GAO announces new appointments to Medicaid and CHIP Access Commission

WASHINGTON, DC (December 19, 2014) – Gene L. Dodaro, Comptroller General of the United States and head of the U.S. Government Accountability Office (GAO), today announced the appointment of six new members to the Medicaid and CHIP Payment and Access Commission (MACPAC) and the designation of the Commission’s new Vice Chair.

Commission Members and Terms

Diane Rowland, ScD, Chair

Marsha Gold, ScD, Vice Chair

Terms Expire in:
December 2015 December 2016 December 2017
Donna Checkett, MPA, MSW
  Phoenix, AZ
Sharon Carte, MHS
  South Charleston, WV
Gustavo Cruz, DMD, MPH
  New York, NY
Patricia Gabow, MD
  Denver, CO
Andrea Cohen, JD
  New York, NY
Marsha Gold, ScD
  Washington, DC
Mark Hoyt, FSA, MAAA
  Phoenix, AZ
Herman Gray, MD, MBA
  Detroit, MI
Yvette Long
  Philadelphia, PA
Patricia Riley, MS
   Portland, ME
Norma Martínez Rogers, PhD, RN, FAAN
  San Antonio, TX
Charles Milligan, JD, MPH
  Albuquerque, NM
Diane Rowland, ScD
  Washington, DC
Sara Rosenbaum, JD
   Washington, DC
Sheldon Retchin, MD, MSPH
   Richmond, VA

Steven Waldren, MD, MS
   Leawood, KS
Peter Szilagyi, MD, MPH
  Los Angeles, CA

Biographies of Commissioners

Sharon L. Carte, MHS, has served as executive director of the West Virginia Children’s Health Insurance Program since 2001. From 1992 to 1998, Ms. Carte was deputy commissioner for the Bureau for Medical Services, overseeing West Virginia’s Medicaid program. Previously, she was an administrator of skilled and intermediate care nursing facilities and a coordinator of human resources development in the West Virginia Department of Health. Ms. Carte’s experience includes work with senior centers and aging programs throughout West Virginia as well as with policy issues related to behavioral health and long-term services and supports for children. She received her master of health science from the Johns Hopkins University School of Hygiene and Public Health.
Donna Checkett, MPA, MSW, is vice president of business development for Aetna’s Medicaid division. Previously, she was Aetna’s vice president for state government relations, focusing on the company’s response to the Patient Protection and Affordable Care Act (ACA) at the state insurance and Medicaid level. As chief executive officer of Missouri Care, a managed Medicaid health plan owned by the University of Missouri-Columbia Health Care, Ms. Checkett originated and directed all aspects of the plan. For eight years, Ms. Checkett directed the Missouri Division of Medical Services (Medicaid), where she implemented a managed care program for more than 50 percent of the beneficiaries and oversaw several significant optional eligibility expansions. Ms. Checkett’s peers elected her chair of the National Association of State Medicaid Directors and she also was a member of the National Governors Association Medicaid Improvements Working Group, where the initial focus was on the use of Section 1115 waivers for health system reform purposes. She received a master of public administration from the University of Missouri-Columbia and a master of social work from The University of Texas at Austin.
Andrea Cohen, JD, is senior vice president for program at the United Hospital Fund, a nonprofit health services research and philanthropic organization whose mission is to shape positive change in health care for New Yorkers. She directs the Fund’s program work and oversees grant making and conference activities. From 2009 to 2014, she served as director of health services in the New York City Office of the Mayor, where she coordinated and developed strategies to improve public health and health services. Prior professional positions include counsel with Manatt, Phelps & Phillips, LLP; senior policy counsel at the Medicare Rights Center; health and oversight counsel for the U.S. Senate Committee on Finance; and trial attorney with the U.S. Department of Justice. She received her law degree from Columbia University School of Law.
Gustavo Cruz, DMD, MPH, is an oral health policy consultant and senior advisor to Health Equity Initiative, a professional membership organization in New York City that brings together community leaders and professionals in diverse fields to promote innovations in health equity. He also serves as resident advisor to the Dental Public Health Residency at Lutheran Medical Center and as adjunct associate professor in the Department of Epidemiology and Health Promotion at New York University College of Dentistry (NYUCD). Dr. Cruz was a Robert Wood Johnson Foundation Health Policy Fellow from 2009–2010, working in the office of the Secretary of the U.S. Department of Health and Human Services. Subsequently, he served as chief of the Oral Health Branch, Bureau of Health Professions, at the Health Resources and Services Administration. He previously served as director of public health and health promotion at NYUCD and as governing faculty of New York University's Master in Global Public Health. Dr. Cruz has conducted numerous research studies on the oral health of U.S. immigrants, oral health disparities, oral and pharyngeal cancers, access to oral health care among underserved populations as well as the effects of race, ethnicity, acculturation, and culturally influenced behaviors on oral health outcomes and health services utilization. He received his degree in dentistry from the University of Puerto Rico and his master of public health from Columbia University’s School of Public Health. He is a diplomate of the American Board of Dental Public Health.
Patricia Gabow, MD, was chief executive officer of Denver Health from 1992 until her retirement in 2012, transforming it from a department of city government into a successful, independent governmental entity. She is a trustee of the Robert Wood Johnson Foundation, serves on the Institute of Medicine (IOM) Roundtable on Value and Science Driven Health Care, and on the National Governors Association Health Advisory Board. Dr. Gabow is a professor of medicine at the University of Colorado School of Medicine and the author of The Lean Prescription: Powerful Medicine for Our Ailing Healthcare System, as well as over 150 articles and book chapters. She has received the American Medical Association’s Nathan Davis Award for Outstanding Public Servant, the Ohtli Award from the Mexican government, the National Healthcare Leadership Award, the David E. Rogers Award from the Association of American Medical Colleges, and the Health Quality Leader Award from the National Committee for Quality Assurance (NCQA). She was elected to the Association for Manufacturing Excellence Hall of Fame for her work on applying the Toyota Production Systems lean manufacturing principles to health care. Dr. Gabow received her medical degree from the University of Pennsylvania School of Medicine.
Marsha Gold, ScD, is a senior fellow emeritus at Mathematica Policy Research, where she previously served as a lead investigator and project director on research in the areas of Medicare, Medicaid, managed care design and delivery system reform in both public and private health insurance, and access to care. Other prior positions include director of research and analysis at the Group Health Association of America, assistant professor with the Department of Health Policy and Administration at The University of North Carolina at Chapel Hill, and director of policy analysis and program evaluation at the Maryland Department of Health and Mental Hygiene. Dr. Gold is on the editorial board of Health Affairs and Health Services Research. She received her doctorate of science in health services and evaluation research from Harvard School of Public Health.
Herman Gray, MD, MBA, is executive vice president for pediatric health services for the Detroit Medical Center (DMC). Prior to assuming this responsibility in 2013, he served as CEO/president of the DMC Children’s Hospital of Michigan (CHM) for eight years. At CHM, Dr. Gray also served as chief operating officer, chief of staff, and vice chief of education in the department of pediatrics. He also served as vice president for graduate medical education (GME) at the DMC and associate dean for GME at Wayne State University School of Medicine. Dr. Gray has served as the chief medical consultant at the Michigan Department of Public Health, Children’s Special Health Care Services, as well as vice president/medical director of clinical affairs at Blue Care Network, a subsidiary of Blue Cross Blue Shield of Michigan. He has received the Michigan Hospital Association Health Care Leadership Award, Modern Healthcare’s Top 25 Minority Executives in Healthcare Award, and is a member of the board of trustees for the Children’s Hospital Association and the Skillman Foundation. He received his medical degree from the University of Michigan, a master of business administration from the University of Tennessee, and completed his pediatrics training at the Children’s Hospital of Michigan/Wayne State University.
Mark Hoyt, FSA, MAAA, was the national practice leader of the Government Human Services Consulting group of Mercer Health & Benefits, LLC, until his retirement in 2012. This group, which has worked with over 30 states, helps states purchase health services for Medicaid and the State Children’s Health Insurance Program (CHIP). Mr. Hoyt joined Mercer in 1980 and, starting in 1987, worked on government health care projects, including developing strategies for statewide health reform, evaluating the impact of different managed care approaches, and overseeing program design and rate analysis for Medicaid and CHIP. Mr. Hoyt is a fellow in the Society of Actuaries and a member of the American Academy of Actuaries. He received a bachelor of arts in mathematics from the University of California, Los Angeles and a master of arts in mathematics from the University of California, Berkeley.
Yvette Long is the parent of a 16-year old with chronic health issues who is covered by Medicaid. Ms. Long serves as a case manager with the Philadelphia Welfare Rights Organization. She is chair of the Consumer Subcommittee of the Pennsylvania Medical Assistance Advisory Committee, which advises the state about major initiatives of the Pennsylvania Medicaid program. She also is on the board of the Pennsylvania Legal Aid Network, which oversees administration of the state’s legal aid programs.
Charles (Chuck) Milligan, JD, MPH, is senior vice president of enterprise government programs at Presbyterian Healthcare Services in Albuquerque, NM, where he is a member of the leadership team focused on delivery system and payment reform efforts at a large, integrated delivery system. Mr. Milligan was a former state Medicaid director in New Mexico and Maryland. He also served as executive director of the Hilltop Institute, a health services research center at the University of Maryland, and as vice president at the Lewin Group. Mr. Milligan directed the 2005–2006 Commission on Medicaid and has conducted Medicaid-related research projects in numerous states. He received his master of public health from the University of California, Berkeley and his law degree from Harvard Law School.
Sheldon Retchin, MD, MSPH, was recently appointed executive vice president for health sciences and chief executive officer of The Ohio State University Wexner Medical Center in Columbus. Dr. Retchin’s research and publications have addressed the costs, quality, and outcomes of care as well as workforce issues. From 2003 until he begins his appointment at Ohio State, he served as senior vice president for health sciences at Virginia Commonwealth University (VCU), and CEO of the VCU Health System, in Richmond, Virginia. Dr. Retchin also led a Medicaid health maintenance organization with approximately 200,000 covered lives through which, for 15 years, he and his colleagues helped manage care for 30,000 uninsured individuals in the Virginia Coordinated Care program. Dr. Retchin received his medical degree from The University of North Carolina School of Medicine and his master of science in public health from The University of North Carolina School of Public Health.
Patricia Riley, MS, is executive director of the National Academy for State Health Policy. Previously, she was a senior fellow of health policy and management at the Muskie School of Public Service, University of Southern Maine. Following her tenure as director of the Maine Governor’s Office of Health Policy and Finance, she was the first distinguished visiting fellow in state health policy at The George Washington University, where she serves as a lecturer. She was a principal architect of the Dirigo Health Reform Act of 2003, which was enacted to increase access, reduce costs, and improve quality of health care in Maine. Under four Maine governors, she held appointed positions, including executive director of the Maine Committee on Aging, director of the Bureau of Maine’s Elderly, associate deputy commissioner of health and medical services, and director of the Bureau of Medical Services, which is responsible for the Medicaid program and health planning and licensure. Ms. Riley served on Maine’s Commission on Children’s Health, which planned the state’s CHIP. She is a member of the Kaiser Commission on Medicaid and the Uninsured and has served as a member of the IOM’s Subcommittee on Creating an External Environment for Quality and its Subcommittee on Maximizing the Value of Health. Ms. Riley also has served as a member of the board of directors of NCQA. She received her master of science in community development from the University of Maine.
Norma Martínez Rogers, PhD, RN, FAAN, is a professor of family nursing at The University of Texas (UT) Health Science Center at San Antonio. She has held clinical and administrative positions in psychiatric nursing and at psychiatric hospitals, including the William Beaumont Army Medical Center in Fort Bliss during Operation Desert Storm. She is dedicated to working with those who face health disparities and is the founder and president of the National Latino Nurse Faculty Association. She has initiated a number of programs at the UT Health Science Center at San Antonio, including a mentorship program for retention of minorities in nursing education. She was a founding board member of a non-profit organization, Martínez Street Women’s Center, designed to provide support and educational services to women and teenage girls. Dr. Martínez Rogers is a fellow of the American Academy of Nursing and a past president of the National Association of Hispanic Nurses. She received a master of science in psychiatric nursing from the UT Health Science Center at San Antonio and her doctorate in cultural foundations in education from The University of Texas at Austin.
Sara Rosenbaum, JD, is founding chair of the Department of Health Policy and the Harold and Jane Hirsh Professor of Health Law and Policy at The George Washington University Milken Institute School of Public Health. She also serves on the faculties of The George Washington Schools of Law and Medicine. Professor Rosenbaum’s research has focused on how the law intersects with the nation’s health care and public health systems, with a particular emphasis on insurance coverage, managed care, the health care safety net, health care quality, and civil rights. She is a member of the IOM and has served on the boards of numerous national organizations, including AcademyHealth. Professor Rosenbaum is a past member of the Centers for Disease Control and Prevention’s (CDC) Advisory Committee on Immunization Practices and also serves on the CDC Director’s Advisory Committee. She has advised Congress and presidential administrations since 1977 and served on the staff of the White House Domestic Policy Council during the Clinton administration. Professor Rosenbaum is the lead author of Law and the American Health Care System, published by Foundation Press (2012). She received her law degree from Boston University School of Law.
Diane Rowland, ScD, is executive vice president of the Henry J. Kaiser Family Foundation and executive director of the Foundation’s Kaiser Commission on Medicaid and the Uninsured. She is a nationally recognized health policy expert with a distinguished career in public policy and research focusing on health insurance coverage, access to care, and health care financing for low-income, elderly, and disabled populations. She has directed the Kaiser Commission on Medicaid and the Uninsured since 1991 and overseen the Foundation’s health policy work on Medicaid, Medicare, private insurance, global health and HIV, women’s health, and disparities since 1993. A noted authority on Medicaid, Medicare, and health care policy, Dr. Rowland frequently testifies and has published widely on these issues. Appointed in 2009 as the inaugural chair, Dr. Rowland continues to serve as the chair of MACPAC. Dr. Rowland is an elected member of the IOM and holds a bachelor’s degree from Wellesley College, a master of public administration from the University of California, Los Angeles, and a doctor of science in health policy and management from The Johns Hopkins University.
Peter Szilagyi, MD, MPH, was recently named vice chair for clinical research in the Department of Pediatrics at the University of California, Los Angeles. Until that appointment, he served as chief of the division of general pediatrics and professor of pediatrics at the University of Rochester and as associate director of the Center for Community Health within the University of Rochester’s Clinical Translational Research Institute. His research has addressed CHIP and child health insurance; access to care; quality of care; and health outcomes, including the delivery of primary care with a focus on immunization delivery, health care financing, and children with chronic disease. For the past 18 years, he was chairman of the board of the Monroe Plan for Medical Care, a large Medicaid and CHIP managed care plan in upstate New York. He is editor in chief of Academic Pediatrics and has served as the president of the Academic Pediatric Association. Dr. Szilagyi received his medical and public health degrees from the University of Rochester.
Steven Waldren, MD, MS, is director of the Alliance for eHealth Innovation at the American Academy of Family Physicians. He sits on several advisory boards dealing with health information technology (IT), and he was a past co-chair of the Physicians Electronic Health Record Coalition, a group of more than 20 professional medical associations addressing issues around health IT. He received his medical degree from the University of Kansas School of Medicine. While completing a post-doctoral National Library of Medicine medical informatics fellowship, he completed a master of science in health care informatics from the University of Missouri-Columbia. Dr. Waldren is a co-founder of two start-up companies dealing with health IT systems design: Open Health Data, Inc., and New Health Networks, LLC.