Rayva Virginkar (CMS) Rayva Virginkar, MPH, MPP, is the national payer engagement lead for the Comprehensive Primary Care Plus (CPC+) model. She joined CMS in early 2014 and worked on the Pioneer ACO model and in the Medicare-Medicaid Coordination Office prior to working on the CPC+ model. Rayva received her MPH and MPP from the University of Michigan and her BS from the University of California, Los Angeles.