Tom's area of expertise is managed healthcare and health insurance issues for payers and providers. Tom's experience includes work for Medicaid, Commercial, and Medicare clients. He has worked extensively in the projection of financial operations for health insurance risk-bearers, including state Medicaid programs, healthcare providers, individual and group insurers, HMOs, and self-funded employers. He has advised clients on the pricing and design of insurance programs, provider reimbursement, valuation of liabilities, financial reporting, and insurance mergers and acquisitions. Clients served include governmental entities, hospitals, physician groups, HMOs, PPOs, and other health insurers. |