Health policy expert · Advocate · Public leader
Do the rules we write actually work for the people who depend on them?
The vantage
I've watched a rule get written, watched it get implemented, and watched what it did to a patient's bill. Most people only ever see one of those.
How a policy reads with the best intentions, before it meets a budget or a caseworker.
What that policy becomes once a health plan has to turn it into coverage, formularies, and cost.
What's left of it by the time it reaches the exam room and the bill.
What she works on
A rule changes once real organizations and budgets have to apply it. Mahnoor reads that difference for a living.
How access standards, redeterminations, and 1115 waivers land across multiple state Medicaid markets.
What the Inflation Reduction Act and the Part D redesign change about what people pay.
Reading federal rulemaking and turning it into the operational decisions leadership has to make.
Benefit design, formularies, and the math beneath the coverage for older Americans.
Writing & insights
The road ahead
I've spent fifteen years learning how it really operates, and I'm convinced its failures aren't inevitable. I plan to keep working, and keep running, until the rules serve the people who depend on them.