Natascha Dixon Edelin

Natascha Dixon Edelin partners with clients to navigate dynamic market changes, understand their strategic opportunities and implement innovative payment and delivery models.

  With over 20 years of healthcare and business consulting experience, she has a demonstrated record of tailoring solutions to meet each client’s business challenge and facilitate measurable outcomes.

Prior to joining Avalere, Natascha was an associate vice president with CareAllies. She led product development initiatives targeted at transitioning providers and independent physician associations from fee-for-service to risk- and value-based reimbursement models.  She also served as a senior director with Evolent, leading large, complex multidisciplinary teams, providing integrated value-based care solutions and transforming the way healthcare is provided to patients by partnering with health plans, integrated delivery systems, hospitals, and provider groups. As a strategic adviser, Natascha also partnered with the VA, Department of Homeland Security, Marine Corps, and IRS to develop and operationalize strategic plans, performance management systems, multitiered investment management governance boards, and a nation-wide cost-reduction and quality-improvement pilot program.

Natascha holds an MA in international economics and international relations from The Johns Hopkins University School of Advanced International Studies and a BA in political science and German studies from Wellesley College.

Authored Content

At a time when more Americans—particularly people of color—are enrolled in Medicaid, new Avalere analysis finds that provider networks for primary care and certain specialties in Medicaid are narrower on average than those of commercial plans in certain metropolitan areas, ranging from 63% smaller in Miami to 18% in New York.

Tune into another episode of Start Your Day with Avalere. In this segment, experts from our Policy team and the Center for Healthcare Transformation discuss distinct features and frequent questions for CMS direct contracting payment model and its future outlook.

Tune into our fourth episode in the Avalere Health Essential Voice podcast series focused on social determinants of health (SDOH). In this segment, our experts discuss what health plans should know about SDOH data, specifically, the different types of data, what to do with them, and how to use them to fairly assess the impact of social risks on health outcomes.

Tune into another episode of Start Your Day with Avalere. In this segment, our health plan experts delve into the key actions, considerations, and watch outs of a successful Medicaid procurement, or re-procurement, response from both the state and health plan perspectives.

Avalere analysis determined that Medicare Fee-for-Service (FFS) patients receiving home-based care services experienced a decrease in Medicare spending over time when compared to a statistically balanced, matched control group who do not appear to have received home care services. The spending differential was also found to be higher among Medicare beneficiaries with functional limitations and multiple chronic conditions.

Tune into our first episode of the Avalere Health Essential Voice: Social Determinants of Health (SDOH) series. In this segment, Avalere experts from the Center for Healthcare Transformation and the Health Plans and Providers practice set the stage for how stakeholders are defining SDOH and the impacts of SDOH on health outcomes, specifically when addressing social risks and needs.

Avalere experts discussed the latest policy, reimbursement, and program changes affecting post-acute care and why they matter.

Avalere worked with a healthcare organization to assess the impact of their quality improvement program over a 4-year period. The organization prepared primary and specialty care providers/practices to transition from fee-for-service (FFS) to value-based payment arrangements. Avalere’s analysis found participation in the program led to a reduction in both emergency department (ED) visits as well as inpatient (IP) admissions over the period reviewed.

Are you interested in a career in healthcare consulting? Are you passionate about solving the challenges of the healthcare system? Avalere Health, a leading healthcare consulting firm, held an informational webinar on November 18 to provide information about the company and our Associate Immersion Program.