Category: Team

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Clay Farris

Founder and Practice Lead, Client Solutions

Clay has advised CMS administrators, state Medicaid Directors, health plan CEOs, technology COOs and a wide range of other clients in the healthcare industry.  His unique blend of management consulting, project management, policy making and analytics help deliver on-time, actionable results for a wide array of business challenges. His Weekly Medicaid Roundup is read and loved by more than 10,000 professionals in the Medicaid industry.

His experience includes policy making at both the federal (CMS) and state levels (State of Georgia), management consulting for large organizational change initiatives, big data solution sales and implementation and cutting-edge analytics.

He currently leads key project components related to consultation design, Medicaid subject matter expertise and project management. He has a masters in Health Policy from the Johns Hopkins Bloomberg of School of Public Health and is a Certified Internal Auditor.

Focus Areas
  • HHS technology (various)
  • Integrated care
  • Data analysis and systems

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Mary Doherty

Advising Health Plan Clients (LTSS focus)

RN, MSN, DNP

With more than 25 years experience as a clinician and operations expert in the healthcare space, Mary brings critical insights for clients working on health home and MLTSS programs. She has a strong industry knowledge of health insurance, managed care, Medicare, and Medicaid.  She helps clients develop strategies to increase quality, improve operational efficiencies and optimize revenue opportunities.  

Focus Areas
  • Health home program design and evaluation
  • Quality management

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Cindy Becker

Advising Government and Health Plan Clients

Cindy Becker is a health professional with more than 25 years of progressive leadership experience in Medicaid funding and delivery systems.  She has a demonstrated record of achieving results with a strong focus on collaboration, communications, and customer service.

Cindy has significant experience in health systems in both the public and private sectors.  She is well versed in health transformation – as a founding member of Oregon’s largest Coordinated Care Organization (CCO) now serving more than 230,000 members and a senior executive at the second largest CCO serving 125,000 members.  She has also held executive positions with state and local governments, serving as deputy director of the state’s health and human services agency and director of health for one of the large metropolitan counties.

Cindy is adept at bringing groups together to plan and accomplish strategic priorities.  Her passion is getting systems, policies, and resources aligned to achieve positive outcomes for individuals, families, and communities. Her experience in the private and government sectors, combined with her consulting work, uniquely positions her as a go-to person with the skills, abilities, and insights to provide exceptional services to clients.

Focus Areas
  • Coordinated Care Organizations
  • HHS policy development
  • Process improvement and measurement

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Tom Kaye

Advising Rx Clients

Tom has provided innovative and dynamic leadership in pharmacy management for over 25 years using broad work experiences in State affiliated Medicaid, Medicare MA/PD/SNP programs.

He serves as strategic pharmacy consultant for several national and regional managed care plans with efforts to improve operations, efficiencies and patient outcomes by the deployment of technology, benefit structure, payer relations and data analytics.

Tom maintains licensees in pharmacy for the states of Oklahoma, Kansas, Kentucky and Arkansas. He is a graduate of the schools of pharmacy and master program in business at Southwestern Oklahoma state university and Oklahoma City school of business.

Focus Areas
  • Regulatory compliance – State-Federal (Medicaid and Medicare)
  • Technology review/assessment and emerging markets
  • 340B
  • Pricing, costing and rebating
  • PBM agreements
  • Specialty pharmacy deployment
  • Provider incentives for quality improvement

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Kris Vilamaa

Partner & Chief Growth Officer

Kris has twenty years of behavioral health, health information technology and health policy experience.  Clients include information technology and pharmaceutical companies, state health and behavioral health departments, state Medicaid agencies, managed care organizations, federally qualified health centers, safety net hospitals, large health systems and community health providers to enact meaningful initiatives. 

His past governmental experience includes state system transformation projects, planning for Medicaid Transformation, development of new behavioral health treatment standards, service definitions and leading large information technology system implementations. Prior to joining Mostly Medicaid, he was Director of Behavioral Health for Germane Solutions and the first Chief Information Officer for the Alabama Department of Mental Health.

Currently, as Partner and Chief Growth Officer for Mostly Medicaid, Kris leads the consulting and product sales team, serves as a senior project manager for key client engagements and a thought leader for behavioral health and health policy in the Medicaid space.

Focus Areas
  • HHS technology (various)
  • Integrated care
  • Data analysis and systems
Career Highlights
  • State Mental Health CIO
  • Consulting practice leadership