Biography
Tom has been in private practice since January 2000.
Prior to private practice, Tom served as the Director of the Division of Consumer Affairs for the Missouri Department of Insurance where he was responsible for drafting comprehensive managed care regulations, negotiating the settlement of a lawsuit over the conversion of a non-profit insurer to for-profit status, and negotiating settlements of market conduct exams that returned millions of dollars to Missouri consumers. Tom also established a process for external review of health insurers' claim denials, which was among the first of its kind in the country.
Tom graduated with honors from Harvard University (A.B.) and the University of Missouri-Columbia School of Law (J.D.). Tom was a member of the Order of the Coif and the Law Review, which published three of his articles.
Tom is admitted to the Bar in Wisconsin and Illinois.
Recent Speaking Engagements
- Just What the Doctor Ordered: Information Blocking RuleMay 2022
Presenter:
Blue Cross Blue Shield National Summit: Legal Department Cooperative - MyHealthEData--the Final Interoperability Rules and What They Mean for Health PlansMarch 2020
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Blue Cross Blue Shield Association Legal Department Cooperative Webinar - Prickly Privacy Problems for Perplexed Plan PersonnelMay 2019
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Blue Cross Blue Shield National Summit - HIPAA Issue SpottingFebruary 2019
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Blue Cross Blue Shield Association Legal Department Cooperative Webinar - Getting Into The Weeds with Business Associate AgreementsDecember 2018
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Blue Cross Blue Shield Association Legal Department Cooperative Webinar - Substance Use Disorder Records RuleNovember 2018
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American Health Lawyers Association Institute for Health Plan Counsel - Substance Use Disorder Privacy and Data Sharing Requirements (Part 2)August 2018
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Alliance of Community Health Plans Webinar - Confidentiality of Substance Use Disorder Patient RecordsMay 2018
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Blue Cross Blue Shield National Summit: Legal Department Cooperative - Disclosing PHI to a CDHP Administrator: How HIPAA Applies to FSAs, HRAs, and HSAsNovember 2017
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Blue Cross Blue Shield Association, Legal Department Cooperative Teleconference - `Big Data` Initiatives and HIPAAJuly 2017
Co-Presenter:
Blue Cross Blue Shield Association Legal Department Cooperative, 2017 Blue College - The Telephone Consumer Protection Act is Calling You!May 2016
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Blue Cross Blue Shield Association National Summit - The Telephone Consumer Protection Act is Calling You!February 2016
Co-Presenter:
Health Care Compliance Association Managed Care Compliance Conference - Federal Enforcement of ACA RequirementsMay 2014
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Blue Cross Blue Shield Association National Summit (Compliance & Ethics) - Risks and Trends in HIPAA ComplianceFebruary 2014
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Health Care Compliance Association Managed Care Compliance Conference - HIPAA Administrative Simplification Compliance CertificationJanuary 2014
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Blue Cross Blue Shield Association Legal Department Cooperative Teleconference - Privacy and the Deficit Reduction Act of 2005October 2013
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Blue Cross Blue Shield Association 47th Annual Lawyers Conference - Coupons, Discounts and PrivacyFebruary 2013
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Health Care Compliance Association Managed Care Compliance Conference - Coupons, Discounts and PrivacyNovember 2012
Co-Presenter:
Blue Cross Blue Shield Association National Summit (Legal Department Cooperative) - Malls, Kiosks, and Storefronts: Compliance (and Sanity!)September 2012
Co-Presenter:
Blue Cross Blue Shield Association National Summit (Compliance & Ethics) - Medical Loss Ratio Rebates: How Health Plans Are Handling 2012 Rebates and Preparing for Future YearsMay 2012
Co-Presenter:
Atlantic Information Services, Inc. Webinar - Practical Tips for Assessing a Payor Compliance ProgramFebruary 2012
Presenter:
Health Care Compliance Association Managed Care Compliance Conference - Interactive Session Preparing for (and Surviving) an Audit of Your Medicare Advantage and Part D Compliance ProgramDecember 2011
Co-Moderator:
American Health Lawyers Association Payors, Plans and Managed Care Law Institute - Claims and Appeals Procedures Under the Affordable Care ActOctober 2011
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Blue Cross Blue Shield Association Compliance Program Teleconference - New Reform-Driven Claims and Appeals Procedures: Practical Steps Plans Should Take NowSeptember 2011
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Atlantic Information Services, Inc. Webinar - American Health Benefit Exchanges: How They Will Work and What They Mean to YouMay 2011
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Blue Cross Blue Shield Association Internal Audit, Anti-Fraud, Compliance and Ethics Conference, and Privacy Conference - Claims & Appeals Procedures Under the Affordable Care ActMay 2011
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Blue Cross Blue Shield Association Internal Audit, Anti-Fraud, Compliance and Ethics Conference, and Privacy Conference - Mental Health Parity Compliance: Impact on Plan Products and ProceduresMay 2010
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Blue Cross Blue Shield Compliance and Ethics Conference - Non-Discriminating Tastes: Family History, GINA, and YouMay 2010
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Blue Cross Blue Shield Compliance and Ethics Conference - Health Reform and Administrative Simplification: Keeping it Simple?May 2010
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Blue Cross Blue Shield Lawyers Conference - Impact of GINA on Health PlansApril 2010
Moderator:
American Health Lawyers Association Teleconference - HITECH Act Changes to HIPAA: What They Mean for Health PlansOctober 2009
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American Health Lawyers Association Payors, Plans and Managed Care Law Institute - Information Privacy and Security RoundtableJune 2009
Moderator:
Blue Cross Blue Shield Association Compliance, Ethics, HIPAA and Privacy/Security Conference - Moving Targets: Medicare Marketing RequirementsJune 2009
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Blue Cross Blue Shield Association Compliance, Ethics, HIPAA and Privacy/Security Conference - Fundamentals of Medicare Parts A-DApril 2009
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American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues - Red Flags, Consumer Reports, and the FTCMarch 2009
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Blue Cross Blue Shield Association Legal Department Cooperative Teleconference - Best Compliance Practices for Medicare Advantage and Part D PlansFebruary 2009
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Health Care Compliance Association Managed Care Compliance Conference - Medicare Marketing Guidance (And You Thought the Stock Market was Volatile)October 2008
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Blue Cross Blue Shield Association Compliance and Ethics Teleconference - Wellness that Works: Providing Incentives to Make Wellness Programs WorkOctober 2008
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American Health Lawyers Association Payors, Plans and Managed Care Law Institute - CMS' Proposed Revisions to the Medicare Advantage & Prescription Drug Benefit Programs: Practical Perspectives on Important Marketing & Pricing ChangesJuly 2008
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American Health Lawyers Association Medicare Part D Task Force Teleconference - Achieving Medicare Advantage Growth Just Got HarderJune 2008
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Healthcare Web Summit - Wellness that Works: Implementing Effective Wellness ProgramsMay 2008
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Blue Cross Blue Shield Association Lawyers Conference - Data Across Borders: Managing Information Privacy and Data Security in Cross Border TransactionsMay 2008
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Interlaw Americas Meeting - Wellness at Work: Implementing Effective and Legal Incentives for Healthy BehaviorFebruary 2008
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University of Chicago Gleacher Center - HIPAA Overview: Administrative Simplification, Information Privacy, Data Security and Electronic TransactionsMarch 2007
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Blue Plan Legal Department Cooperative Blue College, Fundamentals of a Blue Plan Practice - Providers, Health Plans, and the NPI: Is HIPAA Administrative Simplification Making it . . . Simple?January 2007
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Scottsdale Institute - Specialized Medicare Marketing TrainingNovember 2006
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Blue Cross and Blue Shield Association Webinar - Part D: Government Efforts to Curb Waste, Fraud and AbuseAugust 2006
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American Bar Association, Health Law Section - Dr. Strange HIPAA, or, How I Learned to Stop Worrying and Love the Privacy RiskMay 2006
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Blue Cross Blue Shield Association Lawyers Conference
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