journey, caregiver burden, and accounting for lost time and potential earnings.

Workshop Goals

  • Foster authentic connections among researchers, patients, caregivers, and funders.
  • Explore opportunities to measure patient-centered economic impacts.
  • Identify priorities to design research that is responsive to patient and caregiver experiences.
 
Workshops are open to patients, caregivers, researchers, and research sponsors interested in patient-centered healthcare.

UPCOMING WEBINAR

Applying Lessons from the Economic Impacts Workshop Series

Join us on January 14, 2026, 12:00 PM – 1:00 PM EST,  for the culminating event of the Patient-Centered Economic Impacts project. This final webinar synthesizes the most important insights from our six-part workshop series. It highlights how patients, researchers, and policymakers are applying these lessons to improve research design, reduce hidden burdens, and elevate lived experience in economic impact studies. The session will also preview the Center’s next phase of work on time impacts.

Faculty:

  • Casey Quinn, PhD (PCORI)
  • Alexis Malfesi, MSHS (Centers for Medicare and Medicaid Services)
  • Gwen Darien (National Patient Advocate Foundation)

Click below to register and help shape the future of patient-centered economic research.

Gwen Darien

National Patient Advocate Foundation

Phyllis Foxworth

Huntington's Disease Society of America

Alexis Malfesi, MSHS

Center for Medicare and Medicaid Innovation

Elisabeth M. Oehrlein, PhD, MS

Applied Patient Experience

Mary Reed, DrPH

Kaiser Permanente

Silke Schoch, MA

National Health Council

Juan Marcos González Sepúlveda, PhD, MS

Duke Clinical Research Institute

Kevin Wake, CMR, CHW, MS

Uriel E. Owens Sickle Cell Disease Association of the Midwest

In Memory of Jae Samuel

Former Community Advisory Board Member

Jamal Brown

Patient Advocate

Claudia Chahin, JD

Patient Advocate

Rodney Dawkins

Patient Advocate

Brian Dawson, MLIS

Patient Advocate

Christine Freund, CSW

Patient Advocate

Beth Gore, PhD

The Oley Foundation

Gail Graham

Patient Advocate

Dorothy Winningham

Patient Advocate

Publications & Resources

Poster

The poster, presented at the 2025 PCORI Annual Meeting, summarizes the development of a practical checklist to help researchers consistently

Report

The Uncovering the True Cost of Healthcare: Quantifying the Cost of Stress for Patients and Caregivers Workshop #5 Learning Report

Report

This learning report summarizes Workshop #4 of the Uncovering the True Cost of Healthcare series, which examined how diagnostic delays

Report

The Uncovering the True Cost of Healthcare: The Economic Realities of Caregiving Workshop #3 Learning Report summarizes a February 2025

Report

This learning report summarizes Workshop #2 of the Uncovering the True Cost of Healthcare series, which focused on how time

Report

This learning report summarizes the first workshop in the Uncovering the True Cost of Healthcare series, which explored how patient

Video

Join the Innovation and Value Initiative to prioritize the patient and caregiver perspective in assessing economic impacts beyond direct medical

Poster

This poster summarizes a PCORI-funded IVI project to develop a patient-centered framework for capturing the full range of economic impacts

General

This overview introduces a new effort by the Innovation and Value Initiative and AcademyHealth to develop a framework for capturing

Report

The Executive Summary presents a concise overview of a new Economic Impacts Framework designed to help researchers, funders, and decision-makers

Report

This report presents a consensus-based framework to help researchers, funders, and decision-makers systematically identify, define, and measure the full range