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Representative Engagements

Representative Engagements for Healthcare Policy.

  • State departments of insurance and departments of managed healthcare have retained BRG experts to serve as interim officers and monitors for financially troubled managed health plans.

  • Health plans and regulators have retained BRG experts on engagements that involved assessing health plans’ medical loss ratios (MLR; medical expenses divided by premium revenue).

  • Aaron Vandervelde conducted a study estimating the total volume of prescriptions written for managed Medicaid beneficiaries by 340B covered entities.

  • A pharmaceutical manufacturer retained BRG personnel in relation to a Department of Justice investigation with a central allegation that the manufacturer misstated its best price and underpaid Medicaid rebate.

  • BRG experts have worked on several matters involving internal or external investigations into provider billing practices to commercial and government-sponsored programs.

  • BRG's work focuses on addressing changes in traditional reimbursement approaches, as well as development of provider payment innovations related to health reform. 

  • BRG experts have worked with medical device companies and their national associations to address changes in federal regulations and the impact of such changes on their operations. This work has focused on changes in Medicare regulations and has included the preparation of responses to proposed regulations.

  • BRG experts have a long history of working with federal agencies to evaluate existing payment approaches and design new concepts to support changes in payment approaches.