Biography

Tom has been in private practice since  January 2000.

Prior to private practice, Tom served as the Director of the Division of Consumer Affairs for the Missouri Department of Insurance where he was responsible for drafting comprehensive managed care regulations, negotiating the settlement of a lawsuit over the conversion of a non-profit insurer to for-profit status, and negotiating settlements of market conduct exams that returned millions of dollars to Missouri consumers. Tom also established a process for external review of health insurers' claim denials, which was among the first of its kind in the country.

Tom graduated with honors from Harvard University (A.B.) and the University of Missouri-Columbia School of Law (J.D.). Tom was a member of the Order of the Coif and the Law Review, which published three of his articles. 

Tom is admitted to the Bar in Wisconsin and Illinois.


Recent Speaking Engagements


  • Just What the Doctor Ordered: Information Blocking Rule
      May 2022

      
    Presenter:
      Blue Cross Blue Shield National Summit:  Legal Department Cooperative

  • MyHealthEData--the Final Interoperability Rules and What They Mean for Health Plans
      March 2020

      
    Presenter:
      Blue Cross Blue Shield Association Legal Department Cooperative Webinar

  • Prickly Privacy Problems for Perplexed Plan Personnel
      May 2019

      
    Presenter, :
      Blue Cross Blue Shield National Summit
  • HIPAA Issue Spotting
      February 2019

      
    Presenter:
      Blue Cross Blue Shield Association Legal Department Cooperative Webinar 

  • Getting Into The Weeds with Business Associate Agreements
      December 2018

      
    Presenter:
      Blue Cross Blue Shield Association Legal Department Cooperative Webinar
  • Substance Use Disorder Records Rule
      November 2018

      
    Presenter:
      American Health Lawyers Association Institute for Health Plan Counsel
  • Substance Use Disorder Privacy and Data Sharing Requirements (Part 2)
      August 2018

      
    Presenter:
      Alliance of Community Health Plans Webinar
  • Confidentiality of Substance Use Disorder Patient Records
      May 2018

      
    Presenter:
      Blue Cross Blue Shield National Summit:  Legal Department Cooperative

  • Disclosing PHI to a CDHP Administrator: How HIPAA Applies to FSAs, HRAs, and HSAs
      November 2017

      
    Presenter:
      Blue Cross Blue Shield Association, Legal Department Cooperative Teleconference
  •   July 2017

      
    Co-Presenter:
      Blue Cross Blue Shield Association Legal Department Cooperative, 2017 Blue College

  • The Telephone Consumer Protection Act is Calling You!
      May 2016

      
    Presenter:
       Blue Cross Blue Shield Association National Summit
  • The Telephone Consumer Protection Act is Calling You!
      February 2016

      
    Co-Presenter:
      Health Care Compliance Association Managed Care Compliance Conference

  • Federal Enforcement of ACA Requirements
      May 2014

      
    Presenter:
      Blue Cross Blue Shield Association National Summit (Compliance & Ethics)
  • Risks and Trends in HIPAA Compliance
      February 2014

      
    Presenter:
      Health Care Compliance Association Managed Care Compliance Conference
  • HIPAA Administrative Simplification Compliance Certification
      January 2014

      
    Presenter:
      Blue Cross Blue Shield Association Legal Department Cooperative Teleconference

  • Privacy and the Deficit Reduction Act of 2005
      October 2013

      
    Presenter:
      Blue Cross Blue Shield Association 47th Annual Lawyers Conference
  • Coupons, Discounts and Privacy
      February 2013

      
    Presenter:
      Health Care Compliance Association Managed Care Compliance Conference

  • Coupons, Discounts and Privacy
      November 2012

      
    Co-Presenter:
      Blue Cross Blue Shield Association National Summit (Legal Department Cooperative)
  • Malls, Kiosks, and Storefronts: Compliance (and Sanity!)
      September 2012

      
    Co-Presenter:
      Blue Cross Blue Shield Association National Summit (Compliance & Ethics)
  • Medical Loss Ratio Rebates: How Health Plans Are Handling 2012 Rebates and Preparing for Future Years
      May 2012

      
    Co-Presenter:
      Atlantic Information Services, Inc. Webinar
  • Practical Tips for Assessing a Payor Compliance Program
      February 2012

      
    Presenter:
      Health Care Compliance Association Managed Care Compliance Conference

  •   December 2011

      
    Co-Moderator:
      American Health Lawyers Association Payors, Plans and Managed Care Law Institute
  • Claims and Appeals Procedures Under the Affordable Care Act
      October 2011

      
    Presenter:
      Blue Cross Blue Shield Association Compliance Program Teleconference
  •   September 2011

      
    Presenter:
      Atlantic Information Services, Inc. Webinar
  • American Health Benefit Exchanges: How They Will Work and What They Mean to You
      May 2011

      
    Presenter:
      Blue Cross Blue Shield Association Internal Audit, Anti-Fraud, Compliance and Ethics Conference, and Privacy Conference
  • Claims & Appeals Procedures Under the Affordable Care Act
      May 2011

      
    Presenter:
      Blue Cross Blue Shield Association Internal Audit, Anti-Fraud, Compliance and Ethics Conference, and Privacy Conference

  • Mental Health Parity Compliance: Impact on Plan Products and Procedures
      May 2010

      
    Presenter:
      Blue Cross Blue Shield Compliance and Ethics Conference
  • Non-Discriminating Tastes: Family History, GINA, and You
      May 2010

      
    Presenter:
      Blue Cross Blue Shield Compliance and Ethics Conference
  • Health Reform and Administrative Simplification: Keeping it Simple?
      May 2010

      
    Presenter:
      Blue Cross Blue Shield Lawyers Conference
  •   April 2010

      
    Moderator:
      American Health Lawyers Association Teleconference

  •   October 2009

      
    Presenter:
      American Health Lawyers Association Payors, Plans and Managed Care Law Institute
  •   June 2009

      
    Moderator:
      Blue Cross Blue Shield Association Compliance, Ethics, HIPAA and Privacy/Security Conference
  •   June 2009

      
    Presenter:
      Blue Cross Blue Shield Association Compliance, Ethics, HIPAA and Privacy/Security Conference
  •   April 2009

      
    Presenter:
      American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues
  •   March 2009

      
    Presenter:
      Blue Cross Blue Shield Association Legal Department Cooperative Teleconference
  •   February 2009

      
    Presenter:
      Health Care Compliance Association Managed Care Compliance Conference

  •   October 2008

      
    Presenter:
      Blue Cross Blue Shield Association Compliance and Ethics Teleconference
  •   October 2008

      
    Presenter:
      American Health Lawyers Association Payors, Plans and Managed Care Law Institute
  •   July 2008

      
    Presenter:
      American Health Lawyers Association Medicare Part D Task Force Teleconference
  •   June 2008

      
    Presenter:
      Healthcare Web Summit
  •   May 2008

      
    Presenter:
      Blue Cross Blue Shield Association Lawyers Conference
  •   May 2008

      
    Presenter:
      Interlaw Americas Meeting
  •   February 2008

      
    Presenter:
      University of Chicago Gleacher Center

  •   March 2007

      
    Presenter:
      Blue Plan Legal Department Cooperative Blue College, Fundamentals of a Blue Plan Practice
  •   January 2007

      
    Presenter:
      Scottsdale Institute

  •   November 2006

      
    Presenter:
      Blue Cross and Blue Shield Association Webinar
  •   August 2006

      
    Presenter:
      American Bar Association, Health Law Section
  •   May 2006

      
    Presenter:
      Blue Cross Blue Shield Association Lawyers Conference

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