by Jasmine Batchelor
January 12, 2018
Faegre Baker Daniels Consulting
Mike Adelberg has 25 years of progressive experience with Medicare, Medicaid and the Health Insurance Exchanges that provide health care coverage for well over 100 million Americans. He is a thought leader on health care reform and health insurance regulation who is often quoted in the press and is frequently invited to speak at conferences. He is the author or co-author of several essays and articles on various health care reform topics. Mike brings unique insights into the processes, policies and people behind the public programs that finance or subsidize health care coverage.
Before joining Faegre Baker Daniels Consulting, Mike held several senior positions within the Centers for Medicare and Medicaid Services (CMS), including concurrently serving as the director of the Insurance Programs Group and the acting director of the Exchange Policy and Operations Group in the Center for Consumer Information and Insurance Oversight (CCIIO). In these roles, Mike was responsible for setting policy and implementing critical Affordable Care Act operations in multiple areas, including health plan management, eligibility and enrollment, the small-business health options program (SHOP), and the Co-Op loans. While in CCIIO, Mike led a team of 125 staff and oversaw a $300 million annual operating budget.
Prior to that, Mike was the Director of Medicare Advantage Operations, where he supervised the annual cycle for review and award of Medicare Advantage contracts and led monitoring of Medicare Advantage contractors. His other senior roles at CMS included serving as the associate regional administrator for Medicare operations (Chicago Region) and the director of education and assistance programs.
Mike gained private sector experience while serving as vice president of public policy and government affairs with the Universal American Corporation — a medium-sized health insurer focusing primarily on the senior market. Mike also was a senior manager and senior advisor with international consultant BearingPoint (now part of Deloitte) in McLean, Virginia, where he co-led a successful health policy and program evaluation practice.