Kate Moberg

Director

Chicago

Kate Moberg provides detailed financial, economic, and regulatory analysis for payers, providers, and other health service organizations.

She is is a member of BRG’s healthcare, health insurance, and pharmaceuticals practices. With a particular focus in healthcare data, Ms. Moberg directs teams in analyzing large datasets to find answers to complex questions in litigation settings, internal compliance reviews, and investigations related to allegations of healthcare fraud and abuse. She is often engaged as a privileged expert supporting counsel with analytic and healthcare expertise in payer/provider disputes and internal provider investigations.

Ms. Moberg has more than ten years of experience consulting for healthcare industry clients. She has led many engagements requiring the analysis of large datasets consisting of millions of hospital, physician, and pharmaceutical claims. Additionally, she has in-depth understanding of government program payment mechanisms including Medicare Advantage Risk Adjustment, the Inpatient Prospective Payment System, the Outpatient Prospective Payment System, and Medicaid reimbursement systems, as well as publicly available data related to these payment systems. She is also knowledgeable of provider charge, pricing, and cost accounting systems.

Ms. Moberg has provided operational consulting services to both hospital systems and large physician practices. She has led teams in application development, data analysis, and modeling to support hospital revenue cycle management, payer contracting, physician enterprise, and clinical efficiencies and improvements. Through this work, she has developed experience and knowledge of provider electronic medical records (EMR) and claims systems. In particular, she has an in-depth understanding of the back end of these systems, including program logic, data warehousing practices, and related SQL environments.