Julia Doherty, MHSA

Julia Doherty is a senior research director at L&M Policy Research and has 28 years of experience in health care management, policy, and research. Before joining L&M, Ms. Doherty held executive posts in a health maintenance organization, major academic hospital, community health center, and a management-consulting firm. Ms. Doherty has since led multiple qualitative research efforts and recruitment and management of project advisory panels at the state and federal level. Currently, she is managing projects for the Centers For Medicare & Medicaid Services (CMS), examining various aspects of quality, reimbursement, and efficiency in care delivery to Medicare beneficiaries. Ms. Doherty is a subject matter expert on the Accountable Care Organization (ACO) Demonstration, and is directing a Medicare study on home health prospective payment and its potential impact on access to care. Ms. Doherty is also leading a project helping the California PACE association develop quality measures, after recently working with Avalere Health and key stakeholders on behalf of the National Quality Forum (NQF) to identify the most appropriate measures to gauge the quality of care delivered to dual-eligible beneficiaries (duals) across all settings of care. She just completed the evaluation of the Medicare Nursing Home Value Based Purchasing Demonstration leading the qualitative portion of the research and teaming with Harvard for the quantitative analyses. Prior to that, she led a project for CMS exploring geographic variations in cost and quality across the country, focusing on duals and other Medicare beneficiaries with complex health needs. Ms. Doherty also completed a project that assessed the impact bundled payments may have on patients in vulnerable populations with end-stage renal disease. In conjunction with KNG Health Consulting, she worked with the state of Vermont and its stakeholders to develop the reimbursement structure for the state’s pilot project on medical homes and assess its potential involvement in a pilot effort to support ACOs.