Jointly appointed in the Bouvé College of Health Sciences and the School of Law, Professor Madison applies an interdisciplinary perspective to her research and teaching in health law, health policy, and health economics. Her recent research topics include the use of financial incentives to encourage healthy behaviors and the implications of health care quality reporting for health care law and policy. She has published work in Health Services Research, JAMA, the American Journal of Preventive Medicine, the Community Mental Health Journal, the Journal of Law, Medicine & Ethics, the UC Davis Law Review, the North Carolina Law Review, and the University of Pennsylvania Law Review, among other journals. Professor Madison joined the Northeastern faculty in 2011 from the University of Pennsylvania Law School, where she had been a member of the faculty for ten years. She has a J.D. from Yale Law School and a Ph.D. in Economics from Stanford University.
B.A., University of California at Berkeley, 1992
J.D., Yale Law School, 2000
Ph.D., Economics, Stanford University, 2001
Health Care Quality
Health Care Law
Economic Perspectives on Health Policy
Selected Research/Scholarship Projects:
- “Legal and Policy Issues in Measuring and Improving Quality,” in The Oxford Handbook of U.S. Healthcare Law (I. Glenn Cohen, Allison K. Hoffman & William M. Sage eds., forthcoming 2016). This book chapter discusses legal and policy tools that can be used to ensure that health care quality measurement functions effectively.
- “Employer Wellness Incentives, the ACA, and the ADA: Reconciling Policy Objectives,” 51 Willamette L. Rev. 407 (2015). This article explores the tensions between policymakers’ desire to support the growth of employer wellness programs and their concern about such programs’ potentially discriminatory effects. After describing the history of wellness programs and their regulation, the article considers whether the Equal Employment Opportunity Commission’s recently proposed rules under the Americans with Disabilities Act are appropriately tailored to achieve the ADA’s policy goals.
- Donabedian’s Legacy: The Future of Health Care Quality Law & Policy,” Indiana Health Law Review (forthcoming 2013). Over the last century, the goal of health care quality regulation has shifted from addressing quality deficiencies to supporting health care quality improvement. This article describes this shift and explores its implications for current and future health care law and policy.
- “Smoking, Obesity, Health Insurance, and Health Incentives in the Affordable Care Act,” 310 JAMA 143 (2013) (with Harald Schmidt & Kevin G. Volpp). This article explains how the Affordable Care Act promotes the use of health incentives in both public and private insurance, while at the same time imposing limits on incentive use that vary by insurance type. It suggests that the varying approaches to health incentives may reflect uncertainty about incentives’ effects, and calls for more research in this area. http://jama.jamanetwork.com/article.aspx?articleid=1697621
- “The Law, Policy & Ethics of Employers’ Use of Financial Incentives to Improve Health,” 39 Journal of Law, Medicine and Ethics 450 (2011) (with Kevin G. Volpp & Scott D. Halpern). This article examines the increasingly prevalent practice among employers of using financial incentives to promote healthy behaviors. Supporters of employer incentive programs stress the deleterious effects of unhealthy behaviors and highlight the potential role that incentives may play in addressing them. Critics of these programs raise concerns about their effectiveness, their implications for the affordability of health coverage, and their discriminatory potential. This article discusses the impact of incentive programs on health, ethical considerations in program design, and the Affordable Care Act’s limits on employer incentive programs. It then proposes directions for future research.
- “From HCQIA to the ACA: The Evolution of Reporting as a Quality Improvement Tool,” 33 Journal of Legal Medicine 63 (2012). This article examines the development of two very different types of health care reporting tools: the National Practitioner Data Bank, which collects physician-specific information about professional discipline and malpractice claims, and health care quality reporting. It identifies ways that they could be used together to better promote health care quality. http://www.tandfonline.com/doi/abs/10.1080/01947648.2012.657600?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3Dpubmed&#.UhhFKH8cbyo
Kristin Madison, The ACA, the ADA, and Wellness Program Incentives, Health Affairs Blog (May 13, 2015).
Kristin Madison, Harald Schmidt & Kevin G. Volpp, Using Reporting Requirements to Improve Employer Wellness Incentives and Their Regulation, 39 J. Health Pol. Pol’y & L. 1013 (2014).
Kristin Madison, Health Regulators as Data Stewards, 92 N.C. L. Rev. 1605 (2014).
Kristin Madison, Building a Better Laboratory: The Federal Role in Promoting Health System Experimentation, 41 Pepp. L. Rev. 765 (2014).
Kristin Madison, Donabedian’s Legacy: The Future of Health Care Quality Law & Policy, 10 Ind. Health L. Rev. 325 (2013).
Kristin Madison, Harald Schmidt & Kevin G. Volpp, Smoking, Obesity, Health Insurance, and Health Incentives in the Affordable Care Act, 310 JAMA143 (2013).
Kristin Madison, Legal Issues in Health Care Quality Reporting, Lahey Clinic Journal of Medical Ethics, Winter 2012, at 4.
Kristin Madison, Peter D. Jacobson & Gary Young, Health Policy and Regulation, in Shortell and Kaluzny’s Health Care Management: Organization, Design, and Behavior (Lawton Burns, Elizabeth Bradley, & Bryan Weiner eds. 6th ed. 2011).
Kristin Madison & Mark Hall, Quality Regulation in the Information Age: Challenges for Medical Professionalism, in Medical Professionalism in the New Information Age (David J. Rothman & David Blumenthal eds., 2010).
Kristin Madison, Defragmenting Health Care Delivery Through Quality Reporting, in The Fragmentation of U.S. Health Care: Causes and Solutions (Einer R. Elhauge ed., 2010).
Kristin Madison, Patients as “Regulators”?: Patients’ Evolving Influence Over Health Care Delivery, 31 J. Legal Med. 9 (2010).
Scott D. Halpern, Kristin M. Madison & Kevin G. Volpp, Patients as Mercenaries?: The Ethics of Using Financial Incentives in the War on Unhealthy Behaviors, 2 Circulation: Cardiovascular Quality & Outcomes 514 (2009).
Peter D. Ehrenkranz, José A. Pagán, Elizabeth M. Begier, Benjamin P. Linas, Kristin Madison & Katrina Armstrong, Written Informed-Consent Statutes and HIV Testing, 37 Am. J. Preventive Med. 57 (2009).
Kristin Madison, The Law and Policy of Health Care Quality Reporting, 31 Campbell L. Rev. 215 (2009).
Kristin Madison, Hospital Mergers in an Era of Quality Improvement, 7 Hous. J. Health L. & Pol’y265 (2007).
Kristin Madison & Peter D. Jacobson, Debate, Consumer-Directed Health Care, 156 U. Pa. L. Rev. PENNumbra 107 (2007), http://www.pennumbra.com/debates/CDHC.pdf.
Kristin Madison, Regulating Health Care Quality in an Information Age, 40 U.C. Davis L. Rev. 1577 (2007).
Kristin Madison, ERISA and Liability for Provision of Medical Information, 84 N.C. L. Rev.471 (2006).
Kristin Madison, The Residency Match: Competitive Restraints in an Imperfect World, 42 Hous. L. Rev. 759 (2005).
Kristin Madison, Multihospital Systems and Patient Treatments, Expenditures, and Outcomes, 39 Health Services Res. 749 (2004).
Kristin Madison, Hospital-Physician Affiliations and Patient Treatments, Expenditures, and Outcomes, 39 Health Services Res. 257 (2004).