Daniel Weinstein

Researched applicability of state and federal laws and regulations to health system operations. Composed memo assessing NYU urgent care facilities’ procedural compliance with Emergency Medical Treatment and Labor Act requirements. Supported NYU’s federal litigation in collective bargaining dispute, wrote memo rebutting the National Labor Relations Board’s position on timely withdrawal of agent’s bargaining authority. Drafted official responses to NY State Division of Human Rights investigations. Revised multiple residency program contracts and policies outstanding from the NYU-Lutheran merger. Advised on regulatory compliance for new telehealth program, detailing requirements for interstate and international expansion.

Authored reports to federal authorities detailing regulatory non-compliance and operational mismanagement of Consumer Operated & Oriented Health Plans, counseled areas to streamline vendor operations. Evaluated regulatory compliance and rate-setting methodology for states’ Medicaid Home and Community Based Service waiver applications. Assessed performance measure and quality improvement program sufficiency for states' Medicaid waiver applications to CMS. Spearheaded drafting of D.C.’s State Health Innovation Plan instituting Medicaid payment and care delivery reforms for partner providers, insurers, and community groups. Evaluated health plans' policies and procedures for compliance with state and federal standards in Medicaid managed care implementation. Representative Projects: • Consumer Operated & Oriented (CO-OP) Health Plan Evaluation • The District of Columbia State Innovation Model (SIM) Design Grant - Health Homes Planning • State Medicaid Home and Community Based Services (HCBS) Application Review • Illinois Medicaid Managed Care Readiness Review • (Internal) Cross-Practice Workgroup on Streamlining Federal Contract Bidding Resources

Oversaw a team of ten researchers in assessing all 50 states’ ACA marketplace plans’ premiums and benefits changes year over year and published analyses of findings in HealthAffairs and The Commonwealth Fund. Examined federal and state capacities to conduct oversight of Medicaid managed care plans’ contract compliance and quality performance, authored reports to Medicaid and CHIP Payment and Access Commission recommending changes to federal regulations. Drafted standard operating procedures for re-certification of QHPs. Representative Projects: • Assessing Value in Healthcare: Current Landscape and Recommendations for Innovation • Commonwealth Fund ACA Health Insurance Marketplace Tracking Study • MACPAC Medicaid Managed Care State Oversight & Monitoring • Financial Alignment Initiative Operation Support Contract • Analytic and Technical Assistance Support for CCIIO Exchange Operations

Performed readiness desk reviews for capitated and managed fee-for-service Medicare and Medicaid dual eligible demonstration models in CA, MA, MI, and NY; validated provider networks for contracted health plans. Corroborated Rx formularies for qualified health plans, detailed irregularities in a final report to CCIIO. Tested the Federally Facilitated Marketplace module, documented deficiencies in plan criteria and module functionality. Reviewed and categorized federal and state regulations, statutes, contract requirements, EQRO assessments, and public literature pertaining to managed care organization oversight.

Developed and implemented programming and publicity for alumni events and conducted fundraising and alumni outreach

Composed briefs reviewing polling data trends for the Board of Directors, VP of Campaigns. Devised AARP policy strategies for different 2012 electoral outcome scenarios. Produced liberal and conservative blog and print media summaries. Assessed and profiled federal legislators’ stances on Medicare and Social Security.

Researched and arranged fact sheets on economic and political implications of MA ‘Rx Drug Gift Ban’. Drafted reports on state legislators’ Medicare and Social Security positions. Engaged in meetings with policy officials for CMS “Dual Eligibility” program integration.

Authored briefs on states’ tax codes that were used to lobby the Tennessee legislature. Analyzed Qualified Allocation Plans (QAP’s) for low-income housing projects. Compared states’ housing policy with NH&RA guidelines; identified policy deficiencies.