Thought Leader, Care Redesign

Patrick H. Conway, MD, MSc

Former President and Chief Executive Officer
Blue Cross and Blue Shield of North Carolina

Patrick Conway, MD, MSc, is the former President and CEO of Blue Cross and Blue Shield of North Carolina. Prior to that role, he was the Acting Principal Deputy Administrator and Deputy Administrator for Innovation and Quality and Chief Medical Officer for the U.S. Centers for Medicare and Medicaid Services. As the CMS Acting Principal Deputy Administrator and CMS Chief Medical Officer, Dr. Conway was responsible for overseeing the programs that serve the millions of Americans that access health care services through Medicare, Medicaid, CHIP and the Marketplace. He and the CMS team focused on improving health outcomes, access and affordability while improving health disparities and combating health care fraud.

As the Deputy Administrator for Innovation and Quality, Dr. Conway led the Center for Clinical Standards and Quality (CCSQ) and the Center for Medicare and Medicaid Innovation (CMMI) at CMS. CCSQ is responsible for all quality measures for CMS, value-based purchasing programs, quality improvement programs in all 50 states, clinical standards and survey and certification of Medicare and Medicaid health care providers across the nation, and all Medicare coverage decisions for treatments and services. The center’s budget exceeds $2 billion annually and is a major force for quality and transformation across Medicare, Medicaid, CHIP, and the U.S. health care system. The CMS Innovation Center is responsible for testing numerous new payment and service delivery models across the nation. Models include accountable care organizations, bundled payments, primary care medical homes, state innovation models, and many more.  Successful models can be scaled nationally. The CMS Innovation Center budget is $10 billion over 10 years.

Key Components for Health Care Systems to Address Patient Affordability

New Marketplace

The Next Frontier in Reducing Costs of Care: Patient Affordability

To create meaningful point-of-care guidance so that patients can make informed medical and financial decisions, health system leaders and policymakers can develop interventions to address four major components of a proposed patient affordability scale.

Patrick Conway and David Cutler head shots

New Marketplace

The Highest Quality at a Lower Cost? We Don’t Have That Yet

David Cutler asks Patrick Conway what worked and what didn’t at CMS, advice he’d give to the Trump administration, and his predictions on Medicare and Medicaid.


Progress and Path Forward on Delivery System Reform

The basic goals of delivery system reform — to promote quality and value in our health care system — remain at the core of bipartisan efforts in health care, and it is therefore essential that such efforts continue.

Patient-Provider Conflict: The Perfect Environment Panel Clip Still

Care Redesign

Patient-Provider Conflict: The Perfect Environment

We must improve how patients perceive the system if we want health care to improve.

Thomas Graf Panel Clip Still: You Can't Always Compete Against Your Own Baseline

Care Redesign

A Cry for Encouraging Disruption in Health Care

Where we’re learning the most is disruption and innovation.

Patrick Conway and Francois de Brantes Panel Clip Still: Winners, Losers, and How to Stay in the Care Redesign Game

Care Redesign

Winners, Losers, and Staying in the Game

The “laggards” aren’t any less motivated to improve care or outcomes — it’ll just take the right incentives to get them there.

Patrick H. Conway Video Still: CMS Leader on New Payment Models

Care Redesign

CMS Leader on New Payment Models

Top CMS administrator discusses alternative payment model initiatives and the need to partner with providers to make them work.

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