Penny Thompson Email & Phone Number

Ellicott City, Maryland

Provide strategic consulting services and advice to health care businesses seeking to understand the impact and direction of government policy and regulations; improve and innovate on their solutions and operations to focus on mission and accomplish real results; enhance connections between policy, operations and technology; develop and implement growth plans; and evaluate possible acquisitions and alliances.

Formerly CNSI/Kepro

Washington, Dc

Ms. Thompson was appointed to MACPAC for a three year term as Commissioner in 2016, and subsequently appointed as Chair in 2017 for a two year term.The Medicaid and CHIP Payment and Access Commission (MACPAC) is a non-partisan legislative branch agency that provides policy and data analysis and makes recommendations to Congress, the Secretary of the U.S. Department of Health and Human Services, and the states on a wide array of issues affecting Medicaid and the State Children’s Health Insurance Program (CHIP). The U.S. Comptroller General appoints MACPAC’s 17 commissioners, who come from diverse regions across the United States and bring broad expertise and a wide range of perspectives on Medicaid and CHIP.MACPAC serves as an independent source of information on Medicaid and CHIP, publishing issue briefs and data reports throughout the year to support policy analysis and program accountability. The Commission’s authorizing statute is at 42 U.S.C. 1396.

As the senior career official for the Center for Medicaid and CHIP Services, Ms. Thompson provided critical executive leadership to a number of important initiatives and ongoing operations, including:• Development and implementation of enhanced match and new conditions and standards for Medicaid eligibility and Medicaid Management Information Systems;• Coordination and cooperation between Medicaid, CHIP and the Marketplace, at both the federal and state levels, including regulatory action, business process models, business requirements, state funding, monitoring of critical paths, problem resolution, and mitigation strategies;• Issuance of requirements for the Basic Health Program, to cover individuals between 133 and 200 percent of federal poverty levels, using funds otherwise expended in the Marketplace for this population’s coverage;• The development and execution of new approaches for consistent and reliable review and analysis of Medicaid managed care rate-setting, and development of modernized policies for oversight of Medicaid managed care programs;• The development and federal approval for delivery system reform pools and the initiation of the Innovation Accelerator Program;• The negotiation and approvals of state requests for Medicaid waivers, including those related to section 1115 authority for premium assistance in the Marketplace, delivery system reform, financing pools, coverage, and expansion of managed care;• The development of Medicaid program integrity initiatives and strategies, including the development of the overall agency framework for Medicaid program integrity, implementation of a new PERM program for testing eligibility accuracy, closer inspection of Upper Payment Limit compliance, and standard approaches and testing for proper FMAP claiming for expansion populations; and • Financial reviews and actions relating to state claiming for federal match under both Medicaid and CHIP.

From 2007 to 2009, Ms. Thompson was the Director, Health Strategy and Planning, for the EDS/HP healthcare business unit, composed of both commercial and state government accounts. She provided forward looking direction and counsel to business leaders on health care interoperability and electronic health records, medical management, consumerism, ICD-10, eligibility and enrollment, program integrity and informatics. She spearheaded the healthcare innovation program and took lead on health reform related initiatives, including leading the pan-HP workgroup on health reform. She was also a key member of several teams evaluating merger and acquisition opportunities for HP in the healthcare sector, including evaluating potential targets' pipeline realism, solution strength, and overall fit.From 2006 to 2007, Ms. Thompson was the Client Industry Executive for EDS's federal government healthcare portfolio, supporting solution development, sales and delivery to federal government healthcare clients.

Master Of Public Administration - Mpa

Bachelor'S Degree