Rob is currently the director of policy at America's Essential Hospitals, which represents safety net hospital systems. Previously, he was a principal analyst at the Medicaid and CHIP Payment and Access Commission (CMS), leading the the commission's work on Medicaid payment and delivery system reform. He also worked at the Centers for Medicare & Medicaid Services (CMS) leading projects related to CHIP and Medicaid Section 1115 demonstrations. Mr. Nelb has a master of public health and a bachelor’s degree in ethics, politics, and economics from Yale University.