CLOUD HARBOR

ECONOMICS, LLC

Services

What Cloud Harbor can do for you.

Cloud Harbor provides six core capabilities across the healthcare data and policy landscape. We serve federal agencies, state governments, healthcare organizations, and research institutions.


Healthcare Payment & Cost Analysis

We provide expert support in payment policy research, design, and implementation. Our work spans a range of healthcare settings, including acute care hospitals (ACHs), inpatient psychiatric facilities (IPFs), skilled nursing facilities (SNFs), long-term care hospitals (LTCHs), inpatient rehabilitation hospitals (IRFs), hospices, and outpatient clinical settings. Our economists and policy experts design quality and cost measures, conduct payment simulations, provide training, and analyze the impact of reimbursement changes across Medicare, Medicaid, and commercial programs.

Payment System Development

Design and refine prospective payment systems, including rate-setting methodologies, payment adjustments, and outlier policies that balance provider sustainability with fiscal responsibility.

Cost Measure Creation

Develop episode-based and population-based cost measures that accurately capture resource use while accounting for patient complexity and promoting high-value care.

Payment Impact Analysis

Model payment changes across provider types and patient populations to understand distributional effects and ensure equitable reimbursement.

Risk Adjustment

Create and validate risk adjustment models that appropriately account for patient severity, socioeconomic factors, and clinical complexity.


Quality Measurement & Performance Evaluation

We create and validate quality measures that meaningfully assess healthcare performance across the care continuum -- from hospitals and clinicians to post-acute care facilities and managed care organizations.

Measure Development

Create outcome, process, and structural measures that capture meaningful aspects of healthcare quality while minimizing provider burden.

Clinical Validation

Ensure measures reflect clinical best practices through expert panels, literature reviews, and empirical testing with real-world data.

Endorsement Support

Guide measures through MAP and NQF endorsement processes, addressing stakeholder concerns and demonstrating scientific merit.

Performance Analytics

Analyze measure results to identify improvement opportunities, benchmark performance, and support quality improvement initiatives.


Healthcare Data Analytics & Research

We transform complex healthcare data into actionable insights through advanced analytics and rigorous research methods. Our team works daily within CMS secure data environments, building analytic datasets and delivering policy-relevant findings.

Medicare Claims, Parts A & B
Medicare Encounter / Part C
Medicare Part D Data
Provider Data (NPPES, PECOS, POS)
Patient Assessment Data (MDS, OASIS)
Cost Reports (HCRIS)
MedPAR
BLS / BEA / Census Data
Survey Data (CPS, ACS, ATUS)
SDOH Data (ADI, SVI, MSNI)

Tools: SAS, R, Python, Stata, SQL, MATLAB, Julia, EViews, SPSS, Tableau, Power BI, LaTeX

Methods: Regression analysis, time-series forecasting, cohort studies, survival analysis, causal inference, predictive modeling, cluster analysis, fuzzy matching algorithms, dynamic stochastic general equilibrium models


Regulatory Compliance & Program Support

We help healthcare organizations and government agencies navigate complex regulatory requirements while maintaining operational excellence.

Audit & Validation

Design comprehensive frameworks to assess compliance with federal requirements and validate data quality across healthcare programs.

Technical Assistance

Provide rapid-response support through help desks, training programs, and direct consultation to ensure stakeholder success.

Training Development

Create multi-modal educational materials including web-based courses, webinars, fact sheets, and interactive tools.

Program Monitoring

Track program performance, identify compliance issues, and recommend corrective actions to improve outcomes.

File Production & Automation

Produce Section 508 compliant public-facing reports, technical manuals, and data packages. Process terabytes of data and create automated reports with enhanced data visualization.

Rapid Response & Help Desk

Provide multi-tiered rapid response and help desk solutions to inquiries from clients and stakeholders, delivering high-quality, data-driven solutions to meet their needs.


Healthcare Policy Research & Strategic Advisory

Our team provides evidence-based research and strategic guidance to shape healthcare policy at the highest levels. We conduct comprehensive analyses, facilitate expert panels, and translate complex findings into actionable recommendations.

Policy Analysis

Evaluate policy proposals, analyze regulatory impacts, and provide evidence-based recommendations to shape healthcare legislation and programs.

Literature Reviews

Conduct comprehensive environmental scans and systematic reviews to inform policy decisions with the latest evidence.

Expert Facilitation

Convene and moderate Technical Expert Panels, stakeholder workgroups, and consensus-building sessions.

Strategic Consulting

Provide high-level advisory services on healthcare transformation, payment reform, and quality improvement initiatives.


AI-Powered Tools & Innovation

Cloud Harbor has built and deployed AI-enhanced tools as operational capabilities, not aspirations. Our suite includes a retrieval-augmented generation (RAG) chat assistant grounded in regulatory and training documents, and an AI-powered quiz generator with a full expert review workflow.

Knowledge Base & Chat

AI-powered chat assistant that surfaces accurate, source-cited answers from curated regulatory and training content in real time.

Automated Assessment

AI-generated quiz questions anchored to authoritative source material, with configurable difficulty and mandatory expert review before publication.

Data Documentation

Comprehensive, remediated data dictionaries and variable documentation that go beyond what is publicly available.

Automated Operations

Algorithms to automate provider identification, payment reconciliation, and data validation processes that replace tedious manual work.

Previous
About