Working across party lines with the North Carolina General Assembly, Kinsley played a pivotal role in expanding Medicaid, resulting in more than 600,000 North Carolinians gaining coverage in the first year—twice the expected pace. He also secured one of the largest behavioral health investments in state history—$835 million—along with major policy reforms designed to expand access to mental health and substance use services.

Under his leadership, North Carolina implemented the groundbreaking Healthy Opportunities Pilots, the nation’s first large-scale experiment demonstrating how paying for non-medical needs such as food and housing can improve health outcomes while lowering healthcare costs. In partnership with every hospital in the state, Kinsley also helped deliver $6.5 billion in medical debt relief for 2.5 million North Carolinians.

Kinsley brings a rare combination of state and federal leadership experience to conversations about the future of American healthcare. His career includes roles at the White House, the U.S. Department of Health and Human Services, and the U.S. Department of the Treasury. Appointed by President Barack Obama, he continued serving under President Donald Trump as Assistant Secretary for Management at the Treasury Department.

Today, Kinsley serves as a Senior Policy Advisor at Johns Hopkins University, a Senior Advisor with the Milken Institute, and a fellow of the Aspen Institute. Drawing on his experience turning ambitious policy ideas into measurable results, he offers audiences an insider’s perspective on what it takes to navigate political divides, transform complex systems, lower costs, expand access, and create meaningful change in healthcare. Read Less ^