Peter Kongstvedt

Dr. Peter Kongstvedt is a highly regarded national authority on the health care industry with particular expertise in health insurance and managed health care. He is principal of the P.R. Kongstvedt Company, LLC, and advises health care executives on strategy, operations and effective decision-making. Dr. Kongstvedt is also a Senior Health Policy Faculty member in the Department of Health Administration and Policy at George Mason University. In March 2014, he was appointed by Virginia Governor Terry McAuliffe to serve as a board member on Virginia’s Board of Medical Assistance Services.

Dr. Kongstvedt’s unique business expertise comes from the varied roles he has performed over his long career. Prior to his most recent positions as partner and senior executive in global consulting firms, Dr. Kongstvedt held the most senior level executive positions at a number of health plans. His roots as a practicing physician also give him first-hand understanding of the totality of the health care profession.

Renowned as the primary author and editor of “the bibles of managed care,” Dr. Kongstvedt’s books are used by more than 230 graduate and undergraduate health administration & policy programs. These books include: The Essentials of Managed Health Care, 5th Edition (Jones & Bartlett; 2007), and the significantly updated Essentials of Managed Health Care, 6th Edition (Jones & Bartlett; April 2012). He also wrote Managed Care, What It Is and How It Works, 3rd Edition (Jones & Bartlett; 2008), and is updating that for publication in 2015.

As a health care industry thought leader, Dr. Kongstvedt has been quoted in dozens of trade publications and presents frequently at industry conferences and corporate events. Dr. Kongstvedt has consulted to and made several appearances on The CBS Evening News, and has appeared on NBC’s Today Show, CNN, and National Public Radio’s All Things Considered. He has also been quoted in the Wall Street Journal, the Washington Post and the Los Angeles Times as well as numerous trade publications.

A licensed physician, a board-certified internist and a Fellow in the American College of Physicians, Dr. Kongstvedt received his BS and MD degrees at the University of Wisconsin, where he also completed his internal medicine training & residency. He resides in McLean, VA.

The Patient Protection and Affordable Care Act
All topics related to health insurance and managed health care
Health policy
Provider payment and managed health care
Health care and health insurance costs
Moral hazard: Behavioral economics in healthcare
Future trends in the payer industry
ACOs and other new models of integrated delivery systems
Leadership and planning in uncertain times
Healthcare quality