Center for Medicare

Jonathan Blum, Deputy Administrator and Director

Tim Love, Deputy Center Director

Liz Richter, Deputy Center Director

Business Operations Staff 2

Victoria Beder, Director

Medicare Drug Benefit and C and D Data Group 

Cynthia Tudor, Director
Division of Benefit Purchasing and Monitoring - Jennifer Shapiro, Director
Division of Formulary and Benefit Operations - Judith Geisler, Director
Division of Clinical and Operational Performance - Vikki Oates, Director
Division of Consumer Assessment and Plan Performance - Elizabeth Goldstein, Director
Division of Plan Data - Lori Robinson, Director
Division of Part D Policy - Chris Bauer, Director

Medicare Drug and Health Plan Contract Administration Group

Danielle Moon, Director
Division of Policy, Analysis and Planning - Debbie Vanhoven, Director
Division of Medicare Advantage Operations - Cathy Baldwin, Director
Division of Finance and Benefits - Scott Sturiale, Director
Division of Surveillance, Compliance and Marketing - Joe Gaiser, Director

Medicare Enrollment and Appeals Group 

Arrah Tabe-Bedward, Acting Director
Division of Enrollment and Eligibility Policy - Patty Helphenstine, Director
Division of Appeals Policy - Jennifer Smith, Director
Division of Appeals Operations - Michael Crochunis, Director
Division of Medicare Enrollment Coordination - James Slade, Director

Medicare Plan Payment Group 

Cheri Rice, Director
Division of Payment Validation - Jonathan Smith, Director
Division of Payment Operations - John Scott, Director
Division of Payment Reconciliation - Mark Newsom, Director
Division of Payment Systems - Thomas Kornfield, Director
Division of Payment Policy - Rebecca Paul, Director
Division of Encounter Data Risk Adjustment Operations - Gregory McGuigan

Medicare Parts C & D Oversight & Enforcement Group 

Jerry Mulcahy, Acting Director
Division of Compliance Enforcement - Trish Axt, Director
Division of Audit Operations - Tawanda Holmes, Director
Division of Analysis, Policy & Strategy - Michelle Turano, Acting Director

Business Operations Staff 1 

Robert Ventura, Director

Hospital and Ambulatory Policy Group 

Marc Hartstein, Director
Division of Acute Care - Tzvi Hefter, Director
Division of Practitioner Services - Kathy Bryant, Director
Division of Outpatient Care - John McInnes M.D., Director
Division of Ambulatory Services - Anne Tayloe Hauswald, Director

Chronic Care Policy Group

 Laurence Wilson, Director
Division of Chronic Care Management - Jana Lindquist, Acting Director
Division of Cost Reporting -Susan Burris, Director
Division of Institutional Post Acute Care - Jeanette Kranacs, Director
Division of Technical Payment Policy - Troy Barsky, Director
Division of DMEPOS Policy - Joel Kaiser, Director
Division of Home Health, Hospice and HCPCS - Randy Throndset, Director
Division of DMEPOS Competitive Bidding - Michael Keane, Director

Provider Billing Group 

Stewart Streimer, Director
Division of Institutional Claims Processing - Lorraine Zicha, Director
Division of Practitioner Claims Processing - Louisa Rink, Director
Division of Supplier Claims Processing - Glenn Kendall, Director
Division of Data Systems - Nora Fleming, Director

Medicare Contractor Management Group 

Karen Jackson, Director
Division of MAC Systems Security and Operations Oversight - Randy Beardsley, Director
Division of MAC Budget and Data Analysis - Carol Messick, Acting Director
Eastern MAC Program Management Division - David Banks, Director
Division of Change and Operations Management - Randi Yablon, Director
Division of MAC Strategy and Development - Christopher Klots, Director
Division of Performance Assessment - Torris Smith, Director
Southern MAC Program Management Division - Larry Young, Director
Western MAC Program Management Division - Jody Kurtenbach, Director

Provider Communications Group

Richard Cuchna, Acting Director
Division of Provider Information Planning and Development - Valerie Haugen, Director
Division of Provider Relations and Outreach - Robin Fritter, Director
Division of Contractor Provider Communications - Lynn Lockard, Director
Division of Provider Communications Technology - Ada Sanchez, Acting Director

Performance-Based Payment Policy Group

John Pilotte, Director
Division of Application, Compliance and Outreach - Tricia Rodgers, Acting Director
Division of Shared Savings Program - John Pilotte, Acting Director
Division of Value-Based Payment - Michael Wroblewski, Director

Functional Statement

• Serves as CMS' focal point for the formulation, coordination, integration, implementation, and evaluation of national Medicare program policies and operations.
• Identifies and proposes modifications to Medicare programs and policies to reflect changes or trends in the health care industry, program objectives, and the needs of Medicare beneficiaries. Coordinates with the Office of Legislation on the development and advancement of new legislative initiatives and improvements.
• Serves as CMS' lead for management, oversight, budget and performance issues relating to Medicare Advantage and prescription drug plans, Medicare fee-for-service providers and contractors.
• Oversees all CMS interactions and collaboration with key stakeholders relating to Medicare (i.e., plans, providers, other government entities, advocacy groups, Consortia) and communication and dissemination of policies, guidance and materials to same to understand their perspectives and to drive best practices in the health care industry.
• Develops and implements a comprehensive strategic plan, objectives and measures to carry out CMS' Medicare program mission and goals and position the organization to meet future challenges with the Medicare program and its beneficiaries.
•  Coordinates with the Center for Program Integrity on the identification of program vulnerabilities and implementation of strategies to eliminate fraud, waste, and abuse.