Eric Levine leads projects for health plan clients in strategy and operations to support them in anticipating changing business needs and developing action-oriented plans that improve health plan performance and member outcomes.

Eric supports clients across lines of business in strategy development, compliance reviews, and operational gap assessments and improvement initiatives. In recent projects, Eric has assessed health plan risk adjustment programs in MA and ACA to identify compliance and operational gaps and recommend improvements. He has prepared successful health plan RFP responses to Medicaid program procurements. Eric also developed market entry and growth strategies across multiple lines of business.

Prior to joining Avalere, Eric worked at Pfizer, Inc., where he analyzed state legislative and regulatory proposals to evaluate policy options, opportunities, and barriers to key issues, including quality initiatives, prior authorization, and out-of-pocket spending. In addition, he led research on the Quality and Consumer Satisfaction tools in the health insurance exchanges and analyzed state and federal initiatives to develop a position on and strategy in anticipation for the roll-out of the Quality Rating System and Enrollee Satisfaction Survey for exchange health plans.

Eric has an MPH in health policy and management from Columbia University and a BS in human physiology from Boston University.

Authored Content


Avalere experts discuss the CMS Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) audit process and provide insight on how health plans can proactively plan and prepare for these audits.

With increasingly sophisticated data and technology available, plans should strategize about how to integrate both across the enterprise to drive higher value.

In the third and final installment of our AI for health plans video series, Avalere is joined by experts Mia Bolton and Teddy Gedamu from Tenasol to share real-world examples of how artificial intelligence (AI) can streamline data management and improve decision-making in health plans.

In the second installment of our AI for health plans video series, Avalere is joined by experts Mia Bolton and Teddy Gedamu from Tenasol to discuss how plans are operationalizing enterprise clinical data.

In the first installment of our AI for health plans video series, Avalere is joined by experts Mia Bolton and Teddy Gedamu from Tenasol to discuss the regulatory and market dynamics around clinical data and what this means for health plans.

With the release of the IPAY 2026 MFPs, health plans should analyze the impact to formularies and identify opportunities for contracting changes.

The second installment of our Health Plan series examines how clinical care will shift in reaction to changes in demographics, technology, and environmental factors.

CMS’s new Medicaid and CHIP managed care rule will impact wait time standards, In Lieu of Service and Setting usage, and quality rating.

The first installment of our Health Plans series explains how plans can evolve their approaches to provider contracting and utilization management for the future.

Plans adapt to market changes in risk adjustment coding. Interviews with plan professionals reveal three trends for efficiency, effectiveness, and compliance.

Avalere experts explore how key policy changes, such as the Risk Adjustment Data Validation final rule, Inflation Reduction Act, and Medicare Advantage payment shifts, are shaping the landscape for health plans.

Quality regulators are implementing new requirements and performance measures to expand health equity expectations for health plans. Avalere describes common approaches and identifies data-driven strategies to respond.

While some food industry stakeholders have begun to integrate their operations into the healthcare system, opportunities remain for further collaboration to improve outcomes and quality of life for their patients, customers, and members.

A wide variety of health plans, provider networks, and national corporations have recently developed and announced innovations and strategies to expand access to healthcare and to address needs that promote health across communities.

As health plans evaluate more efficient ways to engage and retain members, they should focus on existing high-touch points to improve healthcare access and the overall experience. Augmenting these efforts can generate more evidence-based patient management thus improving overall health outcomes.

In February 2012, the Centers for Medicare & Medicaid Services (CMS) announced a final payment error calculation methodology for its contract-level Risk-Adjustment Data Validation (RADV) audits of Medicare Advantage (MA) plans.

As CMS continues to transition from the Risk Adjustment Processing System (RAPS) to the Encounter Data System (EDS) for Medicare Advantage (MA) risk score calculation, plans must evaluate operations and close gaps to minimize the impact of risk score differences using this claims data source.