Mark Kriscunas

Mark leads business operations and finance, but is also a Medicare Advantage guru. His experience spans every aspect of MA operations, from filing new MA plans with Centers for Medicare & Medicaid Services (CMS) to the complexities of health plan finance.

Mark is known as a visionary in the Medicare Risk Adjustment (RA) space; recognizing and fully understanding the economics of value-based care long before CMS Stars and RA were a central focus for payers. Prior to Cavulus, he was a partner in a risk adjustment consultancy that shaped many of the practices used today in HEDIS, CAHPS, and CMS Stars.