Adam E. Block, Ph.D.

Assistant Professor of Health Policy & Mgt| New York Medical College School of Health Sciences & Practice|

19 Skyline Drive, Office 2N-B10, Hawthorne, NY 10532| O: 914-594-2041 | ablock4@nymc.edu

www.charmeconomics.com

https://www.nymc.edu/faculty/directory/by-name/block-adam/

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Education

Harvard University, PhD Health Policy/Economics                                                     2007 

  • Dissertation: “Diffusion of Medical Information Among Hospitals, Physicians and Consumers”

Amherst College, BA cum laude, Neuroscience                                                            1999

Recent Clients/Consulting Projects

RLDatix: Patient Safety Software                                                                              2018-present

Impact of Patient Safety on Medical Costs[1]

  • Estimates patient safety savings of $4.8M per 100,000 admissions available to hospitals

  • Presented at UK Patient Safety Conference, Manchester, UK, July 2019

  • Presented at American Society Healthcare Risk Management, Baltimore, MD, October 2019

Making Patient Safety A Standard of Care

  • Evaluated impact of 2009 HITECH Act on electronic medical records and other rapid technological adoption in health care

Regulations and Patient Safety in the United States and United Kingdom

  • Evaluated success and failure of regulatory programs in US and UK to improve patient safety from 2000 to 2020

SeLux Diagnostics (featured in NYT on Feb 24, 2020)                                               2019-present

Economic Evaluation of Rapid AST

  • Developed 31 part Excel model identifying cost savings opportunities/value for hospitals

  • Hospital bed day value reduction of 5M per 100,000 admissions and 11M total savings

  • Publication to be submitted to peer-reviewed journal: Critical Care Medicine on sepsis results

HRHCare (Federally Qualified Health Center)                                                         2019-present

Evaluation of Medication Assisted Therapy (MAT)

  • Design dashboards to evaluate success of treatment and cost of treatment

National Phenylketonuria Alliance                                                                            2019-2020

Medical Nutrition Equity Act Cost Evaluation

  • Built model of Congressional Budget Office type estimate shared with Senate Finance Committee

Igenomix (Reproductive Endocrinology lab)                                                              2018-2019

  • Evaluate billing data and determine targets for managed care contracts

  • Design and prototype managed care contracts and discount rate models for negotiation

 

Heath Policy Consulting/Advising

  • Evercore ISI “Medicare For All and Private Equity,” Boston, October 2018

  • Member Pete Buttigieg Presidential health Policy Committee

  • Councilman Ritchie Torres: Democrat Running for Congress, 15th District of New York

  • Art Haywood: State Senator of Pennsylvania, 4th District

 

[1] https://resources.rldatix.com/en-us-healthcare-leadership/the-impact-of-patient-safety-on-medical-costs

 

Data Set Experience

New York State Hospital Inpatient & Outpatient Discharge Data (SPARCS), New York State Medicaid Claims, MEDPAR-Part A Medicare Claims, Interstudy Managed Care Enrollment Data, Medicare Cost Reports, CCIIO AV Calculator

 

Hospital & Managed Care Experience

Montefiore Health System                                                                                                   Bronx, NY

Director of Strategic Analytics                                                                                             2015-2017

  • Created performance reporting strategy for Montefiore’s Delivery System Reform Incentive Payment (DSRIP) program

  • Developed risk contracting strategy and risk lives projections with Executive Leadership

  • Selected data vendors based on validity of source data, extensive analysis of methodology and system functionality and negotiate data and software vendor contracts

  • Oversaw a master data warehouse for Strategic Planning’s 12 integrated data sets, including publicly available and proprietary data sets

  • Provided ad hoc, quick turnaround analyses for Executive Leadership

  • Analyzed data sets including: New York State hospitals discharge (SPARCS), Discharge/ED Data, DSRIP and other quality metrics, Medicaid claims and provider databases

  • Managed one direct report and oversee project work for four data analysts

 

Fidelis Care: New York State Catholic Health Plan                                                                         Rego Park, NY

Finance Department: Director of Medical Economics and Provider Reimbursement:              2013-2015

  • Led analytics team on medical and pharmacy costs for a New York State MCO with one million members

  • Authored medical cost report for quarterly meetings of the Fidelis Care Board of Directors

  • Calculated shared savings for value based contracts

  • Supervised medical cost and claims portion of the 2015 and 2016 Medicare plan submission to CMS

  • Reviewed all weekly payments to hospitals and other health care providers prior to CEO sign-off

  • Managed staff of twelve including two managers and ten analysts

 

Public Sector Experience

Centers for Medicare and Medicaid Services                                                                    Bethesda, MD

Director of Health Plan Policy                                                                                               2010-2013

  • Authored Affordable Care Act (ACA) essential health benefits and actuarial value policy regulations and guidance which set health benefit standards for over 40 million Americans

  • Led regulatory impact analysis of key ACA regulations

  • Advised White House, CMS Administrator, Secretary of HHS and other Presidential appointees on health plan benefit regulatory changes

  • Developed regulations on small group market (SHOP) exchanges

  • Coordinated written communications with Congress, States and stakeholders

  • Managed team of six CMS regulators

 

United States Congress: Joint Committee on Taxation                                                     Washington, DC

Policy Economist                                                                                                                        2008- 2010

  • Contributed to writing the ACA and analyzed legal language to confirm Congressional intent

  • Wrote committee reports and other official Congressional records of health-related tax legislation such as COBRA, CHIP and the ACA

  • Generated policy solutions for implementing individual responsibility, employer responsibility, small business tax credits, health insurance tax credits, and other provisions for the ACA

 

Academic Publications

 

  • Adam E. Block, “The Impact of Terrible Yelp Reviews on New Patient Volume,” Academy Health National Health Policy Meeting, invited presentation, upcoming on February 5, 2019.

 

  • Adam E. Block, “High Frequency ED Utilizers Patient Loyalty,” Academy Health National Health Policy Meeting, invited poster presentation, upcoming on February 4, 2019.

 

  • Adam E. Block, Mark Kittleson and Susan Cardenas, “Teaching Obamacare: Lessons Learned,” Journal of Public Health Management and Practice, under submission.

 

 

  • Adam E. Block, “An Economic Evaluation of American Patients First –The Trump Administration’s Strategy to Lower Drug Prices,” Journal of General Internal Medicine Forum, July 2018, v41(7).

 

  • Adam E. Block, “Trouble in Paradise: The Financial Woes of Three New York City Startup Health Plans;” Academy Health: National Health Policy Conference: Invited Poster Presentation, Feb 5, 2018.

 

 

 

 

  • Adam E. Block and Douglas M. Norton, “Nurse Labor Effects of Residency Work Hours Limits,” Nursing Economics. 26(6), February, 2009, pp. 368-373.

 

  • Adam E. Block, et al, “Patient and Physician Predictors of Post-Fracture Osteoporosis Management,” Journal of General Internal Medicine. 23(9) September, 2008, pp. 1447-1451.

 

  • Adam E. Block, “Costs and Benefits of Increased Drug Use Due to Direct-To-Consumer Advertising: The Case of Depression”, Pharmacoeconomics. 25(6), June, 2007, pp. 511-521.

 

Peer Reviewer

Peer reviewer for: JAMA Internal Medicine, American Journal of Managed Care

 

Quoted in Popular Press

  • Westchester County Business Journal, “Hospitals are now required to post prices, but the warn the list is not what you’ll pay,” January 12, 2019, Reporter Ryan Deffenbaugh

  • AM New York, “De Blasio’s NYC Care likely won’t decrease emergency room visits, experts say” January 10, 2019, Reporter Nicole Brown

  • Fierce Healthcare, “Administrative Network Costs Doomed New York City Health Plany Startups,” December 20, 2018, Reporter Eli Richman

  • Karen Appold, “Open enrollment: 7 Ways Trump’s Actions Could Impact Uninsured

Rate” Managed Healthcare Executive. November 26, 2017.

  • Mattie Quinn, “What’s the Difference Between an HSA, FSA, and HRA?” Self Magazine. April 16, 2018.

 

Grants

  • Phelps Hospital Family Medicine Residency Program, “Health Services Research” $5,000, February 2018 to February 2019, with Hasanat Alamgir.

  • Women’s City Club of New York, “Evaluation of Citywide Guide,” $15,100, Co-Investigator Ken Knapp, 1/18-5/18.

 

Government Publications

 

  • “Patient Protection and Affordable Care Act: Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation” (CMS-9980-F): February, 2013.

 

  • “Regulatory Impact Analysis: Establishment of Exchanges and Qualified Health Plans, Exchange Standards for Employers (CMS-9989-F) and Standards Related to Reinsurance, Risk Corridors and Risk Adjustment” (CMS-9975-F): March, 2012.

 

  • Joint Committee on Taxation: “Technical Explanation Of The Revenue Provisions Of The Reconciliation Act Of 2010, As Amended, In Combination With The Patient Protection And Affordable Care Act” (JCX-18-10): March, 2010.

Teaching Experience

New York Medical College School of Health Sciences and Practice

  • Health Policy and Management: Health Economics (HPMM: 5002) Online Fall & Summer, 2017, 2018

  • Health Policy and Management: Health Economics (HPMM: 5002) Classroom Spring, 2018

  • Health Policy and Management: Markets and Regulation-Doctoral Seminar (HPMM: 8015) Classroom Spring 2018.

Guest Lectures & Invited Talks

  • New York Medical College, School of Medicine, “Medicare” December 3, 2018.

  • Discussant at Canadian Health Economics Study Group at McGill University, May 31, 2018

  • Westchester Medical Center Department of Surgery, “Obamacare and Beyond,” December 27, 2017 (CME Credit)

  • Pace University, “Introduction to New York State Medicaid Reform,” February, 2016

  • NYU Wagner Graduate School of Public Service “Introduction to New York State Medicaid Reform,” April, 2015

  • Albert Einstein School of Medicine, Team Based Learning, “United States Health Policy,” September, 2015.

  • Hofstra Northwell School of Medicine “Introduction to Health Reform” February 2014 & 2015 & 2018.

 

Charm Economics, LLC Consulting Experience

 

  • Union Community Health Center, Board Presentation, “Obamacare and Beyond” Bronx, NY, August, 15, 2018.

  • Expert witness on Medical Malpractice Case, Chicago, Il, September 16, 2018.

  • Presentation on Impact of Mid-Term Elections on Pharmaceutical Prices, Evercore ISI Annual Investment meeting, Boston, MA, November 28, 2018.

  • Managed care contracting consultant (with partner) for mid-size European diagnostics organization, November, 2018- present.

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