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  • Anthony J. Fiori
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Anthony J. Fiori

Fiori_Tony_New-Bio-Template-730-x-730

Senior Managing Director

Manatt Health
Contact
  • afiori@manatt.com
  • Phone: 212.790.4582
  • Download vCard
  • New York
Bar Admissions
Education
  • Princeton University, Woodrow Wilson School of Public and International Affairs, M.P.A., 2003

    University of California, San Diego, B.A., 1998
    Provost’s Honors

Industries
  • Manatt Health

Show Full Bio

  • Profile
  • Speaking Engagements
  • Honors & Awards
  • Memberships
  • Publications
Profile

Profile

A recognized authority on health plan regulatory and financial issues, Anthony Fiori advises healthcare industry clients on regulations and strategy, analyzes policies and manages projects. Medicaid and Medicare managed care, the Affordable Care Act (ACA), healthcare financing 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, health homes and quality measurement. He also advises state hospitals and plans implementing the ACA and Medicaid redesign—including the expansion of Medicaid managed care—in New York, Alabama, Oregon, North Carolina and other states.

In addition, Tony counsels key healthcare stakeholders on the implications of the ACA and other payment reform initiatives, such as the Centers for Medicare & Medicaid Services’ Shared Savings Program, as well as its Financial Alignment Demonstration for the dually eligible.

Tony helps clients navigate these complex initiatives and advises them on the potential opportunities these programs bring to the healthcare marketplace. 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 healthcare-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 healthcare network.

Speaking Engagements

Speaking Engagements

Speaker, “View From Capitol Hill and State Capitols: Public Policy Outlook for Cancer Care,” Association for Value-Based Cancer Care 2018 Summit, Oct. 31, 2018.

Speaker, “State Medicaid Program Coverage of Gene Therapies”, American Society of Gene & Cell Therapy Value Summit, Washington, DC, September 24, 2018.

Panelist, “Healthcare: Stakeholders’ Perspectives,” Princeton University Alumni-Faculty Forum, Princeton, NJ, June 2, 2017.

Speaker, “Repeal and Replace: Possible Approaches and Impact on Employers,” San Diego Regional Chamber of Commerce, February 23, 2017.

Speaker, “Medicaid Trends and the Future of Managed Care,” Iowa Hospital Association Annual Meeting, October 2016.

Honors & Awards

Honors & Awards

Healthcare Industry Good Scout, Greater New York Councils, Boy Scouts of America, 2016

Alumni Council Award for Service, Princeton University, 2014

Silver Beaver, Greater New York Councils, Boy Scouts of America, 2011

Memberships

Memberships

Member, Board of Directors, University of California San Diego Alumni Association

Vice President and member of the Board of Directors, Greater New York Councils, Boy Scouts of America

Past President, Princeton University Association of Princeton Graduate Alumni

Chairman, Graduate School Leadership Council, Princeton University

Publications

Publications

Co-author, “Extending VBP Models Into Medicaid Drug Purchasing: Challenges And Opportunities,” Health Affairs, May 2019.

Co-author, “Alabama Medicaid Expansion: Summary of Estimated Costs and Savings,” Alabama Hospital Association, February 2019.

Co-author, "Medicaid Managed Care for Children in Foster Care," Medicaid Institute at the United Hospital Fund, February 2013.

Co-author, “Eligibility and Coverage of Select Services Under New York Medicaid and Family Health Plus,” New York City Department of Health and Mental Hygiene, Bureau of HIV/AIDS Prevention and Control, May 2012.

Co-author, “2011 Medicaid Managed Care & Family Health Plus Quality Update,” Coalition of NYS Public Health Plans, February 2012.

Co-author, “2010 Medicaid Managed Care & Family Health Plus Quality Update,” Coalition of NYS Public Health Plans, January 2011.

Co-author, “2008 Medicaid Managed Care & Family Health Plus Quality Update,” Coalition of NYS Public Health Plans, May 2009.

Co-author, “Medicaid Managed Care Quality Update 2007,” NYS Coalition of Prepaid Health Services Plans, February 2008.

Co-author, “Medicaid Managed Care Quality Update 2006,” NYS Coalition of Prepaid Health Services Plans, March 2007.

Co-author, “Enrollment Churning in Medicaid: Coverage Gaps Undermine the Managed Care System and Continuity of Care for the Chronically Ill,” NYS Coalition of Prepaid Health Services Plans, December 2006.

Co-author, “Health Information Exchange Projects: What Hospitals and Health Systems Need to Know,” American Hospital Association, April 2006.

Co-author, “Employer Health Benefits Survey 2002,” Henry J. Kaiser Family Foundation, August 2002.

Co-author, “Report on Governance and Security of Sierra Leone,” Government of Sierra Leone, U.S. State Department and United Nations Department of Peacekeeping, December 2002.

Tony in the News

  • 03.04.16

    Home Care Agencies Compliant with NY Regulations

    Crain's New York quoted Anthony Fiori, a managing director with Manatt Health, in an article about the new Fair Labor Standards Act as it ...

  • 10.12.13

    Providers Adjust to Managed-Care Contracting

    Modern Healthcare interviewed Manatt government and healthcare partner James Lytle and Manatt Health Solutions director Anthony Fiori for an ...



Tony's Articles

  • 05.22.19

    Extending VBP Models Into Medicaid Drug Purchasing: Challenges And ...

    "Over the past decade, both public and private payers have increasingly sought to develop payment policies that emphasize the value of the ...



  • 02.01.19

    Alabama Medicaid Expansion: Summary of Estimated Costs and Savings

    Alabama is currently one of only 14 states that have not expanded Medicaid, leaving more than $1 billion in federal money on the table each year ...



  • 08.15.18

    Insight: Strategies for Compliance Oversight and Program Integrity in ...

    Program integrity and compliance activities are meant to ensure that federal and state taxpayer dollars are spent appropriately on delivering ...



  • 02.28.13

    Medicaid Managed Care for Children in Foster Care

    In recent years New York State has gradually moved high-need populations out of fee-for-service arrangements and into managed care to improve ...



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Tony's Newsletters

  • 06.06.19

    Extending VBP Models Into Medicaid Drug Purchasing

    States are using several different models to extend VBP strategies into their drug purchasing.

  • 01.23.19

    The Future of Pharmaceuticals in Medicaid

    President Trump’s “American Patients First” blueprint outlines several initiatives to lower drug prices and reduce patients’ ...

  • 12.19.18

    Evolving Pharmaceutical Benefit Trends and Medicaid Managed Care’s ...

    Prescription drug coverage is an optional benefit under Medicaid, but all states currently provide this coverage.

  • 11.26.18

    Now on Demand: “Evolving Pharmaceutical Benefit Trends and Medicaid ...

    State Medicaid programs continue to balance serving eligible beneficiaries and controlling costs.

Show More


Tony's Events and Webinars

  • 10.17.18

    Evolving Pharmaceutical Benefit Trends and Medicaid Managed Care’s ...

    State Medicaid programs continue to balance serving eligible beneficiaries and controlling costs. In an environment sharply focused on the cost of ...



  • 06.27.18

    The Changing Landscape of Oversight in Medicaid MCOs

    Watch Manatt’s new webinar, “Strategies for Compliance Oversight and Program Integrity in Medicaid Managed Care.” There is a ...



  • 10.28.14

    Reinventing Long-Term and Post-Acute Care: Integrating into a New ...

    According to the Congressional Budget Office, by 2050, 20% of the U.S. population will be 65 or older, compared to just 12% in 2000 and 8% in 1950. ...

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