Since our founding in 2004, L&M has grown to include researchers, economists, former health care administrators, public health specialists, and policy experts. With decades of collective health care experience, the firm continues to be led by its two founders…
Lisa H. Green, Ph.D., is founding principal of L&M and brings over two decades of experience as a health services researcher focused on health care access, quality and costs for populations covered under federal health care programs. She has a particular interest in how these programs impact vulnerable communities and the role of health care reform in reducing long-standing health and health care disparities.
Dr. Green has extensive expertise in mixed-methods, formative and evaluative research and has conducted thousands of key informant interviews and case studies with consumer groups, providers, government agencies, and consumers across a range of health care topics. Recent work includes directing several large-scale evaluations examining how alternative payment methodologies and care delivery approaches impact health care utilization, spending, quality and patient experience. Other notable project work includes assessing and building evidence to support the business case for health care sector stakeholders to integrate health equity into their business operations. Prior to her graduate studies in health services outcomes and quality, she worked on a variety of projects assessing the impact of Medicare, Medicaid, and Children’s Health Insurance Program policies on the health care access and health outcomes of underserved populations.
Dr. Green holds a Ph.D. in health services and outcomes research from the John Hopkins University Bloomberg School of Public Health and a B.A. in economics and French with a concentration in international relations from Cornell University.
Myra A. Tanamor, M.P.P., is founding principal of L&M and has spent more than 20 years working on health care financing and delivery issues and health communication strategies. She has extensive project management experience, directing many small- and large-scale qualitative studies for the federal government, non-profit organizations, foundations, and professional associations. These studies have included focus groups, in-depth interviews, site visits, and surveys with a focus on the elderly and low-income populations (particularly those eligible for Medicare and Medicaid), individuals with chronic conditions and disabilities and their caregivers, health care providers and administrators, small employers and employees, and advocacy organizations.
Ms. Tanamor is currently directing a consumer research project to support the improvement of HealthCare.gov, with a particular emphasis on the consumer experience of the website for individuals and small business employers and employees for the Centers for Medicare & Medicaid Services (CMS). She has served as Project Director on several CMS projects examining how consumers use quality information when choosing providers, health plans and prescription drug plans and evaluating the impact of the Financial Alignment Demonstration on beneficiaries who have both Medicare and Medicaid.
Ms. Tanamor holds an M.P.P. with a concentration in health policy from the Georgetown University’s Public Policy Institute (now the McCourt School of Public Policy) and a B.A. in psychology with a minor in political science from Northwestern University.
Sally Crelia, M.P.H., is a senior research director at L&M. She has extensive experience in various methods of qualitative research, including designing, conducting and analyzing results from cognitive and in-depth interviews, small group discussions and focus groups, and key informant interviews, in English and in Spanish. Ms. Crelia has a particular interest in conducting healthcare related research with vulnerable populations, including a wide range of Medicare and Medicaid beneficiaries and their caregivers; racial and ethnic minorities; persons with limited English-speaking capability; and the uninsured and underinsured. She has also conducted research with a variety of healthcare professionals, community-based organizations and advocacy groups that serve vulnerable populations.
Ms. Crelia currently leads several research projects for the Centers for Medicare & Medicaid Services (CMS), examining how various audiences understand and use information about the Medicare and Medicaid programs, as well as their experiences with the programs themselves. Ms. Crelia is also assisting the Department of Housing and Urban Development (HUD) evaluate its Supportive Services Demonstration, testing whether new approaches to service coordination in HUD’s elderly housing properties support aging in place and reduce costly and potentially avoidable use of high-cost healthcare services. She recently led a series of focus groups with Medicare beneficiaries in several rural and metropolitan communities across the country, in English and Spanish, as well as provider focus groups to understand the factors that impact preventive service utilization among vulnerable segments of the Medicare population. She also led design and implementation of a cognitive testing study of the Centers for Disease Control and Prevention’s (CDC) Health Related Quality of Life survey questions and assisted the National Committee for Quality Assurance with cognitive testing of selected items on the Medicare Health Outcomes Survey in both English and Spanish.
Ms. Crelia holds an M.P.H. from Emory University’s Rollins School of Public Health and is fluent in Spanish.
Kelly Moriarty is a senior research director at L&M. She has spent two decades conducting health care research, focusing on consumer research and communications, materials development and testing, quality measure development, and program implementation and assessment. She has conducted hundreds of cognitive interviews with Medicare beneficiaries and their caregivers, moderated focus groups with patients and providers, convened technical expert panels, and conducted key informant interviews with consumer groups, providers, and state and local government agencies.
Ms. Moriarty’s recent work includes both health communication and evaluation studies for the Centers for Medicare & Medicaid Services. She has led many projects aimed at improving communication around coverage, quality, and choice within the Medicare program. These studies included the development of web- and paper-based tools to support plan choice decisions, research to identify ways to support less traditional Medicare information intermediaries, such as employers and pharmacists, and usability assessments of a range of online tools. Ms. Moriarty also led the qualitative research activities for an evaluation of the Medicare Part D opioid policy, conducting key informant interviews with physicians and site visits with Part D sponsors to understand and assess programs aimed at stemming opioid overutilization. Prior to joining L&M, she led numerous projects to consumer test Medicare forms, publications, and Web tools, managed projects to develop quality measures for Medicare Part D and for end-stage renal disease, and developed model marketing materials for Medicare Part D.
Ms. Moriarty holds a B.A. in religion, with a focus in bioethics, from Princeton University.
Heather McPheron, M.P.H., is a director at L&M. Ms. McPheron has 15 years of health care consulting experience on a wide range of projects ranging from operations and strategy to program planning and evaluation, policy analysis, and technical assistance. Her project management expertise includes data analysis, primary data collection, strategic planning, business process mapping, and contract and financial management. Ms. McPheron also has extensive experience conducting in-depth key informant interviews and case studies with executives, administrative and clinical staff, patients, and other health care stakeholders.
Ms. McPheron is currently working with the Centers for Medicare & Medicaid Services (CMS) on several large-scale projects to examine various aspects of health care payment, quality, and delivery transformation. Ms. McPheron is managing a project for the CMS Office of Minority Health to support organizations in making a business case for addressing disparities among the populations they serve. As part of this project, she leads qualitative and quantitative workstreams and develops technical assistance tools to engage stakeholder audiences. Concurrently, Ms. McPheron is working with the CMS Center for Medicare & Medicaid Innovation on an evaluation of Medicare accountable care organization initiatives, where she leads primary data collection activities, conducts data analysis, and prepares briefing materials and summative reports. Recently, Ms. McPheron managed a project for CMS synthesizing qualitative evaluation results from 10 federal and state health care payment and delivery models. She contributed to the development of a taxonomy of factors affecting model implementation and led synthesis of cross-model findings on facilitators and challenges to model operation.
Before joining L&M, Ms. McPheron worked in management consulting, advising and providing strategic planning and operations analysis and redesign for a broad range of institutional health care providers including academic medical centers, hospitals, and health systems. Ms. McPheron also worked in a corporate strategy role for a Fortune 500® company that provides outpatient dialysis services at more than 2,500 clinics nationwide. Prior to that, she spent several years working in health policy research and consulting, focusing on programs for medically complex and vulnerable populations.
Ms. McPheron holds an M.P.H. with a concentration in health care management from the Yale School of Public Health in conjunction with the Yale School of Management.
Colleen Dobson, M.S., is a senior researcher at L&M. Ms. Dobson has nearly ten years of experience conducting qualitative research to support health care communications and evaluation projects, with a particular focus on elderly and low-income populations, individuals with chronic conditions and disabilities, health insurance consumers and the uninsured. She is experienced in leading in-depth interviews and focus groups with a variety of consumer and professional audiences; conducting environmental scans and literature reviews; and preparing reports and briefings for a variety of clients, including communications research teams, policy experts, senior leadership, and web-developers and technical teams.
Ms. Dobson is currently working on several consumer research projects for the Centers for Medicare & Medicaid Services to aid enrollees and uninsured individuals in understanding and navigating the Health Insurance Marketplace. She recently contributed to a number of projects aimed at improving communications around coverage, quality, and choice within the Medicare program. Ms. Dobson also contributes to several of the firm’s policy and program evaluations, including a recent evaluation of the Center for Medicare & Medicaid Innovation’s Accountable Care Organization Investment Model.
Ms. Dobson holds an M.S. from the Harvard School of Public Health and a B.A. in psychology from the University of Delaware.
Vladislav Slanchev, Ph.D., is a senior researcher at L&M. Dr. Slanchev has research experience in public policy quantitative analysis, evaluation design for assessing the performance of health care payment models, development of quantitative models to explain the determinants of individuals’ decisions and outcomes, and survey design. His current work includes evaluating the impact of the Home Health Value-Based Purchasing model on home health agencies and various segments of home health users. Dr. Slanchev has a leading role in research efforts to identify the extent to which health outcomes of vulnerable populations are affected by the quality of the post-acute care settings available to them. He previously led a study to estimate nationwide eligibility and take-up rates for Medicare Savings Programs and worked on assessing the impact of personalized primary care medicine model on health care spending, utilization, and other outcomes. In his career he has made extensive use of data from Medicare and Medicaid claims, as well as various national health studies. Before joining L&M, Dr. Slanchev conducted research assessing respondents’ willingness to link their survey responses to administrative records and developed a framework to test alternative measures of their privacy attitudes.
Dr. Slanchev holds a Ph.D. in Economics from Duke University.
Alyson Marano Ward, R.N., M.P.H., is a senior researcher at L&M with more than twenty years of experience working on public health issues for a variety of audiences, including Medicare and Medicaid eligible populations. She has assisted with and extensively supported Centers for Medicare & Medicaid Services (CMS) contracts related to Consumer Research on Communicating Coverage, Choice, and Quality, building upon the agency’s work in communications over the last decade to continue refining materials so that they promote informed choice among the public. Over the course of eight years and in collaboration with the Delmarva Medical Foundation, Ms. Ward served as project manager for the annual external review of Medicaid managed care plans for the District of Columbia’s Department of Health Care Finance (formerly the Medical Assistance Administration). Ms. Ward also conducted research on and with pharmacists exploring how their understanding of the Medicare program informs how they are able to support beneficiaries. In additions, she also helped conduct research on consumers’ reactions to available information on CMS’s Compare tools websites, including Dialysis Facility Compare, Hospital Compare, Home Health Compare, and the new Hospice Compare.
On behalf of CMS, Ms. Ward is currently conducting qualitative research efforts to inform the development of web tools for the federally facilitated health insurance exchanges mandated by the Affordable Care Act. In addition, Ms. Ward is part of the research team assessing the Medicare Care Choices Model, a demonstration project allowing hospice-eligible Medicare beneficiaries the option to continue receiving curative care services administered through feefor- service Medicare while receiving some hospice services.
Ms. Ward is a Registered Nurse and holds an M.P.H. with a concentration in Maternal and Child Health from the Boston University School of Public Health.
Laura Faas is a research associate at L&M. She conducts qualitative research in support of health care communications, usability testing, and evaluation projects, contributing to data collection and analyses through in-depth interviews and focus groups, key findings syntheses, and literature reviews. Ms. Faas currently participates in consumer usability testing to inform the development of web tools for the federally facilitated health insurance exchanges (HealthCare.gov) mandated by the Affordable Care Act. She helps conduct case studies and site visits as part of an evaluation of the Centers for Medicare & Medicaid Services’ Medicare Care Choices Model, which allows beneficiaries to receive curative treatment and hospice services concurrently. Additionally, she provides support for to the L&M team’s cognitively testing a newly developed Chinese translation of the Medicare Health Outcomes Survey with native speakers in both Mandarin and Cantonese.
Prior to joining L&M in 2016, Ms. Faas worked as a legal intern at Community Law Wellington and Hutt Valley in New Zealand, where she conducted legal research and assisted with interviewing underserved and vulnerable groups, particularly refugees and members of the indigenous Māori population. Prior to that, she interned for the Harvard T.H Chan School of Public Health’s FXB Center for Health and Human Rights, and for the Boston Center for Refugee Health and Human Rights at Boston Medical Center, where she worked one-on-one with torture survivors seeking asylum.
Ms. Faas holds a B.A., with general honors, in Anthropology from the University of Chicago, where she was also awarded a fellowship and grant through the 2015 Human Rights Internship Program at the University’s Pozen Family Center for Human Rights.
Alexandra (Rose) Nagele is a Research Assistant at L&M Policy Research. Ms. Nagele has research experience in the biological sciences as well as the humanities. At L&M, she provides qualitative research support to evaluation projects for the Centers for Medicare & Medicaid Services (CMS). She currently assists with primary data collection and analysis for the evaluation of the Home Health Value Based Purchasing Model, an initiative of the Center for Medicare & Medicaid Innovation (CMMI). She also contributes to a project assisting CMS with monitoring and evaluation and of active section 1115 demonstrations whose intent is to evaluate state-specific policy approaches to better serve Medicaid populations.
Prior to joining L&M, Ms. Nagele held a fellowship with the Penn Program in Environmental Humanities to conduct interdisciplinary research on the relationship between environmental, economic, and social change at the Philadelphia Navy Yard. She was also an undergraduate fellow at FactCheck.org, where she contributed to the research, writing, and editing of articles on political claims and misconceptions. Her biological research experience includes a position at the Fox Chase Cancer Center in Philadelphia, where she assisted an investigation of cell signaling pathways in lung cancer.
Ms. Nagele holds a Bachelor of Arts, summa cum laude, in Biology with a minor in Creative Writing from the University of Pennsylvania.
Julia A. Doherty, M.H.S.A., is a senior research director at L&M. She has over 30 years of experience in health care management, policy, and research, and focuses on qualitative research in health care delivery and payment innovation. She has held executive posts in a health maintenance organization, a major academic hospital, a community health center, and a management consulting firm prior to joining L&M. Ms. Doherty joined L&M in 2009 and has since led multiple qualitative and quantitative research efforts, conducted program assessment and evaluations, convened and facilitated stakeholder meetings, and managed project advisory and expert panels at the state and federal level. She has conducted thousands of key informant interviews and case studies nationwide with providers, state agencies, regional office staff, patient advocates, beneficiaries, suppliers, manufacturers, researchers and other health care stakeholders and experts.
Ms. Doherty currently manages projects for the Centers for Medicare & Medicaid Services (CMS), functioning as a qualitative research lead for the Home Health Value-Based Purchasing evaluation. She leads the L&M team’s work with the CMS Office of Minority Health’s Health Equity Innovation Incubator focusing on disparities in post-acute care. She serves as a subject matter expert on multiple projects related to value-based payment and care delivery involving accountable care organizations, home health and hospice. Ms. Doherty is also part of the L&M team supporting the implementation of the Agency for Healthcare Research and Quality’s (AHRQ) Pediatric Quality Measures Program Learning Collaborative. She recently led a project with AHRQ for the U.S. Preventive Services Task Force and a consulting engagement for the National PACE Association.
Prior to joining L&M, she also worked as a consultant with the state of Vermont’s Department of Public Health and Health Care Reform Commission on several projects involving medical homes and accountable care organizations. Earlier projects included working with the Medicare Payment Advisory Commission (on hospital payment and pharmacy costs), the Indian Health Service (Native American Research Centers for Health), and other non-profit health care providers and associations in the United States and Germany. Ms. Doherty has published in multiple peer-reviewed national and international journals.
Ms. Doherty holds an M.H.S.A. from The George Washington University’s School of Government and Business Administration, a B.S.W. with a concentration in social policy and planning, and speaks fluent Spanish and German.
Claudia L. Schur, Ph.D., is a senior research director at L&M. Dr. Schur has more than 30 years of experience in health policy research, program evaluation, survey design and implementation, and quantitative and qualitative analysis. She has contributed to a number of the Center for Medicare & Medicaid Innovation (CMMI) model evaluations (Pioneer/Advance Payment ACOs, HHVBP, MCCM) and recently led a synthesis of qualitative evaluation findings from 10 CMMI state-based models. For the Center for Medicaid and CHIP services, she currently directs the Section 1115 Demonstration Monitoring and Evaluation Support contract, providing technical support to CMS, including review of a range of state evaluation and monitoring deliverables. Dr. Schur also leads the Pediatric Quality Measures Program-Learning Collaborative, providing support to six grantee teams in synthesizing learnings on measure implementation. Prior to joining L&M, Dr. Schur served as the project director providing technical and logistical support for the Medicare Access and CHIP Reauthorization Act (MACRA) physicianfocused payment model technical advisory committee. She has designed surveys of a variety of provider populations, including physicians, home health agencies, nurse executives, pharmacy directors, and public health department directors, and has experience conducting qualitative studies using site visits, expert panels, focus groups, and semi-structured telephone interviews. Dr. Schur’s quantitative research has relied on Medicare, Medicaid, TRICARE, and private claims data as well as a large number of national health-related surveys to explore access to care for vulnerable populations, choice of insurance coverage, the effect of coverage on use of services, prescription drug spending, and payment issues. Her research has been disseminated in peer-reviewed journals such as Health Affairs, the American Journal of Public Health, and the Journal of Rural Health, as well as through policy briefs and conference presentations.
Her project management experience spans over 15 years in three organizations, where she has directed large research studies, managed organizational and contract budgets, and directed multidisciplinary staff.
She holds a Ph.D. in Economics from the University of Maryland.
Monica Sarmiento, M.A., is a director at L&M. She has over 15 years of experience in the areas of project management, health care research, and monitoring and compliance activities. Ms. Sarmiento has developed and translated materials into Spanish for various target audiences and has conducted in-depth cognitive and usability interviews and research with dyads and focus groups of consumers, Medicare beneficiaries and their caregivers, health care providers, and other professionals in both English and Spanish.
Ms. Sarmiento collaborates with the Centers for Medicare & Medicaid Services (CMS) in several tasks aimed at improving Medicare beneficiaries’ understanding of health plan quality and choice. She has led consumer research activities with Spanish-speaking beneficiaries to assist CMS in evaluating and improving the Spanish version of its Medicare Plan Finder tool; and contributed to CMS projects related to public reporting of health care quality information on the Medicare.gov homepage, Dialysis Compare, Inpatient Rehabilitation Facilities Compare, and Hospital Compare webtools. For the Medicare-Medicaid Alignment Initiative, Ms. Sarmiento led consumer research with Spanish-speaking dual eligible beneficiaries and their caregivers to gauge understanding and ease of use of forms and notices about enrollment options. Ms. Sarmiento is currently managing L&M’s multi-year project of supporting the Agency for Healthcare Research and Quality’s Registry of Patient Registries. She recently completed work as the project manager and key staff for a CMS effort to assess Part D plans’ websites’ adherence to the Medicare Marketing Guidelines. Ms. Sarmiento led efforts to develop and implement a review methodology and an analysis plan to guide the monitoring and assessment of the websites. Prior to joining L&M, Ms. Sarmiento spent several years working in health policy consulting focused on federal health programs.
Ms. Sarmiento is fluent in Spanish and holds an M.A. in applied sociology from American University.
Ferhat Q. Kassamali, M.Sc., M.P.H., is a senior researcher at L&M. He joined L&M in 2009 and has nearly 20 years of experience in financial analysis and modeling, strategic planning, business processes, data analytics, prospective payment systems, program evaluation, and general health care policy and research. Mr. Kassamali has extensive project management experience having successfully managed numerous multi-year projects, as well as project teams involving multiple subcontractors.
Recent work includes leading L&M’s multi-year project prototyping and implementing the Outcome Measures Framework in the Agency for Healthcare Research and Quality’s Registry of Patient Registries, leading an evaluation of the Centers for Medicare & Medicaid Services’ Medicare Part D opioid policy, contributing to an evaluation of Center for Medicare & Medicaid Innovation Accountable Care Organization initiatives, and projects examining physician practice expense payments, Medicare administrative contracting, and evaluating methods to combat fraud, waste, and abuse.
Before joining L&M, Mr. Kassamali worked as a management consultant, advising hospitals on various financial, strategic, and operational matters, including strategic planning, ambulatory network development, cost-effectiveness, organizational alignment, and operational improvement. Prior to that, his consulting work focused primarily on health care finance, working with a range of clients on issues related to Medicaid financing, Medicare’s prospective payment systems (inpatient, outpatient, ambulatory surgery center, and long-term acute care hospital), hospital service-line development, and due diligence for mergers and acquisitions transactions.
Mr. Kassamali holds an M.P.H. in health management from the Yale School of Public Health in conjunction with the Yale School of Management, and an M.Sc. in human genetics and a B.Sc. in biology from McGill University.
Russ Tisinger, Ph.D., is a senior researcher at L&M. Dr. Tisinger’s work focuses on health-related consumer choice and social marketing messaging. He currently conducts both qualitative and quantitative research to support the development and evaluation of HealthCare.gov, the online portal for the federally facilitated health insurance exchanges. Qualitative research (focus groups and in-depth interviews) inform the development of the website and quantitative research (survey design and analyses) provide insights on consumer satisfaction with the consumers’ HealthCare.gov experience. Dr. Tisinger has also led projects supporting initiatives by the Centers for Medicare & Medicaid Services (CMS) to publicly report health care quality information about hospitals, doctors, and other health care providers. Before joining L&M in 2014, he spent four years conducting evaluations of Medicare and other federal health programs at the Office of Inspector General for the US Department of Health & Human Services. Previously, as a survey researcher, he helped design national survey projects for the Kaiser Foundation, the Harvard T.H. Chan School of Public Health, the Pew Center for the People & the Press, National Public Radio, and The Washington Post.
Dr. Tisinger holds a Ph.D. from the University of Pennsylvania’s Annenberg School for Communication.
Nicholas A. Byrd, M.A., is a researcher at L&M. Mr. Byrd brings research and programming experience working with medical claims, cost reports, and clinical and financial data and conducting quantitative analyses related to the public and private healthcare sectors. Mr. Byrd is a proficient SAS programmer with experience working in the Centers for Medicare & Medicaid Services’ Virtual Research Data Center and the Integrated Data Repository, and regularly works with other primary and secondary data sources.
Mr. Byrd currently conducts analyses to monitor and assess the Medicare Inpatient Psychiatric Facility Prospective Payment System, and evaluate the impact of the Home Health Value-Based Purchasing Model for CMS. In prior work at L&M, he provided analytic support for the evaluation of the Accountable Care Organization initiative and contributed to an evaluation to examine the impact of Medicare’s Part D policy to improve opioid drug utilization controls at the plan sponsor, prescriber, and beneficiary levels. Prior to joining L&M, Mr. Byrd worked as senior business analyst in the private healthcare sector and has contributed to publications focusing on regional economic and demographic trends.
Mr. Byrd holds an M.A. in Applied Economics from the University of North Carolina at Greensboro.
Katherine Ianni is a research associate at L&M. Ms. Ianni works on evaluation projects for Centers for Medicare & Medicaid Services, the Medicare Payment Advisory Commission, other government agencies, and private clients using both quantitative and qualitative methods. Ms. Ianni has experience working in Stata and Excel with various data sources including primary data collected through surveys, Medicare claims data, cost reports, and other public data such as the provider of services file and nursing home compare files. She supports qualitative data collection and analyses through interviews, key findings syntheses, and literature reviews.
Prior to joining L&M, Ms. Ianni worked as an intern for the Delaware Department of Health and Social Services in the Bureau of Communicable Disease where she managed the database for the Hepatitis C surveillance program through data collection and analysis, designed physician surveys, and assisted in writing the Hepatitis C Surveillance manual for the Bureau. This experience was supported by the David G. Smith Summer Internship in Health and Social Policy Fellowship, which Ms. Ianni was awarded by the Swarthmore College Social Science Division Chairs. Ms. Ianni also worked as a Teaching Assistant for the Swarthmore College Economics Department.
Ms. Ianni holds a B.A. in Economics from Swarthmore College.
Angel Rollo, M.Eng, is a Research Assistant at L&M Policy Research. Ms. Rollo has experience conducting quantitative and qualitative research and using quality and process improvement tools in the field of healthcare. She is currently working on a project with the CMS Office of Minority Health (OMH) to build the business case for health systems to engage in activities that advance health equity through the use and dissemination of a Disparities Cost Calculator (DCC), literature reviews, and stakeholder interviews. Additionally, she provides support on CMS’s Division of Value Incentives and Quality Reporting (DVIQR) Program Support (DPS) project, assisting with updates to communication materials for CMS’s value-based payment and public reporting programs for hospitals. Ms. Rollo also works on a project to assist CMS with managing, triaging, and reviewing comments in response to the advance notice of methodological changes for Part C and the regulation of policy and technical changes for Part C and Part D.
Prior to joining L&M, Ms. Rollo conducted qualitative research in Bududa, Uganda evaluating youth perspectives on HIV. She also participated in the Harvard Summer Program in Epidemiology, conducting quantitative research using ambulatory care data and interned at the Hispanic Center Lehigh Valley, working to help improve their food pantry.
Ms. Rollo holds a M.Eng. from Lehigh University in healthcare systems engineering and a B.S. from Lehigh University in bioengineering.
Kathryn E. Linehan, M.P.H., is a senior research director at L&M. She has more than 20 years of experience analyzing health care payment policy, primarily Medicare payment policy. She is an expert at designing and executing mixed methods evaluations and has worked on a number of those, including evaluations of Medicare Accountable Care Organization models, Medicare Advantage, and Home Health Value-Based Purchasing, during her time at L&M.
Before joining L&M, Ms. Linehan was a principal policy analyst with the National Health Policy Forum where she conducted research and planned and convened expert panel discussions on current topics and debates in Medicare payment and private insurance. She also has nearly nine years of experience with two Congressional support agencies, the Government Accountability Office and the Medicare Payment Advisory Commission, where she analyzed Medicare payment policies for various sectors, including Medicare private plans, durable medical equipment, Part B drugs, skilled nursing facilities, and hospice.
Ms. Linehan holds an M.P.H. from the University of Michigan School of Public Health.
Margaret Edder Johnson, M.B.A., is a director at L&M. She has over 20 years of experience in health care policy, research, and management. She brings skills in primary research data collection, including leading key informant interviews with providers, payers, consumers, and employers; conducting in-depth formative and cognitive interviews with consumers; and moderating focus group discussions with consumers and providers. Ms. Johnson is also experienced in analyzing and reporting findings using qualitative methods, leading demonstration and evaluation site visits, providing rapid cycle evaluation feedback, designing web-based health care cost tools, evaluating technical assistance and training, conducting environmental scans, strategic planning, and process and flow mapping/diagraming.
Many of her skills are demonstrated in the work she is currently conducting for the Centers for Medicare & Medicaid Services (CMS), including building and end-user testing a web-based calculator tool to help health care organizations demonstrate the financial value of addressing health disparities, interviewing home health agencies and referral sources as well as analyzing the information collected for key themes and findings to support the assessment of the Home Health Value-Based Purchasing model, and leading site visits to model demonstration sites to assess the impact of the Medicare Care Choices Model on cost, quality, and care provided to patients who receive curative treatment and some hospice services concurrently.
Most recently Ms. Johnson was engaged with the National PACE Association to develop its growth strategy to better serve aging individuals in the community who would otherwise be in nursing homes. Additionally she completed work as the project manager and key staff for the evaluation of the Center for Medicare & Medicaid Innovation accountable care organization initiatives, and on a separate project, as an evaluator where she provided rapid cycle feedback on technical support provided by CMS to states focusing on payment and delivery reform for beneficiaries with complex needs as part of the Innovator Accelerator Program. She has also recently completed work for the Agency for Healthcare Research and Quality to develop a library of standardized outcome measures for use in patient registries for five distinct clinical areas. Before joining L&M, she held senior management positions in a national home care and infusion/specialty pharmacy company where she worked extensively in health care operations and management; prior to that, Ms. Johnson spent several years working in health policy research, focused primarily on federal health programs.
Ms. Johnson holds an M.B.A. in health administration from the University of Colorado and a B.A. in economics from Mary Washington College (now the University of Mary Washington).
Lauren Blatt is a senior researcher at L&M. She has spent over 15 years using qualitative and quantitative research methods and analyses to inform, evaluate, and improve health care programs and performance. Ms. Blatt is also experienced in developing outreach, education, and application and decision-support materials and tools for a variety of target audiences and has conducted hundreds of key informant interviews, in-depth cognitive and usability interviews, focus groups, and small group discussions with consumers, Medicare beneficiaries and their caregivers, health care providers, and other professionals.
She is currently leading a project to conduct consumer research to support Marketplace tools, outreach, and education programs. Since 2012, she has led dozens of projects on the web-tools currently available on HealthCare.gov, and has conducted formative research, usability testing, consumer testing, survey research, and end-to-end testing for both the individual and the Small Business Health Options Marketplaces. Ms. Blatt has also led projects that support the Centers for Medicare & Medicaid Services’ public reporting of health care quality information, including the development and usability of Physician Compare and Home Health Compare web tools, and participated in projects on the Medicare.gov homepage, Medicare Plan Finder, and Hospital Compare web tools.
Ms. Blatt holds a B.A., summa cum laude, in economics from the University of Pennsylvania.
Heather Onuma-Brennan, M.P.H., is a senior researcher at L&M, bringing twenty years of experience in public health planning, health care and health communications research with a primary focus on vulnerable populations. Presently, she is leading several qualitative research projects, including managing the fourth year of HealthCare.gov end-to-end testing, seeking to understand how consumers make health plan decisions and choices in the midst of insurance market changes and shifting healthcare policy. She is also conducting research for the Department of Housing and Urban Development, serving as focus group lead and moderator, assessing how elderly residents’ perceptions of health, well-being and satisfaction with housing and services are impacted by a new service coordination approach.
Ms. Onuma-Brennan recently led a qualitative research project exploring factors driving disparities in preventive service utilization among vulnerable populations including racial and ethnic minorities, members of the disabled community, and sexual and gender minorities. For four years, Ms. Onuma-Brennan managed research with dual eligible beneficiaries across several demonstration states to assess their impressions of and experience with the Medicare-Medicaid Alignment Initiative.
Prior to joining L&M in 2012, Ms. Onuma-Brennan served in a variety of roles focusing on cross-sector coalition-building, health communications, program and policy development to meet community needs and support system-wide change to positively impact social determinants of health. She has worked as a public health research and evaluation consultant for municipal, county, state and federal government agencies, academic institutions, and private foundations.
Ms. Onuma-Brennan holds an M.P.H. with a concentration in Community Health Sciences from the University of California Los Angeles School of Public Health, as well as a B.A. in Anthropology from Princeton University.
Lisa Tomai, M.S., is a senior researcher at L&M. She has over 25 years of experience in healthcare analytics and research in both public and private settings. Ms. Tomai has worked extensively with large healthcare claims and administrative databases from sources including Medicare, Medicaid, Worker’s Compensation, and commercial carriers. Her recent initiatives involve analytic design and data management for the evaluation of federal and state programs for innovative care delivery and alternative payment models. Specific projects include programming and analytic support for the evaluation of the Home Health Value-Based Purchasing Model, evaluations of the Center for Medicare & Medicaid Innovation’s (CMMI) Accountable Care Organization (ACO) Initiatives, and the assessment and testing of Medicaid claims and encounter data under a CMS Office of Minority Health analytical support contract.
Ms. Tomai is proficient in SAS programming, and has extensive experience working in the Chronic Condition Warehouse databases within the CMS Virtual Research Data Center as well as other programming environments.
Prior to joining L&M Policy Research, Ms. Tomai worked in a number of diverse settings including commercial insurance, managed care organizations, and independent business consulting. During her career, Ms. Tomai has developed and tested algorithms for various payment models involving beneficiary-ACO attribution, primary care medical homes, and valuebased payment systems for private insurers. Additional areas of focus have included Medicare fraud and abuse, provider profiling design, clinical outcomes monitoring, and development of pharmaceutical opioid diversion detection and monitoring methods.
Ms. Tomai holds an M.S. in Public Policy Analysis from the University of Rochester.
Camilla S. Dohlman is a research associate at L&M. Ms. Dohlman assists with a variety of qualitative research and analytical support activities for federal clients, including the Centers for Medicare & Medicaid Services (CMS), the Agency for Healthcare Research and Quality (AHRQ), and the Medicare Payment Advisory Commission (MedPAC). She currently works on a project for the CMS Office of Minority Health aimed at supporting stakeholder organizations in building a business case for addressing health equity through the development of various materials including toolkits, case studies, and a disparities cost calculator. She also contributes to a variety of research support activities for the AHRQ Pediatric Quality Measures Learning Collaborative, supporting six grantee teams in the development and dissemination of new measures for pediatric care. Additionally, she assists with primary data collection and analysis for the evaluations of several Center for Medicare & Medicaid Innovation initiatives, including the Medicare Care Choices Model and the Home Health Value-Based Purchasing Model, and contributes to formative audience research and consumer testing to inform the marketing strategy and development of web tools for the federally facilitated health insurance exchange (HealthCare.gov) as mandated by the Affordable Care Act.
Prior to joining L&M, Ms. Dohlman worked at the Child and Adolescent Health Measurement Initiative, where she assisted with data preparation and analysis for the National Survey of Children’s Health and developed customized profiles detailing the prevalence of adverse childhood experiences, children’s health care coverage, and health outcomes in various cities across the United States.
Ms. Dohlman is proficient in Spanish and holds a B.A., with honors, from Johns Hopkins University in Public Health Studies.
Patrick Hardy is a research assistant at L&M. Mr. Hardy is currently providing analytical support on a project with the Centers for Medicare & Medicaid Services (CMS) to inform the development of web tools for the federally facilitated health insurance exchanges mandated by the Affordable Care Act. Through this work, he contributes to analysis of survey data on website user satisfaction during and after open enrollment for the HealthCare.gov web pages, using statistical programming to assess satisfaction results. Additionally, Mr. Hardy is assisting on an evaluation project of the Home Health Value-Based Purchasing for CMS, building on existing programming experience in both Stata and SAS and working with data sources such as surveys, Medicare claims data, POS files, and other public data such as home health compare files. He contributes to the L&M team providing CMS and the State Demonstration Group with technical and analytical support for evaluation and monitoring of Medicaid Section 1115 demonstrations aimed at enhancing beneficiary access to quality services. In prior work at L&M, Mr. Hardy collaborated on a project with the Medicare Payment Advisory Commission, using interviews and private payer policies to understand issues impacting reimbursement for non-physician providers. Before joining L&M, Mr. Hardy worked as a community organizing intern for a citizen-based environmental advocacy organization.
Mr. Hardy holds a B.A. in Economics from Villanova University.