Kevin Casey McAvey

With a practice that sits at the intersection of policy, strategy, and technical design, Kevin supports state and business leaders in transforming their systems of health to deliver more effective, efficient, and informed care. Bringing deep knowledge and applied experience with our nation’s health data systems – including its administrative (claims/encounters), clinical, financial, and public health data – Kevin advises federal and state regulators, purchasers, health information exchanges, providers, and payers in the development and implementation of data, business intelligence, and investment strategies to meet their most pressing information needs. Kevin’s work to resolve some of the nation’s most intractable health data concerns is supported by numerous national and state foundations.

Prior to joining Manatt Health, Kevin supported the establishment of Massachusetts’ independent health care data agency, where he led efforts to bring its All-Payer Claims Database (APCD) online for analytic use, develop and implement its health care cost transparency reporting, and establish analytic capabilities which still serve the state today. Before his service in state government, he worked for a major federal consultancy where he supported the modernization of financial oversight for America’s public housing and rural broadband incentive systems, and interned on the Hill for Senator Hillary Rodham Clinton.

Kevin is a frequent presenter on the impact of America’s changing health care landscape on its health data and infrastructure needs, and is a regular guest lecturer at colleges and universities, where he enjoys engaging with the nation’s next generation of health care leaders. He is widely published on innovative practices in health data collection, exchange, and use.

Kevin is an active Board member of the National Association of Health Data Organizations, where he serves as Vice Chair; the Center for Improving Value in Health Care, a leading state health data organization based in Colorado; and the Schuyler Center for Analysis and Advocacy, a policy think tank in Albany, New York, focused on advancing policies that promote strong families, thriving children, and vibrant communities.

Kevin received his B.A. from Colgate University, M.P.P. from Georgetown University, and M.S. in Applied Economics from Cornell University, where he attended on full scholarship and stipend.

Kevin lives in Bedford, New York, with his wife and two children.

Managing Director

Kevin Casey McAvey

New York

212.790.4543

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Bio

Kevin Casey McAvey

With a practice that sits at the intersection of policy, strategy, and technical design, Kevin supports state and business leaders in transforming their systems of health to deliver more effective, efficient, and informed care. Bringing deep knowledge and applied experience with our nation’s health data systems – including its administrative (claims/encounters), clinical, financial, and public health data – Kevin advises federal and state regulators, purchasers, health information exchanges, providers, and payers in the development and implementation of data, business intelligence, and investment strategies to meet their most pressing information needs. Kevin’s work to resolve some of the nation’s most intractable health data concerns is supported by numerous national and state foundations.

Prior to joining Manatt Health, Kevin supported the establishment of Massachusetts’ independent health care data agency, where he led efforts to bring its All-Payer Claims Database (APCD) online for analytic use, develop and implement its health care cost transparency reporting, and establish analytic capabilities which still serve the state today. Before his service in state government, he worked for a major federal consultancy where he supported the modernization of financial oversight for America’s public housing and rural broadband incentive systems, and interned on the Hill for Senator Hillary Rodham Clinton.

Kevin is a frequent presenter on the impact of America’s changing health care landscape on its health data and infrastructure needs, and is a regular guest lecturer at colleges and universities, where he enjoys engaging with the nation’s next generation of health care leaders. He is widely published on innovative practices in health data collection, exchange, and use.

Kevin is an active Board member of the National Association of Health Data Organizations, where he serves as Vice Chair; the Center for Improving Value in Health Care, a leading state health data organization based in Colorado; and the Schuyler Center for Analysis and Advocacy, a policy think tank in Albany, New York, focused on advancing policies that promote strong families, thriving children, and vibrant communities.

Kevin received his B.A. from Colgate University, M.P.P. from Georgetown University, and M.S. in Applied Economics from Cornell University, where he attended on full scholarship and stipend.

Kevin lives in Bedford, New York, with his wife and two children.

Education

Cornell University, M.S., Applied Economics, 2013

Georgetown University, M.P.P., Public Policy and Economic Analysis, 2007

Colgate University, B.A., Economics and English, 2005

Accomplishments

Moderator, “Value and analytics: health care costs”, National Association of Health Data Organizations, November 2024.

Moderator, “The Role of QHINs, Which One(s) to Use, and How to Use Them”, HIMSS New York, October 2024.

Speaker, “The Role of QHINs, Which One(s) to Use, and How to Use Them,” Interoperability in New York: During the Age of TEFCA, SHIN-NY, QHINS, and the 1115 Waiver, October 2024.

Presenter, “Realizing the Promise of All Payer Claims Databases: State Actions to Strengthen APCD Utility,” National Association of Health Data Organizations (NAHDO) 2023 Annual Conference, November 8, 2023.

Presenter and Panel Moderator, “State Cost Growth Benchmarking Programs: New Strategies to Drive Market Transparency and Accountability,” National Association of Health Data Organizations (NAHDO) 2023 Annual Conference, November 8, 2023.

Speaker, “Notes from the Field: How States are Investing in their Systems of Health to Meet the Needs of a Data-Driven Future,” Howard L. Bost Memorial Health Policy Forum, Foundation for a Healthy Kentucky, October 11, 2023.

Speaker, “State APCDs: Engine of Market Transparency and Insight,” Civitas Networks for Health Annual Conference, August 21, 2023.

Moderator, “Using State All Payer Claims Databases to Inform Policy and Program Design and Evaluation,” AcademyHealth Annual Research Meeting, June 27, 2023.

Speaker, “Collaboratives in Action: The Health Data Utility Framework, A Milestone in the Health Data Utility Movement,” Civitas Networks for Health, April 13, 2023.

Guest lecturer, “Health Data and Public Policy: All-Payer Claims Databases,” Harvard University Graduate School of Arts and Sciences, Cambridge, MA, February 2, 2023.

Presenter, “Health System Costs: Financial Trends and Impact on Oregonians,” Oregon Senate Committee on Healthcare, December 8, 2022.

Presenter, “Advancing State Cost Growth Benchmarking Programs,” National Association of Health Data Organizations 37th Annual Conference, October 26, 2022.

Speaker, “Keynote Reaction: The Role of State Health Data Organizations in Supporting Health Equity,” National Association of Health Data Organizations (NAHDO) Spotlight Series, May 25, 2022.

Presenter, “Unlocking Race and Ethnicity Data to Promote Health Equity,” National Association of Health Data Organizations 36th Annual Conference, September 24, 2021.

Speaker, “Business Roundtable Discussion on Race and Ethnicity Data Collection,” Leavitt Partners, September 17, 2021.

Speaker, “Unlocking Race and Ethnicity Data to Promote Health Equity in California,” Connecting for Better Health, May 6, 2021.

Speaker, “Unlocking Race and Ethnicity Data to Promote Health Equity in California,” America’s Physician Groups, April 26, 2021.

Panelist, “Funder Healthcare Considerations – Cost and Value,” Grantmakers in Health, April 20, 2021.

Speaker, “The Next Generation of State Healthcare Cost Benchmarking,” National Association of Health Data Organizations 2020 Conference, August 25, 2020.

Speaker, “What the Matter with Encounter Data? Common Issues and Actionable State Strategies for Improving a Critical Data Resource,” National Association of Health Data Organizations 2020 Conference, August 17, 2020.

Speaker, “Welcome Address,” Association of Public Data Users 2020 Annual Conference: #Trending in 2020: Data Privacy, Accuracy, and Access, July 27, 2020.

Co-presenter, “Using Data to Support State and Local Government Response to Crises,” National Association of Health Data Organizations Special Edition Web Conference (COVID-19 & Health Data), March 24, 2020.

Moderator, “Public and Private Solutions to Barriers in Health Care Transparency,” National Association of Health Data Organizations Health Care Data Summit 2018, Park City, Utah, Oct. 10, 2018.

Moderator, “The Future of Evidence-Based Policymaking,” Association of Public Data Users 2018 Annual Conference, Arlington, VA, July 17, 2018.

Moderator, Keynote Plenary, Association of Public Data Users 2018 Annual Conference, Arlington, VA, July 17, 2018.

Speaker, “Innovations in Data Visualization,” Association of Public Data Users 2017 Annual Conference, Arlington, VA, 2017.

Presenter, “2017 Data Viz Awards,” Association of Public Data Users 2017 Annual Conference, Arlington, VA, 2017.

Moderator, “Healthcare Data Analytics,” National Association of Health Data Organizations 32nd Annual Meeting, Washington, D.C., 2017.

Keynote Speaker, “From Data to Delivery: Communicating Useful Information About a Complex Health Care System,” AcademyHealth 2016 Conference, Translation and Communication Interest Group, Boston, MA, 2016.

Presenter, “Multipayer Claims Databases: Opportunities and Challenges,” AcademyHealth 2016 Concordium, Webinar, 2016.

Chair and Moderator, “Opening Remarks,” “Using Public Data to Inform Policy-Making,” and “1st Annual APDU Data Viz Awards,” Association of Public Data Users 2016 Conference, Alexandria, VA, 2016.

Presenter, CHIA Presentation on the Performance of the Massachusetts Health Care System, Health Policy Commission, 2016.

Speaker, “Incremental Data Source Transitioning for APCDs,” National Association of Health Data Organizations 2016 Conference, Minneapolis, MN, 2016.

Moderator and Presenter, “Web Tools for Data Analytics,” Association of Public Data Users 2014 Conference, Washington, D.C., 2014.

Commonwealth of Massachusetts, Commonwealth Citation for Outstanding Performance, 2016

Member, Oregon Health Authority, Cost Growth Target Rules Advisory Committee (2024)

Director, Board of Directors, National Association of Health Data Organizations (2017 – Present)

Vice Chair, Board of Directors, National Association of Health Data Organizations (2023, 2024)

Director, Board of Directors, Association of Public Data Users (2017 – 2020)

Chair, Board of Directors, Association of Public Data Users (2019 – 2020)

Co-author, “Do Health Care Providers That Serve Historically Marginalized Populations Get Paid Less?,” Arnold Ventures, July 2024.

Co-author, “2024 Annual Report: Medicaid in Montana,” Montana Healthcare Foundation, June 2024.

Co-author, “Examining the Financial Structure and Performance of Rhode Island’s Acute Hospitals and Health Systems,” The Rhode Island Foundation, March 2024.

Co-author, “Empowering Employer Purchasers: Recommendations To Support Market Transparency And Health System Performance,” Health Affairs, March 25, 2024.

Quoted, “State databases pose challenges but can yield powerful insights,” Association of Health Care Journalists, February 20, 2024.

Co-author, “Leveraging Health Care Cost and Affordability Data: A Suite of Analytic Resources,” the Peterson-Milbank Program for Sustainable Health Care Costs, November 2, 2023.

Co-author, “Medicaid in Montana: How Medicaid Impacts Montana’s State Budget, Economy, and Health,” Montana Healthcare Foundation, February 2023.

Quoted, “Medicaid in Montana: Preventative health, mental health on the rise, rural hospitals remain open,” Daily Montanan, February 9, 2023.

Author, “Realizing the Promise of All Payer Claims Databases: A Federal & State Action Plan,” Robert Wood Johnson Foundation, November 2022.

Co-author, “Medicaid in Montana: How Medicaid Impacts Montana’s State Budget, Economy, and Health,” Montana Healthcare Foundation, April 2022.

Co-author, “Assessing Implementation of Hospital Price Transparency,” New York State Health Foundation, January 2022.

Co-author, “Racism and Racial Inequities in Health: A Data-Informed Primer on Health Disparities in Massachusetts,” Blue Cross Blue Shield of Massachusetts Foundation, December 2021.

Co-author, “State Benchmarking Models: Promising Practices to Understand and Address Health Care Cost Growth,” Robert Wood Johnson Foundation, June 2021.

Authored, “Investing In The Data Systems We Need To Create The Health System We Deserve,” Health Affairs, June 4, 2021.

Quoted, “How to Achieve Health Equity? Leaders Say Start Unlocking Race and Ethnicity Data,” Healthcare Innovation, June 2, 2021.

Co-author, “CalAIM and Health Data Sharing: A Roadmap for Effective Implementation of Enhanced Care Management and In Lieu of Services,” California Health Care Foundation, May 5, 2021.

Quoted, “How to Overcome Challenges in Gathering Racial, Ethnicity Data,” HealthPayerIntelligence, April 26, 2021.

Co-author, “A Primer on the Dual Eligible Population in Massachusetts,” Blue Cross Blue Shield of Massachusetts Foundation, March 29, 2021.

Co-author, “Better Health Care Data Depends on Federal–State Coordination,” Milbank Memorial Foundation, March 29, 2021.

Co-author, “Implementing a Statewide Healthcare Cost Benchmark,” Robert Wood Johnson Foundation, December 12, 2019.

Co-author, “Strategies to Expand Transparency, Enhance Competition and Control Costs: A Toolkit for Insurance Regulators,” Robert Wood Johnson Foundation, July 2019.

Co-author, “Faces of MassHealth: Portrait of a Diverse Population,” Blue Cross Blue Shield of Massachusetts Foundation and Health Care For All, May 21, 2019.

Co-author, “Addressing Major Drivers of MassHealth Per-Enrollee Spending Growth: An Analytic Review and Policy Options,” Blue Cross Blue Shield of Massachusetts Foundation, November 14, 2018.

Co-author, “Enhancing the Value of Coverage Through Transparency: How APCDs Can Support Insurance Regulation,” Robert Wood Johnson Foundation, November 2018.

Co-author, “Transparency In Health Care: Where We Stand And What Policy Makers Can Do Now,” Health Affairs, July 11, 2018.

Co-author, “Medicaid Expansion: How It Affects Montana’s State Budget, Economy, and Residents,” Montana Healthcare Foundation, June 2018.

Co-author, “Medicaid: The Linchpin in State Strategies to Prevent and Address Opioid Use Disorders,” Robert Wood Johnson Foundation’s State Health and Value Strategies program, March 2018.

Co-author, “Changes to Medicaid Expansion in the American Health Care Act: State-by-State Estimates of the Coverage and Fiscal Impact,” Manatt Health, March 2017.

Co-author, “Annual Report on the Performance of the Massachusetts Health Care System,” Center for Health Information and Analysis, 2013-2016.

Co-author, “Massachusetts Medical Loss Ratios,” Center for Health Information and Analysis, 2015.

Co-author, “Massachusetts Tiered Network Membership, Center for Health Information and Analysis, 2014-2015.

Co-author, “Massachusetts High Deductible Health Plan Membership,” Center for Health Information and Analysis, 2014.

Co-author, “Massachusetts Managed Care Membership,” Center for Health Information and Analysis, 2014.

Co-author, “CHIA Report on Bundled Payments: Volume 2,” Center for Health Information and Analysis, 2013.

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