Policy Lead
Current• Lead communication with Centers for Medicare & Medicaid Services (CMS) on performance-based payment policies related to hospital and physician resource use; direct client-requested analyses and deliverables.• Evaluate CMS’ episode grouper software, which calculates the amount physicians cost Medicare on high-cost health conditions and procedures; develop reports and related resources for over 1,200 medical group practices.• Assist in presenting a claims-based payment measure to evaluate over 3,000 acute inpatient hospitals through the Hospital Value-based Purchasing Program.• Manage public-facing documentation and coordination of payment standardization of all Medicare claims to allow for cost analysis across geographic settings.