Tanya Shah, M.B.A., M.P.H., is a vice president in the Delivery System Reform Program with responsibility for the high-need, high-cost population portfolio. Before joining the Commonwealth Fund in 2015, Ms. Shah was Assistant Commissioner, Bureau of Primary Care Access and Planning with the New York City Department of Health and Mental Hygiene, where she was responsible for creating the mission and developing the strategic plan for the bureau. She oversaw all functions including policy analysis, program management and evaluation, and budgeting and resource allocation. She helped guide planning related to primary care, Affordable Care Act implementation and the New York State legislative agenda. Recent work has included policy analysis on the impact of DSRIP, health planning for the New York’s State Health Improvement Plan, and health access for immigrants. Ms. Shah also served as the principal investigator on a number of ongoing studies that focused on the primary care provider landscape in New York City, as well as emergency planning and response for primary care. Ms. Shah worked at the Boston Consulting Group from 2005 to 2012, where she advised Fortune 500 companies, coordinated a climate change strategic planning process for Mayor Bloomberg’s office, and led the “International Consortium for Health Outcomes Measurement” for Harvard University’s Institute for Strategy and Competitiveness. From 1998 to 2004, Ms. Shah was a senior consultant for Accenture in their Health Services group. She holds a B.A. in International Development Studies, an M.B.A., and an M.P.H. in Health Policy and Management from the University of California at Berkeley.