Alexandra Kruse, MSG, MHA, is a senior fellow at the Center for Health Care Strategies (CHCS). She focuses on initiatives related to reforming state long-term services and supports systems (LTSS) and integrating care for individuals dually enrolled in Medicare and Medicaid.

Prior to joining CHCS, Ms. Kruse spent seven years working on Medicaid LTSS programs and policy development in Florida, and two years as a public policy manager for a national health plan, where she provided consultative and analytics support on Medicare-Medicaid integration, LTSS, and quality measurement. In her work with the state of Florida, Ms. Kruse served as chief for the nursing home and home- and community-based services eligibility and pre-admission screening bureau and also directed Florida’s State Health Insurance Assistance Program. She began her career in California working as a provider of nursing facility and assisted living services.

Ms. Kruse has master’s degrees in gerontology and health administration, a certificate in long-term care administration, and a bachelor’s degree in biological sciences from the University of Southern California.