About Kip Piper
Profile, Experience, Education, Credentials, and Publications
Profile of Kip Piper, MA, FACHE
Meet Kip Piper, MA, FACHE, a highly regarded healthcare consultant with 35 years of experience as a policymaker, executive, and consultant. Kip is an expert in Medicaid and Medicare policy, finance, and business and provides strategic counsel, policy and market intelligence, legislative and regulatory analysis, coverage and reimbursement solutions, and technical assistance to organizations across the healthcare industry.
Kip has advised a diverse range of clients, including life sciences companies, long-term care providers and associations, state Medicaid agencies, major health systems, private equity firms and other investors, health insurers, global and boutique consultancies, and law firms.
At the federal level, Kip served as a senior advisor to the Centers for Medicare and Medicaid Services (CMS) administrator, a senior Medicare budget officer at the White House Office of Management and Budget (OMB), and a presidential management fellow. In state government, Kip served as Wisconsin’s state Medicaid director, administrator of Wisconsin’s state health agency, and the state public health officer. Kip also developed and directed influential, foundation-sponsored initiatives on value-based purchasing, payment reform, and state-based health reform.
Kip is the founder and CEO of Health Results Group, LLC, a strategic advisory firm, and Medonomics, Inc., a nonprofit health policy research organization dedicated to market-based solutions to improve value and decision-making. Kip is also a senior advisor with ADVI Health, a leading life sciences industry consultancy serving top innovators in cell and gene therapy, pharmaceuticals and biotechnology, medical diagnostics, and medical devices.
Board-certified in healthcare management, Kip is a Fellow of the American College of Healthcare Executives and holds a master’s degree in public policy and administration from the University of Wisconsin, Madison.
Kip has drafted and negotiated federal and state legislation, regulations, and waivers. He has testified before U.S. House and Senate committees and state legislative committees, written a dozen journal articles, and been widely quoted in the national and healthcare press.
Kip Piper is a trusted advisor and thought leader. With his vast knowledge and experience, Kip is dedicated to helping organizations navigate the complex Medicaid and Medicare landscape, solve seemingly intractable problems, and achieve their goals.
Background Information on Kip Piper
Consulting Practice
Kip Piper's consulting practice involves remarkably complex and diverse engagements.
Founder and CEO
Health Results Group, LLC
- The Health Results Group is a boutique consultancy specializing in Medicaid and Medicare policy and business led by Kip Piper. Services include:
- Strategic and tactical counsel
- Federal and state policy and finance solutions
- Access, coverage, and reimbursement solutions
- Legislative, regulatory, and waiver development
- Policy, business, and market intelligence
- Advocacy and issue management
- Research and analysis
- Technical assistance
Senior Advisor, Medicaid ADVI Health, LLC
- ADVI Health is a leading life sciences industry consultancy serving innovators in cell and gene therapy, pharmaceuticals, biotechnology, medical diagnostics, and medical devices.
- Working with ADVI Health's exceptionally talented team of experts, Kip Piper advises on Medicaid issues, particularly federal and state policy, patient access, coverage, product launches, value-based arrangements, and reimbursement.
Founder and CEO Medonomics, Inc.
- Medonomics, Inc. is a nonprofit health policy research organization dedicated to improving healthcare value and decision -making through market-based policy solutions.
Prior Professional Experience
Thanks to his experience as a policymaker, executive, innovator, and advisor, Kip Piper developed formidable substantive and technical expertise in Medicaid and Medicare.
State Government
State Medicaid Director and Director of Health Care Financing State of Wisconsin
Administrator of Division of Health and State Health Officer State of Wisconsin
Federal Government
Senior Advisor to the Administrator and Consultant to the Administrator Centers for Medicare and Medicaid Services (CMS) U.S. Department of Health and Human Services (HHS)
Senior Medicare Budget Examiner White House Office of Management and Budget (OMB)
Presidential Management Fellow
Not-For-Profit Sector
Vice President AcademyHealth, Inc.
Director of National Programs of The Robert Wood Johnson Foundation:
- State Health Coverage Initiatives Program
- National Health Purchasing Institute
- Rewarding Results Program
Corporate Sector
Corporate Officer and General Manager for National Medicaid Businesses WellPoint Health Networks, Inc. (now Elevance Health, Inc.)
Education and Credentials
MA
Master of Arts degree
Public Policy and Administration (with honors)
La Follette School of Public Affairs
University of Wisconsin – Madison
BA
Bachelor of Arts Degree
Public Administration
University of Wisconsin – Eau Claire
FACHE
Fellow of the American College of Healthcare
Executives Board Certified in Healthcare Management
Journal Articles and Commentaries
Kip Piper has authored many journal articles and commentaries. Examples include:
- The Affordable Care Act and Cancer Patients: Winners and Losers in an Unsteady Paradigm Shift, Personalized Medicine in Oncology, April 2014.
- Accountable Care Organizations: Interview with Mark B. McClellan, MD,PhD.,American Health & Drug Benefits,August 2010.
- The Affordable Care Act Conundrum: Facing Reality in America’s Giant Social Experiment, American Health & Drug Benefits, December 2013.
- The Health Reform Law: Key Changes to Be Implemented in 2010, American Health & Drug Benefits, June 2010.
- Implications of the Employer Mandate Delay on the Healthcare Marketplace, American Health & Drug Benefits, August 2013. Coauthored with Randy Vogenberg, PhD, RPh.
- Federal Drug Price Controls in Medicaid: Expansion of Mandated Rebates under Health Reform Law, American Health & Drug Benefits, June 2010.
- The Opportunity for Health Plans to Improve Quality and Reduce Costs by Embracing Primary Care Medical Homes, American Health & Drug Benefits, February 2013. Coauthored with Gary Owens, MD and Sarah Collins.
- Wellness-Based Healthcare Policy: Medicare, Medicaid, and Private Insurance, American Health & Drug Benefits, March 2010.
- Medicare Part D: Considerations for Urology Practices, Urology Practice Management, July 2012.
- Health Care Reform and Opportunities for Stroke Prevention and Management, American Health & Drug Benefits, November 2009.
- Accountable Care Organizations and Medicare Shared Savings Program,American Health & Drug Benefits,August 2010.
- New Government Policies: Opportunities for Supporting Drug Research and Development, American Health & Drug Benefits, July 2009.
Editorial Board Membership
Editorial Board member, American Health and Drug Benefits, a peer-reviewed journal.
Professional Memberships
Kip Piper has authored many journal articles and commentaries. Examples include:
- American College of Healthcare Executives (ACHE)
- Association of Certified Fraud Examiners (ACFE)
- Association of State and Territorial Health Officials (ASTHO)
- National Association of Medicaid Directors (NAMD)
News Media Coverage
Kip Piper has been widely quoted in the national press and the business and healthcare trade press.
