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  1. Tom Terry
    ...and applications. He is a strategist known for his work with client organizations, bringing outstanding resources to bear in helping solve the most complex problems. Tom has again assembled a...
  2. What CMS’s New Rule Means for Prior Authorization
    ...to be made user-friendly. Effective communication is also paramount. As the prior authorization system evolves, constant and clear communication among all stakeholders is essential. This not only means communicating changes...
  3. Richard Jackson
    Richard, a senior adviser to The Terry Group, is a leading authority on the aging of the population and has written extensively on the demographics and economics of retirement and...
  4. Why Florida’s Drug Importation Plan Won’t Work
    ...pharmaceutical companies now amounts to about 25 percent of their revenues, compared with an average of 3 percent for all companies in the S&P 500. Most drug compounds that pharmaceutical...
  5. Tom Donlon
    ...Medicaid programs and insurance companies. Drawing on his experience with many aspects of the healthcare industry, Tom has served as an expert witness and litigation consultant on numerous celebrated cases....
  6. Chakravarthy Pucha
    ...and A*STAR (Agency for Science Technology and Research, Singapore). Chakravarthy earned an M.Sc. in Signal Processing from Nanyang Technological University, Singapore, and a B.E. in Electronics & Communications Engineering from...
  7. Kathi Moore
    ...she was in real estate and operations management at JPMorgan Compensation and Benefit Strategies and its predecessor, CCA Strategies. Kathi holds a master’s degree from the University of Houston-Clear Lake....
  8. Michael Lackey
    ...implementation of executive compensation and employee benefit programs. Mike’s extensive experience is often tapped to assist in litigation and in the resolution of disputes involving executive compensation. Mike also serves...
  9. Prior Authorization for the Win
    ...maximum, and co-insurance. Effectively communicating information about PAs, and especially denials, will be even more challenging than communicating basic health plan information. Action Steps: Use generative AI to help members...
  10. Why Providers Are Struggling to Succeed in Value-Based Care
    As the U.S. healthcare industry moves further into value-based care (VBC), providers are being compelled to reformulate their operations, business models, and risk arrangements. CMS, which is helping to drive...