US Health Care Delivery Initiative

Health care workers filling out forms
J-PAL North America’s US Health Care Delivery Initiative (HCDI) supports randomized evaluations of strategies that aim to make health care delivery in the United States more efficient, effective, and equitable.

Health care delivery shapes the quality of every American’s life, yet in many ways it is inefficient, ineffective, and inequitable. On average, the US spends more than twice as much per person on health compared to other wealthy countries. Often, there are stark disparities in health outcomes and access related to factors like a person’s income or race. Health care leaders run innovative programs and implement new policies to address these challenges every day. But the effects of many of these policies and programs are not known, making the path forward unclear. 

Randomized evaluations in health care delivery inform policy debates on how to improve the health care system. Yet the partnerships that make such studies possible are too rare. Academics often cannot easily identify partners interested in rigorous evaluation, and health care leaders often cannot find an interested, experienced academic to lead evaluation design. Both may not have the evaluation funding or the incentives to invest the upfront time and resources needed to develop successful research partnerships.

Key Facts

  • Partner RFP: Closed
  • Research RFP: Closed


For researchers

HCDI Request for Proposals

Our HCDI Request for Proposals solicits proposals from J-PAL affiliates, J-PAL post-docs, and invited researchers for pilot studies and full randomized evaluations that seek to evaluate approaches to make health care delivery more efficient and equitable.

MIT Roybal Center for Translational Research to Improve Health Care for the Aging

The MIT Roybal Center for Translational Research to Improve Health Care for the Aging will support randomized evaluations of low-cost, high-impact behavioral interventions to improve health care delivery and health outcomes for older adults in the United States.

For Partners

US Health Care Innovation Competition

Our Innovation Competition supports US health care organizations and government health agencies in the design and implementation of randomized evaluations of promising health and social service programs to improve health care delivery.

Initiative Staff

Hannah Reuter, Senior Policy Associate 
Arielle Rawlings, Policy Associate
Spencer Crawford, Senior Policy Associate
Yijin Yang, Policy Associate 

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