Prior to his retirement from Federal service, Paul had over 40 years’ experience in the health care industry. He spent approximately six years in hospital administration in a variety of positions at both municipal and voluntary hospitals in New York City. He then spent 34 years in HCFA/CMS, the last twenty in Medicaid program integrity.
Paul retired as Deputy Director of the Medicaid Integrity Group (MIG), where he managed three divisions responsible for: 1) contracting strategy, procurement and oversight, 2) data strategy and operations and, 3) field operations. Previously, he was a Senior Advisor on Medicaid Fraud & Abuse and, for almost ten years, he was the Team Leader/Technical Director of a team that served as the focal point for all Medicaid program integrity-related issues in CMS. In all of these capacities, he worked very closely with state PI officials, as well as state and federal law enforcement officials.
During his tenure in the program integrity area in CMS, Paul worked on a variety of issues and initiatives. Some of these are: created the Regional Office Medicaid Fraud & Abuse Network, created the CMS F&A Control Technical Advisory Group, was instrumental in establishing the Medicaid Integrity Institute (MII), in collaboration with Medicare counterpart, designed and developed the Medicare-Medicaid Data Match Project (Medi-Medi) and, when Congress created the Medicaid Integrity Program, helped develop, build and manage the MIG.
After his retirement from CMS, and prior to the establishment of Miner, Gregory & Miller Consulting, LLC, Paul served on the Board of Directors of MedProtect, LLC for two and a half years. MedProtect was a wholly-owned subsidiary of SAIC.
Paul is a graduate of Long Island University with a Bachelor of Arts degree in English. He earned his MBA in Health Care Administration from Wagner College.
Prior to co-founding MGM, Don had over thirty-six years’ experience with the Louisiana Department of Health and Hospitals, finishing his career as Medicaid Director.
Prior to serving as Medicaid Director, Don held the position of Deputy Assistant Secretary and in this capacity managed two public nursing homes and oversaw the statewide operations of an adult protective services program. He also served as Director of Eligibility Field Operations for five years and supervised a large staff charged with determining eligibility for the Medicaid and CHIP programs.
Don was Program Integrity Section Chief for ten years and as such was responsible for surveillance and utilization review, provider enrollment and Medicaid Eligibility Quality Control. In addition to his duties over Program Integrity, Don served as Chairman of the CMS Fraud and Abuse Control Technical Advisory Group having been appointed to this position by the National Association of Medicaid Directors.
Don is a Past-President of the National Association for Medicaid Program Integrity (NAMPI), having served in this capacity during 2002. The purpose of NAMPI is to assist states in providing the greatest control of fraud, waste and abuse in the Medicaid program.
He served as the Louisiana project team leader for the Payment Accuracy Measurement (PAM) and Payment Error Rate Measurement (PERM) projects. The projects’ purposes were to measure the payment accuracy of the Medicaid claims payment system. The PAM model evolved into a more sophisticated PERM measurement model.
Don was the team leader for Fiscal Intermediary (MMIS) procurement. Activities completed during the procurement included among other things production of a CMS approved Advanced Planning Document, an RFP, a bid evaluation plan, leadership of evaluation teams and contract negotiations team leader.
He is a graduate of Louisiana Tech University with a degree in Management.
Prior to the creation of MGM, Robb served as the Director of Field Operations in the Medicaid Integrity Group (MIG) for the Centers for Medicare & Medicaid Services (CMS). MIG was responsible for the administration of the national Medicaid Integrity Program. Robb was also actively engaged in the creation and growth of the Medicaid Integrity Institute (MII) and was CMS’ liaison to MII for five years.
Robb previously served as the Senior Advisor to the CMS Region V Administrator for Fraud and Abuse. During his tenure at CMS, he worked on a wide variety of program integrity issues in both Medicaid and Medicare and coordinated the Region’s interactions with state program integrity directors. Robb was with CMS for eight years. In the two years prior to federal service, he had a private consulting business working on a variety of integrity-related projects.
Before that, Robb served in county and state government for more than 30 years. He was a police officer and administrator for 19 years and worked for 11 years for the Illinois Department of Public Aid. As Public Aid Inspector General, he directed the activities of more than 300 staff and contractors responsible for the integrity of the Medicaid and other welfare programs in Illinois.
Robb is a graduate of Monmouth College with a Bachelor of Arts in English. He earned his Master of Arts degree in Law Enforcement Administration at Western Illinois University. He graduated from the 151st session of the FBI National Academy and is a Certified Inspector General.