Larry Kocot

Principal and National Leader of The Center for Healthcare Regulatory Insight

KPMG in the U.S.

Larry Kocot is a Principal at KPMG, LLP and National Leader of KPMG’s Center for Healthcare Regulatory Insight. The Center follows health care regulatory and policy trends driving health care transformation and industry convergence and the broader implications of operating in a more collaborative and integrated U.S. healthcare payment and delivery environment.

Mr. Kocot provides advice and counsel to companies on corporate strategy and regulatory matters relating to public health care programs, including Medicare and Medicaid.  Mr. Kocot has served as counsel to a wide range of corporations and associations on a variety of different matters, including internal investigations and audits, as well as disputes with federal and state agencies.  Additionally, Mr. Kocot has counseled organizations on the development and formation of accountable care organizations and other alternative payment arrangements.  

Mr. Kocot is a former Senior Advisor to the Administrator of the Centers for Medicare and Medicaid Services (CMS) at the U.S. Department of Health and Human Services. In this capacity, he was involved in a wide range of health care policy issues and operations related to Medicare and Medicaid. Notably, Mr. Kocot was a key member of the management and operations team responsible for pharmaceutical, pharmacy, and pharmacy benefit management (PBM) issues, including the launch and operation of the Medicare Prescription Drug Benefit (Part D). More specifically, he led the development of policy and regulation under the Part D program; guided CMS efforts to design and develop new systems functionality for providing beneficiary information to providers in real time at the point of sale; designed and launched CMS initiatives on pharmacy quality and pharmacy quality alliances; and supervised pharmaceutical delivery and data management during and after natural disasters.

Since leaving government, Mr. Kocot has been involved in a number of successful payment and delivery initiatives, including running technical expert panels (TEPs) for new payment models under contract for the Center for Medicare and Medicaid Innovation (CMMI).

Prior to joining KPMG, Mr. Kocot practiced law at Epstein Becker Green, PC, and Dentons, US LLP.  From 2007-2015, Kocot was a visiting fellow in the Economic Studies Program at the Brookings Institution; he was also Deputy Director of the Engelberg Center for Health Care Reform at Brookings from 2007-2013. Mr. Kocot was a fellow in International Security Studies at the Center for Strategic and International Studies (CSIS), and an adjunct fellow at CSIS for several years thereafter. Before his government service, Mr. Kocot was Senior Vice President and General Counsel at the National Association of Chain Drug Stores, where he was responsible for all legal matters and represented the industry before Congress, state legislatures, and state and federal regulatory agencies. 

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