About
Seagrave & Smith
Seagrave & Smith Health Policy Consulting provides executive-level Medicare policy advisory for post-acute providers. Our guidance is grounded in decades of experience leading and analyzing Medicare payment policy — so your team can reduce risk and make confident, defensible decisions.
What Clients Can Expect
Clear Interpretation of Complex Medicare policy
We translate statutes, regulations, and guidance into practical understanding — so your team knows what is required and what is at risk.
Discreet, Senior-Level Advisory Support
We work directly with executives, compliance teams, reimbursement leaders, and legal counsel on high-impact issues.
Practical Recommendations Aligned to Real-World Operations
We focus on solutions that fit facility workflows, documentation realities, and compliance infrastructure — not theoretical analysis.
Strong Focus on Defensibility and Risk Reduction
Our recommendations help you anticipate audit risk, reduce denials, and support decisions that are clear, consistent, and defensible.
Medicare Policy Expertise for Post-Acute Care
We help Post-Acute Care stakeholders interpret Medicare policy, understand operational implications, and strengthen compliance. Our work supports organizations navigating complex benefit, payment, coverage, and operational issues — especially when audit risk and financial exposure are high.
Our Founders
Susanne Seagrave, Ph.D.
Susanne Seagrave is the former Deputy Director of the Division of Institutional Post-Acute Care in CMS’s Center of Medicare, with more than 27 years of health care policy experience. At CMS, she led strategic planning, operations, and policy development for the IRF and SNF payment systems, advised senior leadership on payment reform initiatives, and represented CMS in high-level engagements with providers, contractors, Congress, and other stakeholders. She also directed Medicare data analysis and market-based pricing initiatives.
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She holds a B.A. in Economics from Stanford University and a Ph.D. in Economics from the University of California, San Diego.
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Todd Smith
Todd Smith is the former Director of the Division of Institutional Post-Acute Care in CMS’s Center of Medicare, with more than 25 years of health care policy experience. At CMS, he oversaw Medicare post-acute payment systems, including the SNF and IRF Prospective Payment Systems, worked closely with senior leadership on legislative and regulatory implementation, and led the design and implementation of the Skilled Nursing Facility Patient Driven Payment Model (PDPM). He also advised stakeholders on complex Medicare payment and benefit policy matters.
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He holds a B.A. in Political Science from Towson University.
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