Health Economics & Outcomes Research

Evidence that payers can act on.

Global Wellness Advisors turns claims and clinical data into rigorous economic models and defensible evidence, so health technology and care-delivery teams can support reimbursement, contracting and executive decisions.

Get in touch See our work
01

Health Economics & HEOR

Cost-effectiveness and budget impact models built for payer scrutiny.

02

Payer Strategy & Value-Based Care

Evidence frameworks for reimbursement, contracting and Medicare Advantage economics.

03

Real-World Evidence & Claims Analytics

Treatment-pattern, utilization and cost analyses from claims and clinical data.

04

SDOH, Policy & Labor Economics

Social determinants and workforce-health analysis for payers, employers and agencies.

About

An independent practice, led by a principal economist.

Global Wellness Advisors LLC is an independent HEOR and payer strategy consultancy based in Cleveland, Ohio. We help health technology companies, care-delivery organizations and public-sector teams build the economic evidence that supports adoption, reimbursement and sound decisions, in the United States and internationally.

Every engagement is led directly by the principal. That means senior judgment on the model, the methods and the story the evidence has to tell.

Focus areasHEOR, payer strategy, value-based care, Medicare Advantage economics, SDOH

MethodsCost-effectiveness and budget impact modeling, actuarial-style modeling, claims-based analytics, real-world evidence

DeliverablesEconomic models, evidence summaries, analytic reports, manuscripts and executive briefings

Where we workRemote from Cleveland, Ohio; authorized to work in the U.S. and Canada

Services

What we do

Scoped engagements from a single model to an end-to-end evidence plan.

Modeling

Economic modeling

Models that are transparent, tested and ready for payer review.

  • Cost-effectiveness analysis
  • Budget impact models
  • Actuarial-style cost and utilization models
Evidence

Real-world evidence & claims analytics

Rigorous use of claims and clinical data.

  • Treatment-pattern analysis
  • Cost, utilization and outcomes studies
  • Predictive modeling
Payer & Reimbursement

Payer strategy & value-based care

Evidence frameworks that connect clinical value to payment.

  • Medicare Advantage economics
  • Contracting and value-based care evidence
  • Payer-facing evidence summaries
Policy

SDOH & health policy analysis

Social determinants built into payer and policy frameworks.

  • SDOH analytics
  • Economic equity and reimbursement readiness
  • Policy and public finance analysis
Workforce

Labor economics & workforce health

How health shapes employment, productivity and public finance.

  • Workforce-health and productivity analysis
  • Employer and program evaluation
  • International workforce-health programs
Advisory

Evidence strategy & support

Senior guidance for teams building an evidence plan.

  • Evidence-generation planning
  • Manuscript and report support
  • Executive and board briefings
Who we serve

Health technology & life sciences companies

Digital health, medical device and specialty-care teams that need payer-ready evidence.

Who we serve

Payers, health systems, public agencies & nonprofits

Organizations evaluating programs, setting policy or allocating resources.

How we work

A simple, senior-led process

01

Frame the decision

We start with the decision your evidence must support and who has to be convinced.

02

Build and test the evidence

Models and analyses are built transparently and stress-tested before anyone sees a result.

03

Deliver and support

You receive documented models, clear summaries and support when payers ask questions.

Team

Who you work with

Farah Farahati, Ph.D.

Founder & Principal Health Economist

Dr. Farahati brings more than 20 years of experience translating claims and clinical data into economic models and evidence frameworks. She established the global health economics function at a major kidney care company and has worked across Medicare Advantage economics, value-based care and oncology-adjacent modeling for domestic and international clients.

She holds a Ph.D. in Economics (labor economics and public finance) from Northern Illinois University, completed postdoctoral work in health economics at the PATH Research Institute at McMaster University, and is adjunct faculty at UMBC.

HEORPayer strategyValue-based careMedicare AdvantageSDOHLabor economicsPublic finance

Research & Prior Work

Selected engagements and research

Client work is described without names. Details and references are available on request.

Health Affairs Forefront · Aug 2026

The fragmentation tax: why prevention does not get funded

Two unrelated conditions, the same payer-financing gap: the payer that funds prevention is rarely the payer that keeps the savings. Modeled savings from universal annual CKD screening (adults 50+): about $18 billion per year net.

Chronic kidney disease cases recognized% of cases
All stages
13.7%
Stage 3–5
25.6%
Medicaid supportive housing: reduction in ED userange across waivers
30–63%
Reduction in hospitalizationsrange across waivers
14–44%
Benefit-to-cost ratio, 18–24 monthsrange
1.2 – 2.0 : 1
Source: Farahati F. “The Fragmentation Tax on Medicare’s Prevention Push,” Health Affairs Forefront, Aug 24, 2026. CKD modeling is under review; housing synthesis presented at the Pennsylvania Economic Association annual meeting (with E. Kizhakethalackal).
Peer-reviewed · Academia Global and Public Health, Apr 2026

Value-based care: United States vs. Canada (2023)

Quality and efficiency indicators from a comparative review of financing, policy and outcomes. Lower is better on every measure shown.

30-day all-cause readmission% of discharges
U.S.
15.2%
Canada
8.4%
Preventable hospitalizationsper 1,000
U.S.
45.6
Canada
32.1
Mortality amenable to health careper 100,000
U.S.
83
Canada
64
Administrative costs% of total spending
U.S.
8.3%
Canada
3.2%
Source: Farahati F, Sadri H, Brandt DM, Sloboda BW, Salahshor S. “Value-based care models in the U.S. and Canada: financing, policy, and outcomes,” Academia Global and Public Health 2026;2, published April 29, 2026 (Tables 3 and 5; OECD/CIHI data). CC BY 4.0.
Peer-reviewed · Disaster Medicine and Public Health Preparedness, 2017

When does a public investment pay for itself?

Projected cumulative economic spillover from a federally funded burn debridement product (peak market share 25%, 1.3-day shorter hospital stay), against the original $24 million investment.

$0M$10M$20M $24M federal investment $5M$14MCumulative benefit reaches $24M in year 10 0246810Years after market entry
Source: Farahati F, Nystrom S, Howell DR, Jaffe R. “Economic Spillovers From Public Investments in Medical Countermeasures: A Case Study of a Burn Debridement Product,” Disaster Med Public Health Prep, 2017 (Table 2).
The Fragmentation Tax on Medicare’s Prevention Push — Health Affairs Forefront, August 24, 2026
Published policy analysis
Value-based care models in the U.S. and Canada: financing, policy, and outcomes — Academia Global and Public Health, April 29, 2026 (with Sadri, Brandt, Sloboda and Salahshor)
Peer-reviewed review article
Economic Spillovers From Public Investments in Medical Countermeasures: A Case Study of a Burn Debridement Product — Disaster Medicine and Public Health Preparedness, 2017 (with Nystrom, Howell and Jaffe)
Peer-reviewed research
Economic Spillover Analysis From Public Medical Investments, Using PICO Elements — SAGE Research Methods Cases: Medicine and Health, 2020
Published teaching case
Mental Health, Schooling, and Labor Market Outcomes — doctoral dissertation, Economics, Northern Illinois University, 2001
Doctoral research
Building a global health economics function (kidney care)
Health economics leadership
Predictive modeling of early-stage CKD in Medicaid populations
Claims analytics
HEOR support for a medical device company
Medical technology
Labor-market effects of diabetes among the Canadian labor force
Peer-reviewed research

Get in touch

Let's talk about your evidence needs

Tell me about the decision your evidence needs to support.

Email Farah

Farah@GlobalWellnessAdvisors.Net · Cleveland, Ohio