John Kautter, PhD, specializes in the development, implementation, and evaluation of health care payment models, including payment models for fee-for-service and managed care, as well as hybrid payment models. He has served as project director on several large government-funded projects for Medicare, TRICARE, and others.
Dr. Kautter is currently the overall project director for the risk adjustment project for the Centers for Medicare & Medicaid (CMS), which includes research and development for the Medicare Part C, Medicare Part D, and Affordable Care Act risk adjustment methodologies. He also leads the CMS project for the design and operations of Medicare Comprehensive Primary Care Plus (CPC+), which is a national advanced primary care medical home model that aims to strengthen primary care through regionally-based multi-payer payment reform and care delivery transformation. Dr. Kautter is also currently an associate project director for the design and implementation of the Accountable Care Organization (ACO) Shared Savings Program (SSP), focusing on the design, calculation, and reporting for the SSP shared savings payments.
Dr. Kautter also has an extensive background in payment reform evaluation. He has been overall project director on several payment reform evaluations for military health systems (e.g., TRICARE disease management demonstration), prescription drug evaluation (e.g., Medicare Part D reinsurance demonstration), and others. Further, he has an extensive background in statistical, survey, and data analysis (e.g., he led a study that examined the impact of nonresponse on Medicare Current Beneficiary Survey estimates). In addition, Dr. Kautter has published more than 20 articles in peer-reviewed journals, including Health Economics, Medicare Care, Health Services Research, and others.