Delivering Evidence-Based Consulting Solutions

Core Areas of Expertise

• DRG hospital payment system design, including base rate setting, relative weight coordination, outlier payment policy, negotiation bands, transfer payments, and high-cost consumable and drug add-on payments

• Inpatient and day-case claims data analysis to calibrate and validate DRG payment parameters

• Health insurance payment policy and regulatory design

• Payment system implementation oversight, including technical direction of analytical teams, government and market stakeholder reporting, and capacity-building for regulatory staff

• U.S. Medicare payment policy, including post-acute care case-mix payment methodology, providing comparative grounding for international DRG system design

• Technical writing and methodology documentation for government and market-facing audiences