Gorman Health Group | Thomas Johnson - Gorman Health Group
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Thomas Johnson

Senior Advisor



Thomas Johnson is a Senior Advisor at Gorman Health Group (GHG). In this role, he offers guidance on compliance issues involving Medicare, Medicaid, private insurance, and the funding of institutional and non-institutional healthcare. He models costs for healthcare delivery in the healthcare market and serves as expert witness on healthcare delivery and health reform. Thomas brings GHG clients 15 years of operational and regulatory expertise as an experienced Medicare, Medicaid, and, most recently, both Federally-Facilitated and State-Based Marketplace professional.

 

Prior to joining GHG, Thomas served as a member of the senior leadership team for TD&P Consulting, Inc., a Washington, DC-based applied health policy and litigation support firm that provides research, regulatory and compliance advice, future medical cost valuation, and healthcare delivery cost analysis related to life care plans and long-term care. He provided strategic advice on healthcare organizational strategies.

 

Thomas also served as President and Chief Executive Officer of the Medicaid Health Plans of America (MHPA) from 2004 to 2013. MHPA is a Washington, DC-based trade association representing Medicaid health plans. He represented the interests of the Medicaid health plan industry before Congress, the Executive Branch, and state governments. Prior to his tenure with MHPA, he served as Vice President of Compliance and External Affairs for DC Chartered Health Plan, a Medicaid health plan located in Washington, DC.

 

He also served as Chartered’s lobbyist and legislative liaison with the federal and state executive and legislative branches of government. Thomas created, monitored, and implemented Chartered’s compliance program, where he enforced compliance with federal and state regulations, including the Health Insurance Portability and Accountability Act (HIPAA), the Balanced Budget Act (BBA), and contract compliance. During his tenure at Chartered, Thomas also served as Chair for two terms of the DC Association of Health Maintenance Organizations, winning the 2003 Leadership Award. His healthcare lobbying experience also includes serving as President of the DC Hospital Association and representing the Medical Society of the District of Columbia, which serves as the DC Chapter of the American Medical Association (AMA).

 

Thomas has advised Medicaid health plans, small healthcare associations, as well as health technology and business processing companies. He also serves as the Chair of the Board of Family Matters of Greater Washington, the oldest non-profit in Washington, DC. He has also served on other boards in the region, including the DC Association of Health Maintenance Organizations; the Greater Washington Boys and Girls Club; the DC Prisoners Legal Services Project; and the Montgomery County Arts and Humanities Council.

 

Thomas earned his B.A. from Tufts University and J.D. from Howard University Law Center.