Image of Gina Lagomarsino

Gina Lagomarsino

President & CEO

At the heart of our strategy is an ardent belief that prosperity begins with health and education. People cannot thrive and contribute fully to society when they’re sick or hungry or poorly educated. Strong self-sustaining systems are the key to achieving lasting and large-scale results in health, nutrition and education for everyone.

Gina Lagomarsino is president and CEO of Results for Development (R4D).

In this role, she has doubled the size of organization’s portfolio — from $20M to $40M and significantly expanded the R4D’s global presence, which now has activities in 26 countries, including many deep, multi-year engagements, and a vast network of local partners and experts. In 2021, she led the development of a new organizational strategy that puts change agents — public, private and civil society leaders — squarely at the center of R4D’s mission and work.

Throughout her career, Ms. Lagomarsino has focused on expanding health coverage to low-income populations. As one of the original co-founders and managing directors at R4D, she helped galvanize energy and political will around a global push for universal health coverage by coordinating an early global task force convened by the Rockefeller Foundation and co-authoring a frequently cited 2012 Lancet article on universal health coverage.

Ms. Lagomarsino went on to play a key role designing and launching several initiatives that continue to influence health systems around the world, including the Joint Learning Network (JLN) for Universal Health Coverage, a network of policymakers in low- and middle-income countries working together to develop practical solutions to the challenges of achieving universal health coverage, and the Primary Health Care Performance Initiative (PHCPI), a partnership that works closely with governments and development partners looking to strengthen primary health care. She currently serves as a member of the PHCPI Steering Group and is also a member of the Steering Group of the Modernizing Foreign Assistance Network (MFAN).

From 2013 to 2016, she served as chief operating officer at R4D, building the financial, human resources, and operational systems necessary for a growing organization.

Prior to her work in global development, Ms. Lagomarsino spent a decade working to improve health systems in the United States. She served as senior health policy advisor to Washington, D.C. Mayor Anthony Williams, where she designed and implemented the reform of a free public health coverage program serving low-income D.C. residents. Before that, she 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 spent her early career at Kaiser Permanente, a large integrated health system based in California, where she worked closely with doctors and nurses to implement a new model of primary health care.

Ms. Lagomarsino holds a master’s degree in business administration from Harvard University and a bachelor’s degree in public policy from Stanford University. She lives in Washington, D.C. with her husband and two children.

Articles and other publications

  • Lagomarsino, G., Garabrant, A., Adyas, A., Muga, R., Otoo, N. 2012. Moving towards universal health coverage: health insurance reforms in nine developing countries in Africa and Asia. The Lancet 380: 933-44. (99 Citations)
  • Lewis, T., Synowiec, C., Lagomarsino, G., Schweitzer, J. 2012. E-health in low- and middle-income countries: findings from the Center for Health Market Innovations. Bull World Health Organ 90: 332-340. (50 Citations)
  • Lagomarsino, G., Deferranti, D., Pablos-Mendez, A., Nishtar, S., Nachuk, S., Wibulproprasert, S. 2009. Public Stewardship of Mixed Health Systems. The Lancet 374(9701):1577-8 (20 Citations)
  • Latko, B., Frenk, J., Evans, T., Chen, L., Pablos-Mendez, A., Lagomarsino, G., Deferranti, D. 2010. The Growing Movement toward Universal Health Coverage. The Lancet 377(9784):2161-3. (19 Citations)
  • Bennett, S., Lagomarsino, G., Knezovich, J., Lucas, H. 2014. Accelerating Learning for Pro-Poor Health Markets. Globalization and Health 10(1):54. (4 Citations)
  • Lagomarsino, G., Nachuk, S., Kundra S.S. 2009. Public Stewardship of Private Providers in Mixed Health Systems. Results for Development Institute and The Rockfeller Foundation. (4 Citations)
  • Deferranti, D., Griffin, C., Escobar, M., Glassman, A., Lagomarsino, G. 2008. Innovative Financing for Global Health: Tools for Analyzing the Options. Brookings Institution Global Economy and Development. (4 Citations)
  • Lagomarsino, G., Chen, C., Folsom, A., McClellan, M., Rao, A., Hecht, R. 2010. Improving Stewardship of Complex Mixed Health Systems: Learning from Health Care in the United States. Engelberg Center for Health Care Reform at Brookings Institute and Results for Development Institute. (2 Citations)
  • Krubiner, C., Salmon, M., Synowiec, C., Lagomarsino, G. 2015. Investing in Nursing and Enterprise: Empowering women and strengthening health systems – A Landscaping Study of Innovations in Low and Middle Income Countries. Nursing Outlook.
  • Kimball, M., Phily, C., Folsom, A., Lagomarsino, G., Holtz, J. 2013. Leveraging Health Microinsurance to promote universal health coverage. Microinsurance Innovation Facility, International Labour Office.
  • Meyer, J., Bovbjerg, R., Ormond, B., Lagomarsino, G. 2010. Expanding Health Coverage in the District of Columbia: 1999 – 2009. Brookings Institution.
  • Lagomarsino, G., Kundra, S. 2008. Overcoming the Challenges of Scaling Up Voluntary Risk Pools in Low-Income Settings. Results for Development Institute.
  • Lagomarsino, G., Kundra, S., Hamid, J., Blanchard, T. 2008. Partnering for Malaria Prevention. Results for Development Institute.
  • Meyer, J., Bovbjerg, R., Ormond, B., Lagomarsino, G. 2010. Expanding Health Coverage in
    the District of Columbia: D.C.’s shift from providing services to subsidizing individuals and its continuing challenges in promoting health, 1999–2009. Brookings Institution.
  • Kimball, M., Phily, C., Folsom, A., Lagomarsino, G., Holtz, J. 2013. Leveraging Health Microinsurance to Promote Universal Health Coverage. International Labour Organization.

Additional Information

Fostering Digital Communities

We create and support global communities of innovators, funders and policymakers for continuous and iterative learning, knowledge generation, exchange and collaboration. Click on the logos below to explore our communities: