Eric Levine engages health plan clients in strategy and operations to support them in anticipating business needs and implementing changes.

Eric supports clients in strategy development, gap assessments, compliance reviews, and operational improvement initiatives.

Prior to joining Avalere, Eric was a US policy intern at Pfizer, Inc., where he analyzed state legislative and regulatory proposals to evaluate policy options, opportunities, and barriers to key issues, including quality initiatives, prior authorization, and out-of-pocket spending. In addition, he led research on the Quality and Consumer Satisfaction tools in the health insurance exchanges and analyzed state and federal initiatives to develop a position on and strategy for the roll-out of the Quality Rating System and Enrollee Satisfaction Survey for exchange health plans.

Eric has an MPH in health policy and management from Columbia University and a BS in human physiology from Boston University.

Authored Content

As health plans evaluate more efficient ways to engage and retain members, they should focus on existing high-touch points to improve healthcare access and the overall experience. Augmenting these efforts can generate more evidence-based patient management thus improving overall health outcomes.

In February 2012, the Centers for Medicare & Medicaid Services (CMS) announced a final payment error calculation methodology for its contract-level Risk-Adjustment Data Validation (RADV) audits of Medicare Advantage (MA) plans.

As CMS continues to transition from the Risk Adjustment Processing System (RAPS) to the Encounter Data System (EDS) for Medicare Advantage (MA) risk score calculation, plans must evaluate operations and close gaps to minimize the impact of risk score differences using this claims data source.