Solving Challenges, Leveraging Opportunities

Health Financing Data Analysis and Modeling to Support Transactions and Litigation

Health Financing Data Analysis and Modeling to Support Transactions and Litigation

We model reimbursement outcomes for clients involved in mergers or asset acquisitions, creating new entities, or evaluating the impact of potential litigation or settlements.

Representative Experience

  • Analyzed the cost-effectiveness of telestroke networks and extrapolated those results to the entire Medicare population to determine the financial impact on government spending of expanding telestroke networks
  • Conducted a quantitative analysis of weather pattern data to demonstrate that a hospital applying for sole community hospital status under Medicare met the driving distance requirement for the program, leading to the hospital successfully obtaining sole community hospital status
  • Analyzed hospital cost reports to calculate hospital Medicare margins on behalf of Medicare Dependent Hospitals, which was used to support efforts to successfully extend the program
  • Developed a model to analyze the impact of alternative payment methodologies for hospitals, laboratories, and physician pathology services
  • Developed a model to determine the impact of the durable medical equipment competitive bidding program and the impact of alternate policies on federal spending
  • Analyzed Proposed and Final Rule changes to Medicare payment policies (e.g., Medicare Physician Fee Schedule, Outpatient Prospective Payment System, Ambulatory Surgery Center) and publicly available Medicare data (including payment, cost and utilization data) to evaluate potential client strategies

Case Studies