Sandhya G.

About Sandhya G.

I am a results driven Senior Healthcare Administration Leader with 20 years of experience in the Centers for Medicare and Medicaid Services and private health insurance plans. My expertise lies in formulating and implementing value based purchasing programs, Medicare Fee for Service payment policies and Prescription Drug Benefit payment policies. I am passionate about strategies that advance innovative, cost-efficient, high quality and equitable healthcare services and products. At Kaiser Permanente, I led the government relations team to advance transformative healthcare reforms, including drug pricing, tele-health, value-based care, Medicare Advantage payment and hospital at home. Our team advanced significant legislative priorities, leveraging my policy expertise, proficiency in data analysis and healthcare strategy. I have a health administration and medical background. My experience in CMS and KP reinforce my commitment to strategies that reduce healthcare cost, improve access to care and quality by fostering value-based care.

Experience

1. Senior Policy Advisor

   Centers for Medicare & Medicaid Services

   Jun 2022 — Present · CA

   Led the Medicare Prescription Drug Benefit and Payment team for the implementation of Medicare Prescription Drug Benefit redesign provision of Inflation Reduction Act- Provided technical direction to the team for the development of MA and Part D rate announcement notice- Led the implementation of value based payment programs including Shared Savings Program and Physician Merit Based Incentive Payment System.

Education

• The Ohio State University

  Master of Health Administration, Health/Health Care Administration/Management

  2001 — 2003