Pier 6 Institute for Health Law & Policy

Advancing original research at the intersection of public health insurance and health care delivery.

The architecture of Medicare and Medicaid profoundly shapes how health care is delivered, how clinical research is conducted, and how providers are paid. The Institute produces rigorous, interdisciplinary scholarship on reimbursement structures, FDA regulatory frameworks, and the global financing models that can inform American reform.

About the Institute

Mission

The Pier 6 Institute for Health Law & Policy is dedicated to the rigorous, interdisciplinary analysis of Medicare and Medicaid reimbursement structures in the United States, with the conviction that the architecture of public health insurance programs profoundly shapes the health care delivery system. The Institute also examines the impact of FDA regulation of clinical research on the design and testing of drugs, biologics, and devices.

The Institute leverages comparative analysis of social health insurance programs and other public support for health care delivery outside the U.S. in order to inform insights on global financing of health care and provide ideas for U.S. health insurance reforms.

Our mission is threefold: to conduct original legal and clinical research examining the interplay between reimbursement policy and health outcomes; to develop forward-looking reform proposals grounded in both empirical evidence and social missions; and to assess successes and failures of integration of preventive care into federal health insurance frameworks as a mechanism for improving population health and achieving long-term budgetary discipline.

New York City

27 E. 28th Street, Floor 8
New York, NY 10016

People

Chris Conway

Executive Director & Senior Fellow

Chris Conway is the Executive Director and Senior Fellow of the Pier 6 Institute for Health Law & Policy in New York City and co-convenor of the University of Oxford Faculty of Law's Common Good Project. He previously was a Fellow of the Loyola University Chicago School of Law's Center for Compliance Studies where he taught a variety of regulatory compliance related seminars and was Executive Editor of the Annals of Health Law. He has represented numerous hospital systems and schools of medicine in federal enforcement and audits related to clinical research laws.

Ryan Meade

Senior Fellow

Ryan Meade is a Fellow of Blackfriars Hall at the University of Oxford. He is a member of the Oxford Faculty of Law and its Programme for the Foundations of Law and Constitutional Government. He teaches health care policy, bioethics, and jurisprudence. He previously taught law at Loyola University Chicago School of Law with the Beazley Institute for Health Law & Policy. He served as the founding Director of Loyola's Center for Compliance Studies. His legal practice in the U.S. has focused on federal health care program regulations and corporate compliance.

Publisher & Courses Director

Sarah Duffy-Clinton

Publications

New Release

Clinical Research & Health Insurance

Chris Conway & Ryan Meade

A comprehensive examination of how health insurance operates during clinical trials, and why the prevailing compliance model, built on coverage designations rather than actual reimbursement data, systematically misstates institutional risk. The book introduces the Research Payment Analysis as a successor to the draft Coverage Analysis and proposes three principles for restructuring clinical trial billing compliance.

Available on Amazon →

Practical Companion Series

Coming Soon

Clinical Research Billing: Frequently Asked Questions

A Practical Companion to Clinical Research & Health Insurance

Seventy-five frequently asked questions from the analyst’s desk, reorganized into ten thematic chapters with overviews and update suggestions. Designed for daily reference during coverage analysis work.

Coming Soon

Assessing Clinical Research Billing Documentation Flow

A Practical Companion to Clinical Research & Health Insurance

A systematic framework for evaluating the coverage analysis workflow across nine domains—from study intake through amendment review. Includes the complete audit workbook and annotated commentary for each question.

Courses

The Institute offers structured courses for compliance officers, research administrators, revenue cycle professionals, and institutional leaders.

Clinical Research & Health Insurance

26 Sessions · ~10–12 min each · Companion to the book by Conway & Meade

Available March 15

Part I

Introduction & Foundations

Sessions 0–4

Part II

Insurance Fundamentals

Sessions 5–10

Part III

Changing Health Insurance Payments

Sessions 11–14

Part IV

Stakeholders

Sessions 15–21

Part V

Putting the New Model in Action

Sessions 22–25

Upcoming Courses

Coming Soon

Clinical Research Billing 101

12 Modules · ~15 min each

Coming Soon

FDA Site Inspections

Coming Soon

Human Subject Protection

Contact

Get in Touch

For inquiries regarding research, publications, speaking engagements, or institutional consultations, please contact us by email.

info@pier6institute.org

Pier 6 Institute for Health Law & Policy
27 E. 28th Street, Floor 8
New York, NY 10016

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