Nick’s primary expertise is in helping clients understand the financial implications of trends and changes in the healthcare delivery system, particularly in Medicare and dual-eligible populations. He has worked with a broad range of clients, including health plans, integrated delivery systems, provider groups, reinsurers, and the Veterans Health Administration. He has significant experience in Medicare Advantage, Medicare Part D, Medicaid, commercial, and ACA markets.
Nick's primary focus areas, including examples of recent analyses include:
Medicare Advantage
- Bid development and certification
- HCC risk score optimization and monitoring
- Capitation and risk-sharing contract support for health plans and providers
Medicare Part D
- Bid development and certification
- Formulary impact analysis\Research and tool development
- Research and tool development
Managed long term services and supports (MLTSS)
- Medicaid MLTSS RFP review and response support
- Monitor nursing home to HCBS transition rates
- LTSS forecasting and analysis of programmatic changes for Veterans Health Administration
- PACE capitation rate setting
Reinsurance and stop loss
- Medicaid MLTSS RFP review and response support
- Monitoring nursing home to HCBS transition rates
- LTSS forecasting and analysis of programmatic changes for Veterans Health Administration
- PACE capitation rate setting
Reinsurance and stop loss
