Dr. Fangli Geng is an Assistant Professor in the Department of Health Services, Policy & Practice at Brown University's School of Public Health and an affiliated faculty member at Harvard University's T.H. Chan School of Public Health, Center for Health Decision Science. She holds a Ph.D. in Health Policy and a secondary degree in Data Science from Harvard University. Her research focuses on health policy issues related to aging in the U.S. and China, with an emphasis on designing patient-centered, high-value, and equitable care delivery models that cater to the diverse needs of the elderly and their families.
Dr. Geng has extensive expertise in health economics and advanced quantitative methods, including quasi-experimental design, decision modeling, machine learning, and cost-effectiveness analysis. Her research covers post-acute and long-term care delivery models, payment reforms, organizational structures among hospitals, nursing homes, and home health agencies, as well as quality of care and healthcare staffing issues in nursing homes and home health agencies.
Her contributions to health policy, particularly in post-acute and long-term care, have been published in prominent journals such as JAMA Internal Medicine, Health Affairs, JAMA Health Forum, and BMJ Medicine, and contacted by major media outlets like the Wall Street Journal. Her work has also drawn attention from significant U.S. healthcare bodies, including the Senate Finance Committee, Medicare Payment Advisory Commission and the Government Accountability Office.
She was recently awarded the 2025 National Bureau of Economic Research (NBER) Early Career Research Award in the Economics of Alzheimer’s Disease and Alzheimer’s Disease-Related Dementias.
She also received the 2025 AcademyHealth Outstanding Dissertation Award.
| Joyce Wang X, Geng F, Kosar CM, Santostefano CM, Grabowski DC, Rahman M. "Association Between the Patient-Driven Payment Model and Therapy Use, Patient Outcomes, SNF Expenditures, and Postacute Care Use Among Skilled Nursing Facility Beneficiaries by Dual Eligibility." Medical Care Research and Review, vol. 83, no. 1, 2026, pp. 33-43. |
| McGarry BE, Wilcock AD, Gandhi AD, Grabowski DC, Geng F, Barnett ML. "Changes in US Skilled Nursing Facility Capacity Following the COVID-19 Pandemic." JAMA Internal Medicine, 2026. |
| Lake D, Kumar S, Geng F, Gozalo P. "Comparative Effectiveness of Inpatient Rehabilitation Versus Skilled Nursing Facilities for Stroke and Hip Fracture Patients." Journal of the American Geriatrics Society, vol. 74, no. 1, 2026, pp. 64-73. |
| Chen Z, Santostefano CM, Geng F, White EM, McGarry BE, Grabowski DC, Rahman M. "Differences in Skilled Nursing Facilities Admitting Medicare Patients With and Without COVID-19 After Hospitalization." J GEN INTERN MED, vol. 41, no. 1, 2026, pp. 232-235. |
| Jiao B, Lu X, Lakdawalla DN, Padula WV, Geng F. "Incorporating Informal Caregiving Time Into Cost-Effectiveness Analysis for Adults Aged 50 and Older: Estimating From Health-Related Quality of Life and Functional Status." Value in Health, vol. 29, no. 1, 2026, pp. 82-91. |
| Bhaumik D, Rahman M, Gadbois EA, White EM, McGarry BE, Geng F, Braun RT, Grabowski DC. "Staffing Conditions In US Nursing Homes Before, During, And After The COVID-19 Pandemic." Health Affairs, vol. 45, no. 2, 2026, pp. 193-199. |
| Geng F, Xu K, Liu Y, Okereke OI, Shi S. "Comparing Post-Acute Care Outcomes Between Home Health Care and Skilled Nursing Facilities: A Scoping Review." Journal of the American Medical Directors Association, vol. 26, no. 12, 2025, pp. 105926. |
| Jun H, Geng F, McGarry BE, Rahman M, White EM, Gadbois EA, Grabowski DC. "Immigrant Staff in Nursing Homes: Mitigating Staffing Shortages During the COVID-19 Pandemic." Medical Care Research and Review, vol. 82, no. 6, 2025, pp. 454-464. |
| Geng F, Lu X, White EM, McGarry BE, Santostefano C, Meehan A, Gadbois E, Rahman M, Grabowski DC. "The Patient Driven Payment Model, Skilled Nursing Facility Coding Intensity, and Medicare Expenditures." JAMA Internal Medicine, vol. 185, no. 9, 2025, pp. 1109-1116. |
| Roberts AI, Santostefano CM, Chen Z, McGarry BE, White EM, Resnik LJ, Geng F, Grabowski DC, Rahman M. "Trends in hospital discharge outcomes among high-risk Medicare beneficiaries before and during the COVID-19 pandemic." Health affairs scholar, vol. 3, no. 4, 2025, pp. qxaf056. |
| Geng F, Liu Z, Yan R, Zhi M, Grabowski DC, Hu L. "Post-Acute Care in China: Development, Challenges, and Path Forward." Journal of the American Medical Directors Association, vol. 25, no. 1, 2024, pp. 61-68. |
| Geng F, McGarry BE, Rosenthal MB, Zubizarreta JR, Resch SC, Grabowski DC. "Preferences for Postacute Care at Home vs Facilities." JAMA Health Forum, vol. 5, no. 4, 2024, pp. e240678. |
|
Gadbois EA, Brazier JF, White EM, Hawes C, Meehan A, Rafat A, Geng F, Rahman M, Grabowski DC, Shield RR.
"Caring for nursing home residents with dementia during the |
| Brazier JF, Geng F, Meehan A, White EM, McGarry BE, Shield RR, Grabowski DC, Rahman M, Santostefano C, Gadbois EA. "Examination of Staffing Shortages at US Nursing Homes During the COVID-19 Pandemic." JAMA Network Open, vol. 6, no. 7, 2023, pp. e2325993. |
| Geng F, Lake D, Meyers DJ, Resnik LJ, Teno JM, Gozalo P, Grabowski DC. "Increased Medicare Advantage Penetration Is Associated With Lower Postacute Care Use For Traditional Medicare Patients." Health Affairs, vol. 42, no. 4, 2023, pp. 488-497. |
| Zhi M, Hu L, Geng F, Shao N, Liu Y. "Analysis of the Cost and Case-mix of Post-acute Stroke Patients in China Using Quantile Regression and the Decision-tree Models." Risk management and healthcare policy, vol. 15, 2022, pp. 1113-1127. |
| Chen Y, Gong X, Zhong W, Wang J, Yang Z, Yan S, Geng F, Zhou Y, Zhang X, Chen Z, Hu H, Tong L, Chen H, Ke S, He Y, Wang Y, Zhang X, Wang Z, Chen Z, Zhao H, Yuan C, Lou M, CASE Investigators. "Evaluation of a Multilevel Program to Improve Clinician Adherence to Management Guidelines for Acute Ischemic Stroke." JAMA Network Open, vol. 5, no. 5, 2022, pp. e2210596. |
| Loomer L, Gandhi A, Geng F, Grabowski DC. "Secret Shopper Data on Private Prices in the Nursing Home Industry From 2008 to 2010." Medical Care Research and Review, vol. 78, no. 4, 2021, pp. 449-457. |
| Geng F, Mansouri S, Stevenson DG, Grabowski DC. "Evolution of the home health care market: The expansion and quality performance of multi-agency chains." Health Serv Res, vol. 55 Suppl 3, no. Suppl 3, 2020, pp. 1073-1084. |
| Geng F, Stevenson DG, Grabowski DC. "Daily Nursing Home Staffing Levels Highly Variable, Often Below CMS Expectations." Health Affairs, vol. 38, no. 7, 2019, pp. 1095-1100. |
| Menzies NA, Suharlim C, Geng F, Ward ZJ, Brenzel L, Resch SC. "The cost determinants of routine infant immunization services: a meta-regression analysis of six country studies." BMC Medicine, vol. 15, no. 1, 2017, pp. 178. |
| Geng F, Suharlim C, Brenzel L, Resch SC, Menzies NA. "The cost structure of routine infant immunization services: a systematic analysis of six countries." Health Policy and Planning, vol. 32, no. 8, 2017, pp. 1174-1184. |
| Campos NG, Sharma M, Clark A, Lee K, Geng F, Regan C, Kim J, Resch S. "The health and economic impact of scaling cervical cancer prevention in 50 low- and lower-middle-income countries." International Journal of Gynecology & Obstetrics, vol. 138 Suppl 1, 2017, pp. 47-56. |
Post-Acute and Long-Term Care Delivery Model Design: I focus on designing and evaluating care models that enhance the delivery of post-acute and long-term care. My aim is to develop systems that are more efficient, effective, and responsive to the needs of older adults.
Intersection of Long-Term Care Systems and Health Care Systems: I investigate how long-term care systems integrate with broader health care systems. Understanding this intersection is crucial for developing seamless, coordinated care that supports patient health and well-being across different settings.
Impacts on Informal and Family Caregivers: My research examines the extensive financial and health burdens that health care systems impose on informal and family caregivers. By highlighting these challenges, I aim to advocate for policies and practices that alleviate these burdens and support caregivers.
Decision-Making in Care Models During the Aging Process: I explore how care models are selected and adjusted as patients age. This includes studying the factors that influence decision-making and how to better align care choices with patient preferences and needs.
Workforce Issues in Nursing Staffing: Addressing the critical issues in nursing staffing, my research looks at workforce dynamics, staffing levels, and their impact on care quality. I aim to identify solutions that improve working conditions for nurses and care outcomes for patients.
AI Applications in Health Care: I am deeply interested in the potential of artificial intelligence to revolutionize health care delivery. My work explores how AI can be applied to enhance decision-making, predict patient needs, and streamline care processes, particularly in post-acute and long-term care settings.
| Year | Degree | Institution |
|---|---|---|
| 2024 | PhD | Harvard University |
| 2014 | MSc | Harvard T.H. Chan School of Public Health, Boston, MA, USA |
| 2012 | BSc | Shanghai Jiao Tong University |
| PHP 2950 - Doctoral Seminar in Public Health |
