Principal - The Moran Company
Rachel has over 15 years of experience in health policy analysis and consulting focusing on Medicare regulation, reimbursement methodologies, and payment system reform. By combining practical policy experience with results from quantitative evaluations, she can support strategic and tactical planning and provide recommendations for clients.
Rachel was a partner at The Moran Company (TMC), now an HMA company. She directs studies that analyze procedure and product level issues arising in Medicare payment systems with an emphasis on the physician fee schedule and hospital outpatient prospective payment system.
She leads the TMC physician services team, helping clients obtain and understand coding, coverage, and payment policy objectives and processes. Rachel also leads work to track and evaluate value-based purchasing payment policies, the incentives they create and the appropriate alignment of those incentives between provider types, and other alternative payment model platforms.
In addition, Rachel also oversees TMC modeling initiatives such as the company’s replication of the CMS Practice Expense (PE) Relative Value Unit (RVU) methodology. Her other areas of experience include the design of retrospective claims-level analysis to inform patterns of care evaluations and assess market penetration considerations, as well as the design and testing of different reform approaches.
Prior to joining TMC, Rachel served as the director of economics and health policy for a national medical specialty society, was a consultant with a national firm, and worked in both hospital system and freestanding clinic settings.
Rachel has a Master of Public Health degree with a concentration in policy and finance from the Johns Hopkins Bloomberg School of Public Health and is credentialed as a Registered Health Information Administrator (RHIA). She also earned a bachelor’s degree in health information management from the University of Pittsburgh.