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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.
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 policy and healthcare reform.
She works with states, providers, plans and foundations in implementing federal
health reform and Medicaid 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 currently a member of the electronic enrollment workgroup at the
U.S. Department of Health and Human Services and the Value Incentives Learning
Collaborative at the Institute
of Medicine. She is an adjunct professor of law at the New
York University School of Law, where she teaches a seminar on federal health
Most recently, 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
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
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.
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, “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,
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,
Co-author, “Medicaid Managed Care: How
States’ Experience Can Inform Exchange Qualified Health Plan Standards,” Center for Health Care Strategies,
Co-author, “Medicaid Supplemental
Payments: Where Do They Fit in Payment Reform?”
Center for Health Care Strategies,
Co-author, “CMS Proposed Rule on Health
Benefit Exchange Implementation,” BNA Health Insurance Report, August
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.
“Medicaid’s Role in the Health Benefit Exchange: A Road Map for States,” National Academy for State Health Policy,
“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.
Medicaid, CHIP and the Exchanges: Plan Participation,” Medicaid and CHIP
Payment and Access Commission (MACPAC) Meeting, Washington, DC,
January 15, 2013.
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,
“Insurance Exchange Panel:
National Health CO-OP Conference,” National Alliance
of State Health Cooperatives, March 2012.
Exchanges and the Continuum of State Options,” Robert Wood Johnson Foundation,
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