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Pamela Spain

Director, Specialty Care for Seriously Ill Populations


PhD, Health Administration, Virginia Commonwealth University
MS, Genetics, North Carolina State University
BS, Zoology, North Carolina State University

Pamela Spain is the Director of Specialty Care for Seriously Ill Populations at RTI and an expert in value-based payment models. In her role, she examines the impact of Medicare value-based models on utilization, expenditures, and outcomes for oncology care. She takes a health equity-centric approach to analyze geography and patient demographic measures. Her work includes examining health disparities of guideline-concordant care for breast and colorectal cancer patients. In addition, Dr. Spain is an expert in determining financial toxicity for Medicare beneficiaries receiving cancer treatment.

Prior to joining RTI in 2007, Dr. Spain received a Postdoctoral Fellowship in Health Services Research at the University of North Carolina at Chapel Hill where she focused on researching prostate cancer health disparities. She is the Project Director for the Mammography Racial Disparities Study, funded by the Centers for Disease Control and Prevention (CDC). She also serves as the Project Director for the Oncology Care Model Implementation and Monitoring, funded by the Center for Medicare and Medicaid Innovation and for the Radiation Oncology Model Implementation and Monitoring, funded by Mathematica Policy Research.


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