The health care reform debate has focused the attention of policymakers on the need to “bend the curve” of health care spending through innovative redesign of fee-for-service payment systems throughout health care.

As a leading provider of analytical and advisory services to private sector clients concerned about the design, implementation and evaluation of health care payment systems, The Moran Company is uniquely qualified to assist provider and supplier organizations in all phases of the development and implementation of these initiatives.

We would welcome the opportunity to meet with you to assess what your organization needs to be ready for the “curve-bending” agenda.

Policymakers Focused on Payment System Redesign

As policymakers seek to reduce the growth rate of health care spending, they are considering a variety of payment redesign mechanisms to reduce costs and improve quality.  General mechanisms being considered include:

• Accountable Care Organizations;
• Hospital-Centric Bundles;
• Episode of Care payment systems; and
• Medical Home models.

The various options will have varying degrees of impact on particular provider types, product manufacturers and patient groups.  Policymakers wishing to explore these issues face a myriad of design choices.  Given all the complex possibilities, we would expect that demonstration projects focused on particular disease groups or provider types to be the most likely means for testing various redesign models.  

The Moran Company is Uniquely Qualified to Assist with Payment System Redesign Efforts

The Moran Company is a multi-disciplinary health care research and consulting firm focused on the boundary between the public and private sectors in health care.  We assist clients in devising business and policy strategies that are simultaneously commercially realistic and politically practical.  The company is a based just outside Washington, D.C. in Arlington, Virginia.  Founded in 1998 by Don Moran, a nationally-known consultant and former senior policymaker, the firm has a wide variety of clients in various sectors of the health industry, including pharmaceutical and biotechnology companies and associations, public human services agencies, provider associations, managed care organizations, and investment banking firms. 

Since founding the company, Don has been joined by a team of consultants with a variety of skills, including legislative and regulatory analysts, health services researchers and claims data analysts. Our 19 professionals have training in the law, health care economics, mathematics, public health and public policy and possess a number of relevant skills for manufacturers, providers and associations seeking to analyze the design, implementation and evaluation of payment system redesign initiatives.

Payment System Redesign Services

We can assist organizations seeking to understand various payment system redesign proposals in a variety of ways, including:

• Building patient or disease profiles to examine utilization and resource consumption across different types of patients.
• Building provider profiles with similar information to allow for analysis of a particular specialty or provider type.
• Examining the impact of particular proposals on payment for—and diffusion of—new technologies.
• Conducting impact analyses of particular proposals—including modeling the trade-offs of particular design choices on a rapid turn-around basis.
• Strategic design services focused on the design, implementation and evaluation of various payment system models.
• Real time tracking and analysis of procurement and regulatory processes for particular demonstration projects.
• The development and delivery of training modules for both internal and external audiences.

Beginning to Assess Payment System Redesign Issues

We would welcome the opportunity to meet with your organization to discuss payment system re-design issues of interest.  Please contact Sherry Johnson at (703) 841-8401 or at This e-mail address is being protected from spam bots, you need JavaScript enabled to view it to schedule an initial consultation at no cost.

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