Acumen has several teams dedicated to auditing and validating health care program data to promote compliance with and integrity of various Medicare programs. This work often involves auditing the accuracy and availability of marketed plan benefits and services and reviewing marketing materials and communication to enrollees to ensure that health plans are meeting compliance standards.

Policymakers, providers, and consumers use health care measures to incentivize effective care, and to evaluate provider performance with regard to cost, quality, and other domains. Acumen has extensive experience developing, reporting, and evaluating health care performance measures, with a particular focus on cost and quality measures. Our expertise includes developing and reporting episode-based cost measures and quality measures for clinicians, hospitals, and post-acute care providers.

Acumen has extensive experience providing policymakers with easily accessible information and tools for monitoring health care program operations and outcomes after a policy change or program rollout. When government agencies roll out major programs and policy changes, they often require support to ensure that such changes are not limiting access to care or contributing to other negative health outcomes.

When introducing new programs and policies to the public, clients often require data and analytic support throughout the development and implementation phases. Acumen is an industry expert in supporting the design and implementation of public health care delivery programs and payment systems. Our expertise encompasses a wide range of care settings, including nursing facilities (NFs), skilled nursing facilities (SNFs), long-term care hospitals (LTCHs), and inpatient rehabilitation facilities (IRFs), as well as outpatient services, physician reimbursement, and disease-specific Medicare benefits, such as the End-Stage Renal Disease (ESRD) benefit.

As Federal, state, and local agencies continue to test improvements to their health care systems, robust evaluations are necessary to evaluate their impact and determine best practices. Acumen has significant experience conducting flexible and insightful evaluations of federal and state health care programs, specifically programs testing innovations related to payment policy and care delivery. Our group conducts a wide range of mixed methods and quantitative program evaluations to assess the programs’ impact on health care costs, standards of care, and patient health and quality of life to support policymakers’ decisions.