Director, Performance-based Payment Policy Group

Centers for Medicare & Medicaid Services

John Pilotte is the Director of the Performance-based Payment Policy Group (P3) in the Center for Medicare at the Centers for Medicare & Medicaid Services. John manages policy development and operations for the Medicare Shared Savings Program, Medicare’s national Accountable Care Organization program with 500+ ACOs accountable for over 10.9 million Medicare beneficiaries. John also managed the development and implementation of Medicare’s Physician Value Modifier, the predecessor to the current Merit based Incentive Program, as well as resource use measures for physicians, hospitals and post-acute settings. Prior to P3, John served as the Director of the Division of Payment Policy Demonstrations in the predecessor of the Center for Medicare and Medicaid Innovation where he managed the development and implementation of the Physician Group Practice Demonstrations and care coordination demonstrations. Prior to joining CMS, John was a senior health care consultant for PricewaterhouseCoopers and part of the government relations team at the National Association of Children’s Hospitals. John has a Masters in Health Policy and Management from the Johns Hopkins University and a Bachelors of Science from Indiana University’s School of Public and Environmental Affairs.