About Fred Pilot, principal, Pilot Healthcare Strategies

Fred Pilot has a broad and deep grasp of the health care space and health care regulation and reform gained over more than two decades in both the private and public sectors.

In the public sector, he served on the staff of the California Health Benefit Exchange (Covered California), the nation’s first health benefit exchange authorized by state legislation under the federal Patient Protection and Affordable Care Act of 2010. During his tenure, Pilot reviewed and researched law and regulations to help guide exchange policymaking, drafted elements of the exchange’s blueprint application for federal state-based exchange certification, and tracked and analyzed proposed federal regulations and state legislation relative to their impact on the exchange.

Pilot also served as a legislative/policy consultant with the California Department of Public Health, where he was responsible for preparing policy and fiscal analyses of proposed legislation affecting health care facilities licensed by the department and bill action recommendations for the governor’s office. During his tenure, Pilot also developed legislative proposals for administration-sponsored legislation and responded to legislative office and public inquiries regarding law and regulations governing California health care facilities.

In the private sector prior to his public sector service, Pilot worked as a legal/regulatory journalist for nearly 20 years, covering the California property/casualty and health insurance industries. He also covered health care reform initiatives including California Governor Arnold Schwarzenegger’s 2008 health care reform legislation as Sacramento health care correspondent for Bloomberg BNA.

Pilot authors an authoritative and widely read blog, healthinsurancecrisis.net, providing unique analysis of the health care space in the post Patient Protection and Affordable Care Act era of insurance market reforms including state health benefit exchanges and Medicaid expansion.