Dr. Rastogi is chief medical officer at HCI3 and has been engaged in developing Prometheus’s evidence-informed case rates (ECRs), an innovative physician reimbursement system that focuses on pricing episodes of care to foster high quality, efficient medical care. In that capacity, she works with clinicians to define the boundaries of an episode, oversees the analytics, modeling and risk-adjustment of ECRs and interfaces with implementation leaders, medical directors and claims adjudicators to help translate ECRs into bundled payment mechanisms.
Amita is adept in the use of statistical models and risk-adjustment methodologies and has extensive experience in the use of episodes-of-care for cost analysis and evidence-based-medicine guidelines for quality evaluations. She has presented and actively participated at various national forums including the Institute of Medicine, National Business Coalition on Health, Managed Care Executives Group, National Quality Forum, Society of Actuaries, Agency for Healthcare and Quality, AMA-PCPI workgroups and many others.
Before joining HCI3, Dr. Rastogi led the development of transparency tools to measure performance among hospitals and physicians around cost and quality at Ingenix (now Optum), a leading Health information management company. Prior to that, she worked on an early model of episode-of-care pricing for an industry’s leading consumer-directed health plan, HealthMarket.
Amita is a Mayo-trained cardiac surgeon, certified in heart and lung transplantation and has over 25 years of experience in the clinical arena as well as in clinical and health services research. She received her Masters in Health Administration degree from the Martin School of Public Policy and Administration, University of Kentucky and her Masters in Health Studies (Biostatistics & Epidemiology) from the University of Chicago.