Jared is a partner-in-charge of the firm’s Rate Setting and Federal Compliance engagement team and is located in the Indianapolis office. For more than 21 years at Myers and Stauffer, he has provided rate setting, auditing, and consulting services to state Medicaid agencies and the Centers for Medicare & Medicaid Services (CMS).
Jared’s experience includes quality and efficiency studies, reimbursement system development and maintenance, public health policy and economics, data analytics, utilization management, and fiscal management. Jared is experienced with a multitude of health care provider categories, and both fee-for-service and managed care delivery systems. He has conducted rebasing and recalibration studies, performed upper payment limit (UPL) tests, performed cost studies, analyzed policies, developed fiscal models, prepared state plan amendments (SPAs), and performed hundreds of audits.
Jared consults with state clients on opportunities to improve health care quality, efficiency of delivery, reimbursement, and health information technology (health IT). Jared has consulted with more than 20 Medicaid programs and CMS on issues such as delivery system reform and transformation; payment error rate measurement; fraud, waste, and abuse detection and specialized fraud investigations; contract compliance; risk mitigation and controls; program evaluation; stakeholder engagement, readiness reviews, and other audit initiatives. His work has involved virtually every health care provider category, managed health plan, health information exchanges, and fiscal agent contractor. He has designed studies to reduce errors and inefficiencies and/or opportunities for mis-payments that has resulted in savings of hundreds of millions of taxpayer funding.
Jared is a Certified Fraud Examiner (CFE) and a member of the Association of Certified Fraud Examiners, the Indiana Society of Certified Public Accountants, the American Institute of Certified Public Accountants, the National Health Care Anti-Fraud Association, and the American Society of Health Economists.
Education
B.A. with Distinction, Economics (Quantitative)
Indiana University
Specialties
- Medicaid rate setting and reimbursement policy.
- Medicaid operations and administration.
- Fraud, waste, and abuse detection and compliance.
- Quality improvement and pay-for-performance.
- Managed care policy and compliance.
- Data analysis and health care claims.
“We have to earn the trust of our clients, and that comes with exceeding their expectations time and again. Anticipating their needs and always being available when they need us, regardless of what the clock says, or even what the contract says. That is what makes us Myers and Stauffer.”
— Jared Duzan
