United States
Retired director of Federal Open Payments Program and Healthcare Fraud Prevention Partnership (HFPP). Oversaw Open Payments Compliance, architect of the Open Payments audit program and developed Civil Monetary Penalty calculator. #Transparency #OpenPayments #SunshineAct Additional experience across CMS enterprise, includes e-health, Medicaid waiver program development, Quality measures, and much more.
Expert in creating affordable housing in rural, suburban and urban areas.
Manage healthcare transparency activities for CMS' Office of Healthcare Experience & Interoperability Critical leader of CMS Transparency initiative, providing oversight to national transparency activities. Develop strategy for Open Payments Audits, creating audit framework and civil monetary penalty policy. Direct Open Payments communications strategy, leading initiative to publicize Open Payments program to general healthcare consumers.
I oversee the development and implementation of technologies, informatics and reporting, and data exchange tools for the Open Payments program. I develop strategic and operational plans for the necessary technologies and supporting tools to oversee the technical aspects of the data exchanges to support transparency activities including designs, plans, exchange standards, and results dissemination. For 2019, we analyzed and published 10.9 million records amounting to $10 billion.
I oversee the implementation of technologies, informatics, data exchange/transparency and reporting for the Open Payments Program and the Healthcare Fraud Prevention Partnership (HFPP), and provide program management for the Division’s contracts, budgets, schedule and other relevant areas.
Lead the e-health initiative, which includes the transition from ICD-9 to ICD-10; the development of operating rules to standardize health care transactions, and the $25 billion, multi-year effort to promote the adoption and meaningful use of Electronic Health Records (EHR) in the U.S - all as part of holistic healthcare transformation: better care, better health, at lower cost without compromising quality.