Kip Piper - Medicare, Medicaid, Health Reform Expert

Kip Piper is a top expert on federal and state health reform. Kip is a consultant to health plans, health systems and hospitals, pharma and biotech companies, medical device firms, state government, and investment groups. His expertise includes Health Insurance Exchanges, Accountable Care Organizations, payment reform, Medicaid expansion, comparative effectiveness research, and other Affordable Care Act issues.

An expert on Medicaid, Kip Piper advises health plans, health systems, manufacturers, states, and others on Medicaid policy, finance, business development, coverage, reimbursement, federal legislation and rules, managed care, cost containment, waivers, communications, and more.

Kip Piper is an expert on Medicare policy and finance, including coverage, reimbursement, Medicare Advantage, Medicare Part D, dual eligibles, accountable care organizations, and demonstration, as well legislation, rules, and waivers. A keen business and policy strategist, Kip advises health plans, health systems, and pharma, biotech, and medical device firms.

Medicaid

Medicaid is extraordinarily busy these days. My colleagues at Sellers Dorsey and I are engaged in a growing number of projects for state Medicaid agencies, Medicaid health plans, hospitals and health systems, and other Medicaid stakeholders. Projects focus on Medicaid financing, cost containment, payment reform, managed care, health technology, Medicaid expansion strategy, ACA implementation issues, CMS innovation grants, and business development.

Medicare

Medicare is experiencing unprecedented change, as the Centers for Medicare and Medicaid Services (CMS) implements payment and delivery reforms affecting hospitals, physicians, Medicare Advantage plans, Part D drug plans, pharma and biotech firms, and medical device makers. Lately, my client projects have focused on strategic communications, coverage, reimbursement, market strategy, accountable care organizations, and Medicare innovation.

Health Reform

For sheer magnitude of policy and marketplace changes, nothing compares to the Affordable Care Act (ACA). Health systems and other providers, health insurers, manufacturers, state governments, and investors face a staggering array of challenges and opportunities under health reform. There’s growing demand for business strategy, policy insight, and creative, tactical problem solving. My current health reform projects focus on health insurance exchanges, qualified health plan development, business strategy, strategic and tactical communications, and public affairs.

Experience

Kip Piper’s 28 years’ experience includes senior advisor to the administrator of the Centers for Medicare and Medicaid Services (CMS), Wisconsin state health administrator, director of the Wisconsin Medicaid program, advisor to Fortune 500 employers, corporate officer at WellPoint, a senior Medicare budget officer at the White House Office of Management and Budget, vice president of AcademyHealth, and director of national, foundation-sponsored projects on quality improvement and payment reform. Early in his career, Kip served in elective office as county legislator and chief executive of a small municipality.

Advisor

Kip Piper advises major health care organizations on Medicare, Medicaid, and health reform policy, finance, market strategy, coverage, reimbursement, communications, and business development. Clients include hospitals and health systems, health plans, pharmaceutical and biotechnology companies, medical technology firms, state Medicaid agencies, private equity firms and hedge firms, hand non-profit organizations.

Speaker

Known for his engaging and informative presentations, Kip Piper is a frequent speaker at healthcare conferences, corporate board meetings, and executive retreats. Kip’s recent speaking topics include health insurance exchanges, accountable care organizations, Medicaid expansion, payment reform, and other hot issues in health reform, Medicare, and Medicaid.

Writer

Author of several journal articles, Kip Piper is health policy editor of the American Health and Drug Benefits, a peer-reviewed journal with 30,000 subscribers. Kip blogs and tweets on Medicare, Medicaid, and health reform issues. With Dr. Sharad Mansukani, Kip is editor of Health Reform from A to Z, a forthcoming resource book.