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Christine H. Nye

Pronouns: She/Her

Christine (Tina) has focused her career on improving the health of the uninsured and individuals on Medicaid.

Tina is a senior fellow and consultant at NORC. She provides senior level project direction and oversight and senior level policy support for many NORC projects with the federal Centers for Medicare and Medicaid Services.

Tina was NORC’s project director (PD) for the MIDS Hospital Quality Initiatives (HQI) Implementation Support Program, served as PD for NORC’s Financial Alignment Initiative contract and for NORC’s State Implementation Model, contract both with CMMI (Center for Medicare and Medicaid Innovation). She also provided senior level support to NORC’s Innovation Accelerator – Value Based Payment contract with CMS. She currently provides senior level support to NORC’s Medicaid Drug Payment Technical Advisory Learning Collaborative and the Early, Periodic, Screening, Diagnostic and Treatment contracts with CMS.

Tina has a long and distinguished career working on large multi-faceted and highly visible projects in the government and the private sector. Among these, Tina was the Director of the Medicaid Bureau (now CMCS (Center for Medicaid and Children’s Health Insurance Program Services) within the Health Care Financing Administration (HCFA) and was responsible for all aspects of directing the federal/state Medicaid program including policies and regulations, related MCO (Managed Care Organization) encounter data collection, and MMIS re-procurement and re-definition efforts and Medicaid supplemental payments, including DSH. In this capacity, Tina worked closely with federal regional offices and the states to define, implement, and monitor state efforts in this area.

Tina also directed the Wisconsin Medicaid program. While Wisconsin’s Medicaid Director, Ms. Nye was a member of many national committees, including the Executive Committee of the National Association of Medicaid Directors.  Before joining NORC, Ms. Nye directed the state of Florida’s HIT initiatives, including the EHR Incentive Program and efforts to promote and facilitate the use of EHRs among providers receiving incentive payments. Tina has held other high-level management positions, including Deputy Director of Wisconsin’s Aging Programs, regional director for one of the largest government business processes outsourcing firms where she was responsible for the delivery of complex systems and solutions to state government. In this capacity, Tina developed knowledge of the challenges of data reporting and analysis for Medicaid data and of the responsiveness of state MMIS systems to monitoring Medicaid program outcomes.

Project Contributions

Early and Periodic Screening, Diagnostic & Treatment (EPSDT)

Assessing and analyzing state availability, delivery, and provision of EPSDT benefit services


Centers for Medicare & Medicaid Services

Evaluation of the State Health Information Exchange (HIE) Cooperative Agreement Program

NORC monitors effectiveness of efforts to facilitate states’ health information exchange


Office of the National Coordinator for Health IT

Framework for Advancing Health Equity in Medicaid

Helping states improve health care for diverse populations


NORC at the University of Chicago

Medicaid Innovation Accelerator Program: Value-Based Payment & Financial Simulations

Technical support in designing, developing and implementing Medicaid value-based payment approaches


Center for Medicaid & CHIP Services, Center for Medicare & Medicaid Services

Supporting States’ Medicaid and Medicare Reform Efforts

Technical assistance and implementation support for CMS’s State Innovation Models Initiative


Centers for Medicare & Medicaid Services, Center for Medicare & Medicaid Innovation

Published Research