Peter Kongstvedt, MD, FACP is a highly regarded national authority on the health care industry with particular expertise in health insurance and managed health care. Dr. Kongstvedt advises health care executives on strategy, operations and effective decision-making, and he is also a Senior Health Policy Faculty Member in the Department of Health Administration and Policy at George Mason University where he teaches graduate courses on the Essentials of Health Insurance and Managed Health Care. In March of 2014, he was appointed by Virginia's Gov. McAuliffe to serve on the state's Board of Medical Assistance Services and reappointed by Gov. Northam in 2018. He has also served as a Senior Advisor to Ankura Consulting Group, LLC and its clients.
Dr. Kongstvedt's unique business expertise comes from the varied roles he has performed over his career as an independent consultant, as a partner at global consulting firms, as a senior executive at a number of health plans and insurers, and through public service. Renowned as the primary author and editor of the premier textbooks about health insurance and managed care, Dr. Kongstvedt’s books are used by more than 230 graduate and undergraduate health administration & policy programs. Published by Jones & Bartlett Learning, these books includeThe Essentials of Managed Health Care, 6th Edition. (2013) and Health Insurance and Managed Care: What They Are and How They Work, Fifth Edition (2020).
As a health care industry thought leader and media-trained communicator, Dr. Kongstvedt has consulted to and made several appearances on The CBS Evening News, and has appeared on NBC's Today Show, CNN, PBS's Nightly Business Report, National Public Radio's All Things Considered, The Wall Street Journal, The Washington Post, The Los Angeles Times, Bloomberg News, Medical News Television Network, and numerous trade publications. He is also a well-regarded speaker at industry conferences and corporate events.
To learn more about the services that Dr. Kongstvedt provides to his clients, click on the type of service below.
The P.R. Kongstvedt (PRK) Company, LLC is a consulting firm advising health care companies and executives on strategy, operations, and effective decision making to achieve greater success. Principal Dr. Peter Kongstvedt has extensive experience in health care as an independent consultant, a partner at global firms, a senior executive in health insurance and managed care organizations, educator, author, and a licensed physician.
He brings to each of his clients unparalleled knowledge of the medical and economic dynamics of the health care system, deep operational experience, and a thorough grasp on current and future trends in the industry. Working with PRK, health care leaders and executives are in a stronger position to make decisions that optimize company and organizational performance.
Dr. Kongstvedt provides expert assistance to attorneys as a recognized, national authority on the health insurance and managed care industry. He quite literally "writes the books" that are widely considered the most authoritative references on health insurance and managed health care, positioning him well to provide valuable and credible expert assistance including consulting advisory services, report generation and expert witness testimony. Dr. Kongstvedt has also served as a Senior Advisor to Ankura Consulting Group, LLC, teaming with Ankura executives and consultants in providing expert services to Ankura clients.
Dr. Peter Kongstvedt has a long history of speaking at health-related industry and trade group conferences, as well as to health care companies. His extensive knowledge of the central issues in the industry, coupled with his wit and humor, give audiences a better understanding of the industry and the ability to apply what they've heard to their own work.
With his extensive experience as a physician, health care executive and global consultant, as well as his Senior Health Policy Faculty position at George Mason University, Dr. Kongstvedt has a strong sense of the issues and trends that are most important in the ever changing and unpredictable health care industry. He works directly with clients to identify the elements most appropriate and useful for particular audiences, and can accommodate a variety of needs to deliver speeches and presentations that best address a client's goals and objectives.
Examples of Topics Addressed by Dr. Kongstvedt Include:
The Patient Protection and Affordable Care Act (the ACA, or "Obamacare")
All topics related to health insurance and managed health care
Health policy
Provider payment and provider financial risk
ACOs, PCMHs, and other models of integrated delivery systems
Health care and health insurance costs
Moral hazard: Behavioral economics in healthcare
Future trends in the payer industry
Healthcare quality
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