Leah Nash Email & Phone Number

Washington, District Of Columbia

I provide subject-matter expertise to the federal client, Medicare Quality Payment Program (QPP) Service Center representatives, and clinicians related to Merit-Based Incentive Payment System (MIPS) policy and implementation, specializing in the Cost Performance Category and Advanced Alternative Payment Models subject areas. Additionally, I develop.

Woodlawn, MD

As co-lead, I managed the design, implementation, planning, and day-to-day operations of the Next Generation ACO Model, a nationwide alternate payment arrangement and delivery system reform initiative. The model tests whether strong financial incentives for ACOs; refined benchmarking methods rewarding quality performance and improvements in cost.

Woodlawn, MD

I developed and monitored model operations policies and procedures impacting 83k providers and 1.3M Medicare beneficiaries. As operations lead, I translated complex model test requirements to stakeholders and authored hundreds of responses to inquiries through the creation of individualized written guidance, national webinars, and open- door forums. In.

Woodlawn, MD

In close collaboration with contract staff, I developed the monitoring and compliance strategy to enhance compliance with the terms of the model participation agreement. Further, I finalized and oversaw the execution of compliance activities including initial readiness reviews, the development of an annual comprehensive audit guide and issuance of requests.

Woodlawn, MD

I served as a Project Officer with the State Innovation Models (SIM) Initiative, a $1 billion program testing the ability of state governments to utilize policy and regulatory levers to accelerate statewide health care transformation. I advised West Virginia, New Mexico, Iowa and Connecticut on the development and implementation of a State Health Care.

Woodlawn, MD

Managed the release of the SIM Round 2 Funding Opportunity Announcement and organized subsequent negotiations with state applicants, resulting in the successful administration of over $622M to 11 Round Two Model Test Cooperative Agreements awardees.

Washington, DC

As a paralegal specialist I developed written approval and denial decisions on claims filed under the Radiation Exposure Compensation Act (RECA). Ι managed a caseload of over 200 pending claims and adjudicated over 800 total claims for compensation. I also conducted tailored outreach to the Navajo Nation and Spokane Tribe of Indians and briefed program.

Master Of Public Health, Health Policy

Bachelor Of Arts (B.A.), Political Science & Journalism