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.  

 

 

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. 

Jami Berger is executive director of operations at Arizona Care Network. She provides strategic leadership for Arizona Care Network’s organizational success and serves as ACN’s lead on technology, compliance, human resources and payer/partner relations. She brings expertise in performance, outcomes and innovation that supports value-based care. Ms. Berger’s background includes nursing and quality management positions at VA Medical Center, director of medical quality for BCBS of North Dakota, director of care and delivery management for Noridian Healthcare Services, LLC, and director at SPH Analytics where she developed/managed technology to support alternative payment models. Ms. Berger earned a bachelor’s degree from North Dakota State University and master’s degree from the University of Mary.

Donald M. Berwick, MD, is president emeritus and senior fellow at the Institute for Healthcare Improvement (IHI), an organization he co-founded and led as president and CEO for 18 years.  He is one of the nation's leading authorities on health care quality and improvement.  In July 2010, President Obama appointed Dr. Berwick to the position of administrator of the Centers for Medicare and Medicaid Services (CMS), which he held until December, 2011. A pediatrician by background, he has served as clinical professor of pediatrics and health care policy at the Harvard Medical School, professor of health policy and management at the Harvard School of Public Health, and as a member of the staffs of Boston's Children’s Hospital Medical Center, Massachusetts General Hospital, and the Brigham and Women's Hospital.  He has also served as vice chair of the U.S. Preventive Services Task Force, the first "independent member" of the board of trustees of the American Hospital Association, and chair of the National Advisory Council of the Agency for Healthcare Research and Quality.  He is an elected member of the American Philosophical Society, the American Academy of Arts and Sciences, and the National Academy of Medicine (formerly the Institute of Medicine). Dr. Berwick served two terms on the IOM’s governing council and was a member of the IOM’s global health board. He served on President Clinton's advisory commission on consumer protection and quality in the healthcare industry.  He is the author or co-author of over 160 scientific articles and six books.  He also serves now as lecturer in the department of health care policy at Harvard Medical School.   

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. 

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. 

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. 

 

 

Karen Cabell, DO, is the chief physician executive at Kootenai Health.  She is also medical director of Kootenai Care Network, a clinically integrated network serving northern Idaho, and board certified in internal medicine.  She has executive administrative responsibility for the medical group and medical staff, quality, patient safety, performance improvement, care management, and population health.  Additionally, she has experience in healthcare information technology and interoperability.  Her work has focused on physician integration and engagement, culture of safety, teamwork behaviors, and comprehensive care integration to better define and improve quality and outcomes at a lower cost.  Dr. Cabell graduated from Ohio University College of Osteopathic Medicine and is board certified in internal medicine. 

Ed Clarke, MD, assumed the role of chief medical officer for the Banner Insurance Division and Banner Health Network in 2018, where he is responsible for the clinical performance of the Banner Insurance products and the CINs in Banner markets, as well as building/introducing value-based care clinical models across Banner Health integrated assets.  A family physician originally, he has deep value-based care experience gained by serving as the chief medical officer for other CINs. Dr. Clarke completed a sports medicine fellowship at University of Arizona Tucson, family medicine residency at Banner Good Samaritan, his M.D. at University of Texas Southwestern-Dallas, and undergraduate degree in civil and environmental engineering at Texas A&M University-College Station.

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. 

Victoria Farias serves as program administrator for the Rio Grande Valley Health Alliance (RGVHA), a physician-led ACO in South Texas.  She has worked with the organization since its inception in 2012.  In this role, she provides leadership and strategic direction within the evolving accountable healthcare environment and ongoing administration and management for all aspects of the ACO.  RGVHA has earned success in cost and quality, year after year and recently achieved the 2nd highest savings percentage amongst Texas ACOs. Ms. Farias strongly supports the expansion and creation of physician-led ACOs and has stood at the forefront of risk-bearing value-based models.    

Susan Erickson is an experienced health care professional who has worked in a wide range of health care settings including academic medical centers, community health systems, state-wide public health programs, for-profit disease and care management companies and national consulting firms.  In her current role she is the AVP of Care Management for the Scripps Health Care System, an integrated health system, where she is working to build care management systems that span the health care continuum from home-based care, emergency care, acute care, post-acute care and chronic care management. She received a BSN from the University of California San Francisco, and an MPH in epidemiology from the University of California at Berkeley. 

 

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. 

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. 

 

Mark Foulke is Privia Health’s executive vice president of transformational value-based care. He leads the effort to transition existing and new provider markets toward additional value-based arrangements. He also oversees clinical and value-based operations and partners with market leadership to optimize performance-based reimbursement programs. He is known for his unique blend of critical thinking and strategic planning skills, and leverages his extensive industry experience to deliver quality outcomes. Mr. Foulke’s background includes leading the Medicare Advantage business for Cigna-HealthSpring’s Tennessee market and leading local strategies to drive quality and growth across all products. Prior to joining Cigna-HealthSpring, he served as the vice president for Arthur J. Gallagher Risk Management Services and held leadership positions with Sumner Regional Health Systems, The Reciprocal Group and General Rehabilitation Services. He earned his BS in business administration from Virginia Commonwealth University.

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.  

Ann Goldman directs strategy, structure and technical architecture of the analytics department at MultiCare Health System. She partners with key leaders from across the organization to determine our system data needs, close performance gaps and reduce the total cost of care delivery. In addition, she works with marketing and communications in crafting a comprehensive vision for our digital agenda. She is also the key liaison with our external analytics partner, Health Catalyst. She enjoys leading a team of technologists that is dedicated to finding opportunities that add value to the work of internal customers.  Prior to Multicare, she was senior director, product management and advanced analytics at Providence St Joseph, where she was responsible for the internal business intelligence strategy, ideation, definition and development of best-in-class technological solutions.

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. 

Daniel J. Hyman, DO, is CEO of AllCare Health Alliance and medical director of population health and primary care at Cooper University Health Care.  In addition to his administrative duties, he is a practicing internist.  He is an associate professor of medicine on the faculty of Cooper Medical School of Rowan University. 

 

 

Julia Jenkins, DO, is a family medicine and hospice and palliative care physician.  She works as a medical director for UnityPoint Accountable Care.  She has a strong background in both clinical medicine and administration with a focus on outcome-driven leadership and patient-centered care. She is passionate in her work surrounding movement toward value, and improved quality.  She has helped to lead the ambulatory deployment of the UnityPoint telehealth strategy as part of the response to COVID-19.

 

Shishir Khetan, MD, is board certified in internal medicine. He joined Rockville Internal Medicine Group (RIMG) in 2004. While at RIMG, he has participated in clinical research, performed stress tests, and played a major role in utilizing electronic health records more efficiently. He received his BS from the University of Maryland and graduated from the University of West Indies Medical School. His residency training, which included a year as chief resident, was in primary care/internal medicine at Mount Sinai School of Medicine at Elmhurst Hospital Center in New York.

 

Sharon Kimball is the executive director of care management and director of continuing care network at UNC Health Care. She is an experienced health care professional who thrives on crafting change that improves health care delivery for patients, families and providers. Her career has included opening a new ICU, building a new children’s hospital and medical office building, as well as, a comprehensive cancer center. Value care became a focus as she led system level programs to assure the right care at the right time leading initiatives to assure clinic access and formation of a continuing care network.

 

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. 

Theresa Knowles serves as the chief quality officer for Community Care Partnership of Maine (CCPM). She joined Penobscot Community Health Care in 2012 and currently serves as the chief quality officer. Prior to joining Penobscot Community Health Care in 2012, she served as the operations director for Health Access Network. Ms. Knowles currently serves on the quality committee for the National Association for Accountable Care Organizations (NAACOS). She earned her MSN family nurse practitioner degree from the University of Maine.

 

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.

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 Plus, Next Generation ACO, and the Comprehensive ESRD Care models, as well as the recently announced Primary Care First and Direct Contracting initiatives. Her group also manages health plan innovation models in Medicare Parts C and D, including the Medicare Advantage Value-Based Insurance Design, Enhanced Medication Therapy Management, and Part D Modernization models. She 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 and is a PhD dropout. 

 

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

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. 

Edwin Miller is co-founder and chief product officer at Aledade. He drives overall product strategy and execution at the company, including identifying, defining and measuring products to maximize the scope of impactable cost, quality and practice engagement across Aledade’s contracted patient populations. Mr. Miller is a two-decade veteran of healthcare software development, who has led the development of more than 30 nationally-recognized products across the healthcare technology landscape. He has headed the development of cloud-based software for CareCloud, digiChart, AthenaHealth, and others. He has his MBA from the Owen Graduate School of Management at Vanderbilt University.

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.

Sandy Nesin serves as the chief operating officer for Community Care Partnership of Maine (CCPM) and vice president of accountable care operations and population health strategy at St. Joseph Healthcare. She joined St. Joseph Healthcare (SJH) in 2016. A graduate of the University of Maine and the University of Maine School of Law, Ms. Nesin has experience working in both health care and health insurance operations.

 

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. 

Andrea Ortman serves as the vice president of care management and post-acute care at Geisinger, leading both the discharge planning and hospital utilization review teams. She joined the Geisinger Health Plan in 2011 serving as a registered nurse case manager with a focus on post-acute care management.  In her role she developed a progressive model of care to manage inpatient post-acute management for approximately 200,000 insured lives.  The model included deployment of registered nurses and licensed therapists at bedside to evaluate patient progression and manage concurrent review resulting in reduced readmissions and well-managed length of stay for skilled nursing facility, acute inpatient rehabilitation and long-term acute care hospital.  In addition to managing the post-acute utilization for Geisinger’s integrated health system, she has also served as leader of Geisinger’s home infusion pharmacy and utilization management for Keystone Accountable Care Organization post-acute services. 

Ashish Parikh, MD, specializes in internal medicine and is the SVP of medical affairs and quality at Summit Medical Group. Prior to joining Summit Medical Group, he was the senior health and quality advisor at IBM. He also served on the faculty of the internal medicine residency program at Saint Barnabas Medical Center. Dr. Parikh is a member of the American College of Physicians, the American College of Preventative Medicine and the American College of Occupational and Environmental Medicine.

 

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. 

John Pilotte, M.H.P.M., is the director of the Performance-based Payment Policy Group (P3) within the Center for Medicare at the Centers for Medicare & Medicaid Services. He manages policy development and operations teams for the Medicare Shared Savings Program, Medicare’s national Accountable Care Organization program with over 500 ACOs accountable for over 10.9 million Medicare beneficiaries. He also managed the development and implementation of Medicare’s Physician Value Modifier, the predecessor to the current Merit-based Incentive Program, as well as resource use measures for physicians, hospitals, and post-acute settings. Prior to joining P3, Mr. Pilotte served as the Director of the Division of Payment Policy Demonstrations in the predecessor of the Center for Medicare and Medicaid Innovation where he managed the development and implementation of the Physician Group Practice Demonstrations and care coordination demonstrations. Prior to joining CMS, he was a senior healthcare consultant for PricewaterhouseCoopers and part of the government relations team at the National Association of Children’s Hospitals.   Mr. Pilotte has a master’s in health policy and management from Johns Hopkins University and a bachelor of science from Indiana University’s School of Public and Environmental Affairs. 

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. 

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. 

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.

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. 

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.  

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.

Ron Tamler, MD, is the director for digital health implementation at Mount Sinai Health System and professor of medicine at the Icahn School of Medicine at Mount Sinai. He has championed and implemented many telehealth modalities to engage patients across medical specialties, improve outcomes and optimize utilization in population health and fee for service environments. This includes training over 1,000 providers in the performance, documentation and billing of video visits and implementing eConsult workflows during the Coronavirus pandemic. Dr. Tamler is a board-certified endocrinologist and internist, nutrition-support physician (CNSC) and certified diabetes educator (CDE) with a practice specializing in diabetes and andrology.

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.

 

Sandra Van Trease is group president for BJC HealthCare, provides strategic leadership and direction to the BJC Collaborative LLC, an association of Saint Luke’s Health System, CoxHealth, BJC HealthCare and Memorial Health System. She also is responsible for overall business and growth strategies for a select group of BJC’s community hospitals; and the BJC Medical Group, to ensure outstanding clinical quality, operating efficiencies and financial stability. In 2012, Ms. Van Trease was appointed president of BJC HealthCare’s Accountable Care Organization and leads BJC’s overall efforts in population health and virtual health.  She also serves as a member of the senior management team at BJC HealthCare, one of the largest nonprofit health care organizations in the United States. Ms. Van Trease joined BJC in 2004, following a successful career as president and CEO of UNICARE, a managed health care company serving 1.7 million members as part of the WellPoint Health Networks Inc. family of companies. She also held a number of leadership positions with RightCHOICE Managed Care, including serving as president and COO. Prior to RightCHOICE, she spent 12 years with Price Waterhouse. Ms. Van Trease earned her master’s degree in business administration from Washington University in St. Louis, and her bachelor’s degree in business administration from the University of Missouri–St. Louis. She is a certified public accountant and a certified management accountant. In 2004, she received an honorary doctoral degree from the University of Missouri–St. Louis for achieving distinction in her field and for contributing to the betterment of the university and the St. Louis community.

Jessica Walradt manages Northwestern Medicine’s government value-based care portfolio, which includes BPCI Advanced, the Medicare Shared Savings Program (MSSP), the Oncology Care Model (OCM), and components of the Quality Payment Program (QPP). Prior to this, she led the Association of American Medical Colleges' policy, advocacy, and data analytic efforts surrounding alternative payment models. She directly supported approximately 60 hospitals’ and provider groups’ efforts to implement Medicare bundled payment programs. Jessica holds an MS in Health Policy and Management from the Harvard School of Public Health and a BA in Political Science from the University of Richmond.

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.

 

Ronda Winans serves as the director of continuing care clinical integration for Trinity Health. In this role, she works with Trinity Health's clinical integration, population health and care management national teams and the leaders of the regional clinically integrated networks to develop, integrate and ensure high performance of an effective continuing care network to support success in alternative payment models.  In this role, she also collaborates with Trinity Health Continuing Care National Health Ministry to align goals, measure outcomes and close gaps.  She excels at identifying and spreading best practices that deliver both clinical and business outcomes across the continuum. After over twenty years in health care, first as a clinician and then progressively through healthcare delivery system management, Ms. Winans knows the clinical drivers of operational success in integration and value-based care.  She holds a clinical MS degree in physical therapy from Grand Valley State University and a MBA in executive management from University of Toledo.

Tricia Wise is the director of population health at Mount Carmel Health Partners, responsible for oversight of the daily program activities, including providing leadership to RN's, healthcare specialists, and other health care professionals to assure effective care management.  She also develops, implements, and manages care management plans and all related activities to ensure program goals are met.   Previously, she managed the heart failure and structural heart services for MCHS and was instrumental in the implementation of the structural & pulmonary hypertension clinics.  Ms. Wise has 24 years of nursing of experience completing her bachelor's degree at Mount Carmel College of Nursing and attends Mount Vernon Nazarene University completing MBA in October 2020. 

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.

 

Emily Yoder is an analyst in the Division of Practitioner Services (DPS) in the CMS Center for Medicare. She has worked on Medicare Physician Fee Schedule rate setting and policy development since 2015, including primary care, evaluation and management visits, communication technology based services, and Medicare telehealth. She holds graduate degrees from the University of Chicago and, as a Fulbright Fellow, from the University of Warwick, in the United Kingdom.