FacultyFaculty/Author Profile

Thomas Gustafson

Arnold & Porter Kaye Scholer
Senior Policy Advisor
Washington, DC, USA


Thomas Gustafson, Ph.D., is Senior Policy Advisor at Arnold & Porter Kaye Scholer, where he concentrates on health care policy and reimbursement issues.  He spent 32 years at the Department of Health and Human Services, in the Office of the Assistant Secretary for Planning and Evaluation and in the Centers for Medicare & Medicaid Services, where he held several executive posts responsible for Medicare and Medicaid legislation, strategic planning, research and demonstrations, and development and implementation of regulations.

From 2003 to 2007, Dr. Gustafson served as Deputy Director of the Center for Medicare Management (CMM), which coordinated the fee-for-service portion of the Medicare program and set payment rates for more than a million providers.  He supervised coding and payment policies affecting approximately $300 billion in Medicare spending on hospitals, physicians, nursing facilities, home health agencies, and other providers.  He led the development and introduction of the hospital outpatient prospective payment system and major improvements in Medicare’s other payment policies and systems.  He oversaw a sweeping reform, intended to improve accountability and efficiency, of Medicare’s administrative structure for paying claims.  In 2006-2007, he served as Acting Director of the CMM.

Since joining Arnold & Porter Kay Scholer in 2008, Dr. Gustafson has advised health-care providers, device and pharmaceutical manufacturers, and trade associations on a wide array of issues, including physician, outpatient hospital and end-stage renal disease reimbursement systems; accountable care organizations; laboratory coverage, coding and payment; and launch and reimbursement issues for devices and pharmaceuticals.

A native of Maine, he is a graduate of Williams College and holds a Ph.D. in Economics from Yale University.

Thomas Gustafson is associated with the following items:
CHB Chapters  CHB Chapters CMS Plans to Overhaul Medicares Beneficiary Identification System: What You Need to Know (October 13, 2016) - Health Care Law Institute 2016: Emerging Challenges and Trends in Reimbursement, Enforcement, Compliance and other Hot Topics, Wednesday, December 14, 2016
Sweeping Changes in Store for Laboratory Payments: Medicare Sets Rule for Market Rates Starting in 2018 (July 6, 2016) - Health Care Law Institute 2016: Emerging Challenges and Trends in Reimbursement, Enforcement, Compliance and other Hot Topics, Wednesday, December 14, 2016
Web Segment  Web Segment Health Care Payment Reforms: New Measures and Trends - Health Care Law Institute 2016: Emerging Challenges and Trends in Reimbursement, Enforcement, Compliance and other Hot Topics, Friday, December 16, 2016
MP3 Audio  MP3 Audio Health Care Payment Reforms: New Measures and Trends - Health Care Payment Reforms: New Measures and Trends, Friday, December 16, 2016
MP4 - Mobile Video Seg  MP4 - Mobile Video Seg Health Care Payment Reforms: New Measures and Trends - Health Care Payment Reforms: New Measures and Trends, Friday, December 16, 2016
On-Demand Web Programs  On-Demand Web Programs Health Care Law Institute 2016: Emerging Challenges and Trends in Reimbursement, Enforcement, Compliance and other Hot Topics, Tuesday, January 03, 2017, New York, NY
Live Seminar  Live Seminar Health Care Law Institute 2017: The New Challenges Facing Providers -- Reimbursement, Enforcement, Compliance, and Other Hot Topics, Thursday, December 14, 2017, New York, NY
Live Webcast  Live Webcast Health Care Law Institute 2017, Thursday, December 14, 2017, New York, NY
PLI Grpcast-Live Web  PLI Grpcast-Live Web Health Care Law Institute 2017: The New Challenges Facing Providers -- Reimbursement, Enforcement, Compliance, and Other Hot Topics, Thursday, December 14, 2017, Atlanta, GA
Health Care Law Institute 2017: The New Challenges Facing Providers -- Reimbursement, Enforcement, Compliance, and Other Hot Topics, Thursday, December 14, 2017, New Brunswick , NJ
Health Care Law Institute 2017: The New Challenges Facing Providers -- Reimbursement, Enforcement, Compliance, and Other Hot Topics, Thursday, December 14, 2017, Nashville, TN
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