Jean M Mitchell




McCourt School of Public Policy
General profile



+1 202-687-7038





Jean M.Mitchell is an economist and Professor in the McCourt School of Public Policy. Her areas of expertise are health economics, health services research and applied econometrics.

Dr. Mitchell has published more than 86 peer reviewed articles in leading economics, health services research and medical journals. Her published research includes the following topics: the effects of physician self-referral arrangements on utilization and costs of health services, effects of managed care insurance on access to care for specific medical procedures; effects of managed care on physicians’ practice styles, hours of work, earnings and satisfaction with medicine as a career; physicians’ responses to Medicare fee reductions; effects of physical and mental health on labor supply and earnings; effects of a Medicaid waiver for persons with AIDS on monthly expenditures, use of services and survival; access to medical and dental care along with use of medical and dental services for children with special health care needs enrolled in managed care versus fee-for-service; effects of physician ownership of either specialty hospitals or ambulatory surgery centers on frequency of use (referral rates) for specific inpatient and outpatient surgical procedures. Dr. Mitchell has also served as principal investigator or co-principal investigator of several federally funded grants.

In the early 1990s, Dr. Mitchell served as the principal researcher of a large scale study to evaluate the impact of physician self-referral arrangements on use of services, costs, access and quality of health care in Florida. This study was mandated and funded by the Florida legislature. Her findings, which were published in leading peer review journals such at the New England Journal of Medicine and the Journal of the American Medical Association, had a major impact on public policy. In response to her study and some other published research, Congress passed a federal law (known as Stark II) which prohibits physicians from referring Medicare and Medicaid patients to health care facilities in which the physician has an ownership interest. At least 24 states enacted similar legislation that prohibits the practice of physician self-referral for both public and privately insured patients.

Dr. Mitchell's recent work has focused on evaluating exceptions in the federal physician self-referral law. Much of her recent publications have examined the effects of physician self-referral arrangements that are permissible under the in-office ancillary services exception.

Dr. Mitchell is an avid, dedicated long distance runner. She has started and finished 15 marathons, including running the Boston marathon 4 times. Jean is married to Gregory de Lissovoy and they have a wonderful son Ryan who was born in 2001.


  • Ph.D. (1986) Vanderbilt University, Economics
  • M.A. (1985) Vanderbilt University, Economics
  • B.S. (1981) Wake Forest University, Mathematical Economics