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Sarai McDowell

Enterprise Project Manager

As enterprise project manager, Sarai ensures all client projects are executed with excellence.


Utilizing key objectives, milestones and our project management solution, Sarai oversees delivery of all projects. She maintains overall enterprise project performance while also paying attention to the details of the project.

Working alongside the consultants and partners, she verifies and implements the timeline of the project, has an open line of communication with our project POC and our consultants.

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Chuck Collins

Advising Pharmaceutical Clients

Mr. Collins has over 30 years of career experience in the Pharma Industry.  He has a long history across multiple therapeutic areas and works across all managed market channels and helps to develop our customized managed market solutions.  He serves as a Sr. Fellow to Medonomics, a nonprofit, nonpartisan think tank specializing in health policy, finance, and operations.   He has provided strategic managed markets consultation and tactical implementation to multiple major pharma clients.  In previous roles, he led the managed markets strategic counsel efforts providing insight and execution for commercial, Medicare, Medicaid, long-term care, and retail pharmacy chains.  He currently speaks on a national basis regarding healthcare delivery disparities at AMCP, NASP, and ASEMBIA. Mr. Collins participated in the strategic launch of American Health & Drug Benefits and, as a founding member of the editorial board, contributed actively for several years. He currently serves on the Saint Joseph’s University Haub School of Business Pharmaceutical & Healthcare Marketing MBA Program Board of Advisors. Mr. Collins graduated with a bachelor’s degree in chemistry from Virginia Commonwealth University. Mr. Collins additionally holds a master’s degree in clinical chemistry from Old Dominion University and a master’s degree of business administration in pharmaceutical marketing from Saint Joseph’s University in Philadelphia.

Chuck is also Principal and President, Healthcare Stakeholder Solutions™ LLC, a managed market consultancy in its 9th year focusing on the healthcare delivery disparities across multiple therapeutic areas

Focus Areas
  • Managed markets
  • Implementation and launch
  • Training and publication assistance

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Jeff Myers

Advising Rx and Health Plan Clients

Jeff is an expert advisor helping clients understand and formulate successful market access and reimbursement strategies. His experience spans working for Congress, life science innovators, as well as a range of payors and providers. Over his three decades in Washington, he has built and managed communications, government relations and regulatory policy organizations that have successfully addressed complex public policy issues that cross multiple constituencies. His fluency in understanding the big picture as well as the technical expertise in nuanced reimbursement and coverage policy and politics is demonstrated by his often sought out views. He frequently is asked to serve as a keynote speaker and panelist at conferences or is a “go to” opinion leader in the healthcare media space.

One of the largest growth areas in healthcare has been in the public payor space – specifically Medicaid and Medicare. As the former CEO and President of the Medicaid Health Plans of America (MHPA), Jeff was at ground zero during the massive expansion of this program and the overwhelming shift to managed care organizations (MCOs) and the resulting federal and state regulations. During his five-year tenure, his efforts with MHPA propelled the trade association to become a top influencer with government regulators, Congress and the media while representing companies taking full risk in populations as diverse as children, the working poor, and intellectually and physically disabled citizens.

He has an MBA from the Fuqua School of Business, Duke University, and a BA in International Relations and Psychology from Rhodes College.

Focus Areas
  • Medicaid managed care
  • Pharmaceutical market access strategy
  • Pharmaceutical regulatory analysis

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Kip Piper

Advising Government and Pharmaceutical Clients

Kip Piper is a leading expert on Medicaid, Medicare, and health reform – is a prominent consultant, speaker, and author.  A skilled business and policy strategist, Kip Piper advises health plans, hospitals and health systems, states, and pharmaceutical, biotechnology, medical device, information technology, and investment firms.  Kip Piper’s 30 years’ experience includes senior advisor to the Centers for Medicare and Medicaid Services (CMS) administrator, director of the Wisconsin Medicaid program, Wisconsin state health administrator, a senior Medicare budget officer at the White House Office of Management and Budget (OMB), and director of national, foundation-sponsored projects on payment reform and quality improvement.

Focus Areas
  • Policy development
  • Medicaid financing
Career Highlights
  • Wisconsin state Medicaid Director
  • President of Piper Results Group

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Clay Farris

Founder and Practice Lead, Client Solutions

Clay has advised CMS administrators, state Medicaid Directors, health plan CEOs, technology COOs and a wide range of other clients in the healthcare industry.  His unique blend of management consulting, project management, policy making and analytics help deliver on-time, actionable results for a wide array of business challenges. His Weekly Medicaid Roundup is read and loved by more than 10,000 professionals in the Medicaid industry.

His experience includes policy making at both the federal (CMS) and state levels (State of Georgia), management consulting for large organizational change initiatives, big data solution sales and implementation and cutting-edge analytics.

He currently leads key project components related to consultation design, Medicaid subject matter expertise and project management. He has a masters in Health Policy from the Johns Hopkins Bloomberg of School of Public Health and is a Certified Internal Auditor.

Focus Areas
  • HHS technology (various)
  • Integrated care
  • Data analysis and systems

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Tom Kaye

Advising Rx Clients

Tom has provided innovative and dynamic leadership in pharmacy management for over 25 years using broad work experiences in State affiliated Medicaid, Medicare MA/PD/SNP programs.

He serves as strategic pharmacy consultant for several national and regional managed care plans with efforts to improve operations, efficiencies and patient outcomes by the deployment of technology, benefit structure, payer relations and data analytics.

Tom maintains licensees in pharmacy for the states of Oklahoma, Kansas, Kentucky and Arkansas. He is a graduate of the schools of pharmacy and master program in business at Southwestern Oklahoma state university and Oklahoma City school of business.

Focus Areas
  • Regulatory compliance – State-Federal (Medicaid and Medicare)
  • Technology review/assessment and emerging markets
  • 340B
  • Pricing, costing and rebating
  • PBM agreements
  • Specialty pharmacy deployment
  • Provider incentives for quality improvement

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Kris Vilamaa

Partner & Chief Growth Officer

Kris has twenty years of behavioral health, health information technology and health policy experience.  Clients include information technology and pharmaceutical companies, state health and behavioral health departments, state Medicaid agencies, managed care organizations, federally qualified health centers, safety net hospitals, large health systems and community health providers to enact meaningful initiatives. 

His past governmental experience includes state system transformation projects, planning for Medicaid Transformation, development of new behavioral health treatment standards, service definitions and leading large information technology system implementations. Prior to joining Mostly Medicaid, he was Director of Behavioral Health for Germane Solutions and the first Chief Information Officer for the Alabama Department of Mental Health.

Currently, as Partner and Chief Growth Officer for Mostly Medicaid, Kris leads the consulting and product sales team, serves as a senior project manager for key client engagements and a thought leader for behavioral health and health policy in the Medicaid space.

Focus Areas
  • HHS technology (various)
  • Integrated care
  • Data analysis and systems
Career Highlights
  • State Mental Health CIO
  • Consulting practice leadership