Kelly Drury

Director, Division of Risk Adjustment Operations, Centers for Medicare & Medicaid Services (CMS)

Kelly Drury serves as the Director of the Division of Risk Adjustment Operations in the Payment Policy and Financial Management Group at the Center for Consumer Information & Insurance Oversight (CCIIO) within the Centers for Medicare & Medicaid Services (CMS). Kelly leads the permanent risk adjustment program and RADV operations responsible for ensuring the integrity of billions of dollars across the individual and small group market. She has also published original research and led the first ever prescription drug integration into the risk adjustment model: “Incorporating Prescription Drugs into Affordable Care Act Risk Adjustment” in Medical Care, January 2020 and “A Comparison of Health Risk and Costs Across Private Insurance Markets” in Medical Care, January 2020. Since joining CCIIO in May 2012, Kelly has focused mainly on risk adjustment policy and operations, including risk adjustment data validation. Prior to CCIIO, Kelly worked on home health payment policy in the Center for Medicare and in financial services at Legg Mason. Kelly has an undergraduate degree from the University of Maryland and an MBA in finance and management from Johns Hopkins University.

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