by Stephani Simmons
July 17, 2017
Manatt, Phelps & Phillips, LLP
Prior to joining Manatt, Adam served as a health insurance specialist at the CMS Center for Medicare and Medicaid Innovation. There, he led the Medicare Advantage Value-Based Insurance Design model test, an innovative test of benefit flexibilities for Medicare Advantage and Medicare Part D enrollees. He contributed to the development of other Innovation Center initiatives, such as the Part D Enhanced Medication Therapy Management model test and the Medicare Diabetes Prevention Program expanded model. He also participated in the implementation of the Medicare Access and CHIP Reauthorization Act of 2015 and the development of alternative payment models.
Adam has served as counsel for a national insurer, supporting its Medicaid and CHIP business lines. He held lead legal responsibility for the company’s Medicaid managed care provider relationships, and in that role he built new provider networks, developed strategies for implementing value-based provider contracting and established approaches for managed care contracts with long-term services and supports providers. Adam also advised on the creation of Medicare-Medicaid plans, the submission of proposals to state Medicaid agencies and the implementation of Medicaid-related provisions of the Patient Protection and Affordable Care Act.
Adam began his career as an associate in the commercial litigation group of a Philadelphia-based law firm.