An accomplished healthcare administrator and business leader, Tom Lutzow is experienced in developing new product lines, enhancing models of care, configuring operational structures, managing insurance risk, refining strategic plans, and aligning internal resources for ROI outcomes.
Prior to joining HMA, Tom served in leadership positions including chief administrative officer, president, and CEO for Independent Care Health Plan (iCare). He started iCare as a joint venture with Humana and the Milwaukee Center for Independence, a local rehabilitation agency. This venture became a nationally recognized model for integrated care serving individuals with complex needs. Upon full acquisition of the plan, Tom managed the transition to Humana’s national managed care model. He also prepared the annual business plan for the Humana Wisconsin subsidiary to enhance both Medicare and Medicaid membership growth in standard Medicaid, supplemental security income (SSI) Medicaid, dual eligible special needs plan (D-SNP), fully integrated dual eligible special needs plan (FIDESNP), and managed long-term services and supports (MLTSS).
During his tenure as CEO, Tom modernized the plan’s electronic health record platform, updated its core processing systems, expanded the business portfolio, earned 4-star or higher ratings, introduced value-based incentive programs, strengthened the plan’s risk documentation practices, created utilization management protocols that continue to provide value and enhanced the plan’s “member first” culture.
A strong facilitator and alliance builder, Tom is skilled in developing opportunities and forming partnerships with key resources at state and national levels through joint ventures, expansions, acquisitions, or other collaborations. He is grounded in measured performance (Pay-4-Quality and Healthcare Effectiveness Data and Information Set/HEDIS) and risk management (Chronic Illness and Disability Payment System/CDPS and Hierarchical Condition Categories/HCC). He has a history of penetrating operational barriers through analysis and strategic action. He has served on committees of the National Quality Forum and the Center for Health Care Strategies and is a frequent presenter at national conferences.
Tom earned a Master of Business Administration from the Keller Graduate School of Management as well as a Doctor of Philosophy from Marquette University where he also served as adjunct faculty. Tom holds two United States patents and is Chair Emeritus of the Milwaukee County Mental Health Board.
Recent Content