Katie Pahner M.P.A.

Executive Vice President

B.A., Elon University; M.P.A. in Health Policy, George Washington University

(703) 615-6473

Katie Pahner has extensive experience working with a diverse range of clients – including state government and private sector organizations, foundations, trade associations, and integrated health systems – to craft and implement federal healthcare policy and legislative objectives.

Katie’s consulting career spans over a decade, during which time she served as a senior vice president and senior health policy analyst, respectively, with two prominent Washington, D.C.-based healthcare boutique firms. In this capacity, she provided legislative and regulatory guidance to clients on a variety of reimbursement and policy matters pertaining to Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). Katie also formerly served as a vice president at the Marwood Group, a healthcare-focused advisory and consulting firm headquartered in New York City, where her analytical work focused largely on healthcare issues of interest to the investor community.

Prior to her consulting work, Katie served as a legislative analyst in the Office of Legislation at the Centers for Medicare and Medicaid Services. In this position, she liaised with key congressional committees of jurisdiction on legislative matters pertaining to Medicaid and CHIP. During her tenure with the administration, Katie was recognized with an Administrator’s Achievement Award for her work on the Deficit Reduction Act Implementation Team, as well as an Administrator’s Citation for her efforts on the Medicare Prescription Drug Coverage Congressional Outreach Team.

Katie holds a Bachelor of Arts degree in Political Science from Elon University and a Master of Public Administration with a concentration in health policy from The George Washington University. Her graduate work includes research positions with the Kaiser Family Foundation’s Program on Medicaid and the Uninsured, as well as with the Government Performance Project, a 14-year effort of the Pew Charitable Trusts to improve state government management. She and her husband, Steve, have three children, Ellie, Andy, and Will.

Proposed Stark Law, Anti-Kickback Reforms Aim To Facilitate Value-Based Care

On Wednesday, October 9, the Department of Health and Human Services (HHS) announced highly anticipated proposed reforms to current regulations implementing the Physician Self-Referral Law (the Stark Law) and the Federal Anti-Kickback Statute (AKS). Also addressed were related civil monetary penalties (CMPs) for inducements to beneficiaries to utilize services. HHS identified the regulations as they stand now as potential impediments to value-based purchasing arrangements for providers and suppliers participating in federal health care programs, as well as in the commercial sector....
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Accelerating Primary Care Redesign: CMS’ Innovation Center Announces Five New Transformative Models

On April 22, 2019, the Centers for Medicare and Medicaid Services (CMS) announced the Primary Cares Initiative (PCI), a suite of five voluntary payment models aimed at overhauling primary care. Marking the Trump Administration’s latest investment in Medicare value-based reform, PCI focuses on the role of primary care providers as the central coordinators of patient health, with the goal of enhancing patient care while lowering overall Medicare fee-for-service (FFS) costs. Once implemented, CMS estimates that more than a quarter of all Medicare FFS beneficiaries – nearly 11 million individuals – will be included in these transformative primary care delivery models....
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Breaking Down The MACRA Proposed Rule

The mother ship has landed. On Wednesday, April 27, the Centers for Medicare and Medicaid Services (CMS) released the highly anticipated proposed rule that would establish key parameters for the new Quality Payment Program, a framework that includes the Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APMs)....
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