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Topher
Spiro

Senior Fellow, Health Policy

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Topher Spiro

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Topher Spiro serves as a senior fellow at American Progress, where he oversees the Health Policy department.

With more than 20 years of experience in government and public policy, Spiro served in federal government most recently as associate director for health programs at the White House Office of Management and Budget (OMB). As the chief health finance official of the federal government, he oversaw all health care spending, including more than $90 billion for the Department of Health and Human Services and tens of billions in COVID-19 funding. In addition, he led the policy review of all health care regulations and Medicaid waivers at OMB. In the U.S. Senate, Spiro helped draft the coverage provisions of the Affordable Care Act for the Health, Education, Labor and Pensions Committee.

Before serving in the Biden administration, Spiro’s advocacy at American Progress was widely credited as helping to save the Affordable Care Act from repeal.

Originally from New Hampshire, Spiro began his career in policy after graduating from Princeton University with honors. He also holds a law degree from the University of Virginia School of Law and is a member of the bar of the Commonwealth of Massachusetts.

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Executive Summary: A Patients’ Bill of Rights To Lower Health Care Costs Fact Sheet
Two prescription pill bottles on table, one standing and one on its side with pills spilling out

Executive Summary: A Patients’ Bill of Rights To Lower Health Care Costs

CAP’s plan would limit unjustified premium increases; reduce deductibles by reining in outlier hospital prices; and replace prior authorization with independent, evidence-based clinical review to lower health care costs and increase access to timely care.

Topher Spiro, Neera Tanden, Natasha Murphy, 3 More Neda Ashtari, Kierra B. Jones, Brian Keyser

A Comprehensive COVID-19 Vaccine Plan Report
Healthcare workers talk to a patient in the Covid-19 Unit at United Memorial Medical Center in Houston, Texas, July 2, 2020. - Despite its renowned medical center with the largest agglomeration of hospitals and research laboratories in the world, Houston is on the verge of being overwhelmed by cases of coronavirus exploding in Texas. (Photo by Mark Felix / AFP) / RESTRICTED TO EDITORIAL USE TO GO WITH AFP STORY by Julia Benarrous:

A Comprehensive COVID-19 Vaccine Plan

A successful COVID-19 vaccination program requires an unprecedented government effort, with tens of thousands of lives, millions of livelihoods, and a normal way of life at stake.

Topher Spiro, Zeke Emanuel

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