Thomas A. Scully
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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 ...
(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: Arts and entertainment Film and television *'' Præsident ...
George W. Bush George Walker Bush (born July 6, 1946) is an American politician and businessman who was the 43rd president of the United States from 2001 to 2009. A member of the Bush family and the Republican Party (United States), Republican Party, he i ...
. 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 the industries of technology and healthcare, primarily in the United States. WCAS has a current ...
, a
private equity Private equity (PE) is stock in a private company that does not offer stock to the general public; instead it is offered to specialized investment funds and limited partnerships that take an active role in the management and structuring of the co ...
investment firm, where he focuses on
health care Health care, or healthcare, is the improvement or maintenance of health via the preventive healthcare, prevention, diagnosis, therapy, treatment, wikt:amelioration, amelioration or cure of disease, illness, injury, and other disability, physic ...
investments. Scully is also principal at Federal Health Policy Strategies and a partner at its affiliated law firm Scully, Roskey & Missmar, where he focuses on
health care Health care, or healthcare, is the improvement or maintenance of health via the preventive healthcare, prevention, diagnosis, therapy, treatment, wikt:amelioration, amelioration or cure of disease, illness, injury, and other disability, physic ...
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(archived 5 February 2011) According ...
and strategies for
health care delivery Health care, or healthcare, is the improvement or maintenance 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 ...
.


Biography

Scully received his
B.A. A Bachelor of Arts (abbreviated B.A., BA, A.B. or AB; from the Latin ', ', or ') is the holder of a bachelor's degree awarded for an undergraduate program in the liberal arts, or, in some cases, other disciplines. A Bachelor of Arts degree ...
from the
University of Virginia The University of Virginia (UVA) is a Public university#United States, public research university in Charlottesville, Virginia, United States. It was founded in 1819 by Thomas Jefferson and contains his The Lawn, Academical Village, a World H ...
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 univers ...
in 1986. From 1979 to 1981 he was a reports analyst for the
Federal Election Commission The Federal Election Commission (FEC) is an independent agency of the United States government that enforces U.S. campaign finance laws and oversees U.S. federal elections. Created in 1974 through amendments to the Federal Election Campaign ...
. Scully began his political career by working for
US Senator The United States Senate is a chamber of the bicameral United States Congress; it is the upper house, with the U.S. House of Representatives being the lower house. Together, the Senate and House have the authority under Article One of the ...
Slade Gorton Thomas Slade Gorton III (January 8, 1928 – August 19, 2020) was an American lawyer and politician from Washington. A member of the Republican Party, he served as a member of the United States Senate from 1981 to 1987, and again from 1989 to ...
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 A political campaign is an organized effort which seeks to influence the decision making progress within a specific group. In democracies, political campaigns often refer to electoral campaigns, by which representatives are chosen or referen ...
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: Arts and entertainment Film and television *'' Præsident ...
George H. W. Bush George Herbert Walker BushBefore the outcome of the 2000 United States presidential election, he was usually referred to simply as "George Bush" but became more commonly known as "George H. W. Bush", "Bush Senior," "Bush 41," and even "Bush th ...
. Following that, he worked at the
White House The White House is the official residence and workplace of the president of the United States. Located at 1600 Pennsylvania Avenue Northwest (Washington, D.C.), NW in Washington, D.C., it has served as the residence of every U.S. president ...
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). The office's most prominent function is to produce the president's budget, while it also examines agency pro ...
(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 with the
Washington, D.C. Washington, D.C., formally the District of Columbia and commonly known as Washington or D.C., is the capital city and federal district of the United States. The city is on the Potomac River, across from Virginia, and shares land borders with ...
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. Fo ...
and legislative work in health care. 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 healthcare 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 emergency ...
. 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 is a government program in the United States that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by U.S. state, state governments, which also h ...
, 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 George W. Bush 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 pro ...
, 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 and publication of data on healthcare providers

In his first speech as
CMS CMS may refer to: Computing * Call management system * CMS-2, a programming language implemented for and used by the United States Navy * Code Morphing Software, a technology used by Transmeta * Collection management system for a museum coll ...
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 healthcare 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 emergency ...
,
nursing homes A nursing home is a facility for the residential care of older people, senior citizens, or disabled people. Nursing homes may also be referred to as care homes, skilled nursing facilities (SNF), or long-term care facilities. Often, these terms ...
, 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 po ...
centers. The program began with the reporting of quality measures for
nursing homes A nursing home is a facility for the residential care of older people, senior citizens, or disabled people. Nursing homes may also be referred to as care homes, skilled nursing facilities (SNF), or long-term care facilities. Often, these terms ...
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 older people, senior citizens, or disabled people. Nursing homes may also be referred to as care homes, skilled nursing facilities (SNF), or long-term care facilities. Often, these terms ...
reported that they tried to improve, according to CMS. 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 older people, senior citizens, or disabled people. Nursing homes may also be referred to as care homes, skilled nursing facilities (SNF), or long-term care facilities. Often, these terms ...
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 comb ...
to those in
physical restraint Physical restraint refers to means of limiting or obstructing the freedom of a person's or an animal's bodily movement. Basic methods Usually, binding objects such as handcuffs, legcuffs, ropes, chains, straps or straitjackets are u ...
s. A $700,000
advertising campaign An advertising campaign or marketing 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 ide ...
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 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 would begin paying bonuses to hospitals 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 Ischemia, blood flow decreases or stops in one of the coronary arteries of the heart, causing infarction (tissue death) to the heart muscle. The most common symptom ...
,
heart failure Heart failure (HF), also known as congestive heart failure (CHF), is a syndrome caused by an impairment in the heart's ability to Cardiac cycle, fill with and pump blood. Although symptoms vary based on which side of the heart is affected, HF ...
,
pneumonia Pneumonia is an Inflammation, inflammatory condition of the lung primarily affecting the small air sacs known as Pulmonary alveolus, alveoli. Symptoms typically include some combination of Cough#Classification, productive or dry cough, ches ...
,
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 ...
, and
hip In vertebrate anatomy, the hip, or coxaLatin ''coxa'' was used by Celsus in the sense "hip", but by Pliny the Elder in the sense "hip bone" (Diab, p 77) (: ''coxae'') in medical terminology, refers to either an anatomical region or a joint on t ...
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. ...
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 A health system, health care system or healthcare system is an organization of people, institutions, and resources that delivers health care services to meet the health needs of target populations. There is a wide variety of health systems aroun ...
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 (Currency symbol, symbol: Dollar sign, $; ISO 4217, currency code: USD) is the official currency of the United States and International use of the U.S. dollar, several other countries. The Coinage Act of 1792 introdu ...
30 million publicly funded advertising campaign called, "Helping You Help Yourself" was designed to inform Medicare
beneficiaries A beneficiary 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 who receives the payment of the amount of ...
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 would now be called the Centers for Medicare and Medicaid Services, or CMS.


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 is an American healthcare company that owns CVS Pharmacy, a retail pharmacy chain; CVS Caremark, a pharmacy benefits manager; and Aetna, a health insurance provider, among many other brands. The company is the worl ...
. 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 Walgreens is an American pharmacy store chain. It is the second largest in the United States, behind CVS Pharmacy. As of March 2025, the company operated more than 8,700 stores in the U.S. Walgreens has been the subject of a number of lawsuit ...
. 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, the Batten School of Leadership and Public Policy, at the University of Virginia and the George & Barbara Bush Foundation Library Advisory Council. He is the chairman of the Alliance for Health Policy. He also serves on the boards of InnovAge, Health Management Academy, Emerus, Select Medical, and 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, 2001

LinkedIn 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