Thomas Andrew Scully (born October 24, 1957) is an American lawyer and former government official. He was 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 ...
(CMS) from 2001 to 2004 under
President
President most commonly refers to:
*President (corporate title)
*President (education), a leader of a college or university
*President (government title)
President may also refer to:
Automobiles
* Nissan President, a 1966–2010 Japanese ful ...
George W. Bush
George Walker Bush (born July 6, 1946) is an American politician who served as the 43rd president of the United States from 2001 to 2009. A member of the Republican Party, Bush family, and son of the 41st president George H. W. Bush, he ...
. Scully is currently a general partner at
Welsh, Carson, Anderson & Stowe
Welsh, Carson, Anderson & Stowe (WCAS), also referred to as Welsh Carson, is a private equity firm. WCAS was formed in 1979 and focuses on investing in two growth industries, technology and healthcare, primarily in the United States. WCAS has a ...
, a
private equity
In the field of finance, the term private equity (PE) refers to investment funds, usually limited partnerships (LP), which buy and restructure financially weak companies that produce goods and provide services. A private-equity fund is both a ty ...
investment firm, where he focuses on
health care
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 ...
investments. Scully is also Principal a
Federal Health Policy Strategiesand a partner at its affiliated law firm Scully, Roskey & Missmar, where he focuses on
health care
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 ...
regulatory and legislative matters, as well as on advising clients on
health policy
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 ...
and strategies for
health care delivery
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 profess ...
.
Biography
Scully received his
B.A.
Bachelor of arts (BA or AB; from the Latin ', ', or ') is a bachelor's degree awarded for an undergraduate program in the arts, or, in some cases, other disciplines. A Bachelor of Arts degree course is generally completed in three or four years ...
from the
University of Virginia
The University of Virginia (UVA) is a Public university#United States, public research university in Charlottesville, Virginia. Founded in 1819 by Thomas Jefferson, the university is ranked among the top academic institutions in the United S ...
in 1979 and his
J.D. from
Catholic University
Catholic higher education includes universities, colleges, and other institutions of higher education privately run by the Catholic Church, typically by religious institutes. Those tied to the Holy See are specifically called pontifical univ ...
in 1986. From 1979 to 1981 he was a reports analyst for the
Federal Election Commission
The Federal Election Commission (FEC) is an independent regulatory agency of the United States whose purpose is to enforce campaign finance law in United States federal elections. Created in 1974 through amendments to the Federal Election Cam ...
. Scully began his political career by working for
US Senator
The United States Senate is the upper chamber of the United States Congress, with the House of Representatives being the lower chamber. Together they compose the national bicameral legislature of the United States.
The composition and powe ...
Slade Gorton
Thomas Slade Gorton III (January 8, 1928 – August 19, 2020) was an American lawyer and politician who served as a United States Senator from Washington from 1981 to 1987 and again from 1989 until 2001. A member of the Republican Party, he hel ...
from 1980 to 1985. Scully then served as an attorney with
Akin, Gump, Strauss, Hauer & Feld LLP from 1985 to 1988. In 1988, Scully joined the
presidential campaign
President most commonly refers to:
*President (corporate title)
*President (education), a leader of a college or university
*President (government title)
President may also refer to:
Automobiles
* Nissan President, a 1966–2010 Japanese ful ...
of
President
President most commonly refers to:
*President (corporate title)
*President (education), a leader of a college or university
*President (government title)
President may also refer to:
Automobiles
* Nissan President, a 1966–2010 Japanese ful ...
George H. W. Bush
George Herbert Walker BushSince around 2000, he has been usually called George H. W. Bush, Bush Senior, Bush 41 or Bush the Elder to distinguish him from his eldest son, George W. Bush, who served as the 43rd president from 2001 to 2009; pr ...
. Following that, he worked at the
White House
The White House is the official residence and workplace of the president of the United States. It is located at 1600 Pennsylvania Avenue NW in Washington, D.C., and has been the residence of every U.S. president since John Adams in 1800. ...
as Deputy Assistant to the President and Counselor to the Director of the
Office of Management and Budget
The Office of Management and Budget (OMB) is the largest office within the Executive Office of the President of the United States (EOP). OMB's most prominent function is to produce the president's budget, but it also examines agency programs, pol ...
(OMB) from 1992 to 1993; and as Associate Director of OMB for Human Resources, Veterans and Labor from 1989 to 1992.
Scully, then, reentered
private practice Private practice may refer to:
*Private sector practice
**Practice of law
In its most general sense, the practice of law involves giving legal advice to clients, drafting legal documents for clients, and representing clients in legal negotiati ...
with the
Washington, D.C.
)
, image_skyline =
, image_caption = Clockwise from top left: the Washington Monument and Lincoln Memorial on the National Mall, United States Capitol, Logan Circle, Jefferson Memorial, White House, Adams Morgan, ...
law firm of Patton Boggs, LLP, where he focused on
regulatory
Regulation is the management of complex systems according to a set of rules and trends. In systems theory, these types of rules exist in various fields of biology and society, but the term has slightly different meanings according to context. For ...
and legislative work in
health care
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 ...
. In his next role, Scully served as President and CEO of the Federation of American Hospitals from 1995 to 2001. The Federation represents over 1,500 privately owned and managed
hospitals
A hospital is a health care institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emerge ...
. It was from this position that Scully was nominated and confirmed as the HCFA Administrator ( later CMS). In this role, Scully served as the top executive in the management of
Medicare,
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 ...
,
the State Children's Health Insurance Program, and other national health care initiatives.
Administrator of Medicare
Medicare Improvement and Modernization Act
On December 8, 2003,
President
President most commonly refers to:
*President (corporate title)
*President (education), a leader of a college or university
*President (government title)
President may also refer to:
Automobiles
* Nissan President, a 1966–2010 Japanese ful ...
George W. Bush
George Walker Bush (born July 6, 1946) is an American politician who served as the 43rd president of the United States from 2001 to 2009. A member of the Republican Party, Bush family, and son of the 41st president George H. W. Bush, he ...
signed the
Medicare Prescription Drug, Improvement, and Modernization Act
The Medicare Prescription Drug, Improvement, and Modernization Act, also called the Medicare Modernization Act or MMA, is a federal law of the United States, enacted in 2003. It produced the largest overhaul of Medicare in the public health progr ...
, which established Medicare Part D (prescription drug benefit) and Part C (Medicare Advantage). Scully played a pivotal role in the development and design of the proposal, and led the Administration's effort to craft the final in bill in Congress.
Collection & publication of data on healthcare providers
In his first speech as
CMS
CMS may refer to:
Computing
* Call management system
* CMS-2 (programming language), used by the United States Navy
* Code Morphing Software, a technology used by Transmeta
* Collection management system for a museum collection
* Color managem ...
Administrator, Scully announced that
Medicare would begin collecting and publishing quality data on health care providers across the country including
hospitals
A hospital is a health care institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emerge ...
,
nursing homes
A nursing home is a facility for the residential care of elderly or disabled people. Nursing homes may also be referred to as skilled nursing facility (SNF) or long-term care facilities. Often, these terms have slightly different meanings to in ...
, home health agencies and
dialysis Dialysis may refer to:
*Dialysis (chemistry), a process of separating molecules in solution
**Electrodialysis, used to transport salt ions from one solution to another through an ion-exchange membrane under the influence of an applied electric pote ...
centers. The program began with the reporting of quality measures for
nursing homes
A nursing home is a facility for the residential care of elderly or disabled people. Nursing homes may also be referred to as skilled nursing facility (SNF) or long-term care facilities. Often, these terms have slightly different meanings to in ...
in a handful of states. In those states, 78 percent of the
nursing homes
A nursing home is a facility for the residential care of elderly or disabled people. Nursing homes may also be referred to as skilled nursing facility (SNF) or long-term care facilities. Often, these terms have slightly different meanings to in ...
reported that they tried to improve, according to
CMS
CMS may refer to:
Computing
* Call management system
* CMS-2 (programming language), used by the United States Navy
* Code Morphing Software, a technology used by Transmeta
* Collection management system for a museum collection
* Color managem ...
. The next step for the program was the publication of performance by
nursing homes
A nursing home is a facility for the residential care of elderly or disabled people. Nursing homes may also be referred to as skilled nursing facility (SNF) or long-term care facilities. Often, these terms have slightly different meanings to in ...
nationwide on 10 measures ranging from the percentage of residents with
pressure sores
Pressure ulcers, also known as pressure sores, bed sores or pressure injuries, are localised damage to the skin and/or underlying tissue that usually occur over a bony prominence as a result of usually long-term pressure, or pressure in combi ...
to those in
physical restraint
Physical restraint refers to means of purposely limiting or obstructing the freedom of a person's bodily movement.
Basic methods
Usually, binding objects such as handcuffs, legcuffs, ropes, chains, straps or straitjackets are used for this ...
s. A $700,000
advertising campaign
An advertising campaign is a series of advertisement messages that share a single idea and theme which make up an integrated marketing communication (IMC). An IMC is a platform in which a group of people can group their ideas, beliefs, and conc ...
publicizing the measures began in conjunction with the release of the data. The intention of the program was to provide consumers with a comparison of
nursing homes
A nursing home is a facility for the residential care of elderly or disabled people. Nursing homes may also be referred to as skilled nursing facility (SNF) or long-term care facilities. Often, these terms have slightly different meanings to in ...
while encouraging the homes to get better, according to a statement by Scully at the time. Critics of the program complained that nursing homes were being asked to do additional work in order to report the measures while they were dealing with funding cutbacks.
In July 2003, Scully announced that
CMS
CMS may refer to:
Computing
* Call management system
* CMS-2 (programming language), used by the United States Navy
* Code Morphing Software, a technology used by Transmeta
* Collection management system for a museum collection
* Color managem ...
would begin paying bonuses to
hospitals
A hospital is a health care institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emerge ...
that scored well on 35 quality measures. Hospitals nationwide would vie for $7 million in higher reimbursement by providing superior care for five conditions:
heart attack
A myocardial infarction (MI), commonly known as a heart attack, occurs when blood flow decreases or stops to the coronary artery of the heart, causing damage to the heart muscle. The most common symptom is chest pain or discomfort which may tr ...
,
heart failure
Heart failure (HF), also known as congestive heart failure (CHF), is a syndrome, a group of signs and symptoms caused by an impairment of the heart's blood pumping function. Symptoms typically include shortness of breath, excessive fatigue, a ...
,
pneumonia
Pneumonia is an inflammatory condition of the lung primarily affecting the small air sacs known as alveoli. Symptoms typically include some combination of productive or dry cough, chest pain, fever, and difficulty breathing. The severity ...
,
coronary artery bypass surgery
Coronary artery bypass surgery, also known as coronary artery bypass graft (CABG, pronounced "cabbage") is a surgical procedure to treat coronary artery disease (CAD), the buildup of plaques in the arteries of the heart. It can relieve chest pai ...
, and
hip
In vertebrate anatomy, hip (or "coxa"Latin ''coxa'' was used by Celsus in the sense "hip", but by Pliny the Elder in the sense "hip bone" (Diab, p 77) in medical terminology) refers to either an anatomical region or a joint.
The hip region is ...
and
knee replacement
Knee replacement, also known as knee arthroplasty, is a surgical procedure to replace the weight-bearing surfaces of the knee joint to relieve pain and disability, most commonly offered when joint pain is not diminished by conservative sources a ...
s. In addition, CMS posted report cards on the hospitals' performance on the public CMS website. The program was hailed as large step towards improving the American
health care system
Health, according to the World Health Organization, is "a state of complete physical, Mental health, mental and social well-being and not merely the absence of disease and infirmity".World Health Organization. (2006)''Constitution of the World H ...
by leading to a more rational
health care pricing system.
Scully also initiated a broad public education campaign to improve seniors’ awareness and utilization of their Medicare benefits. The
US$
The United States dollar (symbol: $; code: USD; also abbreviated US$ or U.S. Dollar, to distinguish it from other dollar-denominated currencies; referred to as the dollar, U.S. dollar, American dollar, or colloquially buck) is the official ...
30 million publicly funded advertising campaign called, "Helping You Help Yourself" was designed to inform Medicare
beneficiaries
A beneficiary (also, in trust law, '' cestui que use'') in the broadest sense is a natural person or other legal entity who receives money or other benefits from a benefactor. For example, the beneficiary of a life insurance policy is the person ...
about the Medicare web site and toll-free phone number, which could answer their questions about health care plans.
New Name for HCFA
On July 1, 2001, Scully presided over his agency's name change: the
Health Care Financing Administration
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 ...
would now be called 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 ...
.
Recent Developments
In 2006, Scully led the investment and development in Member Health, the 3d largest Part D pharmacy benefit manager in the post acute management area, which was subsequently purchased by
CVS Health
CVS Health Corporation (previously CVS Corporation and CVS Caremark Corporation) is an American healthcare company that owns CVS Pharmacy, a retail pharmacy chain; CVS Caremark, a pharmacy benefits manager; and Aetna, a health insurance provi ...
. In 2013, Scully founded naviHealth, now a
Cardinal Health Company. In 2015, Scully led the investment and development i
Innovage the country's largest and leading Program of All-Inclusive Care for the Elderly (PACE). In 2019, Scully was the co-lead investor in Shields Health Solutions, subsequently purchased by
Walgreens
Walgreen Company, d/b/a Walgreens, is an American company that operates the second-largest pharmacy store chain in the United States behind CVS Health. It specializes in filling prescriptions, health and wellness products, health information, an ...
. Scully is currently co-leading an investment in Liberty Dental Plan with Anthem. He currently sits on the boards of
Dartmouth Geisel School of Medicine, the University of Virginia Health System, th
Batten School of Leadership and Public Policy at the University of Virginia and th
George & Barbara Bush Foundation Library Advisory Council He is the Chairman of th
Alliance for Health Policy He also serves on the Boards o
InnovAgeHealth Management AcademyEmerusSelect Medicaland The Columbus School of Law at Catholic University.
References
External links
*
CMS Administrator Tenure Dates & Biographies 1965 — 2015Thomas A. Scully - General Partner (Welsh, Carson, Anderson, and Stowe bio)Nominations of Claude Allen, Thomas Scully, Piyosh Jindal, Linnet F. Deily, Peter Allgeier, Peter R. Fisher, and James Gurule : hearing before the Committee on Finance, United States Senate, One Hundred Seventh Congress, first session, on the nominations of Claude Allen to be Deputy Secretary ..., Thomas Scully ... Administrator of the Health Care Financing Administration ..., Piyosh Jindal ... Assistant Secretary ... HHS; Linnet F. Deily ... Peter Allgeier ... Deputy U.S. Trade Representative; Peter R. Fisher ... and James Gurule ... Under Secretary of the Treasury ... May 16, 2001LinkedIn Profile
{{DEFAULTSORT:Scully, Thomas A.
1957 births
Living people
Medicare and Medicaid (United States)
Private equity and venture capital investors
University of Virginia alumni
Columbus School of Law alumni
George W. Bush administration controversies
21st-century American lawyers
20th-century American lawyers
George H. W. Bush administration personnel
George W. Bush administration personnel