Mr. Shane Johnson is the Senior Director of Health Policy Analytics at TD&P Consulting, Inc. (TD&P). He has broad clinical experience and an extensive background in case management and FDA policy. Over his career, Mr. Johnson has developed a reputation as a thought leader and advocate in the District of Columbia’s Medicaid, insurance, and HIV/AIDS community.
Prior to joining TD&P, Mr. Johnson worked with Vertex Pharmaceuticals and AmeriSource Bergen, as a Senior Reimbursement Case Manager. In this role, he worked with patients, healthcare providers, and insurance companies to determine the benefits and coverage for specialty medications treating rare genetic disorders. Mr. Johnson’s breadth of knowledge regarding payer systems and the reimbursement of specialty pharmaceuticals has established him as a leading subject matter expert for co-pay assistance programs, home-infusion therapy benefits, and benefits coordination for Medicare/Medicaid dual-eligible persons.
As a leader within the organization, Mr. Johnson advises senior executives on a range of issues, spearheading several important projects. Among them was Trusted’s care coordination program, a project, which significantly lowered the number of emergency room visits for non-emergency care within Trusted and led to a reduction in the company’s costs. Mr. Johnson’s experience also extends to his work with insurers such as Trusted Health Plan (Trusted), a DC Medicaid HMO.
Mr. Johnson holds an Associate Degree of Applied Science in Nursing from the University of the District of Columbia, and a Bachelor of Science Degree in Biology from Georgia State University. He is also an alumnus of the National Institutes of Health’s Intramural Training and Research Award Program where he completed a training fellowship with the National Institute for Nursing Research. In 2017, Mr. Johnson was appointed Chairperson of the University of the District of Columbia AASN Advisory Committee. In that capacity, he works with Nursing Faculty to improve the quality of Nursing Education in the UDC system.