What’s In Store for Medicaid

Joan Alker is the executive director of the Center for Children and Families (CCF) and a research professor at the Georgetown University McCourt School of Public Policy. Her work focuses on health coverage for low-income children and families, with an emphasis on Medicaid, the Children’s Health Insurance Program (CHIP) and the Affordable Care Act (ACA). Two of her most recent reports examine premium assistance in Medicaid and CHIP and the nation’s progress on covering children. She has authored numerous reports and studies on a range of issues including Medicaid waivers and child and family coverage, and she was the principal investigator of a multi-year study on Florida’s Medicaid program. A frequent speaker and commentator, Ms. Alker has 25 years of experience working on issues affecting low-income families. She holds a Master of Philosophy in politics from St. Antony’s College, Oxford University and a Bachelor of Arts with honors in political science from Bryn Mawr College.

Josh Archambault is a senior fellow at the Foundation for Government Accountability (FGA). Prior to joining FGA, Mr. Archambault served as the director of the Center for Healthcare Solutions, and as program manager for the Middle Cities Initiative at Pioneer Institute, a Boston-based free-market think tank. While at Pioneer he co-authored the nationally acclaimed book “The Great Experiment: The States, The Feds, and Your Healthcare” (2012) and published numerous studies on the potential impact of payment and delivery system reform proposals on patients and Obamacare’s impact on Massachusetts residents and businesses. Mr. Archambault was previously selected as a health policy fellow at the Heritage Foundation in Washington, D.C., where his research concentrated on the impact of Obamacare on small businesses and the lessons that could be learned from the Massachusetts experiment. In the past, Mr. Archambault served as a legislative director in the Massachusetts State Senate for Scott Brown and as senior legislative aide for then-Gov. Mitt Romney in his Office of Legislative Affairs. Mr. Archambault holds a master’s in public policy from Harvard University’s Kennedy School of Government and a B.A. in political studies and economics from Gordon College.

Trish Riley is the executive director of the National Academy for State Health Policy and president of its corporate board. She helped build NASHP as CEO from 1988-2003. Previously, she was a distinguished fellow in state health policy at George Washington University and taught in the graduate program at the Muskie School of Public Service, University of Southern Maine. From 2003-2011 Ms. Riley served as director of the Governor’s Office of Health Policy and Finance, leading the effort to develop a comprehensive, coordinated health system in Maine, including access to affordable health insurance. She was the principal architect of Dirigo Health Reform, and served as the state’s liaison to the federal government and Congress. She chaired the Governor’s Steering Committee to develop a plan to implement the Affordable Care Act in Maine. Ms. Riley has also held appointive positions under five Maine governors – directing the aging office, Medicaid and state health agencies, and health planning and licensing programs. Ms. Riley has published and presented widely about state health reform. She was a founding member of the Medicaid and CHIP Payment and Access Commission, served on the Institute of Medicine’s Subcommittee on Creating an External Environment for Quality, and was a member of the Board of Directors of the National Committee on Quality Assurance. Riley holds a B.S. & M.S. from the University of Maine.


Marilyn Serafini is president & co-CEO of the Alliance for Health Reform. Before joining the Alliance in 2012, she was an award-winning journalist covering Congress, the White House and K Street for various publications. She was the Robin Toner Distinguished Fellow and senior correspondent at Kaiser Health News. From 1995 to 2010, Ms. Serafini was the health care and welfare correspondent for National Journal magazine, and before that was a senior reporter for Congress Daily (now National Journal daily). She has a master’s degree in journalism and public affairs from American University and a bachelor’s degree from the University of Maryland.