Our Areas of Expertise

We have expertise in several areas of health policy and health economics, drawn from public and private sector experience. Clients seek our expertise in these areas, knowing that they will benefit from our deep knowledge, our ability to innovate, and our high standards for the work we produce for them. Please click each green arrow to learn more about each of our expertise areas and see examples of our work in those areas.

  • Healthcare Reform Modeling

    Complex healthcare legislation can produce dramatic changes in federal spending, premiums, and insurance coverage. Any attempt to forecast these impacts requires a systematic effort to foresee likely behavioral responses from plan enrollees, insurers, employers, and even public officials. The KNG Health Reform Model (HRM) uses a microsimulation framework to generate coverage and financial impact estimates for major health reform proposals.

  • New Technology Add-on Payment

    KNG Health supports pharmaceutical and medical device companies’ efforts to obtain New Technology Add-on Payments (NTAP) under the Inpatient Prospective Payment System (IPPS). We have successfully performed high quality analysis to satisfy the cost criterion for a number of NTAP applicants. Our work covers the development of relevant patient cohorts, claims data analyses, drafting of sections of the NTAP application, and briefing officials at the Centers for Medicare & Medicaid Services.

  • Payment and Delivery System Innovation

    KNG Health has developed strong expertise in assessing the financial implications on providers of the different payment and care delivery models being tested by the Center for Medicare and Medicaid Innovation. This expertise covers payment system assessment and improvement, policy development and evaluation, and replication of Medicare payment systems. Our experience with care delivery models also extends to managing and supporting learning systems designed to educate providers about quality measures and the operational aspects of new care delivery models. We deliver webinars and produce educational resource materials for providers, and we also conduct interviews and administer surveys to gather feedback from providers on their learning needs.

  • Quality Measurement and Provider Performance

    KNG Health has developed expertise in assessing quality measures and their applicability for measuring performance of specific types of providers. We have assisted providers in communicating with policy makers and stakeholders about the strengths and limitations of quality measures. For example, we have published peer-reviewed studies assessing the Medicare Hospital Readmissions Reduction Program and critically assessing the structure of the Hospital-Acquired Conditions Reduction Program.