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Sunday, 05 September 2010
 
 
News from The Moran Company
Transition to MS-DRGs: Issues in Measuring Documentation and Coding Change | Print |  E-mail

In the FY 2011 Inpatient Prospective Payment System (IPPS) Proposed Rule, the Centers for Medicare & Medicaid Services (CMS) described its methodology for measuring the documentation and coding changes the agency believed resulted from the shift to Medicare Severity Diagnosis Related Groups (MS-DRGs).

The Moran Company (TMC) was asked to examine CMS’ approach and determine if it is an appropriate method to isolate documentation and coding from the other factors that could affect the “Case Mix Index (CMI)”—a measurement of average patient severity.

You can download this report by clicking on the following link: 

http://www.themorancompany.com/index.php?option=com_docman&task=doc_download&gid=9&Itemid=28

 

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Employment Opportunity | Print |  E-mail

Senior Health Care Analysts

The Moran Company seeks individuals who can make an immediate contribution to our growing health care research and consulting firm.  The analysts will work both in teams and individually, framing and answering health policy questions.  Applicants must have an ability to use data and conduct rigorous analysis on health economics and Medicare and Medicaid policy-related projects.  Our clients include pharmaceutical and medical device manufacturers, associations, insurance companies, and other provider groups.

We are interested in hiring mid- to senior- level professionals.

Candidates should have:

  • Graduate degree (Master’s or Ph.D.), preferably in Economics, Public Health, Pharmacological studies, Public Policy, Public Administration, Health Administration, Political Science, or other related policy field;

  • Experience working in the health care or consulting arenas;
     
  • Familiarity with health care policy issues;

  • Knowledge of various health research datasets;

  • Understanding of how statistical and other analysis programs work, and experience in either programming or working with programmers;

  • Experience interpreting program regulations;

  • Experience writing for a range of settings ranging from presentations to submission for journals and conferences;

  • Ability and experience working with clients and managing projects;

  • Strong computer skills with experience in Microsoft Excel and Microsoft Access;

  • Excellent oral and written communication skills; and

  • Knowledge of SAS or other statistical packages are a plus

We offer the opportunity to work collaboratively as part of our analytic team and to advance professionally in the firm based on demonstrated skills and performance.

We are located in Rosslyn, VA, across the river from downtown Washington, DC.  We offer excellent benefits, starting salaries commensurate with experience and the opportunity for performance-related bonuses.  Potential applicants should consult our website at: http://www.themorancompany.com

Résumés, including salary history, should be sent by one of the following methods (no phone calls, please):

By postal mail:

Recruiting
The Moran Company
1655 N. Fort Myer Drive 
Suite 1250    
Arlington, VA 22209
 

By electronic mail:

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Meet our newest staff members | Print |  E-mail

We are proud to announce that  Lianna Weissblum & Devin Stone have joined The Moran Company.

For Lianna & Devin's staff bios and contact information, please visit the Staff section of this website.
 

 

 
Report Released: Medicare and IVIG | Print |  E-mail

This report, prepared for CSL Behring, provides our assessment of how the Congressional Budget Office might score legislation which would create the authority for CMS to make explicit add-on payments for IVIG, in both the office and outpatient settings, to cover provider shortfalls between product costs and Average Sales Price (ASP)-based reimbursement rates.  The legislation would also establish separate drug administration payments for home infusion of IVIG.

Full title: Budgetary Effects of Medicare Reimbursement Enhancements for Intravenous Immune Globulin

Use this link http://www.themorancompany.com/index.php?option=com_docman&task=doc_download&gid=5&Itemid=28 to download the report.

 
Report Released: Pharmacy Overhead: An Alternative Methodology | Print |  E-mail

In the proposed rule for calendar year 2009 payments, CMS is proposing to reimburse hospitals for separately paid drugs in the hospital outpatient setting based on Average Sales Price (ASP) plus 4 percent.  According to CMS, this amount includes the acquisition cost of the drugs and an allowance for pharmacy overhead.  In this May 2008 report, The Moran Company simulates an alternative payment methodology which attempts to deal with the problem of charge compression and the uneven distribution of pharmacy overhead among high and low cost drugs while remaining budget neutral.   

Full title: Pharmacy Overhead: An Alternative Methodology

Use this link   http://www.themorancompany.com/index.php?option=com_docman&task=doc_download&gid=7&Itemid=28 to download the report.