Bruce D. Greenstein has led efforts to improve health outcomes and quality, execute new quality initiatives and use innovative technology to solve health care challenges across the U.S. and globe for more than 20 years. Through a career that has included leadership positions within state and federal governments as well as the private health care technology sector, Greenstein has distinguished himself as an determined, pragmatic leader focused on identifying problems in systems and bringing providers, policy makers, private sector leaders and consumer groups together for timely, collective problem-solving. An economist by training, Greenstein’s approach to problem-solving is data-driven and highly focused on seeking logical solutions to both conventional and novel health policy concerns. His focus on developing executable solutions and work with prime ministers or ministers of health on multiple continents has helped Greenstein develop a global reputation for a leadership style that produces measurable results.
Appointed by Louisiana Governor Bobby Jindal, Greenstein assumed the role of secretary of the state’s Department of Health and Hospitals, or DHH, on September 13, 2010. At just over $8 billion, his agency’s annual budget represents roughly one-third of Louisiana’s entire state operating finances and supports a vast array of critical and complex service areas, including Medicaid, behavioral health, public health, emergency preparedness, health care facility licensure and regulation, health information technology, developmental disabilities and aging. Since he arrived, Greenstein has launched a strategic birth outcomes program focused on making intensive, aggressive reforms in payment and policy—complete with key quality initiatives and change-projects that make Louisiana a leader and one of very few states that has focused squarely on this generational challenge. As part of his commitment to open communication and transparency, Greenstein also launched a comprehensive new media initiative when he arrived and published the department’s first ever business plan. Since his arrival, Greenstein has cultivated provider, stakeholder and consumer support for the state’s transformation of its Medicaid system that covers over 1.2 million lives and is currently engaged in implementation efforts to bring the Coordinated Care Network, or CCN, program online by February 2012. The CCN program, using best practices and lessons learned in other states, aggressively holds networks accountable, requiring public reporting of 29 HERSA quality measures, as well as consumer satisfaction and network financial information.
Prior to his appointment in Louisiana, Greenstein led the development and execution of Microsoft’s industry strategy focusing on the worldwide health and human services market. In this role, he worked with governments and health systems around the world, as well as other companies to address market opportunities and focus on growth in the health information technology sector. Before Microsoft, Greenstein served as Vice President for Healthcare at CNSI, a Washington, DC-based systems integrator. There, he focused on state health care systems, and claims payment and vital records systems. He also was President of the Institute for Healthcare Solutions, where he led a group delivering thought leadership, consultation and simulation models for government officials and agencies.
Previously, he served as Associate Regional Administrator and as the Director of Waivers and Demonstrations in U.S. Department of Health and Human Services (HHS). While at HHS, he oversaw the state Medicaid programs in the Northeast and led the federal government’s efforts working to reform Medicaid programs in several states including, Massachusetts, Florida, Vermont and Iowa. Prior to serving in the Executive Branch, Greenstein was a health care expert for the U.S. Congress at the Government Accountability Office (GAO). While working for Governor Lawton Chiles in Florida, he led the design and administration of health care programs and worked on health care reform as a health economist.
Greenstein also currently serves on the executive committee for the National Academy for State Health Policy (NASHP) and the Louisiana Children’s Cabinet. He holds degrees in economics and public policy and lives in Baton Rouge with his wife, Cindy, and two daughters, Kennedy and Kyla. An avid outdoorsman, Greenstein enjoys photography, hiking, skiing, running and camping with his family.
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