As Senior Director of Health Policy, Eliot Fishman leads Families USA’s policy analysis and advocacy agenda development at the state and federal levels, working with the policy department and other members of senior leadership. In this capacity, he leads Families USA’s analytical and policy development work regarding universal coverage, transformation of health care delivery and payment, and achieving equity in health care access and outcomes. He directs major initiatives defending Medicaid at the national and state level; seeking to leverage system transformation to drive health equity; and building a national coalition around fundamental reform of prescription drug policy.
Prior to joining Families USA, Eliot worked to promote health policy innovation and universal coverage throughout his entire career, in both the government and private sector. Most recently, he served at the Centers for Medicare and Medicaid Services (CMS) from 2013 to 2017. In that role, he led the federal government’s work with states on Medicaid waivers and federal policy on the Children’s Health Insurance Program (CHIP), and Medicaid and CHIP quality measurement, eligibility, and enrollment. CMS named Eliot its Executive of the Year in 2016 for his work leading Medicaid waiver negotiations regarding expansion, delivery system reform, and provider payment innovation.
Prior to his work at CMS, Eliot served as Director of the Office of Policy in the New Jersey Department of Health, where he directed a large, complex portfolio including the Center for Health Statistics, Institutional Review Board, Office of Healthcare Quality Assessment, Office of Planning & Development for Senior Services, New Jersey Health Information Technology Commission, New Jersey Commission on Brain Injury Research and New Jersey Commission on Spinal Cord Research. He led the development of a pilot program in which over half of the state’s newborns were automatically enrolled in health insurance before hospital discharge through the state’s birth registry.
He also was a Principal at Health Management Associates, a consulting firm specializing in health policy issues for low-income people, where he led a national practice focused on implementation of two major new programs for people with complex needs in the Affordable Care Act: Medicaid Health Homes program and the new Medicare-Medicaid Financial Alignment initiative. Before that, he worked as a Vice President in the Metropolitan Jewish Health System, a large, non-profit integrated delivery system in New York, where he developed a multi-million dollar portfolio of new programs and services from proposal stage into staffing and implementation in an integrated health and long-term care delivery system. He also has published extensively on health policy and health reform.
Eliot received his Bachelor’s from Harvard College and his Ph.D. from Yale University.