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Gregory C. Pope

Expertise

Health Care Financing and Reimbursement
Health Economics
Health Policy
Medicare

Biography

Gregory C. Pope is director of RTI's Health Care Financing and Payment program. Mr. Pope has over 20 years of experience in health economics and health policy research. His specialties include management of large-scale projects; Medicare policy analysis; risk adjustment; provider payment design and incentives; program evaluation; directing the construction and analysis of large, complex claims and survey databases; statistical and quantitative analysis; and quality-of-care indicators. He has led the development and refinement of Medicare's Centers for Medicare & Medicaid Services' Hierarchical Condition Category and frailty risk adjustment models for managed care organization capitation payment. He is currently directing the evaluation of Medicare's Preferred Provider Organization and Physician Group Practice demonstrations and is co-developer of the Geographic Practice Cost Index used in Medicare physician payment. Mr. Pope has published more than 35 articles in the leading health economics and health policy journals and has made numerous presentations at major health services research professional conferences.

Education

MS, Economics, Massachusetts Institute of Technology; AB, Economics, University of Chicago.

Selected Publications

Kautter, J., Pope, G.C., Trisolini, M., & Grund, S. (Fall 2007). Medicare physician group practice demonstration design: Quality and efficiency pay-for-performance. Health Care Financing Review, 29 (1):15-29.

Pope, G.C., & Kautter, J. (Fall 2007). Profiling efficiency and quality of physician organizations in Medicare. Health Care Financing Review, 29 (1):31-43.

Kautter, J., & Pope, G.C. (Winter 2004-2005). CMS frailty adjustment model. Health Care Financing Review, 26 (2):1-19.

Pope, G.C., Kautter, J., Ellis, R.P., Ash, A.S., Ayanian, J.Z., Iezzoni, L.I., Ingber, M.J., Levy, J.M., & Robst, J. (2004). Risk adjustment of Medicare capitation payments using the CMS-HCC model. Health Care Financing Review, 25 (4):119-141.

Pope, G.C., Adamache, K.W., Walsh, E.G., & Khandker, R.K. (1998). Evaluating alternative risk adjusters for Medicare. Health Care Financing Review, 20 (2):109-129.

Pope, G.C., & Merrell, K. (1992 Spring). Payment areas for physician services. Inquiry, 29 (1):9-20.

Pope, G.C. (November 1990). Using hospital-specific costs to improve the fairness of prospective reimbursement. Journal of Health Economics, 9 (3):237-251.

Zuckerman, S., Welch, W.P., & Pope, G.C. (June 1990). A geographic index of physician practice costs. Journal of Health Economics, 9 (1):39-69.

Pope, G.C. (1989 Fall). Occupational adjustment of the prospective payment system wage index. Health Care Financing Review, 11 (1):49-61.

Pope, G.C. (June 1989). Hospital nonprice competition and medicare reimbursement policy. Journal of Health Economics, 8 (2):147-172.

View all publications by Gregory C. Pope…