Laura Hoffmeister Fegraus is the vice-president of External Affairs, Communications and Branding at the Permanente Federation. She is also the Executive Director of the Council for Accountable Physician Practices. In these roles, Laura focuses on delivery system reform, federal health care policy, and highlighting integrated delivery systems as the model for American health care. She was previously Special Assistant to the Deputy Administrator and Director of the Center for Medicare at the Centers for Medicare and Medicaid Services where she assisted in the implementation of significant health reform related changes to the Medicare program. She also served on the Senate Finance Committee Democratic health staff where she participated in the drafting of the Medicare Advantage and Part D related provisions of the Patient Protection and Affordable Care Act. Laura holds a Master’s of Science in Health Policy and Management from the Harvard School of Public Health and a B.A. from Drew University.