Maureen A. Milligan
President & CEO

Before joining THOT, Maureen served as the Director of the Texas Institute of Health Care Quality and Efficiency and Director of the Health Care Quality and Analytics, Research, Coordination and Support unit at the Texas Health and Human Services Commission. Maureen successfully led the development and CMS negotiation of the Texas Healthcare Transformation and Quality Improvement Program Waiver and has served in various roles in her 16 years with the Commission. She previously served as Deputy Chief of Staff at HHSC, Deputy Director in Medicaid CHIP, and the manager of Health Plan Operations responsible for over three billion dollars in Medicaid and CHIP managed care contracts. Her work experience has focused on state and federal health care reform, state health care policy for Medicaid and indigent care, and Medicaid operational and contract management. 

Prior to her time with the Commission, Maureen was on the faculty at the University of Texas Medical Branch, teaching health care administration and economics as well as medical ethics. She has a bachelor’s degree in economics, an M.A. from the Institute for Medical Humanities at UTMB, a Masters in Public Affairs from the Lyndon Baines Johnson School of Public Affairs, at The University of Texas at Austin, and a Ph.D. in philosophy from Marquette University. 


Jessica Schleifer, M.P.H.
Director of Advocacy and Operations

Prior to joining THOT, Jessica served as Legislative Director and Senior Policy Advisor for Texas State Senator Rodney Ellis. Jessica has also served as Committee Director for the Senate Open Government and Government Organization Committees, and as a Committee Clerk for the Senate Committee on Government Organization. Before her time in the Legislature, Jessica worked as a data coordinator for a non-profit foundation that provided free cardiovascular screenings to student athletes. She also has prior experience in clinical care, clinical research and education.

Jessica holds a bachelor’s degree in Biology from the University of Texas at Austin and a master’s degree in Public Health from the University of Texas Health Science Center.

Micah Rodriguez
THOT Consultant

Micah Rodriguez first began his political career in 2003 as a Gregory Luna Memorial Legislative Scholar and currently works at Blackridge as Legislative Consultant and Legal Counsel.

Before starting with Blackridge, Micah worked for over a decade in the Texas State Senate as a senior legislative staffer. Throughout his tenure working in and around Texas politics, Micah has obtained extensive experience in numerous public policy topics ranging from finance to education and immigration to jurisprudence, with the heaviest emphasis on health and human services. In addition to subject matter expertise, through his work in the Texas Legislature, Micah has cultivated an expansive professional network in all areas of state government.

Born and raised in Texas, Micah earned his Bachelor of Arts in Philosophy from the University of Texas at Austin where he also minored in Economics and Mexican American Studies. He later went on to obtain his Juris Doctor from The University of Texas School of Law and is currently a licensed attorney in the state of Texas.

Pamela M. McDonald, M.P.Aff
THOT Consultant

Pam McDonald’s 29 years with the state of Texas ended August 2017 when she retired from her position as the Director of the Texas Health & Human Services Commissions’ Rate Analysis Department.  As such, Pam directly oversaw the development of HHSC’s fee-for-service rates for all Texas’ Medicaid services, Department of Family and Protective Services foster care programs, and various non-Medicaid health care-related programs.  As well, Pam was the lead staff for the development of HHSC’s existing supplemental payment program methodologies, including Uncompensated Care (UC), Disproportionate Share Hospitals (DSH), Uniform Hospital Rate Increase Program (UHRIP), and the Quality Incentive Payment Program (QIPP).

Prior to her seven years as Director of Rate Analysis Department, Pam led the Long-Term Services and Supports Section of the Department and, prior to that, oversaw rate development for Texas’ Medicaid nursing facilities.

Pam has a bachelor’s degree in International Studies from Reed College and a Masters in Public Affairs from the Lyndon Baines Johnson School of Public Affairs, at The University of Texas at Austin.