Kristin Lightbody has over 18 years of experience developing, managing, and redesigning Medicaid cost savings initiatives. Her areas of expertise include Medicaid and Medicare eligibility, coordination of benefits, and third party liability operations.
On behalf of the Massachusetts Executive Office of Health and Human Services, Lightbody directed the team responsible for the development and implementation of Enhanced Medicare Identification activities, and was also responsible for the development of a Social Security Appeals pilot program for clients of the Massachusetts Department of Transitional Assistance. She was part of the UMass team that identified a systemic error within the Social Security Administration in determining eligibility for premium-free and reduced-premium Medicare Part A. Working with both Social Security and the Centers for Medicare and Medicaid Services, that project resulted in a nationwide correction that returned $250 million in Part A premiums to states.
Prior to working at UMass Medical School, Lightbody was the deputy director of the Benefit Coordination and Recovery Unit for the Massachusetts Medicaid program, MassHealth. She was responsible for the management of many of the core Third Party Liability programs including: health insurance identification and recovery, Medicare Buy-In, and MassHealth Premium Assistance. Lightbody played a key role in policy development, operations, and systems design during the 1115 waiver and Title XXI expansions in Massachusetts.
Lightbody holds a bachelor’s degree in business administration from Providence College.