• Deborah Bachrach

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    New York
    Direct: 212.790.4594
    General: 212.790.4500
    Fax: 212.790.4545


    New York University School of Law, J.D., cum laude.
    Editor, Moot Court Board.
    University Honors Scholar; Vanderbilt Medal recipient.


    University of Pennsylvania, Wharton School, B.S., cum laude.
    Beta Gamma Sigma. 

    Bar Admissions
    New York
    • Profile
    • Representative Matters
    • Honors & Awards
    • Publications
    • Memberships & Activities
    • Speaking Engagements


    Deborah Bachrach has more than 25 years of experience in health policy and financing in both the public and private sectors and an extensive background in Medicaid coverage and payment policies and healthcare reform. She works with states, providers, plans and foundations in analyzing and implementing the Affordable Care Act and payment and delivery system reforms.

    Ms. Bachrach has served as an advisor to the Center for Health Care Strategies, the Medicaid and CHIP Payment and Access Commission (MACPAC), the Robert Wood Johnson Foundation and the Kaiser Family Foundation as well as state Medicaid agencies, foundations, healthcare providers and other healthcare organizations. She is an adjunct professor of law at the New York University School of Law, where she teaches a seminar on federal health reform.

    From 2007 to 2010, Ms. Bachrach was the Medicaid Director and Deputy Commissioner of Health for the New York State Department of Health, Office of Health Insurance Programs. In this capacity, she was responsible for coverage, care and payment policies for over 4 million children and adults enrolled in New York's Medicaid and Child Health Insurance Programs and led reforms to streamline Medicaid's eligibility and enrollment process and to improve its purchasing strategies.

    Ms. Bachrach was a partner at Manatt from 1992 to 2006, serving as co-chair of the Healthcare Practice Group. She provided legislative, regulatory and strategic counsel to academic medical centers, safety net hospitals, community health centers, health plans and other healthcare companies.

    Prior to this, Ms. Bachrach served as Vice President, External Affairs, at St. Luke's-Roosevelt Hospital Center. She also worked for four years as New York State Chief Assistant Attorney General and for three years as Chief of the Civil Rights Bureau in the Office of the New York State Attorney General.

    Representative Matters

    Honors & Awards

    Best Lawyers in America, 2006-2016.

    Named Best Lawyers® 2014-15 New York City Health Care Law "Lawyer of the Year."

    Outstanding Career Achievement Award, NY Association for Ambulatory Care, 2010.

    Forstner Award, Community Health Care Association of New York State, 2008.

    Leadership Award, Coalition of Behavioral Health Agencies, 2008.

    New York Super Lawyers, 2006, 2007.

    Health Advocacy Leadership Award, Morris Heights Health Center Foundation, 2003.


    Co-author, “Impact of Medicaid Expansion on the Kansas State Budget,” Kansas Grantmakers in Health, December 2015.

    Co-author, "Medicaid and the Indian Health Service: States to Receive Additional Federal Funds," Robert Wood Johnson Foundation's State Health Reform Assistance Network, November 20, 2015.

    Co-author, "Medicaid Expansion and Criminal Justice Costs: Pre-Expansion Studies and Emerging Practices Point Toward Opportunities for States," Robert Wood Johnson Foundation's State Health Reform Assistance Network, November 3, 2015.

    Co-author, "Medicaid at 50: The Program's Evolution and Future," The Commonwealth Fund, September 2015.

    Co-author, "In or Out: An Examination of Medicaid's Coverage Determination Policies," California HealthCare Foundation, August 2015.

    Co-author, "Medicaid at 50: A Blog Series on the Program's Evolution and Future," The Commonwealth Fund, July 2015.

    Co-author, "The Impact of Medicaid Expansion on Uncompensated Care Costs: Early Results and Policy Implications for States," Robert Wood Johnson Foundation's State Health Reform Assistance Network, June 2015.

    Co-author, "Coverage Options for Massachusetts: Leveraging the Affordable Care Act," Blue Cross Blue Shield of Massachusetts Foundation, May 2015.

    Co-author, "Estimated State Budget Impact of a MaineCare Expansion in 2016," Maine Health Access Foundation, April 2015.

    Co-author, "Building a Culture of Health: The Value Proposition of Retail Clinics," Robert Wood Johnson Foundation, April 2015.

    Co-author, "Innovation Waivers: An Opportunity for States to Pursue Their Own Brand of Health Reform," The Commonwealth Fund and the Robert Wood Johnson Foundation State Health Reform Assistance Network, April 2015.

    Co-author, "States Expanding Medicaid See Significant Budget Savings and Revenue Gains," Robert Wood Johnson Foundation, State Health Reform Assistance Network, April 2015.

    Co-author, "Medicaid Expansion States See Significant Budget Savings and Revenue Gains," Robert Wood Johnson Foundation's State Health Reform Assistance Network, March 2015.

    "King v. Burwell: What a Subsidy Shutdown Could Mean for…Consumers, Insurers, Health Care Providers and States," Series of four articles prepared for The Commonwealth Fund blog, February 24-27, 2015.

    Co-author, "Medicaid Managed Care: What's Ahead in 2015," Bloomberg BNA's Health Care Policy Report, February 23, 2015.

    Co-author, "State Strategies for Integrating Physical and Behavioral Health Services in a Changing Medicaid Environment," The Commonwealth Fund, August 2014.

    Co-author, "Arkansas: A Leading Laboratory for Health Care Payment and Delivery System Reform," The Commonwealth Fund, August 2014.

    Co-author, "Coverage and Delivery of Adult Substance Abuse Services in Medicaid Managed Care," Medicaid Managed Care Information Resource Center, Centers for Medicare & Medicaid Services (CMS), May 2014.

    Co-author, "Addressing Patients' Social Needs: An Emerging Business Case for Provider Investment," The Commonwealth Fund, Skoll Foundation and Pershing Square Foundation, May 2014.

    Co-author, "5 Medicaid Trends to Watch in 2014," LifeHealthPro, March 20, 2014.

    Co-author, "High-Performance Health Care for Vulnerable Populations: A Policy Framework for Promoting Accountable Care in Medicaid," The Commonwealth Fund, November 2012.

    Co-author, "Reasonable Compatibility Straw Models: Federal Requirements and State Options for Constructing a State's Financial Reasonable Compatibility Standard," Robert Wood Johnson Foundation's State Health Reform Assistance Network, August 2012.

    Co-author, "Healthcare reform is a good deal for states," The Hill, August 8, 2012.

    Co-author, "Designing Medicaid Benchmark Benefits for New Adult Beneficiaries," BNA Health Care Policy Report, March 2012.

    Co-author, "Toward a High Performance Health Care System for Vulnerable Populations: Funding for Safety-Net Hospitals," Commonwealth Fund Commission on a High Performance Health System, March 2012.

    Co-author, "The Role of the Basic Health Program in the Coverage Continuum:  Opportunities, Risks, and Considerations for States," The Kaiser Family Foundation, March 2012.

    Co-author, "Federally Facilitated Exchanges and the Continuum of  State Options," National Academy of Social Insurance, December 2011.

    Co-author, "Medicaid Managed Care: How States' Experience Can Inform Exchange Qualified Health Plan Standards," Center for Health Care Strategies, October 2011.

    Co-author, "Medicaid Supplemental Payments: Where Do They Fit in Payment Reform?"  Center for Health Care Strategies, August 2011.

    Co-author, "CMS Proposed Rule on Health Benefit Exchange Implementation," BNA Health Insurance Report, August 2011.

    Co-author, "Implementing Health Homes in a Risk-Based Medicaid Managed Care Delivery System,"Center for Health Care Strategies, June 2011.

    Co-author, "Considerations for the Development of Accountable Care Organizations in New York State," New York State Health Foundation, June 2011.

    Co-author, "Medicaid's Role in the Health Benefit Exchange: A Road Map for States," National Academy for State Health Policy, March 2011.

    Memberships & Activities

    Admitted to practice in the state of New York.

    Speaking Engagements

    "Medicaid DSRIP Programs: Where do Medicaid Managed Care Plans Fit?," Association for Community Affiliated Plans, June 15, 2015.

    "Spotlight on Vulnerable Populations: Low-Income Adults & The Medicaid Expansion Decision," Grantmakers in Health CEO Working Group on Access and Coverage, March 4, 2015.

    "Drug Coverage Under the ACA," FDA/CMS Summit for Biopharma Executives, Washington, D.C., December 11-12, 2014.

    "2017 Innovation Waivers: The Future Is Right Around the Corner," State Coverage Initiatives and State Health Reform Assistance Network webinar, December 4, 2014.

    "Realizing Behavioral Health Integration in Medicaid," National Association of Medicaid Directors Fall Conference, Arlington, VA, November 4-5, 2014.

    "Integration of Physical Health, Behavioral Health, and Long-Term Services," National Academy for State Health Policy (NASHP) 27th Annual State Health Policy Conference, Atlanta, GA, October 6-8, 2014.

    "Medicaid Transformation," National Medicaid Transformation and Provider Collaboration Web Summit, September 19, 2014.

    "Transforming Medicaid: Lessons from Pioneering States," National Conference of State Legislatures (NCSL) Legislative Summit, Minneapolis, MN, August 20, 2014.

    "DRGs at Age 30: Looking Back, Looking Forward," DRG Symposium, Arlington, VA, June 12, 2014.

    "Medicaid's Growing Role in Healthcare – State Decisions and Hospital Implications," 15th Annual Non-Profit Healthcare Investor Conference, New York, NY, May 22, 2014.

    "Medicaid Exchange Churn" and "Medicaid/Exchange Interaction and Marketplace Convergence," Second National Insurance Exchange Summit, Washington, DC, May 14-16, 2014.

    "The Role of States in Transforming Their Health Systems," National Governors Association, Washington, DC, January 14-15, 2014.

     "The Purchasing Power of Medicaid as an Insurer: A Foundational Training for State/CMS Staff," Center for Health Care Strategies web seminar, March 18, 2013.

    "Examining the Dual Eligibles Landscape," America's Health Insurance Plans (AHIP) Dual Eligibles Summit, Washington, DC, March 12, 2013.

    "Interactions between Medicaid, CHIP and the Exchanges: Plan Participation," Medicaid and CHIP Payment and Access Commission (MACPAC) Meeting, Washington, DC, January 15, 2013.

    "Medicaid Expansion Briefing: What's at Stake for States?" The Alliance for Health Reform and the Kaiser Family Foundation, Washington, D.C., November 30, 2012.

    "Health Care: Next Steps after the SCOTUS Decision," National Governors Association, Washington, DC, July 2012.

    "Insurance Exchange Panel: National Health CO-OP Conference," National Alliance of State Health Cooperatives, March 2012.

    "Federally Facilitated Exchanges and the Continuum of State Options," Robert Wood Johnson Foundation, January 2012.