Giuliana Del Guercio

Giuliana Del Guercio supports clients with research and analysis that span a variety of healthcare sectors and stakeholders.

She applies her background in government and research to a broad range of client projects.

Prior to joining Avalere, Giuliana was a public policy fellow at CRD Associates, researching, analyzing, and presenting summaries and briefs to policy leads and representing the firm at Congressional events. Interning in the U.S. House of Representatives with an Oregon Congresswoman, she conducted qualitative research to investigate potential legislation to address youth homelessness. Additionally, she collected and analyzed data for several child and cognitive psychology labs at the University of Oregon.

Giuliana has a BA in psychology and Spanish from the University of Oregon.

Authored Content

As the Centers for Medicare & Medicaid Services (CMS) consider what, if any, changes to propose to Medicare Advantage (MA) through fall rulemaking, stakeholders should consider where the Biden administration’s priorities may differ from the previous administration’s. Topics that may be addressed—either in regulation or via legislation—include health equity, supplemental benefit flexibility, star ratings, payment and risk adjustment, and end-stage renal disease (ESRD).

Medicaid will continue to experience considerable changes at the state and federal levels, both in terms of beneficiary demographics and the payer landscape. Stakeholders should consider how upcoming elections, policy proposals, and COVID-19 will impact benefits and payer dynamics.

An analysis of CMS’s Hierarchical Condition Category (HCC) model shows that fully dual-eligible beneficiaries have the highest risk scores.

As COVID-19 forces the healthcare system to reprioritize patients and resources, providers delivering behavioral health services may be left with insufficient means to serve the population. Medicaid programs may observe increased demand for behavioral health services but may be ill-equipped to support beneficiaries.

Avalere analysis finds that many CA beneficiaries enrolled in D-SNP look-alike plans may not be able to a transition to a D-SNP.

Join Avalere experts on our webinar on October 29, 2019, to unpack CMS’ 2020 Star Ratings and look at what’s to come for 2021.