Jerrold Hercenberg
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Jerrold Jacob Hercenberg, JD, MPA, is a
subject-matter expert A subject-matter expert (SME) is a person who has authority, accumulated great knowledge in a particular field or topic and this level of knowledge is demonstrated by the person's degree, licensure, and/or through years of professional experience ...
for the
healthcare Health care or healthcare is the improvement of health via the prevention, diagnosis, treatment, amelioration or cure of disease, illness, injury, and other physical and mental impairments in people. Health care is delivered by health profe ...
and health insurance industry and has been on the cutting edge of numerous
innovation Innovation is the practical implementation of ideas that result in the introduction of new goods or services or improvement in offering goods or services. ISO TC 279 in the standard ISO 56000:2020 defines innovation as "a new or changed entity ...
s over the last 30 years. Jerry began his career in the
federal government A federation (also known as a federal state) is a political entity characterized by a union of partially self-governing provinces, states, or other regions under a central federal government (federalism). In a federation, the self-governin ...
. He served on the staff the US House Budget Committee as an economist and manager of the Anti-Inflation Task Force during the late 1970s when inflation was out of control during the Carter Administration and helped to conduct hearings on inflation which helped the committee pass the annual budget legislation in 1980. He also served in the Health Care Financing Administration in the Office of the CFO where he contributed many ideas toward savings to the Government and received several awards from the Administrator and Secretary of HHS. Eventually, he became a Senior Advisor to the Administrator of the
Centers for Medicare and Medicaid Services The Centers for Medicare & Medicaid Services (CMS), is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer M ...
(formerly HCFA). While serving as the Chief Regulator for
managed care The term managed care or managed healthcare is used in the United States to describe a group of activities intended to reduce the cost of providing health care and providing American health insurance while improving the quality of that care ("man ...
plans, he authored the Medicare regulations that created Medicare and
Medicaid Medicaid in the United States is a federal and state program that helps with healthcare costs for some people with limited income and resources. Medicaid also offers benefits not normally covered by Medicare, including nursing home care and pers ...
risk contracts for managed care plans in the early 1980s. He then left the government to become an attorney and Of Counsel with the national law firm of
McDermott Will & Emery McDermott Will & Emery is an international law firm with a diversified business practice. The firm is one of the largest grossing law firms in the US and globally, and its lawyers represent a wide range of commercial, industrial and financial e ...
, where he co-chaired that firm’s Employer Health Benefits Work Group serving numerous
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companies and state budgets. After many years of law practice, Jerry was recruited to become the Senior Vice President and Chief Counsel of PHP Healthcare Corporation, a diversified health care company which operated health clinics for major US Corporations, owned HMOs, and specialized in developing
managed health care The term managed care or managed healthcare is used in the United States to describe a group of activities intended to reduce the cost of providing health care and providing American health insurance while improving the quality of that care ("man ...
. PHP was an
integrated delivery system An integrated delivery system (IDS), also known as integrated delivery network (IDN), is a health system with a goal of logical integration of the delivery (provision) of health care as opposed to a fragmented system or a disorganized lack of syste ...
which operated networks and health care clinical services in over 30 states. As a shareholder of PHP, Jerry represented over 40 different
HMOs In integrated circuits, depletion-load NMOS is a form of digital logic family that uses only a single power supply voltage, unlike earlier NMOS (n-type metal-oxide semiconductor) logic families that needed more than one different power supply v ...
and
PPOs In U.S. health insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care ...
that participated in the Medicare risk contract program. He was also a key figure in the development of the
Oregon Oregon () is a U.S. state, state in the Pacific Northwest region of the Western United States. The Columbia River delineates much of Oregon's northern boundary with Washington (state), Washington, while the Snake River delineates much of it ...
Medicaid program that greatly expanded care to children, provided managed care on a wide scale and defended its
rationing Rationing is the controlled distribution of scarce resources, goods, services, or an artificial restriction of demand. Rationing controls the size of the ration, which is one's allowed portion of the resources being distributed on a particular ...
program. Later in life, Hercenberg used his expertise to start BeneSolutions, LLC, a firm that developed a new PPO solution for employer
retiree A pensioner is a person who receives a pension, most commonly because of retirement from the workforce. This is a term typically used in the United Kingdom (along with OAP, initialism of old-age pensioner), Ireland and Australia where someone of p ...
plans with Medicare. He specializes in the areas of
strategic design Strategic design is the application of future-oriented design principles in order to increase an organization's innovative and competitive qualities. Its foundations lie in the analysis of external and internal trends and data, which enables design ...
and analysis of retiree health plans and their options for coordinating coverage with Medicare and public programs. Jerry is currently a Principal of Buck Consultants (recently acquired by
Xerox Xerox Holdings Corporation (; also known simply as Xerox) is an American corporation that sells print and electronic document, digital document products and services in more than 160 countries. Xerox is headquartered in Norwalk, Connecticut (ha ...
), a leading employee benefits consulting and outsourcing firm. He continues to play an integral role in Buck, by working with major clients to design
health plan Health policy can be defined as the "decisions, plans, and actions that are undertaken to achieve specific healthcare goals within a society".World Health Organization''Health Policy'' accessed 22 March 2011(Web archive)/ref> According to the ...
s that operate more efficiently. Jerry has a JD from the
University of Baltimore The University of Baltimore (UBalt, UB) is a public university in Baltimore, Maryland. It is part of the University System of Maryland. UBalt's schools and colleges provide education in business, law, public affairs, and the applied arts and sc ...
, a MPA (Finance) from
American University The American University (AU or American) is a private federally chartered research university in Washington, D.C. Its main campus spans 90 acres (36 ha) on Ward Circle, mostly in the Spring Valley neighborhood of Northwest D.C. AU was charte ...
and a BA from
George Washington University , mottoeng = "God is Our Trust" , established = , type = Private federally chartered research university , academic_affiliations = , endowment = $2.8 billion (2022) , preside ...
. He was the author of a major book by BNA publications titled, The Catastrophic Protection Act of 1988: An Employer’s Guide to Compliance and Health Plan Redesign. He is also the author of 3
patent A patent is a type of intellectual property that gives its owner the legal right to exclude others from making, using, or selling an invention for a limited period of time in exchange for publishing an enabling disclosure of the invention."A p ...
s.


References

{{DEFAULTSORT:Hercenberg, Jerrold 1950 births Living people