Tammy Feenstra Banks, MBA, FACMPE
Gobles, MI 49055

Tammy Feenstra Banks’ professional experience spans over 25 years in health-oriented organizations including a large nonprofit Medical Association, a large health system, and a Fortune 500 managed healthcare and insurance company. She has devoted her career leading multi-stakeholder collaborations to align incentives to solve healthcare’s administrative and clinical workflow challenges in both the private and public sectors to positively impact all stakeholders.

Currently, Ms. Banks is the Principal/Consultant for ImpactQue LLC, a consulting firm working with start-ups, medical associations and thought leaders. She previously served as the Vice President Medicare Strategy, Value Based Care Programs at Providence St. Joseph Health. Through the identification of key regulatory opportunities for growth and operational performance, she developed and implemented Medicare Value Based Care strategy, program management, and technical advocacy across the system.

Prior to Providence, she served as Vice President, Industry Relations Claims and Payments within Optum 360 and Vice President Interoperability Program Development (Healthcare Simplification) within Optum. She provided internal business leadership and industry advocacy to advance administrative and clinical data interoperability with the goal to make healthcare more automated, affordable, and patient centered. She also built supportive coalitions and successfully championed the addition of enhanced messaging within future administrative standards.

Prior to Optum, she served in three medical associations, including 11 years with the American Medical Association Private Sector Advocacy unit. During her leadership, error rates for private health insurers on paid medical claims dropped from 19.3 percent in 2011 to 9.5 percent in 2012, resulting in an estimated $8 billion in health system savings due to a reduction in unnecessary administrative work to reconcile errors through the “Heal the claims process™” National Health Insurer Report Card campaign. The campaign aimed to reduce physician practice administrative costs to 1% of practice revenue vs. the current 10–14% expense. She also successfully championed the capability for payers to increase transparency of entities performing traditional health plan roles on future eligibility and claims remittance advice standard transactions. This included the identification of the specific fee schedule for the patient.

She holds a master’s degree in business with a quantitative emphasis from Roosevelt University and a bachelor’s degree in business from Alma College. She earned the Fellow, American College of Medical Practice (FACMPE) designation, earned the Certified Coding Specialist-Physician-based (CCS-P) designation from the American Health Information Management Association (AHIMA), and has been nationally recognized for her volunteer leadership contributions by the HHS Office of the National Coordinator (ONC), Workgroup for Electronic Data Interchange (WEDI), Cooperative Exchange (CE), and the Healthcare Administrative Technology Association (HATA). Ms. Feenstra Banks was appointed to the Committee in 2020 and serves on the Subcommittee on Standards.