Photo of Kevin  Pflum,  PhD

Selected Expertise

  • Antitrust
  • Antitrust analysis
  • Applied econometrics
  • Applied microeconomics
  • Bundling and tying
  • Competitive effects
  • Demand modeling
  • Healthcare economics
  • Healthcare reimbursement
  • Industrial organization

Selected Industries

  • Health insurance
  • Healthcare
  • Hospitals
  • Medical devices
  • Medicare and Medicaid
  • Payers
  • Physician groups
  • Physicians
  • Providers

Kevin Pflum, PhD

Profile

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.

Selected Experience

  • Supported expert working on behalf of the US Department of Justice to evaluate the likely effectiveness of a proposed conduct remedy in a pending vertical merger. 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.
  • On behalf of a state Attorney General, supported the expert in evaluating the competitive effects of the consolidation of providers in the state; the evaluation included structural analysis of market shares and concentration, diversion analysis, and price analysis.
  • Supported expert on behalf of Highmark, Inc., the fourth largest Blue Cross and Blue Shield affiliate in the United States. Provided economic analyses of healthcare competition in the state of Pennsylvania with a focus on the impact of recent hospital and insurance acquisitions and the impact of Highmark’s recent investments in the area.
  • 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. Analysis addressed how their relationship affected the markets for commercial insurance and Medicare Advantage, and the degree to which they, respectively, have monopsony and monopoly power.
  • 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.
  • Assisted expert in analyzing how the acquisition of a prominent orthopedics center altered the distribution of patients within a market in support of the client’s monopolization claim.
  • Assisted expert in analyzing an economically appropriate allocation of settlement funds.

Education

PhD, Economics, The Ohio State University

MA, Economics, New York University

BS, Mathematics, University of Victoria