Nancy Adler is the administrative director of care management for Mount Sinai Health Partners and has over 25 years of nursing experience. Her diverse background includes extensive clinical experience in the adult and geriatric population including critical care, sub-acute rehabilitation, long term care, nursing education and management, as well as, community care management. She is focused on the continuum of care beginning with prevention and wellness, chronic care management, practice transformation, physician engagement and meeting and surpassing quality benchmarks.
Amina Ahmed is the chief medical officer of CareOne LLC. In her role she is leading the redesign and integration of the clinical systems, infrastructure and protocols to support CareOne’s entire network of services which include, skilled nursing facilities, assisted livings, LTACH, home care, palliative care, hospice and pharmacy services. In addition, she oversees the development of CareOne’s physician enterprise and C.I.N (Clinically Integrated Network). Prior to joining CareOne, Dr. Ahmed served as the chief of hospital medicine at Summit Medical Group - NJ. With over a decade of experience in acute and post-acute care medicine, she brought her medical expertise in clinical practice redesign to modern day health care. Her passion for bridging health care gaps, developing team-based high efficiency and high-quality clinical models positions her as a leader in accountable health care transformation. While at Summit she helped launch the primary care at home program, which participates in NAACOS home visit collaborative.
Mark Angelo is the chief medical officer for the Delaware Valley Accountable Care Organization (DVACO). He is a practicing palliative care physician, has written several publications, and has lectured locally, regionally, and nationally on topics of population health, accountable care, operational excellence, palliative medicine, and bioethics.
Sherri Aufderheide is currently the administrator of care management operations for the Illinois hospitals for Advocate Aurora Health. She has been a nurse for twenty-one years, with ten years of experience in health care leadership. She has experience in a wide range of health care settings, including hospital and health system leadership, occupational health, and revenue cycle. Ms. Aufderheide has an MSN in clinical nurse leadership from OSF Saint Francis Medical Center College of Nursing and a doctor of nursing practice from Lewis University. She serves on the executive board of the Illinois Chapter of the American Case Management Associate and is certified in case management. She also serves on the continuum of care committee for the Illinois Organization of Nurse Leaders and is board certified as a nurse executive.
Laura Balsamini is national vice president of pharmacy services at Summit Medical Group and has been paving the way for advancing pharmacy practice by embedding pharmacists to work in collaboration directly alongside physicians. She advises physicians on utilization of high quality, evidence based and cost-effective pharmaceuticals to improve patient outcomes.
Maria Basso Lipani is the vice president for care management and population health at Mount Sinai Health Partners. She leads a team of social workers, nurses, and care coordinators. The team provides supportive services to at-risk patients and their families for practices participating in MSHP’s Clinically Integrated Network, commercial bundle initiatives, Mount Sinai’s Health Home, DSRIP initiatives and the joint DSNP venture with Bright Health. She is a licensed clinical social worker with 13 years of experience at Mount Sinai. In that time, she has worked to design and deliver programs that improve the care of vulnerable populations including one for transitional care that received several years of outcomes-based funding from the Centers for Medicare and Medicaid Services. Prior to joining Mount Sinai, she worked in ambulatory care at Kaiser Permanente.
Nick Bassett is vice president of population health services at Castell and president of Intermountain Accountable Care.He began his career in 2008 at Intermountain Healthcare doing hospital operating and capital budgets. Since that time, he has held instrumental roles influencing change both within Intermountain Healthcare and across the country in the journey towards value-based care. As a founding member of Castell, Intermountains’ value-based platform company, he was asked to lead the population health strategy with accountability for the following areas: commercial and government value-based contracting, physician compensation, network operations, post-acute care operations and home-based services. Mr. Bassett earned his BS degree in business finance from Brigham Young University and an MBA from Southern Utah University.
Alex Blum recently joined Ready Responders as the SVP of strategic partnerships. Previously, he was the VP of strategic partnerships at Aledade, responsible for strategic planning, business development, strategic partnerships, and new growth initiatives for payers. He came to Aledade from Evergreen Health, a commercial payer, where he was chief medical officer responsible for clinical oversight, medical management, quality initiatives and provider relations. Prior to Evergreen Health, he split his time between CMS Center of Innovation and the National Institutes of Health (NIH). He previously held a National Research Service Award fellowship at Mt Sinai School of Medicine. Dr. Blum completed his medical residency at the University of California – Los Angeles, his medical doctorate from the Howard University School of Medicine, and a master’s in public health from the Johns Hopkins University Bloomberg School of Public Health.
Tori Bratcher is the director of population health operations at Indiana University Health. She is responsible for the strategy and operations of IU Health’s population health programs within the Next Generation ACO, IU Health Plans, and other value-based payment contracts. She works collaboratively with regional physician and business leaders to drive population health programs with the providers and practices across the system. Her team focuses on implementing population health initiatives such as accurate assessment of acuity, outpatient quality improvement, engagement in care management, reduction of avoidable utilization and improvement in annual care. In addition to population health management, she is also the chief operating officer of the IU Health Next Generation ACO. Within the ACO, she is responsible for compliance, quality reporting, network management, and ACO governance. Ms. Bratcher graduated with a master’s in health administration from University of Illinois Chicago and bachelors in biology and pre-med from Indiana Wesleyan University.
Allison Brennan 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, she 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, she 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. Ms. Brennan 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. She 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 masters of public health and business administration from the University of Alabama at Birmingham.
Shoshanah Brown is the CEO of AIRnyc. She built the organization that is now AIRnyc upon early results of a community based participatory research project designed to address pediatric asthma in Harlem. During the ten years that she has led the organization, AIRnyc has established itself as the go-to, community-based, tech-enabled workforce solution for providers, payers and people focused on the social and economic drivers of health. Ms. Brown began her career in population health in the Peace Corps as a community health worker in Burkina Faso. She holds an MS in population health from the Harvard School of Public Health and an MBA from Columbia University.
Chris Butters is also the manager of network services at UnityPoint Accountable Care where he is focused on post-acute care services including skilled nursing, home health, and hospice services. He works with the ACO team and regional team members on care transformation in the post-acute care space. He is a registered nurse with a masters in health care administration.
Andrea Cichra serves as director of value-based strategy for Beacon Health System, a large regional health system serving northwest Indiana and southwest Michigan. In this role, she provides leadership and strategic direction, responsible for operations for both the MSSP and commercial ACOs, as well as other alternative payment models. Ms. Cichra joined Beacon Health System from The South Bend Clinic, where she last served as director of population health, building and executing on care management, RAF score strategy, data integration, and quality performance to achieve strong financial and clinical outcomes under value-based reimbursement models. Prior to The South Bend Clinic, she spent thirteen years in operational, financial, and strategy leadership roles in the hospital environment, long term care, and the Marine Corps. She received her BS from Indiana Wesleyan University and currently attends the University of Notre Dame Mendoza College of Business in pursuit of her MBA.
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.
Heather Esber serves as Medicare operations advisor at OhioHealth, a non-profit health system in Central Ohio. She leads operations for OhioHealth Venture, LLC ACO, a Track 1 ACO with approximately 35,000 attributed beneficiaries and a mix of employed and independent primary care and specialist providers. Previously, she was a service line program manager with a focus on behavioral health. She oversaw implementation, training and performance measurement for OhioHealth’s behavioral health integration program, which launched in 2017 and has since grown to nearly 40 Primary Care practices. She has a background in public health and healthcare strategy.
Rob Fields is senior vice-president and chief medical officer of population health at Mt. Sinai Health System. His career began by opening a new practice out of residency focusing on using technology for quality improvement and serving the Latino population in Western North Carolina. The practice was the first to use a patient portal and among the first to achieve PCMH level 3 in 2010. In 2012 he spent a year teaching at the community health and family medicine residency at the University of Florida but was recruited to come back to Asheville as the assistant medical director for primary care for Mission Medical Associates. As the ACO planning began in 2013, Mr. Fields led the quality steering committee and helped with the initial planning of what was to become Mission Health Partners. In 2014, he was selected to be the first medical director of the ACO and served as chair of the quality committee. He has held several other leadership positions including chief resident, president of the Western Carolina Medical Society, and medical director of a small free clinic in Asheville among others.
Ashley Fitch is the director of community partnerships and innovation at Mount Sinai Health System. In this role she is responsible for developing innovative, community-based programs and partnerships that improve patient outcomes by solving problems related to social determinants of health. Prior to joining Mount Sinai, she worked at a national non-profit to create community-clinic partnerships that address food insecurity. She also worked with policy makers to secure Department of Defense appropriations and Farm Bill funding to address food insecurity through produce prescriptions and SNAP incentives. Ms. Fitch holds a B.A. in English literature from Kenyon College, a M.S. in healthcare delivery leadership from the Icahn School of Medicine and a M.A. in food systems and agriculture from New York University.
Rick Foerster is vice president of value-based care at Privia Health and leads the company’s national value-based care and population health strategy and operations. He was one of Privia Health's first employees and has led corporate strategy, communications, operations, product, implementation, and performance management. Prior to Privia, he was a consultant at Mercer advising clients in the strategic planning and implementation of their health and welfare benefits for their employees. He is a graduate of the University of Richmond, where he earned his bachelor’s degree in political science.
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.
Amy Gleason is a digital services expert at United States Digital Service. She is currently detailed at HHS/CMS and is working on projects that provide valuable claims data to patients and providers and on efforts to improve interoperability as a whole. She joined the United States Digital Service for a tour of duty in October 2018. She began her career in nursing where she found a love for technology. She has worked on several different electronic medical records applications and confounded CareSync, a care coordination company.
Mike Hebert is the senior director for utilization, care management and geriatrics at Reliant Medical Group, a non-profit multi-specialty group practice consisting of more than 300 providers and 300,000 patients. He is responsible for directing many different aspects of service delivery designed to optimize the financial performance of the organization as it relates to managing total medical expense. He also plays a key role in the management of various projects designed to improve the delivery of quality healthcare through population health related initiatives including a provider-based care at home program as well as a transitions of care program for patients returning to the community following a hospitalization and/or short-term rehabilitation stay. He also oversees the organizational efforts to ensure preventative screenings and testing are completed in order to maximize patients’ health in the community. The team consists of clinical as well as non-clinical staff and while many are imbedded within primary care practices other have centralized responsibilities designed to help providers in the management of patients with both acute as well as chronic illness. Mr. Hebert holds an MBA from Fitchburg State University, a master’s degree in nursing from St. Joseph’s College and a master’s degree in social work from Boston University. He is also certified in health care quality management and is a fellow of the American Board of Quality Assurance and Utilization Review Physicians.
John Illingworth is the BH-PCP integration supervisor for the St. Luke’s University Health Network. He is a licensed clinical social worker and has experience working in public and private settings with consumers of all ages. He believes that developing relationships and teamwork is the key professionally and personally.
Suzanne Kieltyka is the director of integrated programs in the value-based care division at Summit Medical Group. She has worked in healthcare for over 20 years with experience across the care continuum: post-acute care facilities, hospital systems, physician groups and the pharmaceutical industry. In her role, she oversees all aspects of the health education department and is responsible for management of various patient programs including integrated behavioral health and retinal screening services. She has a bachelor of science degree from Middle Tennessee State University and is a registered dietitian and certified diabetes educator.
Elissa Langley is the chief operating officer for Triad HealthCare Network (“THN”) of the Cone Health System. Her responsibilities include assisting with the development, implementation, and operation of THN, an accountable care organization in the Piedmont Triad area of North Carolina. Ms. Langley is currently responsible for THN’s operations which include managing over 85,000 covered lives. She serves as a liaison to all payors for THN’s shared savings/risk arrangements, including the Next Generation ACO Program. Additionally, she has managed the implementation of a Medicare Advantage Risk Agreement with Humana and North Texas Specialty Physicians and was instrumental in the development of Cone’s new Medicare Advantage Plan called HealthTeam Advantage. Previously, Ms. Langley has worked for managed care plans such as Humana and Aetna as a network manager. She was part of the initial U.S. Healthcare expansion team into Atlanta, Georgia which grew to over 100,000 members in its first year of operation. Ms. Langley holds an MHA from Duke University and a BS in zoology from Duke University.
Bruce Leff, MD, is professor of medicine at the Johns Hopkins University School of Medicine. His research focuses on novel models of care delivery for older adults, multi-morbidity, risk prediction, performance measurement, and quality measurement and improvement, with an emphasis on home and community-based models of care. He has served on multiple technical expert panels for CMS, NCQA, and NQF. He cares for patients in the acute, ambulatory and home settings. Dr. Leff is the chair of the Geriatric Medicine Board of the American Board of Internal Medicine (ABIM) and is chair-elect of the ABIM Council and serves on the editorial board of the Annals of Internal Medicine.
Gary Masumoto is vice president of network transformation at UnitedHealthcare Networks. He has 30 years of managed healthcare industry experience in various network management roles at health plans, IPA management companies, hospital systems and vertically integrated networks. He eventually landed at UnitedHealthcare where he has been for the last 20 years holding regional as well as national roles. He has focused primarily on Medicare Advantage strategy for the last 10 years and the goal of his current role is to transform FFS networks into high quality, highly efficient networks via provider aggregation under ACO arrangements as well as advanced provider risk strategies.
Melanie Matthews is the CEO at Physicians of Southwest Washington (PSW) and president at MultiCare Connected Care. She brings more than 20 years of operations, financial, human resources and product marketing experience in health care services for specialty populations. Her passion for public policy and engaging legislatures has propelled her as the “voice” of physician health policies. Since she joined the company in 2016, Ms. Matthews has maintained the core principals in which PSW was founded on and expanded business lines to include MSO services including credentialing, coding and compliance and the implementation of CMMI innovation models such as the Next Generation ACO. Her extensive knowledge in post-acute care provides strategic focus in reducing overall cost of care as well as provider and beneficiary engagement. Prior to PSW, Ms. Matthews served for three years as vice president of operations for Prestige Care, Inc., where she was responsible for regulatory and financial operations and outcomes for 38 skilled nursing facilities and two Medicare home health agencies in a four-state northwest region. Among her other accomplishments, she serves as co-chair for APG – Risk Evolution Taskforce, was selected by the American Health Care Association as a “National Political Ambassador” in 2013, and was named a national “Future Leader” in 2012. Ms. Matthews holds a master of science, social gerontology, degree from Central Missouri State University and a bachelor’s degree in human development and family studies from Pennsylvania State University.
Robert E. Mechanic is executive director of the Institute for Accountable Care, where he is responsible for leading its research agenda, data analytics, and health care learning and improvement activities. The Institute for Accountable Care is an independent 501(c)3 organization with a mission to build and disseminate evidence on the impact of accountable care delivery strategies on both quality and cost. Rob is also a senior fellow at the Heller School of Social Policy and Management at Brandeis University, where he serves as executive director of the Health Industry Forum. His research focuses on health care payment systems and the adaptation of organizations to new payment models. He has helped hospitals, physician groups and integrated delivery systems evaluate financial, strategic and policy considerations under risk-based payment models. Rob was previously senior vice president with the Massachusetts Hospital Association and was vice president with the Lewin Group, a Washington D.C.-based health care consulting firm. His work has been published in The New England Journal of Medicine, JAMA, and Health Affairs. He is a trustee of Atrius Health, an 800-physician multispecialty group practice and Next Generation ACO in Eastern Massachusetts, and he is a senior fellow of the Estes Park Institute. Mr. Mechanic earned an MBA in finance from The Wharton School and a BS in economics with distinction from the University of Wisconsin.
Kristin Muzina is director of care management at Mount Sinai Health Partners. In her current role, she leads efforts to integrate care management services with primary care practices throughout Mount Sinai Health System’s clinically integrated network. Since obtaining her degree, she has practiced in a variety of health care settings, including primary care. She previously served as the care management leader in efforts to redesign one of Mount Sinai Hospital’s largest primary care practices, working closely with practice leadership to ensure care management resources were well positioned to support efforts to improve quality, efficiency and the patient experience.
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.
Jennifer Perloff is the Director of Research at the Institute for Accountable Care and a Senior Scientist at Brandeis University with over 15 years of evaluation and health services research experience. In addition to supporting ACO analytics for NAACOS, Dr. Perloff is developing a number of new research projects focused on the policy and implementation of population health models including beneficiary attribution, nurse practitioner/ACO staffing and low value care. She has done a larger amount of work in the area of bundled/episode payments, including the design of analytic reports for health systems participating in CMMI’s bundled payment for care improvement (BPCI) demonstration. Dr. Perloff was also on the team that built the Episode Grouper for Medicare (EGM), a comprehensive system with over 800 chronic, acute and treatment episodes designed specifically to assess resource use. She is currently adapting this tool for use with military health data. In addition to bundled/episode payment work, Dr. Perloff has developed a methodology for assessing the value of Medicare Advantage plans, drawing on the principals of hospital value-based payment. In the area of primary care, she has done extensive research on the cost and quality of nurse practitioner lead primary care. Dr. Perloff currently sites on the National Quality Forum’s Scientific Methods Panel and the Heller School Information Security Committee.
David Pittman is the health policy and communications advisor at the National Association of ACOs. He 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.
Sidney Raymond is the medical director of Ochsner Health Network and medical director and president of Ochsner Physician Partners. He was previously vice president of physician practice administrator and CMIO at East Jefferson General Hospital. He served on the steering committee and as a board member for Gulf South Quality Network, as well as being involved with medical staff committees and served as chief of staff. He is a past president of Jefferson Parish Medical Society. Dr. Raymond earned a bachelor of science in biology from Loyola University, medical degree from Louisiana State University School of Medicine, and completed internal medicine residency at LSU-New Orleans.
Anthony Reed is the vice president of population health strategic solutions, clinical and network services at Ascension Medical Group (AMG) and has responsibility for all value-based health care programs and contracts for AMG. He also represents Ascension by serving as a speaker and member for several national organizations dedicated to accountable care and alternate-care payment models. Mr. Reed is on the board of directors for NAACOS and has presented at many conferences including the leaders board for population health management, NAACOS conferences, The Hospital and Health System Association of Pennsylvania, xG Health Solutions, Inc and for the Marcus Evans Group. He is in his 23rd year of work in health care industry and his previous roles include, chief administrative officer for the Keystone Accountable Care Organization, AVP of accountable care initiatives at Geisinger Health, director of business development for Geisinger Diversified Services and program director for VITALine Infusion Pharmacy Services. He also 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 lines of infusion pumps and accessories.
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 diplomate of the National Board of Medical Examiners.
Megan Reyna is vice president of government and value-based programs for Advocate Aurora Health. Under her leadership, her team leads clinical population health and value transformation projects to assist the organization in achieving national quality and financial targets across Illinois and Wisconsin. In her role, she oversees operations for three ACOs, including one of the largest ACOs in the country, that continue to achieve significant taxpayer savings and provide high quality care through the Medicare Shared Savings Program (MSSP). Her responsibilities also include Bundle Payment Program operations, for both BPCI-A and CJR, and MACRA support and sustainment. Ms. Reyna currently serves as chair of the National Association of ACOs (NAACOS) quality committee. A registered nurse by background, she received her MSN from University of Illinois Chicago.
Lisa Roome is the executive director of integrated ambulatory care management and medical operations for Advocate Aurora Health. She has been involved since the inception of Advocate’s Accountable Care Organization (ACO) in 2010. She developed Advocate’s current ambulatory care management programs. The division currently has over 150 staff in three regions throughout the Chicagoland area that is providing care management services to close to a million ACO lives. Ms. Roome has over 30 years of case management experience. She started her case management career working for an independent risk management company, managing injured workers as well as catastrophic case management. In 1994, she moved to provider-based case management with Advocate Physician Partners as a case manager. Her other positions with Advocate have been manager and director of UM, case management and referrals. She has her bachelor’s degree in nursing from Northwestern University.
Anna Routh joined the Centers for Medicare and Medicaid Services (CMS) in August 2019 as the product manager of the Beneficiary Claims Data API (BCDA) and Data at the Point of Care API (DPC). Prior to joining CMS, she worked in private industry in various roles at small and mid-sized information technology (IT) companies. Her experience in healthcare includes everything from medical device security to micro and enterprise IT program and product development in both the private, public, and non-profit sector. In her current role, she leads a team of researchers and developers dedicated to ensuring secure access to Medicare claims data for accountable care organizations and providers.
Diane Schultz is the director of operations for the ambulatory division at UnityPoint Health. Her innovative development of sustainable, proactive and urgent response ambulatory options to high cost facility care has helped UnityPoint’s ambulatory division. She has an extensive background in transformational health care leadership, culture and program development, team building, and strategic execution. She has a proven ability to develop and implement highly effective cross continuum health care programs; coordinating with physicians, nurse practitioners, physical therapists, occupational therapists, nurses, and other health care professionals.
Maddie Short serves as the COO of Wilems Resource Group, LLC, a boutique consulting firm specializing in MSSP and Next Generation ACO compliance and engagement. After beginning her career in corporate health and wellness, she began working with ACOs during the first wave of the Medicare Shared Savings Program, and she spent four years operationalizing program requirements and building engagement initiatives for more than 40 ACOs. In 2017, she joined Wilems Resource Group, LLC., where she has worked alongside Kimberly Busenbark to help ACOs across the country remain compliant and implement engagement strategies. She holds a masters in health communication from Texas A&M University.
Sam Starbuck is AVP of Privia Quality Network at Privia Health. He joined Privia in 2015 as a member of the strategy and innovation team. In his current role, he oversees the organization’s largest ACO, managing the shift to value-based care programs and the evaluation of Pathways to Success, Primary Care First and direct contracting initiatives. Prior to joining Privia, he served as the director of strategic operations and integrative care at Vicinitas Cancer Care and completed a two-year management fellowship with Cancer Treatment Centers of America, where he was responsible for a wide range of strategic and operational initiatives. Mr. Starbuck earned his bachelor’s degree in English and economics from Wabash College.
Sean Strohm is the executive director of provider performance and business analysis at Aetna. In this role, he focuses on helping Aetna and its provider partners to develop mutually accretive business arrangements. With a deep understanding of the financial drivers of the healthcare landscape and extensive real-world experience in the evolving environment, he brings a unique perspective to the table. He is a fellow of the Society of Actuaries with over 25 years of experience spanning both commercial and Medicare Advantage products.
Ben Sparks is the director of risk analytics for UnityPoint Health. He leads the team responsible for the data and analytics supporting UnityPoint Health’s efforts in value-based arrangements and population health. This work includes contract modelling, performance forecasting, development of analytics tools, and consulting directly with senior leadership on performance opportunities and risks. Before joining UnityPoint Health, he worked as a strategic insight’s manager for Pella Corporation, leading the analytics team. Before Pella, he spent time in several strategy and analytics roles in health care, policy, and politics.
Anna Taylor is the director of operations for MultiCare Connected Care and leads the operational team in the day-to-day functions of the MCC governance committee structure and stewards the business side of the value-based technology platforms and their interoperability functions. She oversees the performance measurement for MCC's organizational key performance indicators, strategic framework, and operational program management. She has been with MultiCare Health System for over 12 years. In her most recent role, she was the program manager for MCC. Working with the business side of value-based care technology platforms and directing the program management of the accountable care organization. Ms. Taylor holds a BS from the UW School of Engineering in technical communication and a MS in clinical informatics and patient centered technology from the UW School of Nursing.
Ruchi Tiwari is the director of pharmacy for population health at Mount Sinai Health Partners who joined Mount Sinai Health System in 2017. She currently provides direction on ACO and VBC pharmacy ambulatory strategy, disease management program development, and patient engagement. She has held several positions across health-system management including, pharmacy clinical informatics, medication safety, performance improvement and consulting. Ms. Tiwari completed her doctorate in pharmacy from University of North Carolina at Chapel Hill and her masters in health-system administration from The Ohio State University and a residency at Nationwide Children’s Hospital.
Michael Van Scoy, MD, is an internist at Essentia Health, certified in hospice and palliative care medicine, and is a certified medical director with the American Board of Post-Acute and Long-Term Care Medicine. He serves as medical director for several ACO programs, including dual-eligible, Medicare Advantage, Medicare Shared Savings, State of Minnesota Medicaid, and commercial programs. His areas of interest include risk stratification, innovative clinical models, pharmacy care management, documentation and coding, and post-acute management.
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.
Cindy Yeager is the care gaps and quality data manager for Keystone ACO. She serves as lead for projects that drive improvements in quality and efficiency within the ACO. She played an active role in the implementation and education of the SNF 3-day waiver program for Keystone ACO and continues to facilitate day-to-day operations of the waiver. She has over 20 years’ experience in the post-acute environment and regularly draws on that experience in her role. She recently served as a contributor for the NAACOS quality reporting resource.
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