Transformational Fellows

Tom Betlach, MBA

Tom Betlach

Fellow since 2019

Tom Betlach is a nationally recognized thought leader on Medicaid and healthcare policy, known for his expertise in serving complex populations, delivery system transformation, value-based purchasing, managed care, and cost containment. In 2019 he joined Speire Healthcare Strategies as a partner to advise government and private sector clients on complex health policy and strategic initiatives. His experience prior to Speire included 27 years of Arizona state service, working for five different governors in three cabinet positions. For nearly a decade, he served as Director of the Arizona Health Care Cost Containment System (AHCCCS), Arizona’s single-state Medicaid agency, where he reported directly to the governor. At that time, AHCCCS provided healthcare coverage to 1.9 million Arizonans at an annual cost of $13 billion.