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.
What We Do
BRG Healthcare professionals provide analysis of health policies related to Medicare, Medicaid, the Affordable Care Act, and other state and federal programs. Our work includes legislative policy development, policy strategy development, payment system design, reimbursement analytics and rate development, and program evaluation. We work with clients to address regulatory and compliance requirements and the financial and operational impact of proposed policy changes to help them succeed as healthcare policy and healthcare practice changes.
To develop actionable insights, BRG’s Healthcare Policy practice relies on seasoned consultants with expertise in the legislative and regulatory process and operational experience implementing a range of health policies at healthcare companies. Our professionals have served as policymakers for Congress, the Centers for Medicare and Medicaid Services (CMS), and state governments; and have held executive positions at pharmaceutical manufacturers, health plans, pharmacy benefit managers (PBMs), and healthcare providers.
Our team employs 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. We license and maintain a broad range of government data (including the CMS Innovator data) and a commercial payor database that includes adjudicated (paid) claims. By integrating these data with proprietary data, we generate unique insights that help clients succeed in the fast-moving healthcare policy and business environments.
- Data analytics
- Analysis and design of value-based care models
- Analysis of total cost of care and beneficiary outcomes
- Policy formulation
- Policy impact modelling
- Program evaluation
- Policy review and impact analysis
- Regulatory review and compliance
- Strategic planning and roadmap development
- Reimbursement innovation
- Cost and quality measurement
- Pharmaceutical pricing and supply chain analysis
Related ContactsSee All
Explore Related Insights
BRG Healthcare Restructuring Conference 2021
October 17-19, 2021
Becerra Confirmed; Experts See Strong ACA Defense, Partner for Providers
April 5, 2021
Federal Policy Review 2020 - 2021
January 11, 2021
Medicaid Policy Review 2020
January 4, 2021
What to Expect from the Biden Administration
January 4, 2021
BRG Healthcare Leadership Conference 2020
December 8, 2020
Provider Conference Webinar Series
November 12, 2020
Courts Will Decide Fate of Trump's Regulatory Agenda If He Wins
November 2, 2020
The 2020 Election and the Future of Healthcare in America
October 23, 2020
Our industry knowledge is broad and deep.
BRG combines intellectual rigor with practical, real-world experience. We have an in-depth understanding of industries and markets, with expertise spanning the major sectors of the global economy. Following are some of the many sectors that we know inside and out.