About the Commissioner

Headshot - Commissioner Tigue

Commissioner Patrick M. Tigue was appointed to serve as the State of Rhode Island’s fourth health insurance commissioner in January 2021. Throughout his career, he has focused on expanding access to care and improving affordability and quality in the health care system through delivery system reform and payment reform. At the State of Rhode Island Office of the Health Insurance Commissioner, Commissioner Tigue has prioritized ensuring coverage for coronavirus disease 2019 testing, treatment, and care, accelerating delivery system reform, increasing health care affordability, increasing access to behavioral health care, advancing the statewide expansion of telehealth services, and promoting transparency and accountability for health care costs.

During his tenure, he has led the state commercial health insurance policy reform and regulatory enforcement agency to protect the interests of consumers, encourage fair treatment of providers, improve the health care system as a whole, and guard the solvency of insurers as a member of the governor’s cabinet. Commissioner Tigue saved consumers $41.7 million by cutting increases proposed by insurers for 2022, advised on the statewide impact of the proposed consolidation of the state’s two largest hospital systems through overseeing the development and dissemination working papers focused on policy considerations and payment model characteristics, and expanded access to telehealth by supporting new statutory requirements such as reimbursement parity for behavioral health and primary care and cost-sharing and prior authorization parity. Prior to his appointment, he served as a principal at Health Management Associates, providing executive advisory services to public and private sector clients related to publicly funded health care.

Previously, Commissioner Tigue served as assistant secretary for health and Medicaid director at the State of Rhode Island Executive Office of Health and Human Services where he led the Medicaid Program, serving approximately 300,000 residents and managing a $2.5 billion annual budget. He successfully managed the program within budget constraints while maintaining eligibility and benefits including expanding access to life-saving hepatitis C treatment. Commissioner Tigue also negotiated an extension of the Rhode Island Comprehensive Demonstration 1115 waiver with the Centers for Medicare and Medicaid Services to preserve critical federal flexibility and funding including support for the state’s Medicaid accountable care organization program. During his tenure, he served as east regional representative for the board of directors of the National Association of Medicaid Directors.

Commissioner Tigue earned his master’s degree in public policy from Brown University. He holds a bachelor’s degree in English from the College of the Holy Cross.