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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, Princeton 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 health care industry clients on regulations and strategy, analyzes policies and leads projects. Medicaid and Medicare managed care, the Affordable Care Act (ACA), health care financing, Medicaid pharmaceutical policy 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, care management, value-based payment and quality measurement. He also advises states, hospitals and plans implementing the ACA and Medicaid redesign—including the expansion of Medicaid managed care—in New York, Alabama, North Carolina and other states.

In addition, Tony counsels key health care stakeholders on the implications of the ACA and other payment reform initiatives, including newly emerging policy around covering the dually eligible as well as strategies for expanding access to behavioral health services. Tony helps clients navigate these complex initiatives and advises them on the potential opportunities these programs bring to the health care marketplace. As leader of Manatt Health’s business strategy policy and analytics business unit, 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 health care 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 health care network.

Speaking Engagements

Speaking Engagements

Speaker, “Preparing MCOs for the IDD Carve-In,” 2022 Managed Care Compliance Conference, Health Care Compliance Association, Phoenix, Arizona, February 1, 2022.

Speaker, “View From Capitol Hill and State Capitols: Public Policy Outlook for Cancer Care,” Association for Value-Based Cancer Care 2018 Summit, October 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, Marketplace Advisory Committee, NY State of Health

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

Quoted, “Cutting-edge gene therapies could be coming for sickle cell. Will Medicaid patients be able to access them?,” STAT, March 14, 2022.

Quoted, “Hochul's proposed Medicaid managed care overhaul draws scrutiny. Here's what she may change.,” POLITICO, January 27, 2022.

Co-author, “Profile of Medicaid enrollees with sickle cell disease: A high need, high cost population,” PLOS ONE, funded by bluebird bio, October 2021.

Quoted, “State Medicaid program unlikely to give providers a raise anytime soon,” Modern Healthcare, July 8, 2021.

Quoted, “Pandemic Swells Medicaid Enrollment to 80 Million People, a ‘High-Water Mark’,” Kaiser Health News, June 17, 2021.

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

  • 01.14.22

    Fiori Named to NY State of Health Marketplace Advisory Committee

    Manatt Health Senior Managing Director Anthony Fiori has been appointed by the commissioner of the New York State Department of Health to the NY...

  • 06.17.21

    Fiori in Kaiser Health News on Major Uptick in Medicaid Enrollment

    Anthony Fiori is quoted in Kaiser Health News on the significant increase in Medicaid beneficiaries currently enrolled in...

  • 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

  • 11.09.21

    Profile of Medicaid Enrollees With Sickle Cell Disease: A High Need, ...

    Additional authors include April Grady, Dhaval Patel and Jessica Nysenbaum, formerly of Manatt Health Strategies. Sickle cell disease (SCD) is ...



  • 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 ...



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Tony's Newsletters

  • 10.28.21

    Delivering Breakthrough Treatments Affordably

    Scientific advances in understanding how to manipulate genes to alter the course of disease are now starting to bear fruit.

  • 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.

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Tony's Events and Webinars

  • 02.01.22

    Fiori to Speak at Managed Care Compliance Conference in Phoenix, AZ

    Manatt Health Senior Managing Director Anthony Fiori will speak at a session titled “Preparing MCOs for the IDD Carve-In” at the ...



  • 09.15.21

    Delivering Breakthrough Treatments Affordably

    Learn How Public and Private Payers, Life Sciences Companies, Providers and Patients Are Tackling the Complex Challenges of Providing Affordable ...



  • 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 ...



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