By 2020, as much as 80% of U.S. health care spending will be tied to quality measures or “value-based” payment models. This trend continues to drive rapid change in the health care system and creates new challenges for health care organizations.

To thrive in this new environment, health care organizations must analyze how performance measures and innovative payment shape the market and identify opportunities to enhance their value proposition to patients and providers.

History of Discern Health

Guy D’Andrea founded Discern in 2004, just as value-based purchasing was entering mainstream health care policy. Discern’s earliest projects focused on implementation of physician and hospital pay-for-performance programs. At that same time, future Discern partners Tom Valuck and Linda Shelton were working at CMS and NCQA, respectively, helping to build those organizations’ value-based purchasing programs.

Discern grew in the subsequent years to engage in a variety of projects about health care quality measurement and innovative payment. Linda joined Discern as partner in 2010, and Tom joined in 2013 after working as a senior vice president at the National Quality Forum. Now, Discern has over 20 staff members with a broad array of experience and academic credentials, and our offices in downtown Baltimore are expanding to accommodate the growth of our firm.

Our Mission

We believe quality-based payment and delivery models will create a high-value health system.  We are committed to working with each client to help define and implement innovative strategies that will keep pace with health system transformation.

What We Value

Discern will cultivate long-term relationships with clients and help them achieve success. Discern will provide its employees with a stimulating professional environment that fosters career development and work-life balance.

Discern will deliver high-quality work that is on time and meets or exceeds client expectations. Discern will operate profitably and sustainably.

Discern will engage in projects that contribute to the development of a high-performance health system that delivers better care, achieves better patient outcomes, and lowers overall costs.

Health Affairs Blog Post Highlights Discern’s Work on Serious Illness Care

Discern Partner Tom Valuck, Josh Rising of Pew Charitable Trusts, and Janet Corrigan of the Moore Foundation, recently authored a blog post for Health Affairs titled “Building Additional Serious Illne...
Learn More



Contact Us


Discern Health Presents Potential Measures for Catalyst for Payment Reform’s Scorecard for Payment Reform 2.0

Discern recently worked with Catalyst for Payment Reform (CPR) to develop a list of measures for CPR’s Scorecard for Payment Reform 2.0. CPR has tracked the implementation of payment reform since 2013...
Learn More