Anthony J. Fiori
A recognized authority on health plan regulatory and financial issues, Anthony Fiori advises health care industry clients on regulations and strategy, analyzes policies and leads projects. Medicaid and Medicare managed care, the Affordable Care Act (ACA), health care financing, Medicaid pharmaceutical policy and delivery system reform are his areas of focus.
Tony works with managed care organizations, hospitals, long-term care organizations, state Medicaid agencies, pharmaceutical manufacturers and trade associations, bringing depth and perspective to public health insurance programs.
Currently, Tony leads a coalition of nonprofit Medicaid managed care plans in New York and represents these plans before the New York State Department of Health and other regulatory and legislative bodies on rate development, payment and delivery system reform, managed care expansion, care management, value-based payment and quality measurement. He also advises states, hospitals and plans implementing the ACA and Medicaid redesign—including the expansion of Medicaid managed care—in New York, Alabama, North Carolina and other states.
In addition, Tony counsels key health care stakeholders on the implications of the ACA and other payment reform initiatives, including newly emerging policy around covering the dually eligible as well as strategies for expanding access to behavioral health services. Tony helps clients navigate these complex initiatives and advises them on the potential opportunities these programs bring to the health care marketplace. As leader of Manatt Health’s business strategy policy and analytics business unit, he is a recognized consultant on federal Medicaid pharmaceutical policy, advising clients on the implications of those policies with regard to their business.
Before joining Manatt, Tony worked for the New York City Economic Development Corp., where he structured debt for nonprofits, including a number of health care related organizations. He also was a consultant to the Henry J. Kaiser Family Foundation, where he co-authored a report on the health insurance market and its impact on employer coverage.
As a policy advisor for the San Diego Regional Chamber of Commerce, Tony led a campaign to educate community and business leaders on the importance of a comprehensive and affordable health care network.
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