Andrew Asher has an extensive background in government health care and social services program management and in using data and analytics to help administrators strengthen the integrity and performance of their programs. His expertise includes program integrity, monitoring the Medicare Advantage program and value-based payment programs, and conducting assessments and evaluations of government programs.
Asher is nationally recognized for developing and implementing innovative, data-driven approaches to help government program managers reduce fraud and abuse and manage their costs effectively. He has guided the development and implementation of innovative strategies to detect, prevent, and recover health care fraud and overpayments, including a wide array of models to identify improper payments. Asher also has broad and deep knowledge of health care systems, including Original Medicare and Medicare Advantage, Medicaid, and commercial managed care and fee-for-service systems, acquired through his work with state Medicaid agencies, the Centers for Medicare & Medicaid Services (CMS), and health plans. He has also recently conducted evaluations and assessments of labor, health, disability, and other social services program integrity initiatives.
Asher rejoined Mathematica in 2013 after serving as vice president and director of government solutions at OptumInsight from 2007 to 2013 and in various leadership roles with the state of Illinois. From 2001 to 2007, he served as the manager of the Fraud Science Team within the Illinois Department of Healthcare and Family Services’ Office of Inspector General, a group whose innovative fraud detection and prevention work was featured in Government Accountability Office and CMS best practice reviews and the trade press. Asher was a health researcher and analyst at Mathematica from 1989 to 1994 and holds an M.P.P. from the University of Michigan.