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A new white paper released today by Wakely Consulting Group, an HMA 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.
Health Management Associates (HMA), 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’s first CGO, he will report to Chief Executive Officer Chuck Milligan and work out of HMA’s 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’s enterprise-wide growth initiatives, oversee strategic partnerships and help guide efforts that continue to advance innovation to meet current and emerging client needs.
“Matt is an excellent addition to our executive leadership team and will work closely with our business leaders to drive HMA’s growth strategy,” Milligan said. “He is a proven and dynamic leader who will help unlock opportunities to serve our clients and partners now and well into the future.”
Prior to joining HMA, Matt was Avalere Health’s 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.
Today, we celebrate a significant milestone for HMA – 40 years of advancing healthcare, improving lives, and addressing the challenges that matter most.
Over the decades, we’ve had the privilege of partnering with many clients across the nation to tackle healthcare’s 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—working with our clients and partners to create a healthier future for everyone in our country.
Health Management Associates (HMA) 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 HMA, 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.
“This 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 HMA, I feel called to return to public service in this impactful role,” Knapp said.
A former member of the Congressional Budget Office’s Panel of Health Advisers, Knapp is a health economist with more than 20 years’ experience working on Medicaid and the Children’s Health Insurance Program (CHIP). She previously served as North Dakota’s Medicaid director and as a Robert Wood Johnson health policy fellow on the Energy and Commerce Committee of the U.S. House of Representatives.
“Caprice has been a tremendous leader at HMA, 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,” said HMA CEO Chuck Milligan. “The Medicaid Counselor will play a vital role in moving the program and health of our country forward – something Caprice is uniquely equipped to do. We are grateful for her many contributions and wish her the best.”
For just the third time in the company’s 37-year history, Lovell Communications, an HMA Company, has a new chief executive officer, Amanda Maynord.
Amanda 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.
Amanda is not only a skilled communicator and keen strategist, she’s 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 Health Management Associates (HMA) 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’s 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
We are pleased to announce that Kelsey Stevens, principal at Wakely Consulting Group, an HMA 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.
“I’m 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 HMA family, we’re uniquely positioned to make an even greater impact,” Kelsey said. “I look forward to collaborating with our incredible team as we navigate the challenges and opportunities of an evolving healthcare landscape.”
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’s Tampa Bay, Fla., office.
In this season of gratitude and joy, we reflect on a year filled with purpose and partnership. At HMA, we’re honored to support our clients and partners working to improve the health of individuals, families, and communities nationwide.
Watch our video 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 HMA are wishing you a joyous holiday season and new year filled with continued success.
HMA 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 HMA colleagues
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Today, HMA released a new white paper, “Medicare Physician Fee Schedule Reform: Structural Topics and Recommendations to Strengthen the System for the Future.” 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—the Medicare Physician Fee Schedule (PFS)—is misaligned with today’s 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.
HMA studied these issues with support from Arnold Ventures in “Medicare Physician Fee Schedule Reform: Structural Topics and Recommendations to Strengthen the System for the Future.” HMA’s 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 HMA
Founded in 1985, HMA 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 HMA 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. HMA has offices in more than 30 locations across the country and over 700 multidisciplinary consultants coast to coast. Learn more about HMA at healthmanagement.com, or on LinkedIn and X.
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.
HMA is pleased to welcome new experts to our family of companies in the first quarter of 2024. These colleagues bring expertise in strategic planning, project management, healthcare leadership and operations, delivery systems, government programs, community services, managed care leadership, behavioral health, public health, and actuarial services.
Learn more about our new HMA colleagues
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Today, Jay Rosen, founder, president, and chairman of Health Management Associates (HMA), announced Chief Executive Officer (CEO) Douglas L. Elwell is retiring. Chief Operating Officer (COO) Charles (Chuck) Milligan will succeed him as CEO effective May 17.
Elwell assumed the role of HMA’s CEO in November 2020. He had rejoined the firm as COO in February of that year after serving as the Illinois Medicaid director. During his first tenure with HMA, Elwell was a principal and managing principal in the Indianapolis office from July 2003 through October 2014. Much of his career, prior to joining HMA, was dedicated to leading hospital systems in roles as CEO, COO, and CFO. Elwell was deputy chief executive officer for finance and strategy for the Cook County Health and Hospitals System from November 2014 until early 2019.
“Doug has been an exceptional leader, expertly guiding the expansion of HMA’s breadth and depth of expertise so we continue to meet our clients’ needs and exceed their expectations well into the future,” Rosen said. “His passion for serving our clients, supporting our colleagues, and improving the lives of others has made an indelible impact on not only our company but communities across the country.
Elwell will continue to provide consulting services as Senior Advisor to the firm.
Milligan joined HMA as COO in November 2020. A seasoned healthcare leader and consulting executive who has worked with health plans, states, and policy organizations, his contributions span both the public and private sectors.
The United States Government Accountability Office (GAO) appointed Milligan a commissioner to the Medicaid and CHIP Payment and Access Commission (MACPAC) in January 2015, and appointed him vice chairman in May 2019. He has served as the Medicaid director for two states, New Mexico and Maryland.
“Chuck has played an integral role in growing and shaping the multitude of ways we can serve clients by leveraging the varied expertise across all of the organizations within HMA,” Rosen said. “He is a trusted leader, who will spur innovation and propel our partnerships to develop solutions for the toughest healthcare and human services challenges.”
Prior to joining HMA, Milligan served as CEO for UnitedHealthcare’s Community Plan in New Mexico, with accountability for the Medicaid and DSNP lines of business in the state. He also served as interim CEO for UnitedHealthcare’s Community Plan in Maryland, and as national vice president for UnitedHealthcare’s Dual Special Needs Plans. Milligan’s career includes having been senior vice president of Enterprise Government Programs at Presbyterian Healthcare Services and executive director of The Hilltop Institute at University of Maryland, Baltimore County. He began his career as an attorney practicing healthcare law in California.
Meggan Christman Schilkie, currently senior vice president of HMA’s Practice Groups, will assume the role of COO at HMA. She joined HMA in 2014 and has held leadership roles in the firm’s Northeast Region and its New York office.
During her time at HMA, Schilkie has supported clients across the country including providers, associations, state and local governments, payers, large delivery systems and other stakeholders to expand the quality of and access to healthcare with a particular focus on developing new and innovative models of behavioral healthcare.
Prior to joining HMA, Schilkie served as chief program officer for Mental Health at the New York City Department of Health and Mental Hygiene where she oversaw a portfolio of behavioral health services. During her career she has been interim CEO for three health homes in New York serving individuals with serious behavioral health needs, chronic health conditions, intellectual and developmental disabilities and substance use disorders. Schilkie was the founding executive director of the Coalition of New York State Health Homes providing leadership for this statewide provider association.
