TRANSFORMATIVE CHANGE.

We promise to work toward the best interest of our clients therefore, we look at the healthcare system from the perspective of the future; we consider how the system will evolve. We help our clients to identify the point in time when today becomes tomorrow. Healthcare in the United States is undergoing one of the most profound transformations in our collective lifetimes. Pressured by rising costs and diminished affordability, payers both public and private are dramatically accelerating the shift from fee for service medicine with it lack of accountability for cost and quality to a system of shared risk, full transparency and accountability for cost and outcomes.

While the initial burden of this transition has primarily affected physicians and hospital systems, the gravity of change is now shifting to the life science industry including biotechnology, diagnostic, device, drug, and therapeutic companies. Many companies are ill prepared from "mind set” - strategy, capability, organization, and go to market capability. Embracing this change must start with a top down commitment; healthcare executives must recognize that the new “pay for value constructs” requires evidencing value and tying an offering’s remuneration to the evidencing of that value.

At ADVI we are prepared for the opportunities that lie ahead. We have the discipline and focus required to successfully navigate through the formative period over next three to five years. Change is no less transformative or important for our clients in digital health and the services segments of health care – risk conveners, specialty pharmacy, managed care, health systems, physician groups. These clients must also commit to mapping out the optimal strategy from the onset with a strong inherent value proposition.

We embrace this challenge and with a strong team of health system executives, reimbursement experts, policy leaders and clinicians to guide our clients through this transformative process.

Marc Samuels

ADVI is a boutique health care advisory services firm.
Our business is making companies more valuable.



Our approach:

  • Develop knowledge of the US and International healthcare markets to identify risks and opportunities
  • Translate the business implications of health policy and regulation
  • Create or accelerate market access for new products and services

Life Sciences

Digital Health

Managed Care

Services

Reimbursement risks are probably as important these days as regulatory [risks]. Reimbursement is part of the economic equation as investors ask whether payers will pay and what authorized reimbursement codes are available for the product.”

Source: The Pink Sheet

THERAPEUTIC AREAS

  • Technology

    • Healthcare Delivery Systems
    • EMR
    • Diagnostics
    • Image Processing
    • Digital and Interactive Health Media
    • Specialty Pharmacy Distribution
    • DME Distribution
    • Smartphone Apps
  • Biotechnology and Drugs

    • Oncology and Supportive Care
    • Cardiovascular
    • Alzheimers
    • ESRD
    • Multiple Sclerosis
    • Diabetes
    • Radiopharmaceuticals
    • Respiratory
  • Diagnostics

    • Biomarkers
    • Pan Cancer Multianalyte and NEXTGEN Sequencing Tests
    • Companion Diagnostics
    • In Vivo Diagnostics
    • Molecular Diagnostics
    • Point of Care Tests
    • Image Mapping Technology
  • Devices

    • Drug and Device Combinations
    • Wound Care
    • Orthopedics
    • Spinal
    • Ophthalmology
    • Cardiovascular
    • Sleep Apnea

[ADVI] is by far the most capable firm I have worked with in my 17 years in Washington, DC. What stands out the most is their ability to achieve positive resolution on complex issues – they don’t just provide advice, they get things done. [ADVI] is simply the best company when it comes to achieving results.”

WORK DONE: Reimbursement Strategy. Public Policy. Advocacy.

Not only does [ADVI] have broad respect from CMS staff – both political and career staff, they also have a wide network of contacts within the patient and physician community. Few consultants have the ability to match well developed tactics with broader company goals.”

Work Done: Coding. Product Launch. Market Access. Payer Impact.

Private Equity Practice
Commercial Payers

Opportunity Assessment Analysis
& Idea Generation

Due Diligence

Due diligence on healthcare services and products reimbursed by major insurers.

Surveys

We can survey active medical directors at major health insurers throughout the U.S.

Advisory Boards

We can arrange meetings with medical directors currently at major health insurers, providing our clients with access to their current thinking about healthcare in a roundtable discussion.

Private Equity Practice Government / Political

Opportunity Assessment Analysis
& Idea Generation

Due Diligence

Due diligence and predictive analysis on legislation and regulation and its impact to particular healthcare services or products.

Surveys

Macro analysis of shifts in healthcare.

Advisory Boards

We can initiate surveys and work to help identify future policy changes in States.

Photo by John Smith

[ADVI] offered tremendous insight into the [commercial] policy, coverage and reimbursement of our products. Their dedication and devotion to our coverage situation continues throughout the life cycle of the product supporting both local and national level issues.”

Work Done: Medicare Coverage, Local and National. Commercial Payer Coverage. Quality Measure Development and Guideline Development.

DIGITAL HEALTH

Regulatory Liaison

Our team and advisors serve as liaison to the FDA on 510k and other filings; we develop strategy around clinical study design and deployment, REMS, and have been deeply involved in the issue of FDA oversight and regulation of Digital Apps.

Privacy Concerns

Team members are current on HIPAA compliance issues, and work in tandem with a handful of key law firms in Washington, DC steeped in the patient privacy debate.

Market Entry and Acceleration

We develop and deploy strategies to accelerate time to money across payer types and engage regulators at the state and federal level on legislation and regulation that chills or supports innovation.

We would recommend [ADVI] highly to you if you want an insider’s perspective of [federal and state] agencies, an encyclopedic knowledge of Medicare and Medicaid, and a group that knows how to get things done.”

Work Done: Due Diligence. Public Policy. Reimbursement Strategy. Health Economics Analysis.

Marc Samuels is one of the best kept secrets for those seeking to work with CMS. He is the insiders’ insider, who is often brought into issues during a crisis or after others have failed. While many consultants impress with titles, fancy PowerPoints, and process, [ADVI] impresses based on the wisdom of their advice and counsel, and their ability to achieve results. ”

Work Done: Audit. Coverage. Procurement and Partnerships. Advocacy. Due Diligence.

Procurement & Partnering Support

Due Diligence

We perform due diligence on company or product.

M & A Business Development

Team members are all former government executives at the federal or state level. We have helped clients find upcoming opportunities and capture new government business. We identify and qualify upcoming opportunities for clients long before public announcements are made; develop unique client strategies and competitive advantages for approaching the public sector; perform customized research; create competitor intelligence reports; promote access to C-level executives, decision-makers, potential teaming partners and preferred HUB vendors; and perform bid proposal assistance – everything from actually writing bid proposals to offering executive oversight before the document is submitted.

Sales Training

We develop and deploy customized training for government and commercial payer sales teams with specific emphasis on any area of concern. We can arrange meetings with medical directors currently at major health insurers, providing our clients with access to their current thinking about healthcare in a roundtable discussion.

Press Releases

3/11/14 — Advi welcomes new partner in prominent coverage

Dr. Louis Jacques adds significant Medicare, FDA, and clinical trials to team already steeped in government, scientific, industry, payer, and professional expertise

WASHINGTON, D.C. - Feb. 28, 2014 – Today, ADVI announced that Louis Jacques M.D. is joining the firm as a partner and Chief Clinical Officer.

Prior to joining ADVI, Dr. Jacques served as Director of the Coverage and Analysis Group (CAG) within the Center for Clinical Standards and Quality (CCSQ) at the Centers for Medicare and Medicaid Services (CMS). Jacques will begin with ADVI on March 1, 2014.

During his 10 years as Director of CAG and its Division of Items and Devices Jacques implemented Coverage with Evidence Development (CED) providing an innovative pathway to national coverage for certain services under the Medicare program. He also co-created the parallel review pilot between CMS and the Food and Drug Administration (FDA), was responsible for changes to Medicare coverage in FDA IDE trials, co-authored over 60 Medicare National Coverage Determinations (NCD) on topics such as molecular testing, implanted devices, preventive services and drugs and biologics, and developed program oversight of the Local Coverage Determination (LCD) process.

Prior to serving at CMS, Dr. Jacques practiced medicine as an attending physician for almost 20 years and was an Associate Dean at Georgetown University School of Medicine.

“Having Louis at ADVI enhances our already significant understanding of the people, processes, and politics underlying Medicare national and local coverage, the collaboration between FDA and CMS, and the partnership between private payers and government,” said Marc Samuels, ADVI CEO. “Given Louis’ unique experience collaborating with FDA from within CMS, he will effectively lead ADVI's clients through pre-launch clinical trial development and the measurement of clinical effectiveness and utility; he will enhance our work to guide clients through today's unprecedented transformation in health care delivery and financing as ‘pay for value constructs’ will require evidencing value and tying remuneration of our client's offerings to the evidencing of that value.”

Jacques said “ADVI has a unique and deep expertise in translating its life science, service, digital health, and managed care client business imperatives into the language and framework of public and private payers. I have known Marc Samuels and others on the ADVI team for over 10 years. They have been at the forefront of the most seminal coverage, payment, innovation and reform decisions or initiatives before CMS and its contractors. The firm’s advice is top notch and I look forward to working with my new colleagues to further guide ADVI clients through these transformational times.”

Dr. Jacques is a graduate of Georgetown University and The University of Maryland School of Medicine.

Our People

The ADVI team is a strong, thoughtful, creative and highly collaborative group of healthcare executives, public policy alumni, and medical professionals from public and commercial payer settings, proven at identifying, creating, managing and realizing opportunities for transformational change, generating ideas or accelerating growth. Together, our people offer a rare combination of leadership experience, industry relationships, knowledge of the political and policy processes, reimbursement background, and transactional expertise to help our clients build true value in healthcare.

Click the pictures to see the full bio.

Marc Samuels, JD, MPH
President and CEO

Marc Samuels is the President and CEO of ADVI (formerly HillCo HEALTH). Samuels is responsible for the strategic vision, leadership and operational execution of the Company, as well as development and execution strategies designed to grow business outside of North America. He provides senior relationship management for the firm’s top clients across life sciences, digital health, managed care and services. He is a graduate of The University of Texas School of Law, Yale School of Medicine and the University of Michigan.

Worked at the highest levels of national and Texas state politics:

  • White House Office of Policy Development
  • Vice President’ s Office
  • Pentagon Office of Health Affairs
  • Texas Health & Human Services Commission
  • Office of the Governor, State of Texas

Involved in many of the most seminal policy issues across public and private payers

  • Coding and payment of molecular diagnostics
  • Drug Payment Reform
  • Quality and registry issues
  • Key overage decisions: EMEND, ESAs, EXACT SCIENCES, T A VR, VISUDYNE, ZEV ALIN, PROVENGE

Spoken and Published: In Vivo, Journal of Oncology Practice, Medical Economics, Health Systems Review; Managed Care Answer Book , HMO and Capitation Answer Book, published by Panel Publishers, New York.

Lawrence Leisure
Chairman

Larry Leisure is the Chairman at ADVI. He also serves as a Managing Partner of Chicago Pacific Founders, a growth equity firm and a senior advisor to Kleiner Perkins Caufield & Byers. He received his AB in economics from Stanford University and his MBA in finance from the University of California, Los Angeles.

Distinguished career in healthcare serving in a number of senior consulting and management roles.

  • Global Managing Partner, Accenture
  • Group Benefits & Managed Care Practice Leader, Towers Watson
  • Senior Vice President, Kaiser Permanente

Former client partner to many of the largest US employers, health plans and PBMs including

  • AT&T, Proctor & Gamble, Wells Fargo
  • Aetna, CIGNA, HealthNet, UnitedHealth Group and WellPoint
  • Caremark, Medco

Well known industry leader and innovator

  • Co-founded Healthspottr, an innovation collaborative focused on the acceleration of new ventures in digital health and managed care arena
  • Member of the board of directors of several technology and digital health companies including Jiff, Lumiata, Oasis Outsourcing, Project Frog, Timeline Labs, and Xsell Technologies.
Alan Sokolow, MD
Sr. Vice President

Alan Sokolow is a Senior Vice President at ADVI and serves as a chief medical officer to many of our client organizations. Dr. Sokolow has a unique career in healthcare, having been involved early in the development of healthcare informatics, and program development in demand and care management. Alan received his BA degree from Pomona College and MD at the UCLA School of Medicine, where he was also elected to AOA. He trained in internal medicine at the University of Utah, and at the University of Rochester. He is board certified in internal medicine.

Significant Industry Experience as Chief Medical Officer

  • Ovations, the senior markets division of United Health Group
  • Blue Shield of California
  • Empire Blue Cross and Blue Shield of NY
  • Oxford

Broad Background

  • Responsible for all aspects of healthcare cost and quality management including medical policy, medical management, high risk and condition management programs, provider profiling, HEDIS reporting, pharmacy services and behavioral health

Innovator

  • Instrumental in the development of Episode Treatment Grouper (ETG) based analyses of health care costs, as well as the pioneering design of case based contracting
  • Integrally involved in risk-sharing and ACO model development, including risk convening
Michael Beebe
Sr. Vice President

Michael Beebe, Senior Vice President, joined ADVI in 2008. Mr. Beebe advises clients on all aspects of reimbursement and strategic policy planning, including specific coding strategies in the physician office and the hospital or other health care provider settings. He directs ADVI’s device and diagnostic practices. Mr. Beebe has a Bachelor of Arts from Penn State University and a Master’s Degree from Boston University.

Long and deep physician specialty relationships

  • Mr. Beebe spent 14 years at the AMA prior to joining ADVI; his most recent position was Director of CPT
  • He was a central participant in AMA advocacy efforts involving public and private coverage, coding and reimbursement issues; including provider class action litigation, CMS physician payment negotiations, and local coverage determinations
  • Senior Social Scientist in Physician Payment Systems where he was primary staff to the AMA/Specialty Society RVS Update Committee (RUC).

Responsible for or involved in many of the most seminal product and service coding decisions

  • Molecular and companion diagnostics – created MAAA and NGS coding nomenclatures
  • Spinal techniques
  • V accines
  • T ele-monitoring
  • Wound Care and Skin substitutes
  • Cardiac Procedures, including T A VR and minimally invasive
David Blaszczak
Sr. Vice President and General Manager

David Blaszczak, ADVI Senior Vice President, is widely recognized as one of the leading experts in medical technology, diagnostics, and pharmaceutical policy issues, with nearly a decade covering these issues for the investment community. He earned a Bachelor of Arts in Health Administration and Master’s in Public Policy from the University of Maryland, Baltimore

Significant Investment/Equity Analyst Experience

  • Potomac Research Group
  • Washington Research Group
  • Schwab Capital Markets

Notable Public Sector Experience at the Centers for Medicare and Medicaid Services (CMS)

  • MMA implementation
  • Health IT
  • Medicaid

Solid State Government Experience

  • Maryland Office of the Attorney General
  • Maryland Department of Insurance
Angela Lively
Sr. Vice President

Angela Lively, Senior Vice President, leads the firm’s drugs and biologics practice. commercialization practice and has spent her career advising top biopharmaceutical companies on issues affecting patient access to new and innovative products. Ms. Lively completed her Masters in Social Work Social Policy with a concentration in health policy from The Catholic University of America and has a Bachelor of Arts degree in Psychology and Sociology from Baylor University.

Significant Industry Expertise

  • Amgen
  • Abbott

Profound Consulting Experience

  • Avalere
  • DK Pierce
  • Covance

Leader in Innovative Thinking

  • Evidence development, local and national payer strategy (Medicare, Medicaid, and commercial insurance), coding recommendations and support, advocacy development, and health policy change
  • Focused in the areas of nephrology, oncology, primary care, internal medicine, and cardiology
  • Projects include self-administered biologics, physician-administered drugs and biologics, dialysis supplies, and inpatient and outpatient products with unique drug delivery systems
Louis Jacques M.D.
Senior Vice President and Chief Clinical Officer

Louis Jacques leads ADVI's strategic product development initiatves by spearheading an all-client initiative focused on a top down commitment to change, recognizing that public and private payer "pay for value constructs" will require evidencing value and tying remuneration of our client's offerings to the evidencing of that value. Dr. Jacques is a graduate of Georgetown University and The University of Maryland School of Medicine.

A Distinguished Career in Government Service and in Medicine

  • Director, Coverage & Analysis Group (CAG), Centers for Medicare and Medicaid Services (CMS) since 2009
  • Division Director, Items and Devices within CAG from 2004-2009
  • Led CMS collaborations with Food and Drug Administration (FDA) including Entrepreneurs in Residence Program
  • Practiced medicine as an aQending physician for almost 20 years, and was an Associate Dean at Georgetown University School of Medicine before coming to CMS

Passionate about Change and Innovation

  • Implemented Coverage with Evidence Development (CED) under the Medicare program
  • Co-created joint parallel review pilot between CMS and FDA
  • Responsible for updating Medicare coverage in FDA IDE trials
  • Coauthored over 60 Medicare National Coverage Determinations
  • Developed program oversight of the Local Coverage Determination process

Recognized as a Leader, Speechifier, and Writer

  • Invited speaker at national policy and professional society meetings nationally and abroad
  • Authored or coauthored original research and commentaries in peer reviewed medical journals
  • Awarded FDA Leveraging/Collaboration Award (TVT Registry Team) 2013; FDA Parallel Review Team Award 2012; CMS Leadership Awards 2006, 2010; Golden Apple (Teaching Award - Georgetown University School of Medicine)
Tamar Thompson
Vice President

Tamar Thompson is a Vice President at ADVI and leads agency engagement across firm specializations. She has more than 15 years of leadership experience in health care, including the ability to develop strategic and tactical recommendations to ensure optimal reimbursement and market access for products. Ms. Thompson holds a M.S. in Health Sciences with a concentration in Public Health from Trident University in Cypress California. She also has active certifications from the American Health Information Management Association (AHIMA) as a Certified Coding Specialist (CCS) and Certified Coding Specialist – Physician Based (CCS-P).

Broad Cross-Specialization

  • Kimbell & Associates, a premier lobbying firm
  • Avalere, a leading advisory services firm
  • GE Healthcare
  • Bracco Diagnostics
  • Molecular Insight Pharmaceuticals

Extensive Experience

  • Government agencies (HHS, CMS, FDA, PCORI, MEDPAC, MACPAC, IOM, OMB, CBO)
  • Private payers
  • Congressional leaders
  • Patient and Physician Stakeholders

Involvement in scoring and legislative drafting

Leader in quality, health economics, and value-based purchasing concepts

Paul Martino
Senior Advisor

Paul Martino currently serves as Senior Advisor to ADVI focusing on commercialization of products and contracting and network strategies for ADVI life sciences, services and managed care clients. Paul holds a Bachelor of Arts degree in philosophy from the University of Connecticut.

Paul's work experience spans over thirty years in managed care, including:

  • Vice President of Clinical Strategy and Innovation for WellPoint, one of the nation’s largest health benefits companies, with more than 65 million individuals served through it and its subsidiaries.
  • Vice President of Kaiser Permanente’s national accounts, as well as vice president of its disease management division.
  • Successfully directed Aetna’s Midwestern sales and account retention initiatives.

Paul's areas of focus include:

  • Clinical strategy
  • Innovation and outcomes initiatives
  • Developing innovative solutions for the care management and care delivery marketplace
  • Closely following emerging employer needs as they change due to health care reform, legislative requirements, and the emergence of health care exchanges
  • Evaluating and measuring client interventions akin to his role at WellPoint where he did the same for provider and member interventions; to ensure they are clinically sound and drive improved health care quality and outcomes while also providing appropriate market access and reimbursement.
William Mangold M.D. J.D.
Counsellor

Former Noridian Chief Medical Officer William Mangold is Counsellor to ADVI and senior staff at Board Developers where he also serves on a number of nonprofit boards of directors. Mangold is also a member of the Arizona Judicial Council (AJC), the body responsible for advising the Arizona Supreme Court on rules governing Arizona’s court system. His degrees in medicine and law were earned at the University of Texas.

A Distinguished Career

  • Mangold practiced medicine in Tucson for more than 15 years in plastic and reconstructive surgery, and has been heavily involved in the affairs of organized medicine, including service as past-president of the Arizona Medical Association and national positions with the American Medical Association (AMA).

Extensive experience

  • For the past 16 years, Mangold has served as a contractor medical director for Noridian, a company that provides administrative services to Medicare in multiple states.
Ronald R. Barkley M.S. J.D.
Counsellor

Ron Barkley, Counsellor, is a healthcare business development and operations officer with leadership expertise in medical group practice; clinically integrated network and hospital/health system settings. Ron’s particular areas of focus include the alignment of community oncologists and hospitals/health systems to form comprehensive and integrated oncology service lines and cancer centers and the organizational design and payment re-structuring of oncology within accountable care initiatives, such as Oncology ACO and Oncology Medical Home models. Barkley holds a Bachelor’s Degree in Life Sciences from Michigan State University; a Master’s Degree in Healthcare Administration from California State University and earned his law degree after attending Southwestern University and California College of Law.

Long and deep experience in medical group and hospital practice management.

  • Served as Executive Director for a regionally dominant community oncology practice in New England
  • Market executive for the organizational re-structuring of the Chicago-area practices of the US Oncology Network.
  • Managing Director of the for-profit clinical service businesses of a multi-hospital integrated delivery system in Southern California
  • Interim CEO charged with the organizational re-structuring of a hospital-affiliated Cancer Institute in South Florida

Significant focus on payment reform, including new models of care delivery

  • Bundled Payment Arrangements
  • Oncology ACO development
  • Shared Risk

Co-Founder and Co-Chair of the Cancer Center Business Summit (CancerBusinessSummit.com), a national oncology thought leadership forum on matters of oncologist-hospital alignment, alignment business models and market consolidation strategies in oncology/cancer care delivery.

Grant Bagley M.D. J.D.
Counsellor Emeritus

Grant Bagley M.D. J.D. is Counsellor Emeritus at ADVI. Bagley has been instrumental to the growth of HillCo HEALTH, one of the predecessor company’s of ADVI and is a mentor to its leadership. Throughout his distinguished career in public service and medicine Bagley has created and fought for most of the seminal coverage or payment policies in Medicare including treating certain devices as drugs for purposes of Medicare coverage; the first and only balanced bill allowance; ASP for radiopharmaceuticals, inherent reasonableness, least costly alternative, coverage with evidence and parallel review.

A Distinguished Career

  • Co-Founder, HillCo HEALTH
  • Partner and Manager of Health Care Practice, Arnold & Porter
  • Director of Coverage and Analysis Group, CMS
  • Medical Officer, Payment Group, Center for Medicare, CMS
  • Medical Officer, Office of the Commissioner, FDA

Extensive experience

  • AMA CPT Advisor
  • ECRI Board Member
  • FDLI Contributor and Speaker

Leader in creating innovative coverage and payment pathways and forging FDA-AHRQ-CMS cooperation

Steven S. Brooks, MD MBA FACC
Senior Advisor

Steven Brooks, ADVI Senior Advisor, is a multi-faceted health care consultant, publisher, cardiologist and clinical trialist. Steve graduated from medical school from the University of Pittsburgh Medical Center in 1996 and completed a residency in Internal Medicine and fellowships in General and Interventional Cardiology at the University of Pittsburgh Medical Center. Steve also completed an MBA at the Johns Hopkins Carey School of Business in the Business of Medicine Program, and remains involved with the program as an adjunct faculty member.

Considerable and diverse experience in government, teaching, and research.

  • Presently Chief Innovation Officer at Sage Growth Partners, a venture business and technology incubator
  • Served as a medical officer for the Food and Drug Administration (FDA) in the Peripheral Interventional Devices Branch and Interventional Cardiology Devices Branches
  • Worked for a private practice, Mid-Atlantic Cardiology
  • Former assistant professor in the Department of Medicine at the University of Maryland Medical Center, specializing in Interventional Cardiology

Steve's interests include:

  • Regulatory strategy
  • Scientific and medical due diligence
  • Clinical trial design and pre submission to launch regulatory and reimbursement planning
Christine Perez, JD
Director

Christine Perez joined ADVI in 2011. She provides clients with research, analytic, and project management support on topics ranging from evidence-based medicine and healthcare quality improvement to issues related to Medicare policy development around personalized medicine and medical practice issues in e-health. Ms. Perez performs qualitative and quantitative research to support client reimbursement strategies.

Prior to ADVI, Ms. Perez served as a Government Relations Coordinator for professional associations in SmithBucklin Corporation's Healthcare Business Unit. Ms. Perez's clients included the National Association Medical Staff Services, National Society of Genetic Counselors, National Association of Healthcare Access Management, and American Urogynecologic Society. She provided management support to the American Urogynecologic Society’s Coding and Nomenclature Subcommittee and played a key role in obtaining a seat for the National Association Medical Staff Services on The Joint Commission's task force to revise Hospital Standard MS.1.20. She also drafted comments to the Department of Labor which helped to obtain recognition for genetic counselors as a unique profession in the Standard Occupational Classification.

Ms. Perez holds a Bachelor's degree in Government and Politics with a minor in Rhetoric from the University of Maryland, College Park. She earned her JD in 2012 from The Catholic University of America Columbus School of Law, where she served as an Associate Editor to The Journal of Contemporary Health Law and Policy. She is admitted to the Bar in the State of Maryland.

Danielle Showalter, MPH
Director

Danielle Pambianco Showalter joined ADVI in 2009. She serves as a Director. Showalter supports a cross functional team in strategy, reimbursement policy, and due diligence efforts. She assists small and medium-sized device and diagnostic companies in developing and implementing strategic and tactical plans to achieve optimal coding, coverage and reimbursement policies. In doing so, Showalter engages with such entities as the AMA CPT, RUC, and medical specialty societies, as well as public regulatory agencies, such as CMS, AHRQ and FDA, to maximize benefits to clients.

Showalter’s experience in diagnostic and genomic coding and coverage has been invaluable to stand alone clients, as well as our biopharmaceutical clients with companion diagnostics. Showalter also monitors and synthesizes CMS national and Medicare local policy initiatives across the health care sector. Her focus areas include regulatory and sub-regulatory changes at the national level, Department of Health and Human Services (HHS) and CMS efforts to implement the Affordable Care Act (ACA), and local policy precedents affecting molecular diagnostics. Her experience with Medicare Part A/B MACs and DME MACs has served both device and service clients well, helping them to navigate key issues such as Palmetto/McKesson’s MolDx program, Novitas’ work in diagnostics, and other relevant local coverage, coding, and payment decisions.

Showalter completed her Master’s in Public Health at the George Washington University, specializing in health policy. She received her Bachelor’s degree from the University of Virginia in Psychology and Biomedical Ethics.

Valerie Hutchins
Senior Associate

Valerie Hutchins is a Senior Analyst at ADVI and provides research and analytical support on reimbursement and policy planning facing pharmaceutical and biotechnology oncology and diagnostic products and medical device manufacturers.

Valerie focuses on reimbursement issues for the current standard of care for cancer tumor types as well as expanding patient access to new label or off label compendia approved indications. In her prior role with UBC Valerie helped conduct several comprehensive reimbursement landscape and strategic assessments for new device technologies across a broad range of medical conditions and settings of care. Valerie also designed and implemented economic analyses for international and US audiences. Valerie also has knowledge of the cardiovascular disease and mental health space and has helped clients strategically position interventions in crowded markets.

Valerie holds a Bachelor's degree in Philosophy, Political Science and Economics from the University of Pennsylvania. Valerie is a 2013 MPH – Health Policy candidate at The George Washington University.

Krista Lambo
Senior Associate

Krista Lambo is a Senior Associate at ADVI and provides research, analytic, and strategic support for the pharmaceutical, biotechnology, medical device, and diagnostics teams on a variety of health policy issues. She monitors the policy landscape as it relates to client and organization interest, including pertinent issues and public meetings within the Centers for Medicare and Medicare Services and on Capitol Hill.

Prior to joining ADVI, Krista worked for a member of the Senate Finance Committee, where she focused on the healthcare portfolio. Krista completed her Master of Public Health in Health Management and Policy at the University of Michigan and received her Bachelor’s degree in Politics and Government and Pre-medicine from Ohio Wesleyan University.

Andrew Statler
Senior Analyst

Andrew Statler is a Senior Analyst in the firm’s Private Equity Practice Area. He provides clients with research and analysis of the healthcare industry, with an emphasis on reimbursement, policy, and regulatory insights and developments. His focus is broad-based but mainly centers on healthcare services. Andrew also heads business development efforts in the firm’s Private Equity Practice.

Prior to joining ADVI, Andrew was with Potomac Research Group in Washington D.C. where he served in various roles – assisting with healthcare-related research projects, strategic analysis, marketing opportunities, business development, and internal firm financials. He also coordinated client communications and services.  Before that he was an Investment Performance Associate for endowments and non-profit organizations with Cambridge Associates in Arlington, Virginia.  Andy received his B.A. from Kenyon College in 2010.

Timothy Epple
Associate

Tim Epple is an Associate at ADVI, providing research, analytic, and strategic support to the consulting team on a variety of health policy issues.  He performs a lot of the “groundwork” for the consulting business – tracking and examining pertinent issues on Capitol Hill and within Centers for Medicare and Medicaid.  He also assists in business development efforts and is the firm’s lead on data and analytics.

Prior to joining the ADVI, Tim was with Potomac Research Group, where he focused primarily on Defense/National Security policy and budgetary research. He also spent time in the Texas Legislature, the US Department of Commerce, and The White House. Tim received B.A.’s from the University of Texas at Austin in Economics and Political Science, and is currently pursuing an M.S. through Northwestern University.

Megan Horn
Director of Client Services

Megan Horn is the Director of Client Services at ADVI. She is responsible for providing client-facing services such as scheduling, meeting planning and organizing large events. She also maintains a client database and serves as a process manager on key projects on a variety of topics.

Prior to joining ADVI, Megan served as the lead Administrative Coordinator at Amgen, Inc. with the U.S. Health Policy and Reimbursement team for eight years. While there, she managed contracts, provided project management support and oversaw a variety of operational activities. Megan received her Bachelor’s degree in Psychology and History from Ohio Wesleyan University.

Adina Safer
Senior Advisor

Adina Safer is a senior advisor. Her focus is on distribution and reimbursement for complex pharmaceutical and biotechnology and device products. Adina leads the commercialization and channel marketing group at ADVI. Her expertise crosses the areas of pharmacy benefit management, medical benefit management, specialty pharmacy services & specialty distribution as well as Medicare part D coverage dynamics. She earned her BA degree from Columbia University in New York and holds both a MBA and a MPH from the University of California at Berkeley.

Strong Industry Experience

  • TheraCom, a CVS/Caremark company focused on specialty services
  • Caremark
  • Consumer Health Interactive
  • Lehman Brothers
  • Shatuck Hammond Partners
  • Arthur Andersen Consulting

Specialized Background

  • REMS/RiskMAP’s and distribution support for biotechnology and medical device products
  • Development of specialty pharmacy channel marketing and partnering programs
  • Management of $500m Medicare Part D demonstration program for the company
Billy Millwee
Counsellor

Billy Millwee is a Managing Principal with Sellers Dorsey, a premier Medicaid Operations firm, and serves as a Counsellor to ADVI and its clients. As Texas Medicaid and SCHIP director from 2010-2012, Billy Millwee provided leadership for the state’s Medicaid and CHIP programs and was responsible for operations impacting over 3.5 million lives and involving more than 40,000 providers, as well as managing a nearly $30 billion budget. Millwee now serves as a counsellor to ADVI and HillCo Partners in Washington, DC and Texas and as a board member or consultant to a number of nonprofit healthcare organizations. Millwee holds a master’s degree in health care administration from Central Michigan University, and a master’s in sociology from Texas State University.

Strong Government Experience

  • Millwee was involved in Texas state government for almost 20 years.
  • Previous state government experience includes development of regional trauma systems and development, implementation, and deployment of immunization clinic assessment and program improvement protocols.

Specialized Background

  • Since 1998, Millwee served in a variety of management positions within the Texas Medicaid/SCHIP programs, including: director, Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), and Medical Transportation Programs; director, Program Operations and Policy Development; director, Managed Care Operations; and director, Claims Administrator Operations.
  • Millwee is the Chair Emeritus of the National Association of State Medicaid Directors

Photos by Washington DC Photographer Aaron Clamage

Careers

Want to be part of the ADVI team? Please apply to our current job postings and soon an associate will get in touch with you.

Director / Sr. Director

ADVI is looking for Director/Sr. Director to join the reimbursement policy practice within our Washington DC office. Applicants at the Director level should have a law degree or graduate degree in public policy, public health, public administration, healthcare administration, or other related healthcare fields.  ADVI welcomes candidates with a wide variety of healthcare experience including policy work at the Congressional level, federal agency level, managed care, direct provider practice (hospital), the life sciences industry, or prior consultancy experience. Efficient project management experience and the ability to work within a dynamic fast paced environment are essential. Research or policy analysis experience is highly preferred.

Director/Sr. Director, Reimbursement Policy Practice

Principal Duties and Responsibilities

Candidates will be expected to assume varying levels of responsibility across a diverse range of healthcare related projects. Direct responsibilities will include:

    • Managing a portfolio of clients to ensure that all of ADVI’s knowledge and expertise are available to meet client needs.
    • Mentoring and training of junior staff members within the Reimbursement Practice
    • Transitioning the scope of projects from concept to operational for clients and overseeing the team from project initiation through to client delivery
    • Serving as a subject matter expert within the Reimbursement Practice as well as across the firm to inform various, cross-firm strategic projects
    • Creating both strategic and tactical recommendations for clients to ensure optimal market access for client products
    • Proactively seeking and obtaining speaking engagements with clients, policy makers, and thought leaders in order to generate public recognition for ADVI

Skills and Experience

A director within the Reimbursement Practice should possess a graduate degree in public policy, healthcare management, public health, or a relevant healthcare discipline. A minimum of ten years experience within the overall healthcare industry is required, with three to five of these years preferably spent within a reimbursement-specific field. In addition, the candidate should have at least two years of project team leadership experience. Examples of pertinent work experience include: consulting firms, diagnostics and/or pharmaceutical manufacturers, clinical laboratories with specialty in molecular diagnostics, and the healthcare industry at large. Legislative or regulatory policy experience a plus!

Directorial level staff must have the following capabilities, however, requisite skills are not limited to:

  • Direct healthcare industry or healthcare consulting experience, preferably within the life sciences sector , at the Congressional level, or within a federal agency
  • Must have comprehensive knowledge of drugs, specialty drugs, diagnostics, and/or the medical devices
  • Ability to establish personal credibility as a strategic and reimbursement expert with clients
  • Proven situational leadership skills
  • Commitment to working in a matrix-team environment with an emphasis on partnering and sharing work and information with colleagues
  • Experience overseeing and supervising staff
  • Superior problem-solving and analytic skills with the capability of applying knowledge outside of one’s immediate functional area
  • Significant and sustained project management experience
  • Experience presenting to and interacting with executive level professionals
  • Exemplary interpersonal skills that translate into positive relationships with colleagues and clients
  • Solid communication skills including confidence, the ability to concisely explain complicated concepts to executives and leaders within and outside of the firm.

Please submit resumes to: hello@advi.com attention Human Resources

Associate / Senior Associate

ADVI is looking for An Associate/Senior Associate to join the reimbursement policy practice within our Washington DC office. Applicants at the Associate level should have (or will complete within the next 6 months) a graduate degree in public policy, public health, public administration, healthcare administration, or other related healthcare fields. ADVI welcomes candidates with a wide variety of healthcare experience including policy work at governmental level, managed care, direct provider practice (hospital), the life sciences industry, or prior consultancy experience. Efficient project management experience and the ability to work within a dynamic fast paced environment are essential. Research or policy analysis experience is highly preferred.

Principal Duties and Responsibilities

Candidates will be expected to assume varying levels of responsibility across a diverse range of healthcare related projects. Direct responsibilities will include:

    • Conduct qualitative and quantitative research
    • Monitor policy landscape related to organization and client interest
    • Work with matrix team environment to develop and deliver project work to clients timely
    • Draft and present deliverables to clients including memos, written summaries, white papers, and PowerPoint presentations
    • Attend and report on government healthcare hearings and public meetings to related to issues of concern to ADVI and its clients
    • Draft scopes of work leveraging subject matter experts

Skills and Experience

  • Excellent written and oral communication skills (prior public speaking skills highly preferred)
  • Analytic, problem solving, and organizational skills
  • Basic presentation and public speaking skills
  • Proficient in MS Office Suite: Word, Excel, PowerPoint, and Outlook

Please submit resumes to: hello@advi.com attention Human Resources