Lauren Cricchi

Lauren Cricchi advises clients on value-based care delivery and healthcare quality improvement strategy and implementation.

With expertise in quality measure development and value-based contracting, particularly within alternative payment models (APMs) developed through the CMS Innovation Center, she identifies strategic engagement opportunities within CMS quality and value-based programs, analyzes quantitative performance results, and assesses policy implications for a wide variety of provider, payer, financial, and life sciences stakeholders.

Prior to joining Avalere, Lauren was a research consultant with the Lewin Group, maintaining and developing clinical quality measures for CMS and supporting healthcare organizations participating in a variety of federal value-based payment models.

Lauren has a BA in public policy and leadership from the University of Virginia and minored in business Spanish.

Authored Content

In September 2021, Avalere conducted an online survey of 51 US-based health plans and pharmacy benefit managers (PBMs), representing roughly 59 million covered lives. The survey indicates that 56% of payers have executed an outcomes-based contract (OBC) as of September 2021.

The impact of COVID-19 goes beyond the disease and produces additional strain on the healthcare system, including managing patients and meeting cost and quality drivers.

Avalere collaborates with the Endocrine Society and Pottstown Medical Specialists to launch a quality improvement intervention study aimed at addressing care gaps in the identification and management of hypoglycemia in older adults with type 2 diabetes.

This past spring, Avalere and MITRE experts presented “Implementation of the Core Quality Measures Collaborative (CQMC) Core Measure Sets by Public Payers: Successes and Opportunities” at the Pharmacy Quality Alliance (PQA) annual meeting.

In early February, Avalere attended the annual Centers for Medicare & Medicaid Services (CMS) Quality Conference, an annual gathering that brings stakeholders together to address challenges in healthcare quality improvement and discuss ways to spread these solutions locally and nationally.