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Meg Guerin-Calvert

Margaret E. Guerin-Calvert

  • Senior Managing Director – President, Center for Healthcare Economics and Policy
  • T: +1 202 589 3451
  • F: +1 202 346 8891
    • 555 12th Street, NW
    • Suite 700
    • Washington, DC, 20004
    • United States
    • T: +1 202 312 9100
    • F: +1 202 312 9101

Margaret Guerin-Calvert is the founding President of the Center for Healthcare Economics and Policy (Center), a separate business unit in the Economics Practice of FTI Consulting, Inc. The Center applies cutting-edge economics and quantitative methods to assist clients in developing and implementing market-based solutions across the spectrum of healthcare activity. The Center uses “gold standard” models, including microsimulation and discrete event simulation, and extensive proprietary and public databases to assist clients in developing strategies that address fundamental changes in demand (e.g., declining inpatient admissions) and supply (e.g., shifts in the location of care delivery or new facilities) ongoing within a system or a community. The Center’s particular expertise is the ability to use probabilistic or predictive modeling that takes into account the impact of future changes in population health, migration, patient mix, or utilization on operations, finances, and capacity needs for health systems. These frame opportunities to evaluate how best proactively to “optimize” or re-optimize capacity or strategies proactively and with sound simulations at lower cost.

The Center collaborated with the Nashville Area Chamber’s Research Center, which spearheaded a partnership to commission an innovative healthcare pilot study to assess cost, quality, and access in the Nashville region. The “Assessment of Nashville Region Health, Cost, Access, and Quality: Results of a Pilot Study” has several features that distinguish it, including comprehensive assessment of physician supply and growth, use of extensive commercial claims data along with Medicare data to assess costs and utilization of healthcare services for specific chronic diseases (e.g., diabetes) to facilitate workforce assessments, and presentation in an analytical framework that provides for sound performance and comparative assessments.

Meg is also a founding director of Compass Lexecon (formerly, Competition Policy Associates), has an active practice before federal and international antitrust agencies on mergers and business practices, and in litigation, including healthcare, class certification, damages, and network industries. She is widely recognized for her economic and healthcare expertise and cogent economic analyses and has testified as a healthcare or industrial organization economist in U.S., Canada, New Zealand, and Europe, including the LIJ-Northshore, Sutter-Summit, and ProMedica-St. Luke’s mergers and served as economic expert for the Pennsylvania Insurance Department on the Highmark-West Penn Alleghany transaction. Her work includes efficiencies and competitive analysis of hospital, physician and health insurance transactions, capacity and excess capacity, managed care contracting practices and new insurance network configurations, modelling of health care reform, ACOs and integrated delivery networks, and employer wellness initiatives. She has advised on healthcare matters internationally including provider and insurance structures.

Her recent healthcare publications and presentations include: “Re-Aligning Prospective Hospital Merger Guidance: Moving Beyond Concentration to More Meaningful Approaches" (with J. Maki and B. Vladeck, April 2015); “Hospital Realignment: Mergers Offer Significant Patient and Community Benefits” (with J. Maki, Jan. 2014); invited presentation on “Public Health, Public Policy, and the Law: Organizational Change in Healthcare” Summer Institute on Health Policy, RWJF Center for Health Policy at Meharry Medical College, (June 2014); “Assessing Hospital Mergers and Rivalry in An Era of Health Care Reform,” (with J. Brennan), Antitrust (Summer 2013); and “How Hospital Mergers and Acquisitions Benefit Communities” (June and September 2013, commissioned by AHA); invited keynote address at the Hospital Association of South Africa 2013 Annual Conference on “Extracting Efficiencies in Healthcare,” (October 2013) in Cape Town, South Africa. She led the FTI economics team that collaborated with the World Economic Forum’s Workplace Wellness Alliance of over 100 companies on the January 2013 Report: “Making the Right Investment: Employee Health and the Power of Metrics.” Her substantive experience in healthcare commenced in the 1990s while an Assistant Chief at the U.S. Department of Justice’s Antitrust Division, where she assumed responsibility for supervision of economists of all healthcare matters, including participating in the drafting of the DOJ/FTC Statements of Antitrust Enforcement Policy in Health Care (1993). She taught economics at Duke University’s Institute of Policy Sciences. Meg has an AB in Economics from Brown University and an MPA from the Woodrow Wilson School of Public and International Affairs at Princeton University. She is a member of the AEA, AHLA, Academy Health, and ABA; where she is former ABA Section of Antitrust Law Council member, former Chair of Exemptions and Immunities Task Force, of the Membership and Equal Opportunity Committee, Co-Chair of the Economics Task Force, and currently a member of the International Task Force.

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