Transformational Fellows

Tom Betlach, MBA

Tom Betlach

Fellow since 2019

Tom Betlach joined Speire Healthcare Strategies in 2019 as a partner to advise government and private sector clients on complex health policy and strategic initiatives. He 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. Prior to joining Speire, Tom completed 27 years of state service in Arizona, working for five different governors in three different cabinet positions. For over nine years Tom 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. AHCCCS provided healthcare coverage to 1.9 million Arizonans at an annual cost of $13 billion.