RACHEL S. KRAMER | PARTNER
Rachel has over 15 years of experience in health policy analysis and consulting focusing on Medicare regulation, reimbursement methodologies and payment system reform. Rachel combines practical policy experience with results from quantitative evaluations to support strategic and tactical planning and recommendation development for clients representing healthcare providers and manufacturers.
As a partner at The Moran Company, Rachel directs studies that analyze procedure and product level issues arising in Medicare payment systems with emphasis on the physician fee schedule and hospital outpatient prospective payment system. This includes leading The Moran Company physician services team to assist clients in obtaining and understanding coding, coverage and payment policy objectives and processes. Rachel also provides a leadership role in the firm’s work to track and evaluate value based purchasing payment policies, the incentives they create and the appropriate alignment of those incentives between provider types and other alternative payment model platforms.
Rachel also oversees TMC modeling initiatives such as the company’s replication of the CMS Practice Expense (PE) Relative Value Unit (RVU) methodology. Other areas of experience include the design of retrospective claims-level analysis to inform patterns of care evaluations and assess market penetration considerations, as well as the design and testing of different reform approaches.
Rachel has a Master of Public Health with a concentration in policy and finance from the Johns Hopkins Bloomberg School of Public Health and is credentialed as a Registered Health Information Administrator (RHIA). Prior to joining The Moran Company, Rachel served as the Director of Economics and Health Policy for a national medical specialty society, was a consultant with a national firm, and worked in both hospital system and freestanding clinic settings.