Reisterstown, MD
Dr. P.H. Morgan State University
M.S. University of Baltimore

B.S. University of Maryland Eastern Shore


Contact: or 757.375.7291
Healthcare Policy & Compliance Programs (HHS, CMS), Risk Adjustment, Advisory Consulting

At Work:

  • Policy Development
  • Operations Implementation
  • Program Evaluation
  • Program Compliance
  • Division Oversight
  • Customer Engagement & Satisfaction
  • Contract Performance

At Play:

  • Hobbies – Spending time with family
  • Favorite Song – Anything by Prince
  • Favorite Movie – The Five Heartbeats
  • Where you would most like to travel – Paris, France


As Vice President of Account Management, Dr. Hughes leverages 20 years of experience in health policy and health insurance program development and evaluation, providing advice and oversight on a broad range of initiatives.

Dr. Hughes has held several prominent positions in federal and state government, including most recently serving as Acting Deputy Group Director for Payment Policy and Financial Management of the Center for Consumer Information and Insurance Oversight (CCIIO) at the Centers for Medicare & Medicaid Services (CMS). She was also Director of the Division of Risk Adjustment Operations with direct responsibilities for ushering in the Affordable Care Act (ACA) Premium Stabilization Program, and the associated HHS-Operated Risk Adjustment Data Validation (HRADV) program. In these roles, Dr. Hughes was instrumental in the development and implementation of various policy and compliance programs under the ACA.

Dr. Hughes has worked on major implementation teams for Medicare Part C and Medicare Part D.  She led regulatory and operations teams for Medicare Part C Risk Adjustment and Medicare Risk Adjustment Data Validation programs.  She also led the Government oversight initiatives to develop payment error measure rates for the Agency’s Medicare Part C and Medicare Part D improper payment reporting.

Dr. Hughes earned a Doctoral degree in Public Health from the School of Community Health and Policy at Morgan State University. In her spare time she enjoys being involved in communities to support public health and social justice initiatives for underserved populations.