Timothy Epple

Tim Epple provides due diligence and advisory services to private equity firms investing in the healthcare sector.

He has led the regulatory, market, and reimbursement diligence of more than 60 healthcare assets, encompassing a range of physician services, pharmaceutical, and healthcare IT companies. He has been quoted in a variety of healthcare publications including Morning Consult, Modern Healthcare, Fierce Healthcare, Healthcare Dive, Health Plan Weekly, and others.

Prior to joining Avalere, Tim was a consultant at the Advisory Board Company, where he supported hospital and health system clients through the analysis and modeling of healthcare and regulatory data. Prior to that, in his role at ADVI Health, he provided advisory due diligence and strategic consulting to healthcare companies as well as private equity firms. He has experience working with healthcare providers, life sciences, and technology focused companies. He previously spent time in supporting roles in the Texas Senate as well as the White House.

Tim has degrees in both economics and political science from the University of Texas at Austin.

Authored Content

Surprise and balance billing reform efforts have been a subject of ongoing debate at the federal level.

A potential recession due to job losses and business closings as a result of COVID-19 will cause shifts in the payer mix and, ultimately, revenue dynamics for physician practices.

Approximately ⅓ of physician services payments are eligible for telehealth reimbursement under Medicare (fee-for-service) FFS through existing Center for Medicare and Medicaid Services (CMS) guidance as of January 2020, in addition to temporary coding guidance specific to COVID-19 effective as of March 1, 2020. Avalere’s analysis highlights the immediate potential for specific physician specialties to utilize telehealth based on temporary flexibilities regarding which procedures are eligible for telehealth reimbursement.

Tune in to hear the second episode in our 3-part series that focuses on CMS’s most recent proposed payment rules. In episode 2, we’ll be focusing on the Medicare Physician Fee Schedule proposed rule, or MPFS, with a focus on proposed changes to E/M and Opioid Use Disorder (OUD) treatment services.