GAO Makes MACPAC Appointments, Designates Vice Chair

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[MM Curator Summary]: Welcome the next cohort of MACPAC(kers).,-designates-vice-chair-0



Press Release WASHINGTON, D.C. (May 1, 2023)—Gene L. Dodaro, Comptroller General of the United States and head of the U.S. Government Accountability Office (GAO), today announced the appointment of six new members to the Medicaid and CHIP Payment and Access Commission (MACPAC). He also named the Commission’s Vice Chair.

“I’m pleased to announce the newest members of this important health care commission,” Dodaro said. “These outstanding individuals are exceptionally well-qualified to serve and provide Congress with expert advice on both Medicaid and the Children’s Health Insurance Program (CHIP).”

The newly appointed members are Timothy Hill, Carolyn Ingram, Patti Killingsworth, Adrienne McFadden, and Jami Snyder. Their terms will expire in April 2026. In addition, John B. McCarthy was newly appointed to serve out the remaining term of Laura Herrera Scott, which will expire in April 2024. Current member Robert Duncan has been named the Commission’s Vice Chair.

The Children’s Health Insurance Program (CHIP) Reauthorization Act of 2009 established MACPAC to review Medicaid and CHIP access and payment policies and to advise Congress on issues affecting Medicaid and CHIP. The Act directs the Comptroller General to appoint MACPAC’s members. Brief biographies of the new commission members and the Commission Vice Chair follow.

New Commission Members:



Timothy Hill, MPA, is Vice President for Client Engagement at the American Institutes for Research (AIR), where he provides leadership and strategic direction across a variety of health-related projects. Prior to joining AIR, Mr. Hill held several executive positions within the Centers for Medicare & Medicaid Services (CMS), including as a Deputy Director of the Center for Medicaid and CHIP Services, the Center for Consumer Information and Insurance Oversight, and Center for Medicare. Mr. Hill earned his bachelor’s degree from Northeastern University and his master’s degree from the University of Connecticut.


Carolyn Ingram, MBA, is an Executive Vice President of Molina Healthcare, Inc., which provides managed health care services under the Medicaid and Medicare programs, as well as through state insurance marketplaces. Ms. Ingram is also the Plan President for Molina Healthcare of New Mexico and the Executive Director of the Molina Healthcare Charitable Foundation. Previously, Ms. Ingram served as the Director of the New Mexico Medicaid program, where she launched the state’s first managed long-term services and supports program. She also held prior leadership roles, including Vice Chair of the National Association of Medicaid Directors and Chair of the New Mexico Medical Insurance Pool. Ms. Ingram earned her bachelor’s degree from the University of Puget Sound and her master of business administration from New Mexico State University.


Patti Killingsworth is the Senior Vice President of Long Term Services and Supports (LTSS) Strategy at CareBridge, a value-based healthcare company dedicated to supporting Medicaid and dual eligible beneficiaries receiving home and community-based services. Ms. Killingsworth is a former Medicaid beneficiary and lifelong family caregiver with 25 years of Medicaid public service experience, most recently as the longstanding Assistant Commissioner and Chief of LTSS for TennCare, the Medicaid agency in Tennessee. Ms. Killingsworth received her bachelor’s degree from Missouri State University.


John B. McCarthy, MPA, is a Founding Partner at Speire Healthcare Strategies, which helps public and private sector entities navigate the healthcare landscape through the development of state and federal health policy. Previously, he served as the Medicaid Director for both the District of Columbia and Ohio, where he implemented a series of innovative policy initiatives that modernized both programs. He has also played a significant role nationally, serving as Vice President of the National Association of Medicaid Directors. Mr. McCarthy holds a master’s degree in public affairs from Indiana University’s Paul H. O’Neill School of Public and Environmental Affairs.


Adrienne McFadden, MD, JD, is the Chief Medical Officer of Medicaid at Elevance Health, where she serves as the strategic clinical thought leader for the Medicaid line of business. Previously, Dr. McFadden was the Chief Medical Officer at Buoy Health, a virtual health service created to support patient decision making. After beginning her career in emergency medicine, Dr. McFadden has held multiple executive and senior leadership roles including Vice President for Medicaid Clinical at Humana, Inc.; Director of the Office of Health Equity at the Virginia Department of Health; and inaugural Medical Director of the South University Richmond Physician Assistant Program. Dr. McFadden received her medical and law degrees from Duke University.


Jami Snyder, MA, is the President and Chief Executive Officer of JSN Strategies LLC, where she provides health care-related consulting services to a range of public and private sector clients. Previously, she was the Arizona cabinet member charged with overseeing the state’s Medicaid program. During her tenure, Ms. Snyder spearheaded efforts to stabilize the state’s health care delivery system during the public health emergency and advance the agency’s Whole Person Care Initiative. Ms. Snyder also served as the Medicaid director in Texas and as the President of the National Association of Medicaid Directors. Ms. Snyder holds a master’s degree in political science from Arizona State University.

Commission Vice-Chair:


Robert Duncan, MBA, is Executive Vice President and Chief Operating Officer of Connecticut Children’s. Previously, he served as Executive Vice President of Children’s Wisconsin and the President of Children’s Service Society, a large social service agency that provides foster care and adoption, mental health, and parental support services to children and families across the state. Earlier, he served as both the Director of the Tennessee Governor’s Office of Children’s Care Coordination and the Director of CoverKids, Tennessee’s CHIP program. Mr. Duncan received his master of business administration from the University of Tennessee at Martin.

For more information about MACPAC, contact Kate Massey, MACPAC’s executive director, at (202) 350-2000. Other questions should be directed to Chuck Young in GAO’s Office of Public Affairs at (202) 512-4800. 


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