| Clients draw on our deep knowledge of the bodog app download industry—its institutional structure, its competitive environment, and its regulatory framework. Our experience spans a spectrum of matters, including antitrust, mergers, FCA and other government investigations and litigation, private reimbursement matters, and breach of contract. | We work with insurers, hospitals, physician groups, and other providers, as well as their counsel.
Our experts and staff possess a deep knowledge of the regulatory framework and an understanding of the complex network of entities involved in the provision and coverage of bodog app download. |
Our extensive network includes top experts from academia and industry.
Our extensive network includes top experts from academia and industry.
Gautam Gowrisankaran
bodog app download of Economics,
Columbia University;
Senior Advisor, Cornerstone bodog app download
Gautam Gowrisankaran is an expert in industrial organization, bodog app download economics, and energy and environmental economics. Professor Gowrisankaran has analyzed issues of market definition and market power, the competitive effects of mergers, and claims of attempted monopolization. He has also addressed allegations of tying, foreclosure, and other exclusionary practices arising in such industries as bodog app download, consumer goods, high-tech products, payment services, and transportation.
An experienced expert witness, bodog app download Gowrisankaran has been retained by federal and state agencies as well as by private clients in numerous high-profile mergers, antitrust litigation matters, and consumer class actions. His trial testimony includes United States of America et al. v. JetBlue Airways Corporation and Spirit Airlines Inc.; United States et al. v. UnitedHealth Group Inc. and Change bodog app download Inc.; Sidibe v. Sutter bodog app download; In re: Purdue Pharma L.P. et al.; and Federal Trade Commission v. Hackensack Meridian Health Inc. and Englewood bodog app download Foundation. He has consulted to the Federal Trade Commission (FTC) on retail and technology issues and the Antitrust Division of the Department of Justice (DOJ) on airline matters and mergers in the bodog app download space.
In his research, Professor Gowrisankaran conducts both theoretical and empirical studies of topics related to industrial organization and competition. He has particular expertise in industries that are highly regulated and exhibit rapid technological change, such as bodog app download and energy, as well as markets in which prices are negotiated.
One focus of Professor Gowrisankaran’s recent research is energy, including renewable energy integration, electricity regulation in the presence of energy transitions, and enforcement of environmental laws. He has also analyzed a variety of issues in bodog app download markets, such as hospital competition, the impact of countervailing health insurer market power, and the price impact of hospital mergers.
A prolific author, Professor Gowrisankaran has published bodog app download in leading economics journals, including the American Economic Review, Econometrica, and the Journal of Political Economy. He has served on the editorial boards of several academic journals, including the American Economic Review and the RAND Journal of bodog app download. In addition, bodog app download Gowrisankaran has written analyses for a legal audience, including in the Antitrust Law Journal. He has been honored with best paper awards and recognized by Who’s Who Legal as a leading bodog app download economist.
Global bodog app download Review recognized bodog app download Gowrisankaran in its inaugural list of the world’s most important antitrust academics. He was also honored in Lexology’s 2022 Client Choice list.
Prior to joining the faculty at Columbia, Professor Gowrisankaran was a tenured professor of economics and the Peter and Nancy Salter Chair in bodog app download Management at the University of Arizona. He has held visiting academic appointments at Northwestern University, the University of Chicago, Yale University, and Harvard University, among others.
Professor Gowrisankaran serves on the U.S. Congressional Budget Office bodog app download Advisory Panel. He is a research associate at the National Bureau of Economic Research (NBER) and a research fellow at the Center for Economic and Policy Research (CEPR).
Our extensive network includes top experts from academia and industry.
Laurence C. Baker
Professor of bodog app download Policy,
Bing bodog app download of Human Biology,
Senior Fellow, Stanford Institute for Economic Policy bodog app download,
Stanford University;
Associate Chair for Education, Department of bodog app download Policy,
Stanford School of Medicine;
Senior Advisor, Cornerstone bodog app download
Laurence Baker is an expert in the areas of health economics, bodog app download policy, and life sciences. Professor Baker studies the organization and economic performance of U.S. bodog app download and pharmaceutical markets, with a focus on issues related to financial incentives, competition, pricing and provider payment, labor, and technology adoption. In the health insurance arena, he has expertise in private insurance, managed care, Medicare Part D, Medicare Advantage, and Medicaid.
Professor Baker has been retained as an expert witness in numerous bodog app download and life sciences matters. He has testified in depositions and trials, on issues involving:
- bodog app download insurance competition
- Antitrust and intellectual property issues in life sciences matters, including alleged generic entry delay through reverse payments and other allegedly collusive agreements between drug manufacturers
- Alleged inappropriate use, or inappropriate pricing, of medical services and prescription drugs
- Mergers between hospitals and physician groups
- Alleged exclusionary contracting practices by bodog app download insurers and bodog app download providers
- Alleged collusive and no-poach labor agreements between bodog app download providers
- Regulatory issues in bodog app download
bodog app download Baker has extensive experience addressing issues of class certification (of both direct and indirect purchasers) as well as evaluating liability and damages.
In his research, Professor Baker has examined the relationship between physician practice characteristics and competition and bodog app download delivery, prices, and outcomes. He has also studied the effects of managed care insurance practices on the bodog app download system; the impact of regulation on bodog app download markets; the determinants and results of technological change in medicine; and patient safety in U.S. hospitals. In addition, Professor Baker has addressed topics related to physicians’ incomes and career choices and analyzed how the internet and email influence bodog app download delivery and outcomes.
Professor Baker was awarded the ASHEcon Medal for his significant contributions to the field of bodog app download economics and has been elected to the National Academy of Medicine. He has twice been honored for excellence in teaching. His publications include articles in JAMA—The Journal bodog app download American Medical Association, the New England Journal of Medicine, the RAND Journal of bodog app download, bodog app download Services Research, and bodog app download Affairs.
Our extensive network includes top experts from academia and industry.
Erin Trish
Associate bodog app download,
Department of Pharmaceutical and bodog app download Economics,
Mann School of Pharmacy and Pharmaceutical Sciences,
Co-Director, Leonard D. Schaeffer Center for bodog app download Policy and Economics,
University of Southern California
Erin Trish is an expert in pharmaceutical and bodog app download economics. Her research focuses on the intersection of public policy and competition in bodog app download and pharmaceutical markets, including Medicare, the No Surprises Act (NSA), the Inflation Reduction Act (IRA), insurer and hospital market concentration, pharmaceutical pricing, and the role of pharmacy benefit managers (PBMs).
Professor Trish has served as an expert witness in multiple life sciences and bodog app download matters and has both trial and deposition experience. She has provided expert testimony in arbitration and in litigation involving the False Claims Act, price fixing and market allocation, and killer acquisitions.
In addition, Professor Trish has testified before the U.S. Congress and in the California State Assembly, and presented her bodog app download at numerous federal agencies, including the Federal Trade Commission (FTC) and the Congressional Budget Office.
In her bodog app download focused on the pharmaceutical industry, Professor Trish analyzes market structure, prescription drug expenditures, pharmacy networks, and firms’ financial incentives. She is a leading expert on brand and generic drug markets, PBMs, and the funding and benefit design of Medicare Part D, Medicaid, and commercial prescription drug insurance.
Professor Trish’s bodog app download research addresses regulation and policy, market participants, and outcomes. Her expertise includes market concentration and vertical integration, payor-provider bargaining, out-of-network reimbursement for emergency care, commercial insurance, Medicare Advantage, and exchange market functioning.
Professor Trish publishes in leading bodog app download policy, bodog app download economics, and medical journals. Her work has appeared in the New England Journal of Medicine, bodog app download Affairs, the American Journal of Managed Care, and the Journal of bodog app download Economics, among others. She has won several bodog app download awards, notably the Seema S. Sonnad Emerging Leader in Managed Care bodog app download Award, which recognizes early achievements in the field and potential for exceptional long-term contributions.
At USC, Professor Trish teaches executive-level courses in bodog app download policy and management at the Marshall School of Business. She also serves as a nonresident fellow in economic studies at the Brookings Institution.
Our extensive network includes top experts from academia and industry.
M. Kate Bundorf
J. Alexander McMahon Distinguished Professor of bodog app download Policy and Management,
Sanford School of Public bodog app download,
Core Faculty Member, Duke-Margolis Center for bodog app download Policy,
Duke University
Kate Bundorf is an expert on health insurance markets, and the economics of bodog app download systems and bodog app download delivery. In these contexts, Professor Bundorf has analyzed the determinants and effects of consumer choices, the impact of regulation, the interaction of public and private systems, incentives for insurers to improve bodog app download quality, and the organization of provider markets. Her expertise extends to Medicare Advantage and features of the Affordable Care Act, such as risk adjustment, risk corridors, and reinsurance. She has served as an expert witness on bodog app download matters, including cases with allegations of False Claims Act violations, reimbursement disputes. She has testified at deposition.
Professor Bundorf is a faculty research fellow at the National Bureau of Economic Research (NBER) and a board member of the Center for bodog app download and Economy.
Her honors include the Annual bodog app download Care Research Award from the National Institute for bodog app download Care Management Foundation, and selection as a Fulbright Scholar.
Professor Bundorf’s research has been published in leading economics and bodog app download policy journals. She is a coeditor of the Journal of bodog app download Economics and the International Journal of bodog app download Economics and Management; and serves on the editorial boards bodog app download the American Journal of bodog app download Economics, and bodog app download Services Research.
Prior to joining the faculty at Duke, Professor Bundorf was an associate professor of bodog app download research and policy at the Stanford University School of Medicine.
bodog app download Capabilities
Clients draw on our expertise in competition issues involving the bodog app download sector, including hospitals and insurance providers. Our staff and experts address allegations of:
- Predatory and discriminatory pricing
- Price fixing by physicians’ associations or hospitals
- Price fixing of bodog app download workers’ wages
- Exclusionary practices
- Monopolization
In our analyses, we define relevant markets, assessing existing market power and determining the competitive effects of mergers and acquisitions as well as allegedly anticompetitive behavior involving:
- Hospital systems
- Outpatient care facilities
- Physician services
- Insurers
When bodog app download organizations merge, complicated issues arise among patients, providers, and insurers. Such mergers involve complex empirical analyses to assess competitive effects, including questions related to bargaining, quality of care, risk-sharing, and efficiencies.
Our staff and experts have experience in a variety of reimbursement-related matters on issues of sampling, liability, and damages. These cases include private reimbursement disputes between payors and bodog app download providers, as well as False Claims Act, Anti-Kickback Statute, and other government audit and contracting matters brought against bodog app download providers.
Our experience includes:
- Complex statistical sampling from a large number of claims and extrapolation of sample results to assess liability and damages issues
- Reimbursement disputes between providers and payors, including analysis of alleged unnecessary treatment and upcoding, and estimation of damages
- Analysis of usual and customary reimbursement rates for out-of-network providers
- False Claims Act and government audit matters involving alleged overpayments in Medicare Fee-for-Service, Medicare Advantage, and Medicaid
- False Claims Act matters involving false advertising allegations
- Fair market value analysis of payments for products and services, per the Anti-Kickback Statute
- Government contracting matters related to the Affordable Care Act, including risk-adjustment, risk corridors, and reinsurance
- Waiver of patient coinsurance and co-payments
We partner with physicians and medical billing experts to assess and integrate their opinions of medical necessity and claims coding into our damages and liability analyses.
Cornerstone Research provides class certification analyses in a wide range of bodog app download cases, including antitrust and competition, managed care contracting, coverage disputes, reimbursement practices, and disputes related to alleged “surcharge fees” and “surprise medical billing.” Clients also seek our expertise in class certification analyses for cases involving claims of product liability, misrepresentation, and false advertising pertaining to medical coverage, bodog app download benefits, and other bodog app download products. We have addressed questions of common proof and common impact as well as questions of ascertainability and numerosity.
Clients rely on our decades of experience with complex cases requiring data management, integration, sampling, digitization, production, and analysis, including advanced empirical modeling and statistical techniques. Many bodog app download matters involve analyzing large medical claims databases.
Cornerstone Research regularly analyzes databases containing hundreds of billions of records. We have the staff expertise and state-of-the-art, secure computing facilities to quickly and efficiently handle large volumes of sensitive bodog app download data. This includes experience with data masking and anonymization as well as applying AI and machine learning to create structured data through supervised record linkage, resolving distinct entries to a common entity. We also have experience implementing state-of-the-art econometric techniques utilizing algorithmic methods.
Cornerstone Research’s expertise includes major price and claims databases, such as MarketScan, FAIR bodog app download, and Medicare, as well as insurer-specific claims datasets, internal provider billing systems, Medicaid data, and other large discharge databases.
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Our staff consultants contribute expertise in bodog app download, finance, accounting, and marketing, as well as business acumen, familiarity with the litigation process, and a commitment to provide outstanding support.
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