# Coaching Performance Driven Practice Change in the Context of Value Based Purchasing Under New York Medicaid

> **NIH NIH R33** · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · 2021 · $169,459

## Abstract

Project Summary
There is increasing attention to racial-ethnic disparities and inequities in the United States. The opioid epidemic
and the COVID-19 pandemic exposed pre-existing racial-ethnic disparities, stigma, and implicit biases in
treatment settings. The causes of racial-ethnic disparities on populations of color with substance use disorder
(SUD), in the context of clinical encounters, have been long understudied. In this proposed administrative
supplement grant, we aim to leverage the existing data from the parent grant, “Coaching Performance Driven
Practice Change in the Context of Value Based Purchasing Under New York Medicaid (CARE study)
(R33DA049252-01)” and supplement it by addressing racial-ethnic disparities using an explanatory sequential
mixed-methods approach, guided by the Kilbourne framework for studying disparities in healthcare. The aims
of this research is to (1) detect clinic-level racial disparities in retention and (2 & 3) understand clinical
encounter experiences of patients and providers across clinics that have high- or low-quality metrics. Specific
Aim 1 will be achieved using Medicaid and other state administrative data, by examining variation at the clinic
level disparities and clients’ use of the following quality metrics of patient encounters: use of MOUD, frequency
of individual and group counseling, technology (i.e., telehealth), urine screening, patient reported treatment
progress, and retention. Specific Aim 2 & 3 will be informed by findings from Aim 1. We plan to conduct
interviews with patients (Aim 2) and providers (Aim 3) from a sample of clinics to understand diverse
experiences in patient-provider encounters. Taken together, these aims can help explain why and how racial-
ethnic disparities attribute to exacerbated outcomes for people of color by focusing on multiple levels of
potential factors including their clinical encounters. Our proposed aims will inform the development of
interventions that reduce or eliminate treatment disparities for patients with SUD.

## Key facts

- **NIH application ID:** 10440790
- **Project number:** 3R33DA049252-03S1
- **Recipient organization:** NEW YORK UNIVERSITY SCHOOL OF MEDICINE
- **Principal Investigator:** Patricia Lincourt
- **Activity code:** R33 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $169,459
- **Award type:** 3
- **Project period:** 2019-07-15 → 2022-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10440790

## Citation

> US National Institutes of Health, RePORTER application 10440790, Coaching Performance Driven Practice Change in the Context of Value Based Purchasing Under New York Medicaid (3R33DA049252-03S1). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10440790. Licensed CC0.

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