Adam Seth Boehler ( born June 23, 1979) is an American businessman and government official.
Boehler is the managing partner and founder of Rubicon Founders, a health care investment firm based in Nashville. He is also the founder of Landmark Health.
He previously served as the first chief executive officer of the U.S. International Development Finance Corporation from 2019 to 2021, the director of the Center for Medicare and Medicaid Innovation, as well as Senior Advisor for Value-based Transformation for Health and Human Services Secretary Alex Azar and Deputy Administrator of the Centers for Medicare and Medicaid Services. He joined CMS in April 2018.
On April 4, 2025, President Trump appointed him as special envoy for hostage response to oversee cases of U.S. nationals detained abroad under concerning circumstances, including those with health or humanitarian issues, unjustly detained foreign nationals supported by the U.S., and detentions posing national security concerns. Boehler will coordinate with government agencies, report to Trump and Secretary of State Marco Rubio, and serve as a special government employee until September 2025, unless extended.
Previously, Boehler was the founder and chief executive officer of Accumen, a provider of laboratory management services to health systems. Prior to joining CMS, Boehler was founder and chief executive officer of Landmark Health, the largest provider of home-based medical care in the country. United Health Group purchased Landmark for $3.5 billion in 2021.
During his tenure at CMMI, Boehler launched 16 payment models designed to speed the transformation of US Health Care to value based payments instead of fee for service. He launched a series of models focused on empowering primary care physicians as well as transforming kidney care across the United States.
During the COVID crisis, Boehler led teams focused on expanding testing, sourcing critical PPE, and ensuring that there were sufficient ventilators for the United States population (and ultimately helping emerging countries in need). Boehler was a founding board member of Operation Warp Speed. On May 14, 2020, the president of the United States signed an executive order delegating Defense Production Act authorities to Boehler, underwriting the production of various vaccines under consideration in advance of the Food and Drug Administration's approval to expand domestic vaccine supply.
Under his tenure at the DFC, Boehler helped draft an executive order in response to COVID-19 that expanded the DFC to domestic projects—a break from its congressional mandate, which focused on funding projects in the developing world.
Under Boehler, the DFC and EXIM signed letters of interest with Serbia and Kosovo to help finance projects identified under a U.S. brokered agreement to advance economic cooperation and development between Kosovo and Serbia. Serbian president Aleksandar Vucic and Kosovo prime minister Avdullah Hoti signed the agreement on September 4, 2020, in Washington.
Boehler accompanied Ambassador Zalmay Khalilzad to negotiate with the Taliban in a series of meetings held in Qatar touting the possibility of joint investment in Afghanistan through the Qatar Fund for Development, and promoting a commitment to peace to prioritize Afghanistan's economic growth.
Boehler met with heads of state in Vietnam and Indonesia to discuss investments in energy and infrastructure. He led the last US delegation to meet with State Counselor Aung San Suu Kyi prior to her arrest and imprisonment by the Myanmar military on February 1, 2021.
Boehler met with leaders of countries across the region, including the Caribbean, Colombia, Ecuador, El Salvador, Guatemala, Honduras, and Venezuelan opposition leader Juan Guaidó.
Colombian president Iván Duque and Boehler drafted an economic plan addressing the growth of cocaine farming in Colombia.
Boehler led negotiations with Ecuadorean president Lenín Moreno resulting in a $3.5 billion lending agreement enabling prepayment of loans to China, in exchange for Ecuador excluding Chinese telecoms services and equipment providers from its 5G telecommunications networks.
Boehler met in November 2019 with Ethiopia's prime minister, president, and finance ministers to discuss support of reform initiatives on the nation's developmental goals.
Boehler was part of several delegations that traveled in 2020 and 2021 with Jared Kushner to Saudi Arabia, UAE and Qatar that ultimately resulted in the Abraham Accords, as well as the agreement to resolve the Gulf Rift. Boehler was part of a high-level delegation to Israel and Morocco to discuss the Israel–Morocco normalization agreement, as well as a delegation in October 2020 with Secretary of Treasury Steven Mnuchin to Israel, Bahrain, and UAE to discuss economic cooperation under the Abraham Accords.
In March 2025, Boehler led direct negotiations in Qatar with Hamas representatives to secure the release of the last hostages taken by the organization during the October 7 attacks. According to a report in the Israeli paper Yedioth Ahronoth, which Prime Minister Benjamin Netanyahu denied and called "fake news", Prime Minister Netanyahu and his point man on the talks, Strategic Affairs Minister Ron Dermer, leaked that Boehler held talks with Hamas aimed at securing an interim deal to release American captives. IDF’s Unit 8200 signals intelligence unit reportedly learned of the direct talks. Boehler defended his direct talks with Hamas.
Boehler negotiated the release of numerous other individuals, including Marc Fogel, an American school teacher detained in Russia on drug charges since August 2021; George Glezmann, a Delta Airlines mechanic detained by the Taliban for over two years, following high-level talks with Qatari mediators and the Taliban acting foreign minister Amir Khan Muttaqi in Kabul in March 2025; Ksenia Karelina, a dual U.S.–Russian citizen and former ballerina, who was freed from a Russian prison on April 10, 2025, as part of a prisoner swap with the United States;
Boehler coordinated along with Secretary Rubio and President Nayib Bukele the return of 10 Americans detained in Venezuela to the United States on 18 July 2025.
Boehler assisted with the release of Israeli-Russian hostage Elizabeth Tsurkov by Kata'ib Hezbollah on 9 September 2025.
Boehler negotiated the release of U.S. citizen Amir Amiri by the Taliban on 28 September 2025.
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