Mike Adelberg has 20 years of progressive experience with Medicare, Medicaid and the Health Insurance Exchanges that provide health care coverage to more than 100 million Americans. He is a thought leader in reforming the health care and health insurance oversight processes. Mike brings unique insights into the processes, policies and people behind the public programs that finance or subsidize health care coverage.
Before joining FaegreBD 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 Health Insurance Exchange operations in multiple areas, including 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 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.
In his spare time, Mike is an author and historian. He has authored three novels, two non-fiction books, seven scholarly journal articles or book chapters, and other publications.
Adjunct Instructor of History and English — Various Colleges, 1991-2000
Department of Health and Human Services, Washington, D.C. — Secretary’s Certificate for Distinguished Service (twice)
Center for Medicare and Medicaid Services, Baltimore, Maryland — Administrator’s Achievement Award (twice)
Council for Excellence in Government, Washington, D.C. — Fellow
Office of Personnel Management, Washington, D.C. — Presidential Management Fellow
Narrow Network Health Plans: New Approaches to Regulating Adequacy and Transparency Compliance Today, October 2015
After King v. Burwell, Viable Exchanges are ACA's Next Challenge Modern Healthcare, June 5, 2015
How Did We Get Here? A Brief History of Health Care Regulation in the United States Healthcare Compliance Today, July 2007
The Quiet Revolution in Healthcare Regulation The RPM Report, December 2006, pp. 43-45
Northern Illinois University
Master of Public Policy in Human Services, American Society for Public Policy Outstanding Student Award (1994)
Master of Arts in American History, Garden State Fellowship (1991)
B.S. in History and Political Science, cum laude (1989)
Tricia Beckmann is a director with Faegre Baker Daniels Consulting’s health and biosciences practice. She works with clients throughout the health care industry on state and federal health care regulatory issues.
Tricia has cultivated in-depth knowledge of the health care industry — and particularly the industry’s relationship with regulatory bodies — through positions with both government agencies and health care stakeholders. She spent four years with the Centers for Medicare and Medicaid Services (CMS), where she reported directly to agency leadership responsible for the health insurance Marketplaces and private insurance market reforms that are at the center of the Affordable Care Act (ACA). She helped shape policy in several areas including Section 1332 State Innovation Waivers, Section 1557 non-discrimination rules, consumer assistance programs, and health plan disclosure requirements such as the summary of benefits and coverage.
Prior to joining FaegreBD Consulting, Tricia served as an in-house attorney for a progressive, rapidly growing managed services firm that supports hospital and physician organizations in their adoption of value-based care and population health management. While in such role, Tricia advised on a wide range of state and health care regulatory issues, such as managed care state regulation and licensing, ACA implementation and health information privacy. Tricia also has prior in-house government relations experience working for a not-for-profit managed care health plan in California and authorizing benefits for the Social Security Administration. Tricia serves as a board member of the institutional review board for both George Washington University and the University of Maryland.