Dyckman & Associates has consulting experience in a wide range of health policy and health finance areas. Our multidisciplinary staff and associates have, on average, approximately 20 years of health finance, health policy, and healthcare consulting experience.
|We have particularly extensive experience evaluating and designing payment systems for physician services, mental healthcare, prescription drugs, and clinical laboratory services.
We provide practical and workable solutions that are sensitive to market realities, and to the organizational, political, regulatory, and fiscal characteristics of specific environments. Our healthcare consulting services include:
Our provider payment system evaluation and design projects involve much more than technical and data analysis tasks. They typically begin with a strategic assessment of the relevant medical services environment. This includes an analysis of supply and demand conditions, review of payment methodologies and payment rates used by competitor health plans, assessment of provider relations issues for the affected services, and identification of any contractual, financial, political or regulatory issues that might have an impact on the provider payment methodology. Provider payment alternatives are developed and the financial impact of each is modeled using recent payer claims experience. We may also provide implementation assistance for the new provider payment methodology, such as loading and testing of the new payment rates and provider communications.
- Physician and hospital payment systems evaluation & design
- Managed care program performance assessment
- Cost-impact analysis of benefit changes & health policy initiatives
- Pharmacy benefit programs evaluation & design
- Health policy analysis & testimony before legislative & regulatory authorities
- Managed care compliance plan development & implementation
- Cost-effectiveness analysis of pharmaceutical & other healthcare products
Our health policy and cost-effectiveness analysis work incorporates a combination of rigorous methodology that meets the standards of the health policy and regulatory community, and in-depth, real world experience. We include among our staff and associates individuals with solid health policy and health program evaluation experience and distinguished publication records, and those with extensive consulting and operational experience in the healthcare industry. We know the forest and the trees, and can write and speak articulately at both levels. Findings from our work are used by clients to help educate the public and healthcare community on specific health policy issues. Clients also use our study findings to support (1) changes in health insurance coverage for specific products or services, (2) improved reimbursement levels, and (3) enactment (or defeat) of legislation affecting specific sectors of the healthcare industry. For examples of several recent projects, see Select Projects.
We have worked with most of the primary participants in the healthcare industry. These include:
Contact Dyckman & Associates for further information on how we can assist you.
- CMS, MedPAC, and other federal government agencies
- Healthcare professional and trade associations
- Blue Cross Blue Shield plans and other health plans
- Provider groups
- Healthcare foundations
- Employers and healthcare purchasing coalitions
- Pharmaceutical companies
- State Medicaid programs
- Medical device manufacturers
D&A Home || Healthcare Consulting || Litigation Support
Staff & Associates || Select Projects || Contact D&A