Tim Gronniger is the senior vice president for development and strategy at Caravan Health. He is also a nonresident fellow with the Center for Health Policy at the Brookings Institution. He is the former deputy chief of staff and director of delivery system reform at the Centers for Medicare and Medicaid Services, where he led the agency’s work on drug spending issues, significant elements of the agency’s implementation of the new physician payment system created by the Medicare Access and CHIP Reauthorization Act of 2015, creation of new payment models, and other initiatives aimed at improving the efficiency of the health care system. He was previously a senior adviser for health care policy at the White House Domestic Policy Council (DPC), where he was responsible for coordinating administration activities in health care delivery system reform. Before joining DPC, he was a senior professional staff member for Ranking Member Henry Waxman (D-CA) at the House Committee on Energy and Commerce and an analyst at the Congressional Budget Office.


Recent Posts by Tim Gronniger

The Insufficiency Of Medicaid Block Grants: The Example Of Puerto Rico

One need look no further than the growing health crisis in Puerto Rico to understand why capped federal money and state flexibility will not solve serious health care issues.

October 12, 2017Medicaid and CHIP

How Should The Trump Administration Handle Medicare’s New Bundled Payment Programs?

HHS has several options for addressing Secretary Price’s prior objections to the hospital-at-risk structure of the CJR and EPM models that could maintain the integrity of these payment reform initiatives. However, the Department does not have a good alternative to the mandatory structure used...

April 10, 2017Costs and Spending, Medicare, Quality

MACRA: New Opportunities For Medicare Providers Through Innovative Payment Systems (Updated)

Today, CMS released a Request for Information related to new provisions in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA): Merit-based Incentive Payment System, Alternative Payment Models, and a physician-focused payment model. Comments are due within 30 days.