Meghan Elrington-Clayton, M.P.H.

Meghan Elrington-Clayton is the Director of the Division of Financial Risk in the Center for Medicare & Medicaid Services’ (CMS) Innovation Center, which tests innovative payment and service delivery models in the Medicare and Medicaid Programs to reduce program expenditure while preserving or enhancing quality of care. She manages Accountable Care Organization (ACO) models such as the Next Generation ACO Model and the ACO Realizing Equity, Access, and Community Health (REACH) Model, which strive to drive high quality, affordable, patient-centered care for Medicare beneficiaries by encouraging providers to coordinate services across multiple clinicians and care settings. Mrs. Elrington-Clayton joined CMS in 2005 as a Health Insurance Specialist in the Center for Medicare, where she developed and implemented payment policies for the Medicare Prescription Drug Benefit Program including policies regarding bidding, reinsurance, risk corridors, and the low-income subsidies. During her tenure at CMS, she also supported the implementation of the provisions of the Affordable Care Act related to private health insurance and the new Health Insurance Marketplaces as the Division Director for the Consumer Operated and Oriented Plan (CO-OP) Program and the Division of Reinsurance within the Center for Consumer Information and Insurance Oversight. Prior to her arrival at CMS, she worked with the Envision Consulting Group, where she assisted pharmaceutical manufacturers with developing and reporting drug pricing for federal government programs. She is a graduate of Yale University and holds a Master’s degree in Public Health from Emory University’s Rollins School of Public Health.