Carol Raphael
Carol Raphael is a national advisor at Manatt Health. She served as chief executive officer and president of the Visiting Nurse Service of New York (VNSNY), the largest nonprofit home health agency in the United States, for over 20 years. Under her leadership, the organization launched innovative models of care and health plans for complex populations with chronic illness and functional impairments. Prior to joining VNSNY, Carol held executive positions at Mt. Sinai Medical Center and in New York City government. She also served as board chair of AARP. Carol is regarded as a national expert on post-acute care and long-term services and supports (LTSS) policy, payment, workforce and technology. She has considerable experience developing new business models, restructuring clinical services and shifting care to home and community-based settings. She is the chair of the Long-Term Quality Alliance, an alliance of payers, providers, consumers and policymakers working to strengthen and better integrate the LTSS system. She was the chair and remains a board member of the New York eHealth Collaborative, a public-private partnership building a health information exchange platform. She helped launch a Commonwealth Fund project to spur the development of high-performing integrated health plans for a dually eligible population.
Carol has served on numerous commissions, including the Medicare Payment Advisory Commission (MedPAC), the Federal Bipartisan Commission on Long Term Care, the Age-Friendly Commission and several Institute of Medicine committees. She chaired the National Quality Forum’s Post-Acute, Long-Term Care and Hospice Workgroup, co-chaired its Attribution Committee and is a member of its Admissions and Readmissions Committee. She chairs the CMS Technical Expert Panel for Quality Measure Development for Dual Eligibles and Medicaid Beneficiaries Using Home and Community Based Services and Managed Long-Term Care. Additionally, she was a member of New York Governor Andrew Cuomo’s Medicaid Redesign Team.
She was a visiting fellow at the Kings Fund in the United Kingdom and an advanced leadership fellow at Harvard University, and she co-edited the book “Home-Based Care for a New Century.”
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