Robin A. Preston

Senior Regional Vice President

Health Management Associates

Washington, DC

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Robin Preston is dedicated to improving access to healthcare for low-income populations. She has been working in the policy and operations spaces of healthcare for more than 30 years. During her career, she worked in the private sector and in managed care organizations, including comprehensive health and behavioral health. She worked as a public servant with the Centers for Medicare & Medicaid Services (CMS). 

Before joining HMA, Ms. Preston served as associate partner for the Policy and Program Management practice within the IBM Watson Health’s Federal Consulting practice. She served as a subject matter expert on contracts covering value-based payment; Medicaid; managed care, including encounter data; home and community-based services; and substance use disorder treatment and access.  

Ms. Preston spent more than eight years in increasingly senior roles with CMS where she was instrumental in the implementation of the Affordable Care Act at the federal level. She led implementation in 21 states that used managed care as a delivery system and led teams that oversaw Medicaid expansion in several states as well. 

Her work with CMS included coordinating federal Medicaid response to crises, including natural disasters, Zika healthcare emergency, and the Flint, Michigan, water crisis. She managed regional offices and stakeholder relations and served as liaison to several associations and boards. 

Prior to her career with CMS, Ms. Preston worked for a Medicaid managed care plan and had the opportunity to implement the DC Healthcare Alliance program for uninsured adults in the District of Columbia. She coordinated the opening of The Bridge Homeless Shelter in Dallas, Texas, with onsite behavioral health services, implemented pay for performance provider incentives for better patient outcomes, and helped plan enrollees navigate the healthcare system.  

Ms. Preston earned a bachelor’s degree from the University of Maryland.