September 25, 2020

Volume X, Number 269

Thomas E. Hutchinson

THOMAS E. HUTCHINSON is a Strategic Advisor for EBG Advisors, Inc. He has more than 25 years of experience in both the private sector and in federal service implementing programs and policies directly affecting Medicare and Medicaid beneficiaries. Mr. Hutchinson advises clients on a wide range of payment policy and operations issues relating to the Centers for Medicare and Medicaid Services (CMS).

Prior to his joining EBG Advisors in this business advisory role, Mr. Hutchinson served as the director of the Medicare Plan Payment Group at CMS, where he was responsible for all aspects of annual Medicare payments to Part C (Medicare Advantage) and Part D (drug) plans, totaling approximately $160 billion. This included all payment policy, systems development and implementation of the policies, validations of payments, and ensuring auditing compliance of these payments. The Part D risk adjustment model and the new (for 2012) Part C risk adjustment model were both developed under his leadership. Additionally, Mr. Hutchinson was the driving force behind the design and implementation of the Medicare Risk Adjustment Data Validation (RADV) audits.

Articles in the National Law Review database by Thomas E. Hutchinson

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