Troy A. Barsky

Troy is also managing director of Crowell Health Solutions (CHS), a strategic consulting firm that helps health care organizations and technology companies improve patient care and health outcomes, advance health equity, and lower health care costs through solutions like digital health innovations and value-based health care models.

In 2017 and 2018, Troy was listed in Chambers USA as up and coming in health care. Chambers listed Troy as a Band 3 practitioner in health care in 2019, a Band 2 practitioner in 2020, and Band 1 as of 2024.

Troy has extensive health care government experience, serving at the U.S. Department of Health and Human Services (HHS) for 11 years, from 2002 to 2013. Prior to joining the firm, Troy was the director of the Division of Technical Payment Policy at CMS from 2009 to 2013, where he was responsible for Stark law policy and other Medicare payment issues. He implemented important sections of the Affordable Care Act, including the creation, development, and operation of the CMS Voluntary Self-Referral Disclosure Protocol (SRDP). Troy was also a key team member in developing the Medicare Shared Savings Program and Medicare ACOs, including the issuance of fraud and abuse waivers associated with this program. Additionally, he advised the Center for Medicare and Medicaid Innovation (CMMI) in the development and testing of new demonstrations and models. Troy also wrote and issued Stark advisory opinions; developed Medicare technical payment policy in areas such as the timely filing of Medicare claims, and assignment and reassignment; and reviewed waiver requests by hospitals to move from their designated Organ Procurement Organization (OPO).

Prior to joining CMS, Troy served in the HHS Office of the General Counsel, CMS Division, Program Integrity Group from 2002 to 2009. In that role, he focused on Medicare and Medicaid fraud and abuse. Specifically, Troy was the program integrity senior litigation attorney, where he focused on pharmaceutical and medical device False Claims Act matters. Additionally, Troy gained high-level experience regarding the collection of Medicare overpayments. Troy represented CMS in administrative matters before the HHS Departmental Appeals Board regarding Medicaid taxes and donations and intergovernmental transfers. He also extensively advised CMS on Medicare and Medicaid payment policy.