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Healthcare Policy & Reform

We help our clients understand today’s regulatory and competitive environment, how it affects their business, and how to adapt to changes in the marketplace

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Overview

New requirements. New accountability.

National health reform means that healthcare organizations face new requirements and accountability.

These changes present opportunities to innovate and transform the delivery and payment of healthcare services. BRG has the expertise to guide you through this new regulatory landscape.

What We Do

BRG Healthcare experts stay abreast of current health policy issues and understand the implications of public policy, including Medicare and Medicaid regulations, for entities within the healthcare industry.

We work with clients to address regulatory and compliance requirements and the financial impact of proposed policy changes. We advise healthcare entities with adapting to transformational shifts, delivery and payment model innovation, quality and value-based purchasing, and rapidly evolving patient-centered technologies.

BRG has a long history of providing services related to the Medicare program and state Medicaid programs, including payment system design, reimbursement analytics and rate development, and program evaluation. We also provide consulting services to commercial health plans, providers, and other healthcare organizations that are affected by federal and state policies and health reform.

We help our clients understand today’s regulatory and competitive environment, how it affects their business, and how to adapt to changes in the marketplace. We employ a data-driven approach to addressing health policy and healthcare transformation issues by harnessing and unlocking the power of information generated in the healthcare system, such as claims data, fee schedules, and Medicare cost reports. We create analytical approaches to identify and leverage available data sources to produce results and generate solutions to help clients succeed in the emerging healthcare information economy.

Our Services

  • Program evaluation
  • Policy review and impact analysis
  • Regulatory review and compliance
  • Strategic planning and roadmap development
  • Reimbursement innovation
  • Cost and quality measurement

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Featured Case Study