Overview


Deborah is a seasoned regulatory and reimbursement consultant, advising clients on reimbursement and policy strategy for medical devices, diagnostics, biologics and health services with public and private payers. She focuses primarily on market access (e.g., coding, coverage, payment and other reimbursement models) for new and existing products and services, including AI-powered solutions. She has more than 20 years of experience providing strategic, operational and policy consultative services to companies of all sizes, from start-ups to Fortune 100 companies. Deborah offers clients the ability to analyze and manipulate reimbursement databases to buttress data-oriented policy positions.

Prior to McDermottPlus, Deborah held a senior leadership position at a health technology company focused in the benefits industry. She led the business development and client relationship management team, driving the growth of partnerships and retention of marquis clients. She held a position as a manager at a consulting firm where she consulted on corporate and product strategy for health plans launching new products in the private sector.  Deborah also worked at a healthcare policy and research consulting firm, building economic models and analyzing data to assess the effectiveness of federal and state health programs.

Education


  • Wharton Business School, University of Pennsylvania, M.B.A., Healthcare and Entrepreneurial Management, 2002
  • Princeton University, B.A., Politics, 1996

Representative Experience


  • Analyze Proposed and Final Rule changes to Medicare payment policies (e.g., Medicare Physician Fee Schedule, Outpatient Prospective Payment System, Ambulatory Surgery Center) and publicly available Medicare data (including payment, cost, and utilization data) to evaluate client strategies.
  • Develop budget impact models that assess the cost impact of proposed legislation on Medicare expenditures.
  • Model the impact of alternate payment methodologies for hospitals, laboratories and physician services.
  • Monitor local policies on coverage and payment for products and services and prepares issue memoranda for clients.
  • Analyze the broader adoption of technology and services on direct medical costs to patients and expenditures for payers.
  • Draft summaries and prepare analyses of legislative and regulatory developments of interest to our clients.

Publications


“Migrating to Consumer-Directed Healthcare: How to Achieve CDH at Your Organization’s Own Pace”, 28th Annual HR Florida Conference & Expo, September 2006

“Assimilating Health and Wealth: Frontline Perspectives on Employee/Consumer Behavior Influenced by CDH”, Next Generation Health Plan Banking & Administration Management, January 2008

Market Barriers to the Development of Pharmacotherapies for the Treatment of Cocaine Abuse and Addiction; Prepared for the Office of Health Policy, Office of the Assistant Secretary for Planning and Evaluation, Department of Health and Human Services, September 12, 1997.

Then and Now: Health Plan Movement in the CDH Market; The Healthcare Savings Chronicle, February 2007.

Ten Steps to Implementing a Successful Consumer Directed Health Plan; Benefits and Compensation Digest, October 2007.

Deborah Godes

Insights & Events / Media

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