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New Wakely white paper explores potential impacts of House Reconciliation Bill on ACA Individual Market Coverage
Future market will look fundamentally different as enrollment declines
A new white paper released today by Wakely Consulting Group, an 海角社区 Company, (Wakely) examines the potential enrollment and premium impacts of the House budget reconciliation bill, H.R. 1, and the expiring subsidies for the ACA Individual Market.

海角社区 Welcomes Matt Allen as New Chief Growth Officer
海角社区 (海角社区), a leading health and human services consulting company, is pleased to announce that Matt Allen has joined the firm as Chief Growth Officer (CGO). As the firm鈥檚 first CGO, he will report to Chief Executive Officer Chuck Milligan and work out of 海角社区鈥檚 Washington, D.C., office.
Matt brings more than 25 years of diverse experience in the healthcare sector and a proven track record of advancing growth and innovation to HMA. He will shape the firm鈥檚 enterprise-wide growth initiatives, oversee strategic partnerships and help guide efforts that continue to advance innovation to meet current and emerging client needs.
鈥淢att is an excellent addition to our executive leadership team and will work closely with our business leaders to drive 海角社区鈥檚 growth strategy,鈥 Milligan said. 鈥淗e is a proven and dynamic leader who will help unlock opportunities to serve our clients and partners now and well into the future.鈥
Prior to joining 海角社区, Matt was Avalere Health鈥檚 practice director and senior vice president of Client Partnerships. In this role, he led global business development, strategic growth initiatives, and marketing. During his tenure, he advanced through a series of senior leadership positions and played a pivotal role in steering the organization through major transitions.
Previously, Matt advised health system and physician practices on revenue growth and patient-acquisition strategies as part of Optum’s legacy Advisory Board Company data and analytics practices. His experience also includes having led business development at public data startup Poplicus, Inc., and serving as a vice president at healthcare policy firm Marwood Group. He began his career in Johnson & Johnson’s pharmaceutical division with various roles in finance, field sales, managed care marketing, and brand analytics.

Celebrating 40 years of Impact at 海角社区
Today, we celebrate a significant milestone for 海角社区 – 40 years of advancing healthcare, improving lives, and addressing the challenges that matter most.
Over the decades, we鈥檝e had the privilege of partnering with many clients across the nation to tackle healthcare鈥檚 most pressing issues, applying our deep expertise every step of the way.
As we reflect on our 40-year journey and what we have built, we refocus ourselves on what it takes to become a leading healthcare and human services consulting firm. Looking down that road ahead, we are investing in the human experiences, analytical and digital tools, and methods to deepen our value鈥攚orking with our clients and partners to create a healthier future for everyone in our country.聽

海角社区 Congratulates Caprice Knapp on New HHS Role
海角社区 (海角社区) is pleased to congratulate Caprice Knapp, PhD, as she departs our organization to serve as Medicaid Counselor to U.S. Health and Human Services (HHS) Secretary Robert F. Kennedy, Jr. At 海角社区, Knapp served as managing director of the Quality and Accreditation practice group.
As Medicaid Counselor, Knapp will work closely with the White House and the Centers for Medicare and Medicaid Services to coordinate Medicaid strategy and policy. She begins her new role on April 28.
鈥淭his is an incredible opportunity to improve the health and well-being of Americans and ensure Medicaid recipients are always at the center of those efforts. While I have loved my time at 海角社区, I feel called to return to public service in this impactful role,鈥 Knapp said.
A former member of the Congressional Budget Office鈥檚 Panel of Health Advisers, Knapp is a health economist with more than 20 years鈥 experience working on Medicaid and the Children鈥檚 Health Insurance Program (CHIP). She previously served as North Dakota鈥檚 Medicaid director and as a Robert Wood Johnson health policy fellow on the Energy and Commerce Committee of the U.S. House of Representatives.
鈥淐aprice has been a tremendous leader at 海角社区, and like our diverse team of experts, a trusted advisor for clients tackling tough challenges to improve the health and wellness of individuals and communities alike,鈥 said 海角社区 CEO Chuck Milligan. 鈥淭he Medicaid Counselor will play a vital role in moving the program and health of our country forward 鈥 something Caprice is uniquely equipped to do. We are grateful for her many contributions and wish her the best.鈥

Amanda Maynord Becomes CEO of Lovell Communications
For just the third time in the company鈥檚 37-year history, , an 海角社区 Company, has a new chief executive officer, Amanda Maynord.
聽joined Lovell in 2013 and quickly proved herself to be a keen strategist and expert crisis communicator. She became a vice president at the firm in 2022 and has led its Transaction and Crisis practice since that time, helping clients navigate complex healthcare issues such as high-profile mergers and acquisitions, regulatory and criminal investigations, management crises and other reputation-threatening medical, financial and environmental events.聽
Amanda is not only a skilled communicator and keen strategist, she鈥檚 a versatile consultant clients, as well as colleagues, trust and seek out again and again. She has worked in every aspect of operations at Lovell and has been a champion of integration into 海角社区 (海角社区) over the last two years. She is the ideal leader to move the team into the future.
As Amanda takes the helm at Lovell, Rosemary Plorin moves into the role of strategic advisor with HMA.
The year ahead promises challenges both new and old, and Lovell鈥檚 team of healthcare strategists look forward to helping clients across the country build and grow their organizations with strategic messaging, marketing and public relations.

Amanda Maynord

Rosemary Plorin

Kelsey Stevens Named CEO of Wakely Consulting Group
We are pleased to announce that Kelsey Stevens, principal at Wakely Consulting Group, an 海角社区 Company, has been named the new chief executive officer (CEO) of Wakely. Kelsey succeeds Mary Hegemann, who recently was promoted to executive vice president at HMA.
A respected and trusted leader, Kelsey has been an integral part of Wakely since 2012, fostering a culture of collaboration, innovation, and excellence. As a champion for both internal teams and client solutions, she has guided Wakely through complex challenges and significant growth. Her leadership combines a deep understanding of healthcare markets with technical expertise and strategic vision, ensuring the continued delivery of exceptional results for clients.
鈥淚鈥檓 deeply honored to take on this role and excited for the future of Wakely. Our work has always been about empowering clients with innovative, data-driven solutions, and with the support of our 海角社区 family, we鈥檙e uniquely positioned to make an even greater impact,鈥 Kelsey said. 鈥淚 look forward to collaborating with our incredible team as we navigate the challenges and opportunities of an evolving healthcare landscape.鈥
With over 18 years of experience in the healthcare field, Kelsey brings expertise in pricing, and rate development, regulatory filings, product design, and financial forecasting. She has worked extensively with health plans, providers, and government agencies across both commercial and government programs, including supporting several accountable care organizations participating in CMS and CMMI programs. She is a Fellow of the Society of Actuaries and a Member of the American Academy of Actuaries.
Kelsey will continue to work out of the company鈥檚 Tampa Bay, Fla., office.

Passion with Purpose: Solving Healthcare鈥檚 Biggest Challenges, Together
In this season of gratitude and joy, we reflect on a year filled with purpose and partnership. At 海角社区, we鈥檙e honored to support our clients and partners working to improve the health of individuals, families, and communities nationwide.
Watch our video聽to find out what fuels our passion to create a positive impact in all the work we do, from addressing health equity and improving maternal outcomes to advancing healthcare policy and helping organizations deliver the highest quality care.
All of us at 海角社区 are wishing you a joyous holiday season and new year filled with continued success.聽

New experts join 海角社区 in second quarter of 2024
海角社区 is pleased to welcome new experts to our family of companies in the second quarter of 2024. This group of leaders has decades of experience in health policy, Medicaid, public health, and healthcare strategy. They have led initiatives to enhance access, operational efficiency, and equity and have expertise in areas such as behavioral health, data analysis, and serving underserved populations.
Learn more about our new 海角社区 colleagues
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New 海角社区 white paper examines Medicare鈥檚 reimbursement system for physicians鈥 services
Researchers explore its history, reasons behind calls for reform, and provide recommendations for improvements
Today, 海角社区 released a new white paper, 鈥淢edicare Physician Fee Schedule Reform: Structural Topics and Recommendations to Strengthen the System for the Future.鈥 It provides an in-depth analysis of the Medicare Physician Fee Schedule, including the history of its implementation, stakeholder perspectives on reform, major structural issues, and recommendations for improving the $90-plus billion payment system.
Recent years have witnessed a growing bipartisan call to reform how Medicare reimburses for physician and other health professional services. A wide array of stakeholders assert that the current system鈥攖he Medicare Physician Fee Schedule (PFS)鈥攊s misaligned with today鈥檚 practice patterns and market dynamics. Many constituencies maintain that the PFS is insufficiently updated, embeds known pricing distortions, and does not appropriately effectuate value-based care principles. Although a considerable number of legislative and regulatory changes have been implemented to refine and modernize the system, the PFS has never been subject to a major statutory overhaul that would comprehensively address pressing issues.
海角社区 studied these issues with support from Arnold Ventures in 鈥Medicare Physician Fee Schedule Reform: Structural Topics and Recommendations to Strengthen the System for the Future.鈥 海角社区鈥檚 white paper is an accessible primer on the PFS and key moments that led to the current policy situation. The white paper describes structural topics in the PFS that raise concern or prompt calls for change, provides context on the history and progress of the payment system and highlights stakeholder perspectives on reform.
For accessible background and context on the PFS and why the stakeholder community is calling for reforms to the fee schedule, click below.
View an electronic timeline of key policy developments and highlights of topics related to the PFS since implementation in 1992 here.
About 海角社区
Founded in 1985, 海角社区 is an independent, national research and consulting firm specializing in healthcare and human services policy, programs, financing, and evaluation. Clients include government, public and private providers, health systems, health plans, community-based organizations, institutional investors, foundations, and associations. Leavitt Partners, an 海角社区 Company has been at the forefront of navigating change in healthcare for over a decade and works at the intersection of government and health care, helping clients stay one step ahead of the influences impacting the industry, including economic, market, delivery system, public policy, and political developments. 海角社区 has offices in more than 30 locations across the country and over 700 multidisciplinary consultants coast to coast. Learn more about 海角社区 at healthmanagement.com, or on and .
About Arnold Ventures
Arnold Ventures is a philanthropy dedicated to tackling some of the most pressing problems in the United States. It is a team of more than 120 subject-matter experts headquartered in Houston with offices in New York and Washington, D.C. It works in five key issue areas: Criminal Justice, Education, Health, Infrastructure, and Public Finance. Its work is guided by evidence-based policy, research, and advocacy.