Peter Kongstvedt, MD, FACP is a highly regarded independent national authority on the health care industry with particular expertise in health insurance and managed health care. He is a Senior Health Policy Faculty Member in the Department of Health Administration and Policy, School of Health and Human Sciences at George Mason University, where he teaches graduate courses on the topic of Health Insurance and Managed Health Care. Through the P.R. Kongstvedt Company, Dr. Kongstvedt advises health care executives on strategy, operations and effective decision making. In 2014, he was appointed by Virginia Gov. Terry McAuliffe to serve on Virginia’s Board of Medical Assistance Services, was elected Vice Chair in 2016, and reappointed by Gov. Northam in 2018.
Dr. Kongstvedt is the editor and primary author of three seminal works on managed care:Â The Managed Health Care Handbook, which he first wrote in 1985, with the fourth and final edition of this landmark textbook being published in 2001; The Essentials of Managed Health Care, Sixth Edition (April 2013); amd Health Insurance and Managed Care: What They Are and How They Work, Fifth Edition (2019) These books are extensively used in over 230 colleges and universities nationwide, in corporate training and educational programs, in other nations, in the payer industry, and as a general reference book within the broader healthcare industry.
He began his career by practicing general internal medicine in rural southern Illinois at a rural health initiative clinic. After practicing for three years, he moved to Lincoln, Nebraska to be the medical director of a medical group associated with a group-model health maintenance organization. Soon after, he became its chief executive officer.
He continued his successful career as an executive in the managed health care industry, assuming increasingly responsible positions through 1993 when he held the position of executive vice president and chief operating officer at Blue Cross Blue Shield of the National Capital Area in Washington, DC. Later that same year, he was a direct-admit partner at Ernst & Young LLP, and continued his consulting career with E&Y and with the global firms CapGemini and Accenture until the fall of 2008 when he formed the P.R. Kongstvedt Company, LLC and joined the faculty of George Mason University.
As a health care industry thought leader and media-trained communicator, Dr. Kongstvedt has consulted to and made several appearances on The CBS Evening News, and has appeared on NBC’s Today Show, CNN, PBS’s Nightly Business Report, National Public Radio’s All Things Considered, The Wall Street Journal, The Washington Post, The Los Angeles Times, Bloomberg News, Medical News Television Network, and numerous trade publications.
Born and raised in Wisconsin, he resides in the Washington, DC suburb of McLean, VA.
