Ryan Mooney

Ryan Mooney

Senior Consultant

Austin, TX

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(512) 473-2626

Ryan Mooney has extensive legal, regulatory, and policy experience with an emphasis on federal laws and rules pertaining to the Federally-facilitated Exchanges, State-based Exchanges on the Federal Platform, Medicaid, and Medicare. He has the expertise to assist states, insurance companies, hospitals, and other private healthcare entities in navigating the ever-changing health reform landscape.

Ryan joined HMA from the Centers for Medicare and Medicaid Services (CMS), Center for Consumer Information & Insurance Oversight (CCIIO) where he served as the lead regulatory professional for the Enrollment Division of the Marketplace Eligibility and Enrollment Group. In this role, Ryan developed and wrote regulations, policies, and sub-regulatory guidance. He provided technical assistance to Congress for new legislation related to Federally-facilitated Exchange enrollment, insurance premium billing and payment, enrollment fraud, implementation of statutory grace periods for non-payment of premium, special enrollment periods, and the interaction of Medicare and Medicaid with Exchange-based Qualified Health Plans. Ryan also developed and wrote the enrollment-related sections of the Marketplace’s regulatory submissions, including the annual Department of Health and Human Services (HHS) Notices of Benefit and Payment Parameters and rules promulgated on an ad hoc basis. Ryan routinely briefed top leadership at CMS on complex regulatory and policy matters and met regularly with healthcare industry leaders to discuss implementation and improvement of regulations and policies.

Prior to CMS, Ryan was a management analyst at the Health Resources and Services Administration (HRSA), Bureau of Health Workforce (BHW). He provided legal and technical consultation concerning program integrity, compliance, and effectiveness to senior leadership and made recommendations related to breach of contract actions for non-compliant National Health Service Corps clinicians. He also worked as a territory representative in Oregon for Orth-McNeil Pharmaceuticals, which was his first exposure to the challenges related to providing quality healthcare to rural populations.

Ryan earned his JD from The George Washington University School of Law and his bachelor’s degree in European history at Washington and Lee University. He is licensed to practice law in Texas, California, Virginia, and the District of Columbia.

Ryan and his family enjoy traveling, listening to music, and searching out new restaurants.