Episode Details

Jay Keese is CEO of Capitol Advocates, a Washington D.C. based policy and advocacy firm specializing in healthcare issues. Jay has represented physicians for decades, starting with a career in government relations at American Medical Association. Over the years, he has won important legislative and regulatory battles for doctors, employers, payers, states, health technologists, hospitals, device and pharmaceutical manufacturers on critical health care delivery and payment reforms. During the COVID-19 pandemic, Jay worked closely with physician groups, Congress and both administrations on critical waivers to state and federal laws that allow practices to fully utilize digital health services such as telehealth and remote patient monitoring to provide better care in a public health emergency.

Jay currently runs several national healthcare stakeholder coalitions. He serves as Executive Director of the Direct Primary Care Coalition. He was instrumental in drafting a provision in the Affordable Care Act (ACA) which defines Direct Primary Care (DPC) as a medical service offered outside of insurance which meets ACA Essential Health Benefits criteria. He then played a major role in the passage of over 30 related state laws and regulations clarifying the treatment of DPC medical services and bringing value-based primary care arrangements to Medicaid and State Employees’ health programs. He also leads advocacy work for the Partnership to Fight Chronic Disease (PFCD), a coalition of patients, providers, community leaders, businesses, unions, and health policy experts, committed to improving health outcomes and controlling costs by slowing the spread of preventable chronic disease by implementing more value-based payment and delivery reforms. He played a role in shaping many of these innovative reforms in the ACA and has helped implement programs like physician direct contracting with the Centers for Medicare and Medicaid Services (CMS) and the CMS Innovation Center (CMMI).

Jay has worked with doctors, health technologists and software manufacturers for decades to support the adoption of health information technology and patient care applications. He worked with a broad bipartisan group of stakeholders on the creation of a risk-based regulatory framework for smartphone apps adopted by the Food and Drug Administration—part of the Food and Drug Administration Safety and Innovation Act (FDASIA). He helped expand and implement many of these principles in provisions included in the 21st Century Cures Act. He began his career as an aide to the late Senator John Heinz (R-PA), a member of the Senate Finance Committee and Chairman of the Senate Aging Committee. Jay has been a guest lecturer at the Georgetown University School of Medicine and serves as an Adjunct Professor of Health Benefit Design at the University of Lynchburg, teaching a master’s degree class on the history of health policy.

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