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Vice President, State & Local Health Policy

Brady Augustine, Abt Associates’ vice president of state & local health policy, has over 25 years of health policy and data scientist experience for private sector firms and public agencies. His work spans multiple payer and provider types and covers all 50 states. During his time at the Centers for Medicare & Medicaid Services (CMS), he received numerous awards for his service in roles such as Senior Advisor to the Administrator, where he functioned as the “ESRD Czar” and Senior Quality Advisor, where he functioned as senior staff to the Administrator’s Quality Council. As a result of his thought leadership, he has been appointed to multiple Federal Advisory Committees covering the areas of health data, quality measurement, and payment reform.

In his current role, Augustine is responsible for executing Abt’s strategy to use our experience with CMS and the Department of Health and Human Services to support the implementation of Medicaid initiatives and other health and social services at the state and local levels. Augustine is focusing on Abt’s work to address the social determinants of health. He fosters the creation of data-driven solutions that integrate a variety of social services at the local, state, and federal levels to improve outcomes for underserved communities.

Before joining Abt, Augustine served as health policy director for Applied Policy, a health policy and reimbursement consulting firm. Augustine also previously served as president of Aggressive Analytics, a health policy and data science firm that served a range of clients spanning the country.

Augustine held senior positions at CMS and Florida’s Agency for Health Care Administration (AHCA). At CMS, he served as an Agency lead for Value-Based Purchasing; senior staff to CMS’ Quality Council; “ESRD Czar”; and Medicare Tribal Liaison. Teams he led saved Medicare over $1 billion and extended patient survival by over 35,000 life-years. At AHCA, he earned multiple Prudential Awards, Florida’s highest honor for employees and work units.


  • Health Systems Development
  • Program & Project Management
  • Performance Metrics 
  • Business Development
  • Strategic Planning
  • Medicare and Medicaid

Key Projects:

  • Enhanced Payment for Non-Opioid Alternatives. Supported effort that resulted in separate payment for non-opioid pain management drugs and biologicals in the ASC setting.
  • CMS ICD-10 PMO. Trained all 50 State Medicaid Agencies in managed care, program integrity, and analytics.
  • Dual-Eligible Compliance Program. Achieved full compliance for dual-eligible beneficiaries, saving the state of Florida $100M+ annually.
  • AV Fistula First. Led CMS’ flagship breakthrough initiative, which saved over $1 billion and extended patient survival by over 35,000 life-years. Initiative included the first quality-based payment in traditional Medicare.
  • Project Documentation. Led Gambro Healthcare’s top priority, which implemented computer-based physician order entry and electronic signature at over 400 facilities and resulted in an increase in annual revenue by $35M and a reduction of costs by $100M.


  • Brown, J. and B. Augustine. Various policy briefs for State Medicaid Agencies, including Breast & Cervical Cancer, Medicare-Medicaid Dual Enrollees, HIV/AIDS, Pregnancy, and CHIP. May 2012.
  • Augustine, B. “Sweeping Medicaid Reform Should Positively Impact Persons with Chronic Kidney Disease.” Nephrology News & Issues (May 2010): 18.
  • Augustine, B. “The Accuracy and Accessibility of Medicaid Managed Care Networks in Florida.”  Research paper presented to Florida Medicaid Director. May 2008.
  • Peters, V, G. Clemons, and B. Augustine. “Fistula First as a CMS Breakthrough Initiative: Improving Vascular Access through Collaboration.” Nephrology Nursing Journal 32 (Nov 2005): 686-687.
  • Augustine, B. “A Methodology for the Evaluation of Encounter Data to Ensure Quality in a Capitated Environment.” Presented at the International Conference on Health Policy Research (ICHPR) sponsored by the American Statistical Association (ASA). Nov 1997.
Brady Augustine