Sujata Agarwal is the current director of ACO contract performance for Saint Francis Healthcare Partners. In her role, she is responsible for managing the performance across all value-based contracts and plays a key role in identifying areas of opportunity that directly influences the overall clinical and quality outcomes ultimately lowering the total cost of care. She has over 15 years of experience in value-based contracting and operations with a passion to uncover cost savings through identification of areas of opportunities with a focus on implementation of process enhancements while adhering to stringent standards for compliance and quality. Ms. Agarwal completed her bachelors in dentistry in India, and has a master’s in healthcare administration from University of New Haven.

Maria Alexander is the senior director of clinical operations and government channels for Mount Sinai Health System, where she oversees Mount Sinai’s participation in government programs including the Medicare Shared Savings Program. Prior to joining Mount Sinai Health System, she spent six years at the Centers for Medicare & Medicaid Services (CMS) and most recently as a division director in the Center for Medicare & Medicaid Innovation (CMMI). During her time at CMS, she helped develop the Pioneer ACO Model, the Comprehensive ESRD Care Model, and worked on several initiatives focused on dual eligible populations as well as the Value Modifier Program, a precursor to the Quality Payment Program. Ms. Alexander holds a bachelor’s degree from Tufts University.

Carrie Arsenault is the vice president of operations at Northern Light Beacon Health, the population health organization, and Beacon Direct, the T.P.A. and direct to employer division, of Northern Light Health. She is responsible for leadership, plan management and operations of the Beacon Health lines of business and works with members and strategic contractors to guide transformation to a value-based model of care. Ms. Arsenault joined Northern Light Beacon Health in 2012 and previously worked in directing physician practices and with Coding & Reimbursement programs. She is a graduate of Husson University’s MBA and bachelor of science programs.

Meena Bansal, MD, serves as the chief medical officer of Mount Sinai Care LLC and deputy chief medical officer for Mount Sinai Health Partners, the population health platform for the entire Mount Sinai Health System. In this role, she has the opportunity to translate findings from research/clinical trials to address population health needs in an ever-changing healthcare landscape. She is also the director of translational research in the division of liver diseases and is the principal investigator in a number of clinical trials for the treatment of Hepatitis C and NASH. Dr. Basal joined the faculty at Mount Sinai in 2001 after completing her gastroenterology fellowship at the University of Pennsylvania. In 2002 she became the transplant hepatology fellowship director, leading one of the largest transplant hepatology fellowships in the United States.  While remaining clinically active, she has also developed an NIH-funded basic research program focusing on understanding underlying molecular mechanisms of liver fibrosis/cirrhosis in an effort to develop novel anti-fibrotic therapies.  Dr. Bansal received her medical degree from Weill Cornell Medical College of Cornell University and has been in practice for more than 20 years.

Allison Brennan, MPP, is the Senior Vice President of Government Affairs for the National Association of ACOs in Washington, D.C. where she helps develop and advocate for policies to benefit ACOs. Prior to NAACOS, Allison was a senior advocacy advisor at the Medical Group Management Association (MGMA) where she helped lead MGMA's advocacy efforts, focusing on federal regulatory and legislative issues and coordinating MGMA advocacy activities. Before joining MGMA, Allison worked as a program manager at the Brookings Institution where she designed and managed educational seminars focused on the policy process and federal leadership development. Allison began her career interning in the United States Senate and then worked at the National Patient Advocate Foundation, where she lobbied state governments on behalf of patients and managed grassroots. Allison has a bachelor's degree in government and economics from the College of William and Mary and holds a master's degree in public policy from Georgetown University, with a focus on health policy. 

Travis Broome is the vice-president of policy and ACO administration at Aledade, Inc. He guides Aledade and partner physicians through the policy, strategy and economics of value based health care. Joining Aledade shortly after its start, he worked on nearly every aspect from business development for both practices and payers, to early analytics, to serving as an ACO executive director for Aledade Louisiana ACO. Prior to Aledade, he spent seven years at the Centers for Medicare & Medicaid Services in roles ranging from regulation writing to quality improvement to management. Mr. Broome earned his Master of Public Health and business administration from the University of Alabama at Birmingham. 

Emily Brower serves as senior vice president of clinical integration and physician services for Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation, serving more than 30 million people across 22 states. In this role, she provides leadership and strategic direction within the evolving accountable healthcare environment, with an emphasis on clinical integration and transformation under alternative payment models. Ms. Brower joined Trinity Health from Atrius Health, where she last served as vice president of population health, building and executing the essential capabilities required to achieve strong financial and clinical outcomes within integrated care models under value-based reimbursement, particularly for publicly insured populations. Her Medicare ACO team delivered year over year improvement in cost and quality, and the highest per-capita savings in an independent evaluation of the Pioneer model.  Prior to Atrius Health, Ms. Brower spent fifteen years in operational, financial, and contracting leadership roles at Urban Medical Group, a Massachusetts non-profit healthcare organization specializing in the care of medically complex, chronically ill populations across a community-based, long-term care continuum. During that time, she launched a PACE program and other innovative, capitated contracts for medically complex populations and served as Principal Investigator for a multi-year research project analyzing cost and quality outcomes to support payment reform.   Ms. Brower received her BA from Smith College and MBA from the New York University Stern School of Business. 

Kimberly Busenbark is an attorney and the CEO of Wilems Resource Group, LLC, a boutique consulting firm specializing in MSSP and Next Generation ACO Compliance and Audit Management. After beginning her career in Medicare Advantage compliance, she began working with ACOs during the first wave of the Medicare Shared Savings Program, and spent the first three years of the MSSP as the compliance officer for 35 MSSP ACOs across the country. During this time, she was responsible for the implementation and oversight of the compliance program for each of the ACOs. Mrs. Busenbark is a graduate of Texas A&M University, where she received a bachelor’s of business administration in marketing and management, and of The University of Houston Law Center, where she received her Juris Doctorate before being admitted to the State Bar of Texas. 

Mark Calderon, MD is the chief medical officer for the accountable care organizations affiliated with Atlantic Alliance – a Clinically Integrated Network. He provides clinical leadership over a variety of value-based payment models with commercial, and government payer partners. As an experienced physician executive, he has been a leader in multiple large, complex payer settings where he honed his skills in population health management. Dr. Calderon earned his doctorate in medicine from University of Medicine and Dentistry of New Jersey – Robert Wood Johnson School of Medicine and completed his family practice residency at Overlook Medical Center

 

Melody Danko-Holsomback, is the director of operations and IT for the Keystone ACO. Keystone ACO is a Medicare Shared Savings Program, Basic Level E Track ACO serving over 77,000 Medicare beneficiaries. She has more than 25 years of practice experience in nursing practice, 19 of which were within Geisinger Health System. She has served roles in community practice, inpatient, IT, and population health consulting before entering her current role. She is a member of the NAACOS quality committee since 2018 and the NQF measure-loop-feedback committee since January 2019. Ms. Danko-Holsomback attended Ohio University for her BSN and Wilkes University for her MSN as an adult-gerontology primary care nurse practitioner. 

Terrisca Des Jardins is administrator for Physician Organization of Michigan Accountable Care Organization and lecturer at the University of Michigan School of Public Health. She has spent her career innovating and improving health care as well as saving dollars through her leadership of for-profit, non-profit, government and philanthropic healthcare organizations and initiatives. Her leadership has been recognized by the United States Surgeon General, State of Michigan Governor-appointed HIT commission, Crain’s Business Journal’s “40 Under 40,” National Kidney Foundation, and the National Partnership for Immunization, among others. 

Caitlin Dunn is director of population and digital health at Inception Health. She has health care experience in quality, population health and strategy. She is eager to implement technology to transform today’s health care delivery system and improve the health status of patients. She is especially interested in the application of ‘big data’ and of technology that empowers individuals to independently manage medical conditions. She earned a bachelor of arts in biology and history and a master of health administration from Saint Louis University.

Daniel Durand, MD, is the chief innovation officer for LifeBridge Health (LBH). He is accountable for overseeing all LBH work related to biomedical research, digital health, and value-based contracting. He also continues to practice medicine as the chairman of radiology across LBH. Previously, he served as the medical and operational director of the LifeBridge Health ACO LLC, which achieved shared savings in all three years of its first contract with Medicare. He also served as the first executive director of the LifeBridge Health Clinically Integrated Network. Prior to joining LifeBridge, he served as the first director of accountable care for Johns Hopkins Medicine and oversaw operations for the Johns Hopkins Medicine Alliance for Patients, one of the nation’s largest ACOs. Dr. Durand has appeared in top journals such as The New England Journal of Medicine and the Journal of the American Medical Association.  He also sits on various professional and policy committees at the state and national level and is a frequent speaker at conferences and other events on the topic of healthcare innovation.

Rich Feifer, MD, is president of Genesis Physician Services and chief medical officer at Genesis HealthCare, one of the nation's largest skilled nursing and long-term care providers. He leads over 550 clinicians in the active transition from fee-for-service to value-based care. Prior to joining Genesis, Dr. Feifer served as Aetna’s CMO of national accounts, helping our nation’s largest employers optimize health and productivity. Before Aetna, he served as VP of clinical program innovation and evaluation at Medco. A graduate of Brown University, the University of Pennsylvania, and Columbia University, Dr. Feifer is a board-certified internist with experience in population health, primary care, geriatrics, and health services management. He is currently an assistant clinical professor at the University of Connecticut. 

Dr. Robert Fields is a family medicine physician and the Senior Vice President and Chief Medical Officer for Population Health at Mount Sinai Hospital in New York City. As CMO, Dr. Fields leads a network of almost 4,000 physicians managing 400,000 lives across multiple risk contracts and all lines of business.

Dr. Fields began his career by establishing Vista Family Health in 2003 providing primary care for all ages including a large number of underserved Latino patients in Western North Carolina. Dr. Fields was an early adopter of the patient-centered medical home model as well as new technologies for patient engagement and practice efficiency. He was part of the community and system leadership team that designed the first ACO in that region and was asked to serve as its first medical director. Under his guidance, the network grew from 200 primary care physicians to more than 1,100 providers of various specialties and three health systems. The ACO was able to achieve over $11 million in savings in the Medicare Shared Savings Program in its second year as well savings under multiple Medicare Advantage contracts using a clinical model which incorporated social determinants of health along with clinical care management. Dr. Fields came to Mount Sinai in March of 2018 as the Chief Medical Officer for Population Health and has overseen the redesign of the clinical model including care management, provider engagement, quality programs and other aspects of the system’s population health strategy.

Dr. Fields serves on the Boards of Directors of the National Association of ACOs and America’s Physician Groups. He earned a medical degree from the University of Florida College of Medicine, and he completed a family medicine residency at the Mountain Area Health Education Center in Asheville, N.C., where he was chief resident. Dr. Fields earned a Master of Health Administration from the University of North Carolina at Chapel Hill.

Jennifer Gasperini is senior policy advisor for the National Association of ACOs (NAACOS) where she works on federal regulatory issues facing ACOs. Ms. Gasperini brings 10 years of health policy experience on both the state and national levels. She came to NAACOS from the North Carolina Medical Society (NCMS) where she served as the director of health policy, working on a variety of state and federal health policy issues concerning physicians. Before joining the NCMS, she worked at the National Medical Group Management Association (MGMA) where she focused on federal legislative and regulatory issues pertaining to physician quality and payment including ACO issues, and value-based payment programs such as PQRS and the Value Based Payment Modifier. Ms. Gasperini holds a bachelor’s degree in journalism, minor in political science from the Pennsylvania State University and a master’s degree in legislative affairs from the George Washington University. 

Luke Hansen, MD, is vice president and chief medical officer for population health at AMITA Health. He has expertise in population analytics, value-based payment models, and care models supportive of value and population health. In his current role he provides clinical leadership to the population health and clinical integration program at AMITA Health. This includes medical directorship of Medicare and commercial value-based care arrangements and responsibility for population health quality, health system utilization management and care management. Dr. Hansen serves as an adjunct assistant professor at the University of Illinois Chicago School of Public Health, where he teaches the population health course in the Master of Healthcare Administration program. He has published in the Annals of Internal Medicine, the Journal of Hospital Medicine, and Health Services Research on efforts to reduce rehospitalization.

Pam Halvorson is the lead executive of operations for UnityPoint Accountable Care. In addition to this primary role, she serves as the executive sponsor for connecting to community resources in THE Care Model, UnityPoint Health’s population health initiative. In the Next Generation ACO program, Ms. Halvorson is responsible for the development and monitoring of implementation strategies and progress, care coordination, culture change and team and community integration activities. Previously, she held positions as the COO at Trimark Physicians Group and regional vice president of clinic operations for UnityPoint Clinic. Ms. Halvorson graduated from the University of North Dakota in occupational therapy and has held leadership positions in the healthcare industry for over 30 years.

Lorri Havlovitz is vice president of ACO operations at Collaborative Health Systems/WellCare.  Ms. Havlovitz received her MBA in health care management and has been in the healthcare industry for over 25 years. She held leadership positions in healthcare insurance, contracting, and provider operations. She has been instrumental with Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACO) from concept and development through implementation and ongoing analysis. Ms. Havlovitz oversees several ACOs currently participating in the Medicare Shared Savings Program.   

 

Scott Heiser is senior manager of health care and medical expense strategy at Blue Cross Blue Shield of North Carolina. He works on a broad portfolio of value-based initiatives, including commercial, Medicare Advantage, and Medicaid risk contracting. Prior to joining Blue Cross NC, he served as the finance lead for the Next Generation and Pioneer ACO Models at the Center for Medicare and Medicaid Innovation. In addition to his work at CMMI, he was a policy analyst at the Dartmouth Institute for Health Policy and Clinical Practice, and as a legislative assistant for a small policy and lobbying firm in Washington, D.C. Mr. Heiser is a graduate of the University of Colorado at Boulder, and earned his master’s in public health at the Dartmouth Institute for Health Policy and Clinical Practice.

Kimberly Kauffman is Summit’s chief value-based care officer. In her role, she is responsible for the transition from fee-for-service to fee-for-value. In support of value-based contracts with CMMI, Medicare Advantage, commercial health plans and Medicaid managed care, she leads the care coordination, health education, integrated programs, quality reporting and improvement, risk adjustment and provider engagement teams and works closely with a data analytics partner. Prior to joining Summit, Ms. Kauffman managed a large independent physicians’ association in Florida and also worked with hospital and physician leadership to create several regional Physician Hospital Organizations. Preceding that, she was responsible for operations for senior healthcare centers, supporting multiple hospital clients. She received her master’s degree from the College of Public Health at the University of Florida. She is an officer of the Board of Directors for the National Association of ACOs and a regular participant in Advisory Board and American Medical Group Association activities.  

Don Klitgaard, MD, is the current board chair and ACO medical director for Heartland Rural Physician Alliance. He helped found Heartland Rural Physician Alliance, an Iowa statewide IPA dedicated to helping independent practices thrive. He is also the founding CEO of MedLink Advantage (MLA), a practice transformation, healthcare consulting and ACO management firm.  For 15 years, Dr. Klitgaard practiced full-scope rural family medicine and served as medical director of the Myrtue Medical Center clinics. During this time, he served as the physician champion for Myrtue in the AAFP’s TransforMED national demonstration project and helped lead their subsequent patient-centered medical home (PCMH) transformation efforts. He has served widely as an educator and consultant on PCMH transformation in Iowa, regionally, and nationally.

Thomas Kloos, MD, is executive director of the Atlantic Health MSO, a management services organization which supplies management services to both the Atlantic ACO and Optimus Healthcare Partners ACO. The two ACO's serve both the MSSP program and commercial relationships and encompass over 90,000 attributed Medicare beneficiaries and over 200,000 commercial attributed beneficiaries. He is a NAACOS board member. He was past president of Optimus Healthcare Partners, a physician established ACO and has also has served as past president and medical director of Vista Health System IPA. On the payer side, he is board member and past board vice president of the Affiliated Physicians Health Plan, a self-funded Multiple Employer Welfare Association (MEWA). Dr. Kloos is a board-certified internal medicine practitioner and has been a NCQA recognized level 3 Patient Centered Medical Home (PCMH). He graduated from the University of Louisville Medical School in 1979 and from Rutgers University in 1975. 

Greg Kuzma is Privia Health’s SVP and chief healthcare economics officer, leading payer contracting and data analytic functions. Previously, he served in the same capacity for Brighton Health Group. He also operated an advisory firm that served healthcare clients such as DaVita Healthcare Partners, Apax Partners, and LabCorp. His extensive career as a senior actuarial and operating executive includes working with Oxford Health Plans, WellCare and Geisinger Health Plan. Mr. Kuzma is a fellow of the Society of Actuaries and a member of the American Academy of Actuaries. He holds a BS in electrical engineering and management systems from Princeton University. 

Pauline Lapin is the director for the Seamless Care Models Group (SCMG) in the Center for Medicare and Medicaid Innovation at the Centers for Medicare & Medicaid Services (CMS).  She oversees and provides guidance in the development and implementation of innovative payment and delivery models related to advanced primary care and accountable care organizations, namely the Comprehensive Primary Care (CPC) and CPC Plus initiatives, the Pioneer ACO and Next Generation ACO Models, and the Comprehensive ESRD Care initiative. Her group also manages health plan innovation models in Medicare Parts C and D. Ms. Lapin has been in federal service at CMS for over 25 years, previously serving as deputy director of SCMG, and as a division director in the Office of Research, Development and Information, where she oversaw the design and implementation of a variety of demonstrations, including those related to medical home/advanced primary care practice and prevention.  She holds a Master of Health Science  degree from the Bloomberg School of Public Health.

Ed Lee is the executive director of healthcare economics outcomes at IU Health, population health. His responsibilities include risk adjustment and the medical expense initiatives related to clinical care redesign. Prior to starting this role in 2017, he was the executive director of operations and alternative payment models of the IU Health Orthopedics & Sports Medicine Service Line.  Mr. Lee earned his masters of business administration from New York Institute of Technology and his physical therapy degree from Queen’s University.

 

Christina Lewis is the executive director of St. Luke’s Care, LLC, a network of almost 2,000 employed and independent providers that was formed to operate as a Clinically Integrated Network (CIN). In her role, she provides strategic and operational oversight of the CIN, including network development, contract management, and population health. She leads the operations of St. Luke’s Care Network’s MSSP and serves on the MSSP ACO board. Ms. Lewis’ career began in nursing, where she worked in various hospital settings, advancing to director of ICU, cardiovascular step-down and the emergency department. During her nursing career, she was responsible for clinical performance and new program development, including the build of an open-heart unit and an ED behavior health unit. Her managed care experience includes director of operations for a Medicaid managed care organization, administrator of medical management for commercial health plans, and general manager for a physician hospital organization. Ms. Lewis holds an MPH from East Stroudsburg University, a BSN from Cedar Crest College, and a nursing diploma from St. Francis Medical Center. She is a fellow in the American College of Healthcare Executives.

Jennifer Moore is the chief operating officer of the MaineHealth Accountable Care Organization, whose membership includes 9 acute care hospitals and over 1,400 independent and employed physicians. The MaineHealth ACO contracted with CMS for the Medicare Shared Savings Plan (MSSP) beginning in July 2012 and was successful in its first performance year with MSSP achieving nearly $20 million dollars in savings. Ms. Moore oversees all activities associated with the MSSP and numerous commercial ACO contracts including payer contracting, network management, data operations and analysis, performance improvement programs, and practice support activities. These ACO contracts cover approximately 180,000 Medicare and commercial lives. Ms. Moore has her master’s in business administration and over 20 years of experience in the health care industry. 

Judith Moore is an independent health policy consultant who works part time with NAACOS on Medicaid ACO issues. She previously directed the federal Medicaid program in HCFA/CMS and worked at George Washington University. Ms. Moore was a founding commissioner on the Medicaid and Children’s Health Payment and Access Commission (MACPAC) and is co-author of Medicaid Politics and Policy, a political history of the Medicaid program.

 

Regan Murphy is the VP of managed care at Oak Street Health, a value-based neighborhood primary care provider with clinics throughout the Midwest and East Coast.  In this role, she leads Oak Street's payer relationships - from contracting through to operations and payment integrity.  Prior to Oak Street, she was the general manager of The Governance Institute, an organization that supports the boards of directors and C-suite of over 1,100 hospitals and health systems with thought leadership, best practices, and ongoing education to enable better board performance.  She was also the VP of client success at Valence Health (Evolent Health), which enables provider-sponsored health plans and value-based care models.  She has also held various roles in product, business development, operations, and strategy at athenahealth, Geisinger, The Advisory Board and spent time at The Boston Consulting Group's Chicago office working with providers, payers, and the blurring space in between.  Ms. Murphy holds an MBA in health care management from The Wharton School, University of Pennsylvania and a BA in biology modified (neuroscience) from Dartmouth College.

Stephen Nuckolls is the chief executive officer of Coastal Carolina Health Care, PA, and their ACO, Coastal Carolina Quality Care, Inc.  His responsibilities include the direct management of the 60 provider multi-specialty physician-owned medical practice and its ACO that was selected by CMS in the initial round in April 2012 and is currently in a 2-sided risk model.  Mr. Nuckolls facilitated the formation of the medical practice in 1997 and has served in his current role since that time.  Prior to the formation of this organization, Mr. Nuckolls helped guide physicians and integrated hospital organizations in the formation of larger systems.  Mr. Nuckolls earned his BA in economics from Davidson College and his MAC from UNC’s Kenan-Flagler Business School.  He is a founding member of the National Association of ACOs and served as their board chair from 2016-2017 and currently serves as treasurer.  Prior to 2016 he served as treasurer and chair of their policy committee.  In addition to these responsibilities he has served on several advisory boards and committees for the North Carolina Medical Society and is a frequent speaker on ACOs and related topics at medical conferences including presentations for the Medical Group Management Association, the American College of Physicians, and the National Association of ACOs.

Kathy Parsons, MHA, MBA, serves as the vice president of population health and risk contracting for CentraCare. She also serves as the executive director of the Central Minnesota Health Network, a clinically integrated network that includes 13 regional health care partners, as well as for the Central MN ACO which is in Basic Track E and includes 7 regional healthcare organization partners. 

Brady Paschall leads the data science strategy of the healthcare economics outcomes team at IU Health, population health. Through his relationship with Indiana University’s School of Public Health, he developed a passion for improving the health of the community in which he was born and raised. Today, he leverages the pragmatic application of data science to create meaningful insights and execute clinical care redesign.

 

Beth Patak is the system director of clinical integration for Bon Secours Mercy Health’s (BSMH) Clinically Integrated Network. She has been developing and operationalizing BSMH’s population health management strategies for the past 4 years. In addition to managing the clinical integration team, she also developed and manages the government payment programs such as the Comprehensive Primary Care Plus (CPC+) and Ohio CPC programs. Prior to joining BSMH, she had accumulated over 22 years of healthcare leadership with a broad scope of unique experiences. She most recently managed operations for a large independent physician group and lead the CPCi and NCQA PCMH initiatives.  Ms. Patak has undergraduate degrees in management and marketing and earned a master’s degree in management from Wright State University.

David Pittman joined the National Association of ACOs in August 2018 as health policy and communications advisor, bringing a dozen years of experience in health journalism to the organization. Prior to NAACOS, David covered health care at POLITICO, including the worlds of ACOs and the Center for Medicare and Medicaid Innovation. He helped launch the website's eHealth coverage in 2014. He was a fellow of the Association of Health Care Journalists in 2014, researching how states were adopting payment and delivery system reforms as budgets struggled to recover from the recession of the late 2000s. Before POLITICO, David served as the lone Washington reporter for the health news website MedPage Today, covering nearly all aspects of health policy from Medicare and Medicaid to the Affordable Care Act and Capitol Hill. David holds bachelor's degrees in journalism and chemistry from the University of Georgia, where he graduated in 2006. While in Athens, David worked as a staff writer of The Red & Black and eventually became editor-in-chief.

Jamie Reedy, MD, MPH is chief of population health at Summit Medical Group, PA – New Jersey and Summit Health Management, LLC.  She is responsible for ensuring the success of value-based care programs for both Summit Medical Group (SMG), the largest independent multispecialty medical group in the country, and Summit Health Management (SHM), an organization born out of the success of SMG that establishes partnerships with independent medical groups nationally to share and implement its care model and best practices. Dr. Reedy provides leadership, medical expertise and business direction for population health and quality activities that support strategic growth, the continuous improvement of care, wellness and greater value. Her position currently involves leadership of numerous, diverse high performing value-based contracts. She previously served as senior vice president and medical director of population health and quality at SMG and SHM and was also formerly chief of hospital medicine and post-acute care. In those roles, she has overseen the design and implementation of innovative care delivery models involving care management, care navigation, social work, clinical pharmacy and other disciplines. Prior to joining Summit, Dr. Reedy was medical director, compliance officer and a practicing physician with Paramount Medical Group/Westfield Family Practice in Westfield, NJ. In that role, she led an initiative to become a Level-3 National Committee for Quality Assurance recognized Patient-Centered Medical Home.  Dr. Reedy has a bachelor’s degree from New York University and a master’s degree in health policy and management from the Johns Hopkins University School of Hygiene and Public Health. She earned her medical degree at the Robert Wood Johnson Medical School (now known as the Rutgers New Jersey Medical School). She also completed her internship and a residency in family medicine at Robert Wood Johnson. She is board-certified by the American Board of Family Medicine and a diploma of the National Board of Medical Examiners. 

Anthony Reed is the associate vice president for accountable care initiatives at Geisinger Health System and the chief administrative officer for Keystone Accountable Care Organization, LLC, a Medicare Shared Savings Program Track One ACO serving over 70,000 Medicare beneficiaries. He also represents Geisinger by serving as a speaker and member for several national organizations dedicated to accountable care and alternate-care payment models. Mr. Reed is in his 14th year of service at Geisinger and is currently part of the population health solutions department of the Geisinger Clinic. His previous roles at Geisinger include director of business development for Geisinger Diversified Services and program director for VITALine Infusion Pharmacy Services. Before his return to Geisinger in 2013 he served for seven years as a product director for B. Braun Medical, Inc. with product development responsibilities and gaining FDA and Health Canada approvals for their line of infusion pumps and accessories. 

Patt Richesin currently leads Kootenai Care Network (KCN), a clinically integrated network including Kootenai Health and more than 500 physicians and advanced practice professionals. She also is responsible for the Medicare Shared Savings ACO, Kootenai Accountable Care. Before joining KCN, she served at the national level as vice president, physician strategies and services, Vizient, Inc. Ms. Richesin has held senior executive positions in private and public multi-specialty practices, academic centers, and management services organizations. She also has served on the MGMA Government Affairs Committee and Western Section Executive Committee. Ms. Richesin received her MBA with health care concentration from Excelsior College and is a fellow in the American College of Medical Practice Executives. 

Jennifer Ross is the director of risk adjustment and compliance programs for Primary Care Alliance ACO and Aegis Medical Group. She began her career with Premier Medical Associates and Paradigm ACO, gaining unparalleled experience in the compliance space, while also establishing herself as a respected chief of risk adjustment programs. She is widely known for her compliance, documentation, and Medicare risk adjustment expertise.

Ruth Scott is the senior director of population health management for Integra Community Care Network, LLC. She designed and built the care management infrastructure for Integra’s Complex Care Management Program.  Other responsibilities include the development and implementation of various grants and cooperative research projects.  She served as project leader on a cooperative research collaboration agreement between Integra Community Care Network, LLC and the Gary and Mary West Health Institute, in conjunction with the Institute for Healthcare Improvement to “Reduce Unplanned Acute Events in Older Adults.”  This work led to the formation of Integra@ Home, a hospital at home model of care to serve frail older adults. Ms. Scott has over 35 years of nursing experience, including acute care, home care, hospice and accountable care entities.  She has done national presentations on nurse care managers performing goals of care conversations and hospital at home programs.

Meridith Seife is the deputy regional inspector general for the office of evaluation and inspections at the Department of Health and Human Services (HHS).  At HHS she conducts and leads research on a variety of topics within Medicare and Medicaid, including research on accountable care organizations. She is also an adjunct assistant professor of public service at NYU's Graduate School of Public Service. Ms. Seife previously served as a senior healthcare analyst with the government accountability office and analyst with the Congressional Research Service.  She received her MPA from the Maxwell School of Citizenship and Public Affairs at Syracuse University.

Kevin Shah, MD, is currently associate chief medical officer for innovation and improvement at Duke Primary Care (DPC).  In his current role, he oversees DPC’s provider quality program, clinical transformation and population health initiatives across nearly 40 practices and 300 providers.  He works in partnership with Duke Connected Care to drive performance in Duke’s value-based contracts.  Prior to this role, Dr. Shah completed his internal medicine residency Duke University.  He earned his medical degree at the University of Pennsylvania, his MBA at The Wharton School, and his undergraduate degree in bioengineering at Penn State University. 

William Shrank, MD, is Humana’s chief medical officer. Prior to joining Humana, he served as the chief medical officer of the UPMC Health Plan, where he focused on the design and implementation of new payment and delivery models to promote improved population health and further advance UPMC’s integrated clinical business strategies. Before UPMC, he was senior vice president, chief scientific officer and chief medical officer of provider innovation for CVS Health where he led the development of solutions to partner with providers as they manage risk. He served as the inaugural director of research and rapid-cycle evaluation for the Center for Medicare & Medicaid Innovation at CMS where he helped design and led the evaluation of new payment reform models tested by the Center such as Pioneer ACOs, Bundled Payments and progressive Primary Care models. Dr. Shrank began his career as a practicing physician with Brigham Internal Medicine Associates at Brigham and Women’s Hospital, as well as an assistant professor at Harvard Medical School. His research at Harvard focused on improving the quality of prescribing and promoting medication adherence, and he published over 200 papers on these topics.  He received his medical degree from Cornell University Medical College, served his residency in internal medicine at Georgetown University and was a fellow in health policy research at UCLA, Rand and the West Los Angeles VA.  He earned his master of science degree in health services from the University of California at Los Angeles and his bachelor’s degree from Brown University.

Megan Reyna is the vice president of government & value-based programs for Advocate Aurora Health, which currently participates in three MSSP ACOs. The government and value-based programs department focuses on clinical and value transformation projects, in order to assist the system with achieving national quality and financial targets. Ms. Reyna’s responsibilities also include operations over the MSSP ACOs, bundle payments, and MACRA support and sustainment. She is a registered nurse by background and received her MSN from University of Illinois Chicago.

 

Anthony Sorkin, MD, serves as the executive medical director of population health for IU Health. In addition to his executive responsibilities, he has an active orthopedic clinical practice at IU Health Methodist Hospital. Prior to his current role at IU Health, he was director of the orthopedic trauma service at Rockford Orthopedic, LTD. Dr. Sorkin holds a BS in biology from The University of Miami and a MD from The University of Maryland School of Medicine. After obtaining his medical degree, he obtained his surgical internship and orthopedic residency at The University of Maryland Medical System.  He is an assistant professor with the department of orthopedic surgery with Indiana University School of Medicine and a consultant for Stryker Corporation. 

Ruchi Tiwari, PharmD, is director of pharmacy at Mount Sinai Health Partners (MSHP). She has developed system-wide ambulatory clinical pharmacy services and initiated a focus on primary care team-based models with clinical pharmacists. Before MSHP she consulted nationally for AMC and IDN clients with Deloitte’s Healthcare Provider Improvement Strategy & Operations Practice. She led clinical effectiveness and redesign engagements for bundle readiness and LOS reduction. She was also previously corporate manager for clinical informatics and medication safety at New York Presbyterian Health System where she led EMR, CDS optimization and medication use oversight.

John Torontow, MD, is the VP of product for clinical data integrity at Aledade Inc.  He was previously the medical director at Aledade for the mid-Atlantic region.  He has also served as the COO of CCI Health and Wellness and the director of population health at Piedmont Health Services.  Dr. Torontow received his master’s in public health from Tulane University and his medical degree from UNC School of Medicine. He completed his family medicine residency at Natividad Medical Center and Clinica de Salud del Valle de Salinas.

 

Anthony Valdés is the president of Collaborative Health Systems where he sets the strategy for transforming how CHS and primary care providers engage and operate together to improve the quality and experience of healthcare delivered to our beneficiaries in fee-for-value, risk-based arrangements. He leads CHS’ value-based models such as Medicare ACOs and heads the development of advanced provider partnerships including Management Services Organization (MSO) solutions. He joined WellCare Health Plans in 2013 and most recently served as the Medicaid vice president of market performance. Before joining WellCare, Mr. Valdés held a number of positions of increasing leadership responsibility, including vice president of physical medicine for Healthways, chief executive officer of Maryland Medicaid for UnitedHealth Group, and several financial management positions for Procter & Gamble. He received a bachelor’s degree in finance from Florida State University and an MBA from Duke University.

Maureen Watchmaker is the RN care manager, SNF program for Beth Israel Deaconess Care Organization (BIDCO), a value-based physician and hospital network and ACO. In her role, she manages the Pioneer ACO SNF 3-Day Rule Waiver Program and transitioned the program to the Medicare Shared Savings Program Track 3 in 2017 and the Enhanced Track in 2019. She also created and co-managed the SNF Preferred Provider and Preferred Home Care Networks. Prior to her role with BIDCO, she worked at Beth Israel Deaconess Medical Center and has 30 years’ experience in case management nursing for hospitals across the country.

Debbie Welle-Powell is the chief population health officer at Essentia Health. In this role, she is responsible for integrating population health management with community health and well-being services to address the social determinants of health. She works with market leaders, payer partners and community stakeholders to develop community-based, population health and risk sharing models that focus on wellness and disease prevention for better health outcomes. Prior to her new appointment, she served as the senior vice-president of accountable care. Essentia Health is a 17 hospital, 1500 provider health system spanning the states of Minnesota, North Dakota, Idaho and Wisconsin.  Essentia is certified as an ACO Level III by NCQA.  As the SVP of accountable care, she led the accountable care division with strategic and operational responsibilities for population care management, system quality, payer strategy and community health with strategic activities to help position Essentia Health as the preferred provider of care.   Prior to Essentia, Ms. Welle-Powell was the vice president of accountable care and payer strategy for SCL Health System, a $3B health care system. As a seasoned executive, she led the strategic and market activities for accountable health readiness while developing innovative products, services, and technologies. Additional focus was on developing a vision, strategy and key tactics to support e-health business.  She has more than twenty years-experience in executive healthcare positions within multi-state regions and integrated provider delivery system. She has extensive experience leading mergers and acquisitions and developing reimbursement and network development strategies supporting a full range of payment models.

Rachel Woods is a senior consultant at the Advisory Board where she leads research for the medical group strategy council. She provides strategic guidance, tools, and implementation support to help medical group leaders find and implement the best solutions to the toughest challenges facing health care. She has overseen a wide range of publications on topics like consumerism, medical group innovation, cost management, physician engagement, and burnout. She also manages Advisory Board’s integrated medical group benchmark generator, a tool that provides leaders with financial and operational benchmarks to compare their medical group to others of a similar size and market.

Ms. Woods holds an MS in health and exercise science from Colorado State University and a BS in exercise science from Slippery Rock University.

Georgiann Ziegler is the Medicare beneficiary chair with POMACO. She has been a patient advisor at Michigan Medicine for over six years.  She was diagnosed with chronic idiopathic pancreatitis in 2004 which led to an early disability retirement.  Ms. Ziegler is involved with various committees and boards and realizes the benefit of partnering together for better outcomes for the Medicare community.