Richard Hughes IV

Tabs

Bio

Richard Hughes IV, J.D., M.P.H. is a Professorial Lecturer in Health Policy & Management and Principal with Avalere Health, a Washington health care advisory services firm. Professor Hughes is a strategic advisor to health care entities and has taught in the areas of health law and policy at both the undergraduate and graduate levels. He is a nationally recognized expert in vaccines and preventive services, state health policy and public health governance.

Professor Hughes is formerly a practicing attorney with the Washington law firm Epstein Becker Green, where he advised health care entities on a range of legal, regulatory and policy matters. Prior to practicing law, Professor Hughes served in several health policy leadership roles. He was a gubernatorial appointee to the Arkansas State Board of Health, where he deliberated public health policy, co-presided over appeals before the state health department, and actively spoke on numerous health policy issues. Professor Hughes then served as Director of State Health Policy at the Association of State and Territorial Health Officials, and later as Associate Director of Policy with Merck & Co., Inc., advising and working with state health agencies on public health policy issues. At Avalere, he leads multidisciplinary teams of professionals with special focus in vaccines and preventive services, state health policy and health sector strategy.

During law school at The George Washington University, Professor Hughes served as legal research assistant to Professor Sara Rosenbaum, renowned health law scholar and Founding Chair of the Department of Health Policy. His studies at law school included an intensive independent study of the United States health insurance regulatory framework. In addition to his Juris Doctor, Professor Hughes holds a Master of Public Health degree from the University of Arkansas for Medical Sciences. He is a member of the District of Columbia Bar and the national Delta Omega Honorary Society in Public Health.

Expertise

Expertise:

Access to Health Care

Federal and State Legislation, Laws and Policies

Health Law

Health Policy

Health Professions

Health Insurance

Health Reform

Immunization Law and Policy

State Health Issues

Health Quality

Managed Care

Medicaid and SCHIP

Medicare

Education:

Juris Doctor, The George Washington University Law School

Master of Public Health, University of Arkansas for Medical Sciences

Bachelor of Science, Arkansas State University

Teaching:

State Health Policy (PUBH 6356), Fall 2015

Health Law & Policy (HSML 6267) Spring, Summer (2 sections) and Fall 2016

State Health Policy (PUBH 3199), Fall 2017, Fall 2018

State Health Policy, Residency Fellowship Rotation in Health Policy, The George Washington University, School of Medicine/Milken Institute School of Public Health, Fall/Spring 2015-2018

Community Service:

Advisory Committees

State Boards of Health Working Group (2011-2013), National Association of Local Boards of Health

Executive Committee, State Health Research & Policy Interest Group (2009-2010), AcademyHealth

Planning Committee, Public Health Law & Policy Conference (2009-2010)

Other Professional & Volunteer Involvement

Langley Elementary School, “Breakfast with a Legend” Program, Spring 2016

D.C. Bar Pro Bono Center, Volunteer Attorney (2014-Present)

American Journal of Public Health, Peer-Reviewer (2007-Present)

American Cancer Society, Cancer Action Network, Leadership Advocate (2007-2009)

Research

Research:

Refereed Presentations

Sobel, E, Hughes R, State-Level Policy Strategies Needed to Improve Adult Immunization Uptake, National Immunization Conference, Atlanta, GA (2018)

Hughes, R, Liow, C, Understanding the Current Role of Immunization Measures in Quality-Based Policies, National Immunization Conference, Atlanta, GA (2018)

Hughes, RH, Albader, B, Orlino, A. State Boards of Health: A Closer Look at Roles and Relationships. National Association of Local Boards of Health, Omaha, NE (2010).

Hughes, RH, Wasserman, T, Moscetti, C, Jarris, P. Role of State Boards of Health in the Public Health System, Public Health Systems & Services Research Keeneland Conference, Lexington, KY (2010).

Hughes, RH,Sutaria, S. State Emergency Powers in Imminent Threat Scenarios: Comparative Analysis, Practice Implications & Policy Considerations, Public Health Emergency Preparedness Summit, Atlanta, GA (2010).

Hughes, RH, Ryan, KW, Hogan, RD. Higher Education Pre-Matriculation Immunization Requirements: A Comprehensive Assessment and Policy/Program Considerations, American Public Health Association 137th Annual Meeting, Philadelphia, PA (2009).

Ryan, KW, Hughes, RH. Pre-matriculation requirements for colleges and universities: Is it time for all states to mandate as a condition of entry?, American Public Health Association 137th Annual Meeting, Philadelphia, PA (2009).

Refereed Posters

Chepigin, C, Adelsberg, M, Hughes, R, Kane, R, A Comprehensive Analysis of Influenza

Vaccine Uptake in Medicare, National Adult and Influenza Immunization Summit, Atlanta, GA (2019)

Sobel, E, Hughes R, Immunization and “Repeal and Replace”: How Congressional Efforts to Undo the Affordable Care Act Would Have Impacted Immunization Coverage and Access,National Immunization Conference, Atlanta, GA (2018)

Liow, C, Hughes R, Linking Vaccines and Quality Policy: Identifying Opportunities to Drive Immunization Uptake in a Value-Based Environment,National Immunization Conference, Atlanta, GA (2018)

Publications

Publications:

Refereed Journal Articles

Hughes, RH, With a Worthless Services Hammer, Everything Looks Like a Nail: Litigating Quality of Care Under the False Claims Act,J. Legal Med, 37:01-02:65-104 (2017).

Hughes, RH, Ramdhanie, K, Wasserman, T, Moscetti, C, State Boards of Health: Governance and Politics, 39 Suppl.J. Law Med Ethics1:37-41 (2011).

Book Chapters

Hughes, RH, Atlas, RF, Paying for Person-Centered Care: the Role of Health Care Payment and Quality Policy. In Donald Zimmerman, et al. ed., Person-Focused Health Care Management: A Foundational Guide for Health Care Managers. 2016, Springer Publishing.

Hughes, RH, Legal and Ethical Issues in Person-Centered Care. In Donald Zimmerman, et al. ed., Person-Focused Health Care Management: A Foundational Guide for Health Care Managers. 2016, Springer Publishing.

Yeung, LR, Kim, B, Hughes RH, The Road to Value-Based Payments: Considerations for Provider Engagement. In John Steiner, ed., Health Law and Compliance Update, 2017 Ed. 2016, Aspen.

Commentary

Hughes, RH, Napoles, A, Liow, C, Linking Vaccines And Quality: A Public Health Imperative In A Value-Based Era, Health Affairs Blog (May 24, 2019)

Hughes, RH, Maxim, R, Fix, A, Vague Vaccine Recommendations May Be Leading To Lack Of Provider Clarity, Confusion Over Coverage, Health Affairs Blog (May 7, 2019)

Hughes, RH, Rosacker, N, Sloan, C, Coverage Of Federally Recommended Preventive Services: Considerations For Eliminating HIV Transmission By 2030, Health Affairs Blog (Apr. 9, 2019)

Hughes, RH,Vaccine Exemptions And The Federal Government’s Role, Health Affairs Blog (Mar. 21, 2019).

Hughes, RH, et al, Lack of Clarity on Preventive Services Recommendations May Create Access Barriers, Avalere Health, Insights Article (Dec. 20, 2018).

Hughes, RH, Fingold, H, Network Adequacy: A Multimarket Recap of 2015 and Looking Ahead, Health Law Advisor Blog (Feb. 24, 2016).

Gerson, SM, Wanerman, RE, Hughes, RH, Supreme Court Rules That Providers and Suppliers Cannot Challenge Medicaid Reimbursement Rates in Federal Court, Epstein Becker Green, Health Care and Life Sciences Client Alert (Apr. 13, 2015).

Hughes RH. Combine Both Plans for Health Care Reform [Special Guest Column].Arkansas Democrat Gazette, p. 7B (Oct 13, 2008).

Hughes RH. Prevention is Priority of Vaccine Program [Special Guest Column]. Arkansas Democrat Gazette, p. 9B (Mar. 15, 2007).

Reports & Whitepapers

Hughes, RH, et al, Fewer Seniors Get Vaccinated as Their Out-of-Pocket Costs Increase, Avalere Health, Insights Article (Jul. 19, 2018).

Hughes, RH, et al, Policymakers Seek to Balance Patient Information Sharing with Privacy Protections,Avalere Health, Insights Article (Apr. 20, 2018).

Hughes, RH, Sobel E, Vaccine Coverage Requirements Vary By Market, Avalere Health, Insights Article (Oct. 18, 2017).

Hughes RH, et al. Exploring Third Party Billing for Vaccines by State Public Health Entities. Association of State and Territorial Health Officials (Mar. 2010).

Acknowledgement:Partnering for the Public’s Health: The Role of Public Health Institutes as Fiscal Agents and Intermediaries. National Network of Public Health Institutes. (Nov. 2009).

Sellers K, Hughes RH, Pearsol J, Elliot PI. State Perspectives on the Use of Fiscal Intermediaries. Association of State and Territorial Health Officials. Submitted to Thomas Frieden, Director, Centers for Disease Control and Prevention (Nov. 2009).