Shelly Ten Napel is the Director of the Health Care Reform and Innovation Administration (HCRIA) in the DC Department of Health Care Finance. Her division is charged with helping the agency develop an agenda for payment and delivery system reform, and her current portfolio includes health information exchange, the Medicaid EHR Incentive Program, the Program for All-Inclusive Care for the Elderly (PACE), Medicaid reimbursement for telemedicine, and the development of a health home program designed to offer a coordinated approach to providing behavioral health and other health care and social services.

 

Prior to taking her current position with DHCF, Ms. Ten Napel worked as a Director for AcademyHealth, working primarily on State Coverage Initiatives (SCI), the national program office for the Robert Wood Johnson Foundation state-based coverage programs. After the passage of the Affordable Care Act (ACA), SCI helped coordinate the State Health Reform Assistance Network which supported 11 states in implementing the Medicaid, Exchange, and insurance reform aspects of the ACA.  She also provided consulting services to the DC Health Benefit Exchange Authority on their consumer assistance programs. During her time at AcademyHealth, she helped lead the State Quality Improvement Institute, which worked with eight states to develop programs focused on improving quality and containing health care costs.

 

Before joining AcademyHealth in November 2007, Ms. Ten Napel held a position as Development Director for Columbia Road Health Services, a Community Health Center that serves low-income and uninsured residents of Washington, DC. Prior to her work in local health care, she served as a Policy and Program Manager for the National Rural Health Association where she did health policy work related to health insurance and rural health care quality and managed several programs, including ones related to Community Health Centers, the Medicare PACE program, Medicare Part D and rural EMS. Ms. Ten Napel spent the first four years of her career working for U.S. Senate Minority Leader Tom Daschle, becoming a legislative assistant on health care issues. She advised the Senator on a range of health policy issues including health care appropriations, Medicare, Medicaid, insurance reform, public health, and rural health care issues.

 

Ms. Ten Napel holds Masters degrees in Social Work and Public Policy from the University of Michigan. She did her thesis work on health care finance while working for the Community HealthCare Association of the Dakotas.