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Payment reform offers huge potential to improve the health care system for both patients and providers. Our challenge is to design payment reform models that create the right incentives, are fair to providers, and are practical to implement.”
As Discern’s Managing Partner, Guy D’Andrea is responsible for oversight of client projects, developing new business, and supervising day-to-day operations. Guy’s client work is focused on aligning health care economics with better system performance, especially through innovative payment systems that reward providers who help patients achieve better overall health at lower cost. Projects include developing performance measurement models for integrated delivery systems and designing shared savings payment approaches.
Before founding Discern in 2004, Guy spent seven years as Vice President at URAC, where he was responsible for the development of URAC’s accreditation programs, including quality standards for PPOs, utilization management organizations, case management organizations and consumer-directed health care. Prior to URAC, he spent five years working on managed care regulatory and policy issues with the American Association of Health Plans (now AHIP) and the Maryland Association of HMOs.
Guy has co-authored several papers on health care reform, including “The Design and Application of Shared Savings Programs: Lessons From Early Adopters” and “Should Health Care Come with a Warranty?” in Health Affairs, “Physicians Respond to Pay-for-Performance Incentives: Larger Incentives Yield Greater Participation” in The American Journal of Managed Care, and “Sustaining The Medical Home: How Prometheus Payment Can Revitalize Primary Care” for the Robert Wood Johnson Foundation.
Guy received an undergraduate degree in philosophy from Cornell University. He earned dual Master of Business Administration degrees from Columbia University and the London Business School.