Brian Ellsworth has more than 30 years of experience in health care financing, delivery, and policy from both payor and provider perspectives; and has held senior leadership roles at statewide associations of home health, hospice, and long-term care providers. His experience includes federal and state demonstrations on home health pay for performance, Medicare capitation for the chronically ill, and dual eligible integration. Mr. Ellsworth leads HDG’s efforts to develop value-based payment approaches for skilled nursing facilities and home- and community based providers, including the development of continuing care networks and analysis of bundled payment opportunities. He also promotes industry advocacy and is a frequent presenter at health care conferences and events across the country.
Throughout his career, Mr. Ellsworth’s thought leadership has resulted in a number of important refinements to post-acute, long-term care, and inpatient payment and quality monitoring systems for both Medicare and Medicaid. As a policymaker in New York’s Medicaid program, he led early efforts to develop managed long-term care plans for the dually eligible. He has served on federal and state technical advisory panels on topics such as long-term care financing reform, episodic reimbursement, and development of process and outcome measures for home health.