“Tom’s expertise in Part D policy, Medicare Advantage, and risk adjustment is critical as we look ahead to the next phase of ACA implementation and a new Administration,” said Dan Mendelson CEO at Avalere. “We are thrilled to add him to our team.”
During his cumulative 10-year career with CMS, Tom served as a senior advisor in the Center for Medicare and Medicaid Innovation (CMMI) where he assisted in developing alternative payment models in Medicare Advantage. Prior to joining CMMI, he was the director of the Division of Payment Systems in the Medicare Plan Payment Group (MPPG) at CMS where he led the 2014 and 2015 Medicare Advantage and Prescription Drug Plan payment rate announcements, and served as the technical lead on risk adjustment. Tom also brings specific experience in health benefits solutions as a result of his experience conducting Medicare compliance at Coventry Health Care and serving as a detail to the Senate Finance Committee.
“Tom positions us to deliver new solutions and innovative strategies to health plans,” said Lindy Hinman, senior vice president at Avalere. “We look forward to matching Tom’s expertise with the needs of Avalere clients.”