Lois Simon BA, MHS

Lois Simon, M.H.S., is a Principal Research Scientist in the Health Care Research Department at NORC. She has more than 25 years of experience in health policy and analysis, program development, implementation, and administration, and health care operations with a specific expertise in Medicaid, managed care, and long term services and supports. Simon has spent many years focusing on improving the Medicaid program at both the federal and state levels.

Simon is currently working on a number of projects at NORC related to the Medicaid program. She plays a key role on the CMS Home and Community Based Services (HCBS) contract, serves as a State Lead for the CMS Medicaid Innovations Accelerator Program Value-Based Payments and Financial Simulations project, and a senior advisor for NORC's Financial Alignment Initiative project for CMS. In addition, Simon was the project director for Improving Oversight of Managed Care Quality in Medicaid and CHIP, a project supporting CMS' efforts to advance and improve the external quality review process for monitoring and overseeing the quality of state Medicaid and CHIP managed care programs.

Simon has held leadership positions in federal and state government and in the managed care and non-profit sectors. Prior to NORC, she was the director of managed care at the Medicaid and CHIP Payment and Access Commission. Before joining MACPAC, she worked for the New York State Department of Health, where she managed program planning and implementation activities related to the state's Medicaid managed care and Family Health Plus programs.