Lu Zawistowich, ScD, is the President and Founder of CapView Strategies and is a nationally recognized thought-leader on Medicaid, Medicare, the Affordable Care Act (ACA), and health care innovation and reform. She advises clients on their strategic business and public policy objectives. Her work includes developing and implementing legislative and regulatory solutions on a broad range of issues, including Medicaid expansion and reform, Medicare restructuring, implementation of state health exchanges, drug and device coverage and payment, and health care financing.
Dr. Zawistowich has held numerous senior leadership positions during her distinguished career in both the public and private sectors. She served as the founding Executive Director of the Medicaid and CHIP Payment and Access Commission (MACPAC), which was launched under her leadership to be a trusted and credible resource for Congress, states, and key stakeholders on Medicaid and CHIP policy. She established the Commission’s policy analysis framework, its data development strategies, and its research agenda. She also secured Congressional funding for MACPAC—creating a long-term, stable financial foundation for the Commission.
Dr. Zawistowich previously served as the Acting Deputy Director of the Center for Consumer Information and Insurance Oversight (CCIIO) at the U.S. Department of Health and Human Services (HHS) and was instrumental in setting up this organization to implement the provisions of the ACA.
Dr. Zawistowich’s private sector experience includes serving as Senior Health Policy Advisor at Patton Boggs, LLP, where she developed and executed regulatory and legislative strategies for high-profile clients in Medicare, Medicaid, and private health insurance. As the Director of Reimbursement and Planning for Amgen, the world’s largest biotechnology company, Dr. Zawistowich worked with product brand teams on coverage and reimbursement strategies for FDA approved and marketed products, as well as for products in the pipeline. She also developed regulatory and legislative strategies to address the impact of the 2003 Medicare Modernization Act (MMA). As Deputy Executive Director of the Medicare Payment Advisory Commission (MedPAC), Dr. Zawistowich advised Congress on Medicare payment policies in fee-for-service and managed care, and on access to care and quality-of-care issues.
During her prior tenure at the Centers for Medicare and Medicaid Services (CMS), Dr. Zawistowich directed the Medicare demonstrations group, implemented the Medicare managed care risk adjustment payment system and the competitive bidding demonstration projects—the prototypes for the new Medicare competitive bidding models. She also managed operations in the Medicare fee-for-service program as the Director of the Contractor Management Group. During the Clinton Administration, she served as Director of the Office of State Health Reform and worked with states on broad-based health care reform initiatives and implemented Medicaid managed care programs. Dr. Zawistowich also served as Executive Director of the Competitive Pricing Advisory Committee and Deputy Director of Medicaid Policy. She started her career in public policy at the State of Maryland Department of Health and Mental Hygiene working on Medicaid program development and financing issues.
Dr. Zawistowich holds a ScD from The Johns Hopkins Bloomberg School of Public Health.
- American Public Health Association
- National Academy of Social Insurance
- Speaker, 2014 National Spring ACO Conference, “ACOs in Medicaid – Opportunities and Challenges”
- External Council and Faculty Member, 2014 Genentech Oncology Institute, “Advance Cancer Care in a New Era”