Allan is one of the partners-in-charge of the Pharmacy engagement team. Since joining Myers and Stauffer in 1997, he has managed a variety of projects including pharmacy consulting, program integrity, litigation support, and rate setting engagements.
He has played a significant role in pharmacy reimbursement consulting engagements with numerous state and federal clients. He has advised state Medicaid programs regarding pharmacy dispensing fees, and managed dozens of pharmacy cost of dispensing surveys. Allan has also been involved in the firm’s pharmacy ingredient cost studies, State Maximum Allowable Cost (SMAC) projects and Average Acquisition Cost (AAC) engagements including Myers and Stauffer’s contract with the Centers for Medicare & Medicaid Services (CMS) to develop and maintain the National Average Drug Acquisition Cost (NADAC) benchmark.
Since 2003, Allan has managed the firm’s project to perform program integrity audits of Medicaid providers for the Alaska Department of Health and Social Services. This project involves the analysis of Medicaid claims data from all providers, the selection of providers for desk review, as well as additional on-site review procedures. Under his direction, the project team collects clinical and other documentation for audit from a set of sampled claims. The team reviews the documentation and applicable policies to determine if the provider’s billings are appropriately supported. Additionally, Allan provides expert testimony on behalf of the state client when reported overpayments are appealed by the audited providers.
Allan has also assisted with a number of other Medicaid reimbursement consulting engagements including rate setting for home and community-based services (HCBS), mental health services, hospital reimbursement through diagnosis-related groups (DRG), and physician reimbursement through Resource-Based Relative Value Systems (RBRVS).