She earned her Ph.D. in Health Services Organization and Policy from the University of Michigan. She is a health services researcher with a research focus on issues including health insurance, access to care, payment innovations, and health care utilization of vulnerable populations, particularly utilization of Medicaid enrollees. Her current research assesses the impacts of the Affordable Care Act, explores the effects of innovative payment mechanisms in Maryland hospitals, analyzes the implementation of mandatory Medicaid managed care in Florida, and explores characteristics associated with high charge-to-cost hospitals in Florida. Her research has been published in journals including Health Affairs, Health Services Research, Medical Care, JAMA Internal Medicine.