John has 25 years of public and private sector experience producing client-focused health policy analysis and strategic advice. His clients have included federal policymakers and staff, C-suite executives, and health care industry consulting clients. He has deep substantive knowledge of Medicare quality measurement and value-based payment policy, as well as federal legislative, regulatory, and budget processes.
Prior to joining Healthsperien, John was a principal policy analyst at the Medicare Payment Advisory Commission (MedPAC), a nonpartisan Congressional advisory body. John led MedPAC’s work analyzing and making recommendations to improve Medicare’s quality measurement and value-based payment programs across fee-for-service provider types, ACOs, and Medicare Advantage. He prepared detailed research papers and made presentations at MedPAC public meetings, and drafted chapters on quality measurement and value-based payment in MedPAC’s reports to Congress.
Before joining MedPAC, John was vice president at Avalere Health, a Washington, DC-based advisory firm, where he directed the development and production of client-focused policy analyses on the Medicare Part D prescription drug program, health care delivery and payment system reforms, and Medicare demonstration programs. He also made multiple presentations on Part D and other Medicare policy issues to a wide range of policy and business audiences.
Prior to Avalere, John was the director of program development at CalOptima, a public Medicaid managed care organization serving Orange County, California, with an enrollment of approximately 350,000 Medicaid recipients. Among other projects, John developed an actuarial analysis and business plan for CalOptima to enter a Medicare managed care line of business to serve Medicare-Medicaid “dual eligibles,” and directed enterprise-wide projects to renew the organization’s federal Medicaid waivers and obtain a State of California health plan license.
John began his health policy career as a Medicare program examiner at the White House Office of Management and Budget (OMB), where he served as the lead OMB analyst for Medicare Part B, including physician payment and beneficiary cost-sharing policies. He reviewed, drafted comments on, and recommended changes to proposed regulations and legislation. He routinely briefed OMB and senior White House officials on Medicare policy issues.