MLR Analysis
Health plans · Insurance regulators
MLR calculations, rebate estimates, and quality improvement activity (QIA) classifications under the Affordable Care Act.
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Practice Area
Healthcare Policy & Strategy Decades of research depth, translated into operating decisions.
Medical Loss Ratio analysis, mental parity testing, health equity research.
Capabilities
What we do, specifically.
Mental Parity Testing
Health plans · Self-insured employers · Plan administrators
Non-Quantitative Treatment Limitation (NQTL) comparative analyses meeting MHPAEA and Consolidated Appropriations Act requirements.
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Health Equity
Foundations · Ministries of Health · Health plans
Population-level health equity research drawing on peer-reviewed methodology and global evidence.
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Value-Based Care
Health plans · Provider groups · CMS contractors
Design, pricing, and evaluation of value-based payment arrangements.
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“Health economist focused on system reform and equity. Joint appointments at Boston University SPH and Sargent College.”
SAFARI Tools
Tools built for this practice.
Related Insights
Recent publishing.
Article
Mental Parity Testing in 2026: What Carriers Are Still Getting Wrong
The NQTL standard has moved faster than most compliance playbooks. A practitioner's view of what defensible analysis actually looks like.
Report
The Lepton Health Equity Index — 2026 Edition
Our flagship annual report on disparities in healthcare access, financial protection, and outcomes across U.S. states and select global markets.
Case Study
Mental Parity Compliance, Translated into Operational KPIs
A state insurance department needed to bring 6 commercial carriers into documented MHPAEA compliance — within a single quarter.
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