Guy D’Andrea

“Payment reform offers huge potential to improve the health care system for both patients and providers. Our challenge is to design payment reform models that create the right incentives, are fair to providers, and are practical to implement.”

As a Partner at Discern Health, Guy D’Andrea helps clients create breakthrough strategies that focus on driving better patient outcomes and improving value in the health care system. He advises clients about health performance measurement and about the programs that connect measures to incentives to drive improvement. The firm’s clients include life sciences companies, provider organizations, and government agencies that share a common goal of improving health care.

Guy also works to connect clients to the broad array of services offered by the W2O Group, Discern’s parent company. In combination with W2O, Discern can offer clients comprehensive that include strategy development, research and data analytics, communications, public affairs, and marketing pull-through.

Before founding Discern in 2004, Guy spent ten years in various health policy roles in Annapolis and Washington, DC, including a role as a vice president at URAC, a health care accreditation organization. He has co-authored several papers on health care reform, including “The Design and Application of Shared Savings Programs: Lessons From Early Adopters” and “Should Health Care Come with a Warranty?” in Health Affairs, “Physicians Respond to Pay-for-Performance Incentives: Larger Incentives Yield Greater Participation” in The American Journal of Managed Care, and “Sustaining The Medical Home: How Prometheus Payment Can Revitalize Primary Care” for the Robert Wood Johnson Foundation.

Guy received an undergraduate degree in philosophy from Cornell University. He earned dual Master of Business Administration degrees from Columbia University and the London Business School.

Areas of Expertise

  • ACOs – Medicare Shared Savings Program
  • ACOs – payment models
  • ACOs – performance measures
  • Health system transformation
  • Major health quality stakeholders
  • MACRA – APMs
  • Medicare – payment to hospitals
  • Medicare – payment to physicians
  • PCMH – payment models
  • PCMH – performance measures
  • Performance-based payment models
  • Quality measures
  • State government policymaking and procedure
  • Value-based purchasing


  • MBA – Columbia University
  • MBA – London Business School
  • BA, Philosophy – Cornell University


  • Baltimore, MD

New Report: Recommendations for Patient and Family Engagement in Measure Development

Harnessing the stories, ideas, and innovations of patient and caregiver partners is the key to making measurement meaningful. With support from the Patient-Centered Outcomes Research Institute (PCORI)...
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Guy D’Andrea Speaks About Innovative Payment Models

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