Patti Killingsworth is the Senior Vice-President of LTSS Strategy and Industry Relationships at CareBridge, a company that combines innovative technology with LTSS expertise and partners with states, health plans, and others to improve care and outcomes for people receiving LTSS. She has nearly 25 years of Medicaid LTSS experience, leading system redesign initiatives in multiple states.  Most recently, she was the longstanding Assistant Commissioner and Chief of LTSS for TennCare, the Medicaid Agency in Tennessee. Her previous experience includes serving as the Deputy Director of the Missouri Department of Mental Health’s Division of Developmental Disabilities. Patti is a past board member of ADvancing States (NASUAD), and an original member of the MLTSS Institute Advisory Board. She is a lifelong family caregiver and nationally recognized leader and highly sought-after expert and adviser in HCBS, managed LTSS, value-based purchasing for LTSS, and initiatives to improve care for beneficiaries dually eligible for Medicare and Medicaid. Her commitment is to transform LTSS systems to better meet the needs of people with disabilities and their families by helping to develop and implement innovative approaches to service delivery that deliver on the triple aim:  improved experience, better outcomes, and increased cost efficiency.