Pamela M. Pelizzari

Pamela is a Principal and Senior Healthcare Consultant with the New
York office of Milliman. She specializes in the development and
management of episode-based payment methodologies. She joined the
firm in 214.

Pamela has a broad background in integrated delivery system
administration and healthcare payment reform. She has worked in both
clinical and payer settings and has experience in alternative risk
contracting strategies. Pamela has particular expertise in analysis of
healthcare claims and the development of episode-based payment
definitions and benchmarking methodologies. She also has experience
implementing both prospective and retrospective payment
methodologies, including developing gainsharing methodologies,
claims adjudication techniques, and quality monitoring programs.

Prior to joining Milliman, Pamela served as a senior technical advisor at
the Centers for Medicare and Medicaid Services (CMS). She was
responsible for developing and implementing novel payment
methodologies to transform healthcare delivery and payment
nationwide. Pamela played a key role in designing the national Bundled
Payments for Care Improvement initiative, with thousands of
participants nationally. She also led the development of an oncology
episode-based payment model as well as other specialty physician-focused
bundled payment models.

Previously, Pamela worked at an academic medical center, building
consensus for redesigning care delivery among diverse stakeholders
including physicians, administrators, and patient advocates. In recent
years, Pamela has published papers in academic journals such as the
Lancet and Circulation. She has also spoken at numerous national
conferences on the topic of episode-based payment models and
methodologies.

Pamela earned her ScB in applied mathematics and her AB in
community health from Brown University. She received her MPH,
healthcare policy and administration, from the Johns Hopkins
Bloomberg School of Public Health.