Gary D. Alexander is the founder, president and CEO of The Alexander Group, a government and private-sector consulting firm that creates and delivers cutting-edge data driven solutions, strategic business-development and innovative-technology platforms, to improve efficiency, effectiveness and quality. He is a nationally recognized health-care and Medicaid expert, welfare reformer, and budget specialist. For over 15 years, he has transformed underperforming state health and welfare agencies into accountable, value-oriented and data and performance-driven systems by pioneering structural reforms and state-of-the-art technology solutions that have improved outcomes and quality, lowered health-care costs, reduced fraud and waste, re-engineered employment programs, modernized access, and eliminated budget deficits. A pragmatic and decisive leader, Alexander has a track record not only of identifying problems but also assembling the right mix of talent, policy makers, and stakeholders to generate data-driven solutions with quantifiable results to some of the most vexing challenges facing federal, state and local governments. By restructuring large and often unaccountable public agencies, according to performance-based teams that produce measurable outcomes, he has earned a reputation for leadership excellence.
Prior to founding the Alexander Group, Mr. Alexander served as Pennsylvania Governor Tom Corbett’s secretary of public welfare and senior health and welfare advisor from 2011 to 2013. In that role he oversaw overall operations, management, and policy development for one of the largest health and welfare agencies in the nation, a department with a budget of $27.5 billion, 6 hospitals, 5 state intermediate facilities, 94 offices, 16,500 employees and 2.2 million public assistance recipients.
Upon arrival in Pennsylvania, Mr. Alexander faced double-digit growth, an uncoordinated service structure, and a fragmented organization. To fix these problems, he crafted and implemented a cutting-edge plan to eradicate fraud and waste called the Enterprise-wide Program Integrity and Improvement Initiative. This reform reduced fraud, waste and abuse across all programs by creating system-wide cross-functional client teams and implementing project management to re-engineer business processes, focus leadership, and transform policy and systems to ensure laser-like accountability. The net of his efforts upended the Department of Public Welfare’s (DPW) entrenched culture of unlimited spending, making the department more efficient and accountable. Alexander’s new global enterprise-wide program integrity achievements have been lauded by health and welfare-reform experts and earned the DPW the National Innovation award for Excellence and Best Practice from the Council of State Governments. By transforming a reactive bureaucracy into a proactive organization, Alexander’s efforts saved taxpayers more than $1 billion dollars overall while delivering a $141 million dollar surplus in fiscal year 2012. Alexander also redesigned the department’s Medicaid and employment programs’ payment and contracting methodologies to focus on performance-based outcomes, created a streamlined county health and welfare global payment system and implemented service enhancements for the intellectually disabled.
Prior to his tenure in the Keystone State, Mr. Alexander created and implemented similar reforms as the Rhode Island secretary of health and human services and human-services director from 2006 to 2011. He is the author and architect of the 2009 landmark Rhode Island Global Medicaid Waiver that for the first time delivered unprecedented flexibility to a state to redesign its Medicaid program. Relieving the state of burdensome federal mandates and requirements, this groundbreaking measure improved care quality, outcomes and access, lowered public costs, created more choices for recipients — including more appropriate care settings – and properly aligned services and benefits. The waiver’s long term care redesign is also being used as a model of reform around the nation. In its first two years, the waiver not only saved approximately $100 million but also kept total Medicaid spending at billions of dollars below the agreed-upon spending limit. Yielding budget surpluses to this day, the waiver helped Rhode Island eradicate its structural deficit. And by changing the welfare culture that favors unlimited spending, introducing accountability into Medicaid, and improving quality, Alexander’s initiative has been cited as a model of entitlement reform, particularly Medicaid reform, by various experts and publications, including the Wall Street Journal.
He is also committed to unleashing the power of technology to improve the quality of services, reduce costly medical errors, eliminate waste, and manage expenditures more efficiently. During his tenure in Rhode Island, the state initiated and implemented the Global Waiver Data Warehouse, began telemedicine, electronic medical records and a modernization of the eligibility system. In Pennsylvania, he designed a real-time front-end fraud-prevention system, offered a transparency portal to allow recipients to shop for health services and created an indicator database that will measure consumer health status and benchmark wellness progress with electronic scorecards.
He possesses a unique understanding of how government interfaces with the private sector and has appeared frequently in the media and before Congress. Mr. Alexander earned a law degree from Suffolk University School of Law and a bachelor’s degree from Northeastern University. He studied for the priesthood in the Armenian Orthodox Church, where he serves as an ordained deacon.
He is married with two children.
The Alexander Group, LLC: The Alexander Group (AG) is a nationally recognized global solutions consulting firm located in Providence, RI, Philadelphia, PA and Washington, DC. AG is a results-driven government and business consulting firm that creates and delivers cutting-edge data driven solutions, strategic business development and innovative health-care and technology platforms — to improve efficiency, effectiveness and quality for our clients in the public and private sectors. AG provides innovative solutions to government agencies to improve their bottom line and critical assistance to private businesses to enhance their revenue and profitability. The firm possesses deep expertise in health care policy, program development, executive management, strategic planning, informatics, analytics, econometrics, budget and finance, legal and transaction assistance.