Gina Lagomarsino is Principal, Chief Operating Officer and Managing Director at Results for Development Institute (R4D), with a focus on health system design and financing. She leads work aimed at expanding health coverage in low- and middle-income countries, with a particular interest in how to create vibrant health markets that include high-quality, innovative private care providers that are accessible to people regardless of income.

Gina leads the Center for Health Market Innovations, which has discovered more than 1000 innovative programs with potential to improve quality and affordability of care for the poor in 110 countries, and is now working to facilitate the scale-up of successful programs. Gina is also the Secretariat lead and a cofounder of the Joint Learning Network for Universal Health Coverage, a network of policymakers in low- and middle-income countries working to accelerate the successful adoption of national health insurance reforms.

Prior to joining R4D, Gina was Senior Health Policy Advisor to Washington, DC, Mayor Anthony Williams, where she worked to reform the health system of the District of Columbia. She designed and implemented a managed care reform of a public health insurance program serving low-income DC residents. She also spearheaded the District’s effort to implement the Medical Homes initiative to expand and improve the quality of private community health centers.

Prior to her work in government, Gina was an engagement manager in the Healthcare Practice of McKinsey & Company, where she advised senior executives of health insurance and hospital organizations on strategy and operations. She also worked for Kaiser Permanente, a private integrated financing and delivery system, based in the state of California, where she implemented a new model of primary care at a large multi-specialty medical center and served as a market research consultant for Kaiser insurance products.

Gina received a Master’s in Business Administration from Harvard University and a Bachelor’s degree in Public Policy from Stanford University.