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

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

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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, “A Financial Analysis of New York City Start-up Health Plans and Reasons for Their Losses,” Managed Care, December, 2018, pp. 42-48.  https://www.managedcaremag.com/archives/2018/12/financial-analysis-new-york-city-start-health-plans-and-reasons-their-losses

 

• 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, Michael Cohen, Aree Bly and Michael Adelberg “The Potential Premium Impact Of An Essential Health Benefits Benchmark Change In Four States,” Health Affairs Blog January 4, 2018. https://www.healthaffairs.org/do/10.1377/hblog20180103.743476/full/

 

• Adam E. Block “Opinion: Trump’s executive order will have limited impact on insurance market,” Managed Healthcare Executive. October 25, 2017. http://managedhealthcareexecutive.modernmedicine.com/managed-healthcare-executive/news/opinion-trump-s-executive-order-will-have-limited-impact-insurance-market

 

• Joel Ario, Adam E. Block and Ian Spatz, “Premium Rate Variation In Exchanges Is An Eye Opener,” Health Affairs Blog. August 7, 2013. http://healthaffairs.org/blog/2013/08/07/premium-rate-variation-in-exchanges-is-an-eye-opener/

 

• 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.

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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.

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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.