Kevin Pflum is a Managing Economist in the Healthcare Practice at Bates White. He has significant experience conducting quantitative and qualitative analyses, including analyzing the competitive effects of consolidation, market monopolization, and monopsonization in physician, hospital, and health insurer markets. He has worked on merger cases within and outside of health markets that involve federal government agency oversight. He has also performed extensive research in the industrial organization of healthcare markets and has published in several top journals, including AEJ: Policy, the RAND Journal of Economics, and the Journal of Economics and Management Strategy.
Prior to joining Bates White, Dr. Pflum was an assistant professor at the University of Alabama, where he taught courses in industrial organization, managerial economics, and principles of microeconomics.
PhD, Economics, The Ohio State University
MA, Economics, New York University
BS, Mathematics, University of Victoria
- On behalf of Centene in connection with its proposed merger with WellCare, supported both organizations' efforts to respond to Department of Justice's (DOJ) second request. Supervised analyses of likely competitive effects and barriers to entry and exit in the sale of Medicare Advantage and Medicaid products. Led the team supporting the expert analysis of Dr. George Rozanski with several state departments of insurance.
- Led the team supporting the expert analysis of Dr. Cory Capps on behalf of the Washington State Attorney General's office in its litigation effort to unwind CHI Franciscan Health's acquisitions of two physician groups.
- On behalf of UnitedHealth's health services subsidiary Optum in its acquisition of DaVita Medical Group, assisted the expert with presentations and submissions to the Federal Trade Commission and several state Attorney General offices addressing potential horizontal and vertical concerns arising from the proposed transaction.
- Supported expert working on behalf of the DOJ to evaluate the effectiveness of AT&T's proposed conduct remedy in its merger with Time Warner. The evaluation included a qualitative review of the ability of the remedy to constrain the merged firm’s increased market power.
- Assisted expert in analyzing the economic losses to a large quaternary care hospital that experienced an unexpected, temporary closure; the analysis examined the long-term impacts to inpatient and outpatient care.
- In response to a client’s request for modification to a State Order, provided analyses of the changes in the competitive landscape for hospital services and health insurance following the acquisition of a hospital system by a large health insurer.
- Supported expert in analyzing the strategic behavior and interaction of a large hospital system and health insurer.
- On behalf of Humana, in connection with its proposed merger with Aetna, provided support with responses to the Department of Justice’s second request and analyzed competitive effects in the sale of Medicare Advantage products and, separately, health insurance exchange products offered under the Affordable Care Act.
News & Insights
- August 2017
- July 2017
- October 2015
- February 2015