Each year, the Medicare program recalibrate the payment for outpatient and inpatient payment using a complex set of methods that is based on policies and coding guidance.
Some of Albert’s key accomplishments include using Medicare claims to replicate Center for Medicare and Medicaid Service’s (CMS) prospective payment systems for outpatient and inpatient fee schedules. Albert also has 4 years of CMS claims data acquisition and developing environment to store and analyze data.
Albert has extensive experience analyzing Medicare and other health datasets and applying the results in solving policy challenges. Albert specializes in large dataset analysis using SAS or open-source technology program such as R and python. in Computer Science from the University of Maryland.Īlbert is an accomplished Data Scientist with over a decade experience in data collection, cleaning, analysis, statistical modelling and has over 6 years of experience providing consulting services to the Medicare and Medicaid programs. He also collaborated with many partners and contributed to SERFF/PUF improvements and recommendations for NAIC and CCIIO. He has also developed internal systems to detect errors in SERFF/PUF data and provided feedback loop to the federal, state agencies and insurance carriers. Win has worked closely with multiple state agencies, identifying unique APTC calculations and provided example cases to IRS for further clarification. He leads a team of programmers, designers, and system engineers to implement cloud-based SasS DSS tools for individual and SHOP exchanges in the State of Colorado, Illinois, Massachusetts, Minnesota, Missouri, Nevada, Pennsylvania, Vermont, and the District of Columbia and a private exchange in California to provide actuarial estimates of out-of-pocket costs for health plans and integrated provider directory portals. Phyo Win serves as Vice President of Information Technology at Checkbook/CSS, bringing 20 years of B2C, B2B, and nonprofit web/mobile development experience to the position. He holds a BA in Economics from the College of William and Mary, and an MS in IT Management from the University of Virginia. He also works with our CSS Research group to implement new technologies to support the implementation of consumer and provider surveys.Īndy brings together technical proficiency, subject matter expertise, and business insight to produce effective results for internal and external facing initiatives. He manages the development and operations of consumer facing online decision support tools, including plan comparison and provider directory tools, in Maine, Oregon, Vermont, Massachusetts, California, and Washington, DC.
CONSUMERS CHECKBOOK SEATTLE PROFESSIONAL
His primary responsibilities include managing strategic IT initiatives and overseeing large-scale health insurance exchange projects.Īndy has 15 years of professional experience and his responsibilities call for skills in business intelligence, decision support tool design, API design, vendor & client management, and complex data manipulation. The experience of helping build an early stage life science business furthered his interest in the economics and regulation of health care.Įric holds a BS in Physics from Yale University, an MS in Ocean Physics from the University of Washington, and an MBA from Georgetown University.Īndrew Duff is Director of IT Coordination at Checkbook/CSS.
CONSUMERS CHECKBOOK SEATTLE SOFTWARE
His work there included leading software development, developing clinical decision support methods, and starting the company’s clinical research program. Prior to joining Checkbook, Eric worked at RedPath Integrated Pathology (now part of Interpace Diagnostics), a cancer diagnostics company that combines molecular testing with human pathologist review to assess tumors for their risk of cancer. He is responsible for major initiatives in Checkbook’s health-related consumer tools, including health plan decision support tools on public and private health insurance exchanges, physician evaluation, and drug formulary evaluation, and researching consumer experience with choosing health plans and providers.Įric represents Checkbook/CSS in numerous health policy fora, where he advocates for simplification of consumer experience in healthcare via transparency, data standards and other policy measures that empower consumers and reduce barriers to making informed choices in healthcare.
Eric Ellsworth is Director of Health Data Strategy at Checkbook/CSS.
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