Bill Barcellona serves as the Senior Vice President for Government Affairs for America’s Physician Groups, a national professional association of over 300 medical groups and independent practice associations across the United States. Physician group members share a common goal to provide accountable, value-based health care services. Bill develops and advocates state and federal policy for the organization, manages litigation and appellate cases, and manages legislative and regulatory issues. He’s been with the Association since 2005. Bill is a former Deputy Director for Plan-Provider Relations at the Department of Managed Health Care in Sacramento. Bill has practiced law since 1985 in California and prior to his service at the DMHC he spent 16 years at two major law firms in Newport Beach and Sacramento, primarily as a civil litigator. Bill’s current legal experience includes general health law matters with an emphasis in Knox Keene Act and managed care issues. He enjoys teaching and lecturing across the country on health care management, operations and policy matters, and has served as an adjunct faculty member at the USC Price School since 2006 teaching health administration policy and management courses in the MHA, MPA and MMM programs. Bill currently serves as a member of the USC Price School Health Advisory Board. He makes wine, likes to run and follows Formula One Grand Prix racing.
Larry Blosser M.D., is the outpatient medical director for Central Ohio Primary Care Physicians, a 390-physician, independent, physician-owned primary care group in Columbus, Ohio. Dr. Blosser is board certified Family Medicine and practiced for 30 years before assuming his current role in COPC.
Dr. David Bronstein joined Kaiser Permanente in the Antelope Valley in 2007 as a pediatric infectious disease specialist and general pediatrician after completing his residency, fellowship, and public health training at UCLA. He is currently the physician-in-charge of the Kaiser Palmdale medical offices and the Physician Director of Service and Marketing. Over the past decade, Dr. Bronstein has been educating physicians and staff about vaccination communication techniques locally in the Antelope Valley and throughout the Southern California region.
Tom currently serves as the Executive Vice President for Select Medical. Select Medical is a healthcare provider with approximately 48,000 employees throughout the United States. Select Medical owns and operates long-term acute care and inpatient rehabilitation hospitals, as well as occupational health and physical therapy clinics. Tom’s principle responsibilities include all matters regarding current and proposed health care regulations, existing and evolving reimbursement models and the company’s advocacy efforts. In this role, Tom has been instrumental developing many new proposals and advocating for revisions to existing rules and regulations as well as proposing new governmental policies which have been presented to CMS, MedPAC, members of Congress and their staff in Washington, DC. Tom also serves as President for Allevant Solutions, a 50-50 joint venture between Mayo Clinic and Select Medical. Allevant’s mission is to provide consultative services, clinical education and training directly to Critical Access Hospitals that desire to provide a higher level of clinical care to medically complex patients in rural communities throughout the United States. Tom’s advisory roles include participation on the Health Care Payment Learning Action Network, the naviHealth Scientific Advisory Board, and both the American Hospital Association’s Regional Health Policy Board and the Post-Acute Care Strategy Steering Committee. Tom earned a bachelor degree in Nursing (BSN) and his MBA from Oakland University.
Jeffrey M. Bullard, M.D. serves as Medical Director, and is a member of the Board of Governors, for Catalyst Health Network, a Dallas-Fort Worth based commercial accountable care organization responsible for the care of 1,000,000 patient lives. He has served as CMO for the national weight loss franchise, Thinique Medical Weight Loss Centers and serves as a member of the advisory boards of multiple healthcare companies. Additionally, he is the founder and functions as CMO of MaxHealth Family, Internal and Sports Medicine, Acuity Brain Center, MaxFitness Peak Performance and Personal Training Gym, VarioHealth Clinics, Elevate Health Traumatic Brain Injury and Neurology Clinics and Elevate HRT Clinics. In 2013, Bullard founded Vault, a behavioral health assessment, tracking and patient engagement tool. Vault is currently utilized by ACOs, CINs, IPAs and a wide variety of medical specialties across the country. In addition to serving as the President of the Academy of Asthma and Allergy in Primary Care (AAAPC), Bullard is a member of the Medical Advisors Board for the AAAPC and is a member of the Texas Medical Association’s Committee on Primary Care and the Medical Home and the Texas Academy of Family Physician’s Behavioral Health Task Force.
Susan Cantrell is Chief Executive Officer of the Academy of Managed Care Pharmacy (AMCP), the national professional society whose members manage medication therapies for the 270 million Americans covered by public and private health plans. Susan leads the organization in fulfilling its mission of increasing patient access to affordable medicines, improving health outcomes, and ensuring the wise use of health care dollars. Since joining AMCP in 2016, she has worked to advance AMCP’s policies to address rising health care costs and facilitate the shift toward paying for value in health care. Before joining AMCP, Susan was Senior Vice President and Managing Director, Americas for the Drug Information Association (DIA), a global society of professionals involved in the development and life-cycle management of pharmaceuticals and other medical products. She previously was Vice President of Resources Development at the American Society of Health‐System Pharmacists (ASHP). She began her career in health care as a pharmacist in hospital and home care practices. Susan is a graduate of the University of Mississippi School of Pharmacy and she received her Certificate in Public Health from the University of North Carolina Gillings School of Public Health. She completed an ASHP-accredited residency in hospital pharmacy at the University of Mississippi Medical Center. A registered pharmacist and former hospital, home care, and specialty pharmacy administrator, she is certified by the American Society of Association Executives (ASAE) as a Certified Association Executive (CAE). She is co-author of two books providing career advice for pharmacists: Letters to A Young Pharmacist: Sage Advice on Life and Career from Extraordinary Pharmacists (2014) and Letters from Rising Pharmacy Stars: Advice on Creating and Advancing Your Career in a Changing Profession (2017).
Ray Chicoine is President of Monarch HealthCare, an IPA model medical group which was founded in 1994. Monarch is comprised of over 2,000 physicians providing coordinated care to 250,000 Commercial, Senior and Medi-Cal patients throughout Southern California. Monarch was designated a 2012 Pioneer Accountable Care Organization (ACO) by the Centers for Medicare & Medicaid Services (CMS) and continues to participate in a number of commercial ACO's. Ray's responsibilities include oversight of all day-to-day operations, and evaluating new strategic partnerships for the organization. Monarch HealthCare was acquired and became an affiliate of Optum in November, 2011. Ray has been with Monarch since 1999 and prior to becoming President, served as the organizations Chief Operating Officer. Prior to joining Monarch, Ray served as the Orange County Regional Vice President for MedPartners, a publicly traded Physician Practice Management Company. While there he was responsible for multiple IPA and Staff Model Medical Groups providing services to over 500,000 patients. From 1991 through 1996 he held various management positions with FHP International Corp. Ray serves on the Board of Directors of America's Physician Groups (APG), the nation's largest professional organization of medical groups and IPAs dedicated to accountable care. Ray is a member of the Board of Directors of the Integrated Healthcare Association (IHA), a statewide policy group that brings together the top decision makers from the major sectors of the health care industry. Ray also serves on the Board of Directors of Age Well Senior Services a non-profit agency whose mission is to provide resources to older adults to promote their vitality and support their independence. Ray has successfully pursued his passion to create a model for the delivery of quality, affordable healthcare to the patients of Southern California. A HealthCare Strategy and Operations executive with over 25 years' experience leading and managing integrated delivery systems. Experience includes fully integrated, group, and independent physician models of care delivery. Extensive knowledge of the coordinated care model and managed care industry. Expertise in the analysis and negotiation of health plan, hospital, and physician contracts including risk-sharing and other value based payment arrangements. Ray holds a Bachelor's degree in Finance from Kent State University and a Master's in Business Administration from The Ohio State University. He served three years of active duty in the United States Army Military Police Corps.
Aneesh Chopra is the President of CareJourney, a Hunch Analytics company that provides actionable, clinically-relevant analytics services to population health organizations. He served as the first U.S. Chief Technology Officer under President Obama (’09-’12) and in 2014, authored, "Innovative State: How New Technologies can Transform Government.” He joined the Board of the Health Care Cost Institute in 2017, earned his MPP from Harvard Kennedy School and BA from The Johns Hopkins University.
Dr. Kenneth Cohen is an experienced physician leader, practicing internist, and researcher who has attained national recognition for health care quality improvement. He has successfully developed and reported numerous clinical quality studies in primary care, including tobacco cessation, osteoporosis, asthma, diabetes, hypertension, and ischemic vascular disease. He was one of the founding physicians of New West Physicians, which is the largest primary care group practice in Colorado and now part of OptumCare. He has served as Chief Medical Officer since 1995. Dr. Cohen has received awards of recognition and distinction for teaching, including the Lutheran Medical Center Physician of the Year award in 2011. Under his stewardship New West Physicians was awarded the AMGA Acclaim award in 2015 and the Million Hearts Hypertension Champion Award in 2017. He is a Clinical Associate Professor of Medicine and Pharmacy at the University of Colorado School of Medicine. Dr. Cohen holds degrees from Dickinson College and Hahnemann University. He is a Fellow of the American College of Physicians and a member of the Phi Beta Kappa and Alpha Omega Alpha honor societies.
Don Crane is the President and CEO of America’s Physician Groups, the nation’s leading professional association representing medical groups and independent practice associations practicing coordinated care. With offices in Los Angeles, Sacramento and Washington, D.C., America’s Physician Groups has become a leading voice for the value-based healthcare movement at the state and federal levels. America’s Physician Groups’ members are at the forefront of national healthcare reform and represent the care model and payment methodologies adopted by federal legislation for the entire nation. Mr. Crane serves on the Board of Directors of the National Coalition on Health Care. In 2016, he received the prestigious Mathies Award for Vision and Excellence in Healthcare Leadership. Mr. Crane received his B.A. from the University of California at Berkeley and his J.D. from Loyola University of Los Angeles.
Mariella Cummings is the President of Results Incorporated, a health-care focused management consulting company, through which company she served for sixteen years as the Chief Executive Officer of Physicians of Southwest Washington (PSW), an Olympia based independent physicians association. She resigned as CEO in March 2016 to pursue consulting opportunities with other medical groups interested in prospering through the transition to value based reimbursement and the attendant health delivery challenges and opportunities consistent with the Triple Aim. Her primary consulting interests include IPA management, capitation, value based contracting, and provider communication. Cummings has significant health plan experience having served as a VP for claims for a Midwest commercial health plan as the Insurance Commissioner appointed consumer advocate to the board of the WA high risk health pool plan. She was the initial CEO and later Chair of the Board of Directors of Soundpath Health, a Medicare Advantage health plan founded by PSW with two additional physician groups. For eighteen years Cummings also served as a member and Board Chair for the Western Institutional Review Board. A former hospital CEO, Cummings administrative experience also includes public health administration, serving as the Director of Infectious Disease and Reproductive Health for the Washington Department of Health, in which capacity she managed all of the HIV/AIDS prevention, surveillance and care services programs. Cummings is the current Board Chair of the Thurston County Chamber of Commerce and a County Commissioner appointed member of board of the Pacific Mountain Workforce Development Council. Cummings Co-chairs the Northwest Regional APG membership group. She is a frequent speaker at health care conferences. Cummings has a BS in Nursing from the University of Washington and a Master of Science degree from the University of Arizona. She has three adult children and five grandchildren. She resides in Olympia, WA.
Dr. Gaurov Dayal is President, New Markets and Chief Growth Officer at ChenMed where he leads operations for new markets and is responsible for ChenMed’s national expansion. Gaurov has wide-ranging experience in population health and physician group, health plan and hospital operations. Prior to joining ChenMed, Gaurov was a Senior Vice President at Lumeris, a comprehensive population health solution provider, where he was responsible for creating and implementing operational models for large health care systems and provider groups transitioning into value-based care delivery. Earlier, at SSM Health Care, a large multi -state Integrated Delivery system, he served as the first Chief Medical Officer, Interim CEO for SSM Wisconsin Hospitals and President of Health Care Delivery, Finance and Integration. At SSM he was responsible for leading the transformation from a traditional volume based provider to a value based system which included the successful acquisition and successful integration of Dean Clinic and Dean Health plan- the largest HMO in Southern Wisconsin. Prior to SSM he served as the first Chief Medical Officer for Adventist Health Care and President of the Adventist Medical Group, founder of a hospitalist group and as a strategy consultant for McKinsey and Co. Gaurov holds a bachelor’s degree from Johns Hopkins and received his doctor of medicine from Northwestern University. He did his residency training in pediatrics at Washington University in St. Louis.
Scott Farr has over twenty years of diverse leadership, operations, strategy and development experience with physician organizations, children’s hospitals, health systems, academic medical centers, healthcare start-ups and payer organizations. Mr. Farr continues his career leading Pediatric Associates’ operations, growth and population health initiatives. Under Farr’s leadership, Pediatric Associates has grown to be recognized as the national leader in pediatric population management. With his breadth of experience and expertise, Mr. Farr helps guide both short and long-term strategy to position Pediatric Associates for continued success.Mr. Farr continues his career leading Pediatric Associates’ strategic growth – geographic and specialty expansion along with developing and managing PA’s population health initiatives. Under Farr’s leadership, Pediatric Associates has grown to be recognized as the national leader in pediatric population management. With his breadth of experience and expertise, Mr. Farr helps guide both short and long-term strategy to position Pediatric Associates for continued success.
James B. Florey, MD, MMM is currently CMO for Children First Medical Group, the 600-provider, 55,000-member managed Medicaid pediatric IPA supporting UCSF Benioff Children’s Hospital in Oakland, CA. His career has been that of a practicing pediatrician, a change agent, healthcare entrepreneur, IPA medical director, and health plan regional CMO. He earned a Master of Medical Management from the Marshall School of Business at USC and is a Certified Physician Executive of the American College of Physician Executives. He received a BA in English Literature, a BS in chemistry, and his MD at Tulane University. His pediatrics residency training was at Naval Regional Medical Center, Oakland, a UCSF-affiliated program. Dr. Florey served early in his career for 12 years in the U.S. Navy medical corps. He lives in the Oakland hills and loves the San Francisco Bay area where he hikes, reads, attends opera and theatre, and cheers the Oakland A’s. Among his best friends is his daughter who works as an Epic analyst at Stanford Children’s Hospital.
Niyum Gandhi is the Executive Vice President and Chief Population Health Officer of the Mount Sinai Health System. In this role, he oversees Mount Sinai’s transition from a primarily fee-for-service model of care to one that focused on value and risk-based population health. Niyum leads Mount Sinai Health Partners and helps align the Health System’s clinical and economic transformations in support of Mount Sinai’s vision to be the leading population health manager in the competitive New York market, as well as the best possible partner to plan sponsors, health insurers, and other population health managers who are responsible for total cost of care of patient groups. This includes fostering care management and clinical model redesign to ensure that high-value care is delivered by the Health System and its partners, and working with payers and employers to establish the new economic models that support the delivery of value-based care. Prior to his position at Mount Sinai, Niyum served as a Partner in the Health and Life Sciences consulting practice of Oliver Wyman in Chicago, where he focused on value-based health care strategy and transformation for physician groups, hospitals, and health plans.
Eric D. Hargan is the Deputy Secretary of the Department of Health and Human Services. HHS is dedicated to promote and enhance the health and well-being of the American people and as the largest department in the federal government has an annual budget in excess of 1.3 Trillion dollars and over 80,000 employees across 26 divisions. As Deputy Secretary, he is the Chief Operating Officer is a responsible for day-to-day operations and management of the department in addition to leading policy and strategy development. Mr. Hargan was sworn into office as Deputy Secretary of the Department of Health and Human Services on October. 6, 2017. He immediately served as Acting Secretary of HHS from October 2017 to January 2018. From 2003 to 2007, Mr. Hargan served at HHS in a variety of capacities, ultimately holding the position of Acting Deputy Secretary. During his tenure at HHS, Mr. Hargan also served as the Department’s Regulatory Policy Officer, overseeing the development and approval of all HHS, CMS, and FDA regulations and significant guidances. He received his B.A. cum laude from Harvard University, and his J.D. from Columbia University Law School, where he was Senior Editor of the Columbia Law Review. In between his tours of duty at HHS Mr. Hargan taught at Loyola Law School in Chicago, focusing on administrative law and healthcare regulations. Mr. Hargan lives in Virginia with his wife and their two sons.
Sandra R. Hernández, MD, is president and CEO of the California Health Care Foundation, which works to improve the health care system so it works for all Californians. Prior to joining CHCF, Sandra was CEO of The San Francisco Foundation, which she led for 16 years. She previously served as director of public health for the City and County of San Francisco. She also cochaired San Francisco’s Universal Healthcare Council, which designed Healthy San Francisco. It was the first time a local government in the US attempted to provide health care for all of its constituents. In February 2018, Sandra was appointed by Governor Jerry Brown to the Covered California board of directors. She also serves on the Betty Irene Moore School of Nursing Advisory Council at UC Davis and on the UC Regents Health Services Committee. Sandra is an assistant clinical professor at the UCSF School of Medicine. She practiced at San Francisco General Hospital in the HIV/AIDS Clinic from 1984 to 2016. Sandra is a graduate of Yale University, the Tufts School of Medicine, and the certificate program for senior executives in state and local government at Harvard University’s John F. Kennedy School of Government.
Dr. Carlos Hernandez, M.D. is a Laredo, Texas native who has been a physician leader at WellMed since 2001. He was named President of WellMed Medical Group in 2009. During his tenure at WellMed, Dr. Hernandez has served as Chief of Medical Affairs, Medical Director and Lead Physician, among other roles. He supervises more than 450 physicians, physician assistants and nurse practitioners for WellMed Medical Group. Dr. Hernandez earned his medical degree from the University of Texas Medical Branch-Galveston, where he also completed his residency in Internal Medicine. Dr. Hernandez is certified by the American Board of Internal Medicine and American Board of Hospice and Palliative Care Medicine. He is a Fellow with the American College of Physicians, the largest society of internists in the world. He also has a Master’s Degree in Health Care Management from the University of Texas at Dallas. Dr. Hernandez has served as the physician lead for acquisitions in recent years, a time of explosive growth for the company. He is also Lead Physician in WellMed’s Physician Leadership Development Initiative. In addition to his managerial duties, Dr. Hernandez remains active as a practicing physician, seeing patients at the WellMed at NW 410 clinic in San Antonio, Texas.
Aparna Higgins is Founder and CEO of Ananya Health Innovations Inc., and a Policy Fellow at the Duke-Margolis Center for Health Policy. At Ananya Health, she is currently focused on leading the development of analytics-driven solutions and providing strategic advisory services in the design and implementation of value-based care models. At Duke-Margolis, she is engaged in policy research on the next generation of performance measurement and value-based payment. She is a recognized leader and strategic thinker in payment and delivery system reform, quality measurement, and healthcare analytics with experience in both public and private sector healthcare programs. Previously, she was Senior Vice President, Private Market Innovations and Center for Policy and Research at America’s Health Insurance Plans (AHIP). At AHIP she led her organizational efforts in healthcare analytics, payment and delivery system reform, and performance measurement. She led and established in collaboration with the Centers for Medicare and Medicaid Services (CMS) a national multi-stakeholder initiative called the Core Quality Measures Collaborative to align measures across public and private sector programs. Prior to AHIP, she was at Booz Allen Hamilton where she led a team of health services researchers focused on studies related to value-based purchasing, quality measurement, electronic health record (EHR) adoption, HIV simulation modeling, and cost-benefit analysis.
As SVP and Chief Executive Officer of Sharp Rees-Stealy Medical Centers, Stacey Hrountas leads a staff of over 2,500 employees dedicated to the business systems for more than 500 primary care and specialty physicians. Her team serves more than 400,000 patients in 22 medical office sites throughout San Diego County. Stacey has over 30 years experience in the health care industry. She joined Sharp in 1994 and has held several system-wide leadership positions including Vice President, Managed Care Contracting and Finance for the entire Sharp HealthCare system and affiliated medical groups. Prior to coming to Sharp, Stacey worked with Aetna Health Plans of San Diego, Mercy Physicians Medical Group, MetLife HealthCare Network, Travelers Health Network and Community Care Network.
Jennifer Jackman serves as the Vice President of Business Development for America's Physician Groups, leading APG's growth initiatives across the country. Jennifer provides member education through regional and committee meetings, and she supports APG's advocacy efforts in California and at the federal level. Jennifer has over 30 years experience leading physician groups in California, including physician-owned medical groups; IPAs, and health system medical foundations. She has led the development of several ACOs, including commercial and CMS models. Jennifer has been very active in advocating for physician organizations at both the state and federal level. Prior to joining America's Physician Groups, Jennifer was the Chief Executive Officer for Orange County-based Edinger Medical Group. Prior to Edinger she served as Chief Operating Officer for Memorial Care Medical Foundation, overseeing strategy and operations of the Medical Foundation, MemorialCare Medical Group, Greater Newport Physicians IPA, MemorialCare Regional Accountable Care Organization (ACO), and multiple ambulatory surgery and imaging centers. Ms. Jackman's career also includes senior leadership positions with Monarch Healthcare and Bright Health Physicians.
Laura Jacobs is managing principal at GE Healthcare Partners and has been with the firm since 1990. She has more than 30 years of experience in the areas of integrated delivery system development, payer strategy, population health management, healthcare strategic and financial planning, transactions, and governance/management systems. She is a noted speaker and industry resource on the impact of healthcare trends, most notably the requirements for success in value-based payment models, clinical integration, and creating successful integrated delivery systems. Laura has assisted organizations throughout the country with strategic and financial planning, performance improvement, merger facilitation, and affiliation strategies. She has led the development and implementation of clinical integration and accountable care initiatives. She has led the strategic, financial, and operational redesign of health systems, including transforming the framework for decision-making and care delivery. She has led the organizational and compensation redesign for provider organizations to achieve greater integration and aligned incentives. She has assisted academic medical centers and large multi-state health systems with implementing clinical integration strategies and transitioning to value-based models. She is a frequent speaker regarding current trends in healthcare, payer strategies, risk-based payment models, consumer expectations, clinical integration, governance, and optimizing performance. Prior to joining GE Healthcare Partners, Laura held administrative positions at St. Vincent Medical Center and Orthopaedic Hospital in Los Angeles and Presbyterian Intercommunity Hospital in Whittier, California. She is the co-editor of Medical Group Management: Strategies for Enhancing Performance, and has been published regularly in Hospitals and Health Networks, Trustee, and The Governance Institute publications, among others. Laura received her bachelor's degree from Stanford University and her master's degree in public health/corporate management from the University of California, Berkeley.
Elizabeth Cray Jaureguy, RN, MSN, FNP, is the Director of Ambulatory Care Coordination at UCLA Health. She has spent almost two decades working as a Labor and Delivery Nurse and Family Nurse Practitioner for a variety of institutions, including Massachusetts General Hospital, the University of California, San Francisco Medical Center, California Pacific Medical Center, Planned Parenthood, and UCLA Medical Center, Santa Monica. She graduated with Honors from the UCLA Master of Science in Nursing Program with a Family Nurse Practitioner specialty in 2006, and received her Bachelor’s Degree in Nursing from the University of Vermont. During her time at UCLA, Elizabeth has developed a Telephone triage program for UCLA’s Ambulatory call center and is currently developing systems for the Ambulatory Care Coordination Team.
David is the CEO of Hill Physicians and PriMed, the management services organization serving Hill. David served as the Chief Operating Officer of Hill Physicians for two years before taking the CEO role. Prior to joining PriMed and Hill Physicians, David served for fourteen years as an executive of Blue Shield of California, a not-for-profit health plan with more than 3 million members. His most recent position at Blue Shield was senior vice president large group and specialty benefits where he oversaw $2 billion in revenues for the large group employer, specialty benefits and stop loss insurance markets. His career also has included serving as president of Vivra Women's Health, a physician network and practice management company, and as a manager for Bain & Company, a global strategy consulting firm.David grew up in England and received his MA in chemistry from the University of Oxford and his MBA from The Wharton School at the University of Pennsylvania.
Michael Kasper is the chief executive officer of DuPage Medical Group (DMG), the largest independent, multi-specialty physician group in Illinois. In his role, he collaborates with DMG’s Board of Directors and leads the executive leadership team to set the business strategy and direct operations for the organization – with a goal of continuously delivering the highest quality, most accessible and compassionate healthcare to patients. During his tenure as CEO, DMG has experienced unprecedented growth and expansion. DMG is now comprised of more than 700 physicians and 50 specialties in over 100 Chicagoland locations – with more than 650,000 patients. Under Kasper’s leadership, in August 2017, DMG announced a $1.45 billion investment from Ares Management Private Equity Group to enhance and support DMG’s growth initiatives, including population health, expansion into new geographies and opening new clinical lines of service to reach and treat more patients. Prior to joining DMG in September 2010, Kasper was President of Humana Illinois. He has also held executive roles with Coventry Healthcare, Aetna and Kaiser Permanente. In 2011, he was named to Crain’s Chicago Business’ “40 Under 40” list for his superior business leadership and achievement in the Chicago area. In 2012, Modern Healthcare magazine recognized Kasper in its yearly “Up and Comers” list of honorees for his significant impact in the field of healthcare. Kasper actively works with the Loeys-Dietz Syndrome Foundation (LDSF) to raise awareness of Loeys-Dietz syndrome, a genetic connective tissue disorder. He serves as a Board Member for the American Heart Association, where he was the 2008 and 2011 Co-Chair for the Chicago Heart Ball. He is also a member of the Chicagoland Chamber of Commerce Board of Directors and Associate Board Member of the Metropolitan Chicago Healthcare Council. He is also a member of the Economic Club of Chicago. He holds a Masters in Health Administration from Indiana University.
Dr. Keckley is Managing Editor of The Keckley Report, advisor to several national healthcare organizations and an active investor in several early-stage healthcare companies. In 2009, he served as the facilitator between the White House and major trade associations during deliberations about the Affordable Care Act. He is a prolific writer, media commentator and frequent facilitator in strategic planning for hospitals, health systems, health insurers and investment banks. His publications include three books, 15 peer reviewed monographs, the weekly Keckley Report and 200 guest columns. He is an Independent Director of Tivity Health Inc. (TVTY) and Sullivan Cotter, Senior Advisor to Erdman Inc. (Madison WI) and member of the Advisory Boards of the Lipscomb University College of Pharmacy (Nashville) and Western Governors University (Salt Lake City). Previously, he served as Executive Director, Deloitte Center for Health Solutions, Washington DC, Executive Director, Vanderbilt Center for Evidence-based Medicine, CEO, EBM Solutions Inc., CEO, PhyCor Management Corporation (the IPA subsidiary), CEO, InterDent (Dental Practice Management Company, El Segundo, CA) and Managing Director, The Keckley Group. He holds a B.S. from Lipscomb University, Nashville TN, an M.A. and Ph.D. from The Ohio State University, Columbus OH and completed a graduate fellowship at Oxford University, UK.
Jimmie Keenan has over 30 years of experience as a leader in health care administration and operations. In her current role, Ms. Keenan oversees the more than 100 owned and operated clinics in Texas and Florida. She is responsible for day-to-day operations as well as membership, revenue and market growth across the enterprise. Ms. Keenan is a U.S. Army veteran and retired with the rank of Major General. She most recently served as Deputy Commanding General for the U.S. Army Medical Command and Chief, U.S. Army Nurse Corps. During her military career, she served as Chief of Staff for the U.S. Army Warrior Transition Command at the Pentagon, Commanding General of the U.S. Army Public Health Command in Maryland and Commanding General of the U.S. Army Southern Regional Medical Command. Ms. Keenan is a distinguished military graduate from Henderson State University, where she earned her undergraduate degree in Nursing. She earned her Master of Science in Nursing Administration from the Medical College of Georgia and a Master in Strategic Studies from the U.S. Army War College. She is a Fellow in both the American College of Healthcare Executives and the American Academy of Nursing.
Michael Krouse joined OhioHealth in March 2007 as Chief Information Officer and was named Senior Vice President in 2011. In December 2015, Mr. Krouse assumed responsibility for Lab, Pharmacy, Sterile Processing, Environmental, Nutrition and Patient Transport Services. He also assumed leadership for the organization’s Process Excellence and Project Management teams. In March of 2017 Mr. Krouse was named the Senior Vice President and Chief Strategy and Transformation Officer for the system. In this role he provides system leadership for Strategy, Business Development, Market Intelligence and Insights, Regional Development, New Ventures and Business Transformation. Mr. Krouse currently serves as the board chair of the Columbus Collaboratory, a multi-industry partnership focused on analytics, cyber and talent development for the central Ohio community, and is a board member of the Columbus College of Art and Design. He further represents OhioHealth as a limited partner member of Ascension Ventures most recent $350MM investment fund IV and Drive Capital’s $250MM investment fund II. Mr. Krouse maintains active board advisory roles for technology companies and is a past board member of the Columbus Children’s Theater, board chair of the Central Ohio Information Exchange, and board member of the Ohio Health Information Partnership. Mr. Krouse’s leadership and work has been recognized nationally with multiple awards including: the Premier 100 IT Leaders by Computerworld; the HIT Men & Women Innovators Up and Coming Award from Healthcare IT News; the C-Suite Award from Columbus Business First; and CIO 100. He led OhioHealth IT to notable recognitions as Most Wired, Best Places to Work in IT (2009-2017), the achievement of HIMSS Analytics Stage 7 in both the Ambulatory and Acute Care settings and a 9-star performance in Epic’s Star program. Mr. Krouse is a long-standing member of the College of Healthcare Information Management Executives, Healthcare Information Management Systems Society and the Healthcare Financial Management Association. Mr. Krouse completed his undergraduate studies in Computer Science and Engineering at Washington State University and graduate studies in Business at the University of Washington. He is an experienced speaker and author of articles on healthcare trends and technology, strategic planning and leadership development. Prior to joining OhioHealth Mr. Krouse held executive leadership roles with UW Medicine, First Consulting Group, E&Y and Arthur Young. Mr. Krouse and his wife have two children.
Ron is the CEO of agilon health, a platform that empowers physicians with the operating model, technology, solutions and capital required to transition from fee-for-service to integrated payment and delivery. Through agilon health’s innovative physician-first partnership model, primary care physicians can lead the transformation of their local markets through value-based care, expand their long-term growth opportunity, share best practices with like-minded physicians, and recapture the joy of practicing medicine. Since its inception, more than 1,800 primary care physicians, including numerous thought-leading independent physician organizations have partnered through the agilon health platform to redesign the system of care for more than 300,000 patients. Prior to joining agilon health in January 2017, Ron was the CEO of Fresenius Medical Care North America, the leading provider of products, pharmaceuticals and services to the renal community. In that capacity, he led FMCNA’s growth from $9 billion to $13 billion in revenue and its strategic shift from fee for service dialysis care to population health management for the renal disease population. His health care experience spans 25 years and includes experience in home infusion services, laboratory and diagnostic services, pharmacy services, physician practice management, government health plans, specialty ambulatory surgery and pharma and medtech sales and manufacturing, as well as dialysis services. Ron is a graduate of Albion College and the Yale Law School.
Joe Lastinger is the president of the Health Plan Alliance. Joe has extensive experience in health care strategy and has held leadership positions at Baylor Scott & White Health System; North Texas Accountable Healthcare Partnership (NTAHP), a regional health care improvement collaborative serving 145 hospitals and 7 million citizens in North Texas; and T-System, Inc., a clinical IT solutions company which provides emergency and urgent care documentation and coding software to 1,900 hospitals and clinics. Joe has a Bachelor of Arts degree in philosophy from the University of Dallas and an MBA in health services administration from the University of Dallas School of Management. He is a co-founder and board member of Families Fighting Flu and is an active board member of many other professional and community organizations.
Dr. Stuart Levine is currently the Chief Medical and Innovation Officer for Agilon Health, a physician group and IPA platform providing integrated and coordinated care in multiple geographies powered by advanced technology supported by Clayton, Dubilier and Rice. Dr Levine is also the CEO and President of Medical Innovations Inc., a health consulting firm for which he is the founder. Dr. Levine is the Chief Physician Advisor to Google Health Research. Dr. Levine was the Corporate Medical Director and Regional Medical Director of HealthCare Partners Medical Group of California where he was responsible for the company’s clinical-focused initiatives for 6 years, prior to and through the transition to DaVita, including company-wide clinical optimization and innovation, mergers and acquisitions as well as corporate and regional operations. Prior to rejoining Blue Shield, Dr. Levine served as the Executive Vice President and Executive Medical Director for Clinical Integration and Transformation Officer at Heritage Medical Systems where he was responsible for clinical optimization and innovation across the enterprise. In addition, Dr. Levine was responsible for putting together the joint venture between Trinity Health and Heritage Provider Group to form one of the largest integrated delivery system in the United States. Prior to this role at Heritage, he served as the Executive Vice President and Executive Medical Director of Arizona Priority Plus where he oversaw the clinical and administrative services including quality of care, outcomes and clinical services for Heritage Medical Services outside of California. Prior to leading his consulting firm, Dr. Levine served as the Chief Innovation and Clinical Care Officer at Blue Shield at California where he was responsible for the ACO initiative state-wide, clinical optimization across all partner provider groups/ systems and business lines, strategic planning, medical management infrastructure development and government programs and clinical innovations for the enterprise.
Dr. Manchanda is the President & CEO of HealthBegins, a mission-driven consulting and technology firm that helps healthcare and community partners improve care and the social factors that make people sick in the first place. Dr. Manchanda’s career is marked by a commitment to improving care and social determinants of health for vulnerable populations. He served as director of social medicine for a network of community health centers in south central Los Angeles, was the lead physician for homeless Veterans at the Greater Los Angeles, CA, and was the first chief medical officer for a self-insured employer with a large rural immigrant workforce. In his 2013 TEDbook, The Upstream Doctors, he introduced a new model of healthcare workers - the Upstreamists - who improve care and equity by addressing patients' social needs, like food, financial and housing insecurity. The book has become recommended reading in medical schools and universities across the world.
Kevin leads the physician enterprise division of Providence St. Joseph Health –a $23 billion integrated Catholic health care delivery system spanning seven states – as Executive Vice President and Chief Executive, Physician Enterprise. With more than 10,000 providers across PSJH, the physician enterprise serves more than 4 million patients across the Western United States. Kevin also continues to serve as President and Chief Executive of St. Joseph Heritage Healthcare (Heritage), the physician foundation for eight medical groups across the state of California. With more than 2,000 physicians in medical group and IPA models, Heritage medical groups are some of the highest performing in the state – and are consistently recognized as top performers by the Integrated Health Care Association, APG and more. Heritage manages 100,000 Medicare Advantage (MA) lives and 400,000 commercial lives and accounts for about $1.8 billion in revenue. Thanks to continuous innovation in care delivery models, data driven solutions, and a focus on physician-led decision making, Heritage has significantly improved PMPM performance, physician and caregiver engagement and patient experience – charting to the top quartile. Kevin and the Heritage leaders are also responsible for developing a proprietary patient experience program, Own It, which reconnects caregivers and physicians with their purpose in health care, with an emphasis on creating a culture of empathy and compassion. Own It is now being scaled across the Providence St. Joseph Health ministry as a best practice. Kevin brings more than 15 years of ambulatory and acute operational experience, in addition to a long history in health care IT. He received a master’s degree in organizational leadership from Gonzaga University, his bachelor’s degree in business administration from the University of Iowa, and is Black Belt certified in Toyota’s LEAN model.
Robert Margolis, MD, is CEO Emeritus of HealthCare Partners LLC and former Co-Chairman of the Board of DaVita HealthCare Partners Inc. Dr. Margolis served as the managing partner and CEO of HealthCare Partners from the formation of the company in 1992 through February 2014. Dr. Margolis was a founding partner and the managing partner of HealthCare Partners' predecessor, California Primary Physicians Medical Group. Under Dr. Margolis' leadership, HealthCare Partners became a highly respected and innovative physician-owned and operated medical group, independent physician association, and management services organization. Dr. Margolis has been on the leading edge of the managed care industry for more than 35 years. He is a much sought-after spokesperson because of his vast experience in integrated delivery systems and physician practice management. Dr. Margolis serves on the Board of several prestigious healthcare organizations including the new Martin Luther King, Jr., Hospital, and the MLK Foundation. Dr. Margolis is founder and Chair of the Advisory Board of the Duke-Margolis Health Policy Center at Duke University. He is as a member of the HealthCare Policy Advisory Council for Harvard Medical School and the Advisory Board of the Schaeffer Center for Health Policy and Economics at the University of Southern California, a Board member and past Chairman of the Board of the National Committee for Quality Assurance (NCQA), a former Board member and past Chairman of the Board of Directors of the America's Physician Groups (APG), a former Board member and past Chair of the Board of Directors of California Hospital Medical Center, Los Angeles, and a former Board member for Sutter Health. He is a past member of the Catholic HealthCare West Southern California Board of Directors and its Strategic Planning Committee. Dr. Margolis is past chairman of the American Medical Group Association and a two-time past chairman of the Unified Medical Group Association. Dr. Margolis is board certified in Internal Medicine and Medical Oncology. He is a graduate of Rutgers University (Henry Rutgers Scholar) and the Duke University Medical School (AOA) and served a fellowship at the National Cancer Institute. Dr. Margolis and his wife Lisa enjoy time with their three wonderful children and six grandchildren. They also enjoy travel, hiking, skiing and golf. And through the work of The Robert and Lisa Margolis Family Foundation remain active in support of innovative initiatives focused on STEM education for minorities, injured and returning veterans, and health policy.
Melanie Matthews is the CEO of Physicians of Southwest Washington, where she brings with her a successful 20-year career as a leader and innovator in various aspects of health care, including financial management, operations, human resources, system development and product marketing in health care services. Most recently she 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 Matthew’s other accomplishments, she serves as the chair of the Washington Health Care Association, and was selected by the American Health Care Association as a “National Political Ambassador” in 2013, as well as being named a national “Future Leader” in 2012.
Dr. Narayana Murali is Executive Vice President of Care Delivery and Chief Clinical Strategy Officer of Marshfield Clinic Health System. He is also Executive Director of Marshfield Clinic. In these roles, Dr. Murali works in coordination with the Marshfield Clinic Health System’s Chief Executive Officer and oversees the entire clinical and hospital delivery arm of MCHS. Dr. Murali joined Marshfield Clinic in 2006 as a nephrologist, having practiced specialty medicine globally across three continents. He was Chief of Staff of Ministry Saint Joseph’s Hospital from 2011-12; Marshfield Clinic Corporate Secretary from 2012-14; Chair of Marshfield Clinic’s Board of Directors from 2014-2015; and President of MCHS Hospitals Inc. 2016-2018. He earned his medical degree from the University of Madras, India, and then completed a three-year post-graduate training in general medicine leading to the award of the Diplomat of the National Board in General Medicine in India. He furthered his medical career in Australia. He subsequently completed an internal medicine residency at Mayo School of Graduate Medical Education, a National Institutes of Health-sponsored Clinician Investigator Training Program and fellowship in kidney disease at Mayo Clinic College of Medicine, Rochester, Minnesota. He is a principal investigator of federally-funded studies, a recipient of national, regional and institutional awards for scientific work and teaching. He has authored several scientific papers and reviews in basic and clinical science in addition to several book chapters and serving as an associate editor of a reputed textbook – The Mayo Clinic textbook of Internal of Medicine. He has also served as a panel expert and/or guest lecturer at multiple national and regional organizations such as the AMA and AMGA. Dr. Murali is a resident of Marshfield, Wisconsin with strong commitment to education and enrichment programs in the school district as well as the Boy Scouts of America.
Dr. Amy Nguyen Howell is a board-certified family practice physician. She currently oversees all clinical programs at America’s Physician Groups and supports advocacy work in Sacramento, CA and Washington, DC. Dr. Nguyen actively serves on the Measures Application Partnership (MAP) Clinician Workgroup, providing input to the Coordinating Committee at the National Quality Forum (NQF) on matters related to the selection and coordination of measures for clinicians, particularly in the office setting. Additionally, she contributes to the Technical Expert Panel on MACRA Measurement Development; Steering Committee on the Core Quality Measurement Collaborative; Healthcare Payment and Learning Action Network Population-Based Payment Work Group; and Population Health Management, Clinical Programs, and Patient-Centered Specialty Practice Advisory Committees at NCQA; Board of Directors California Healthcare Performance Information System and serves as member of the Steering Committee at the California Quality Collaborative of the Pacific Business Group on Health (PBGH); Steering Committee at the California Maternal Quality Care Collaborative (CMQCC); and Alternative Payment Model Infrastructure (APMI) Taskforce, part of Healthcare Information Management Systems Society (HIMSS). These national committees provide structure for an innovative coordinated delivery model focused on payment reform and integrated, high-quality, patient-centric care. Dr. Nguyen is a faculty member at USC Sol Price School of Public Policy and continues to serve as a family physician at Playa Vista Medical Center.
Megan North has served as President of Value-Based Care (VBC) for Conifer Health Solutions since 2012. In this capacity, Ms. North is responsible for leading Conifer’s fastest growing business unit, which provides clinical integration, population health management and financial risk management services for more than 300 organizations. These include independent practice associations, commercial and Medicare accountable care organizations (ACOs), clinically integrated organizations, full-risk bearing providers, hospitals, health systems, self-funded employers, Taft-Hartley plans and federal and state employer plans. With more than 25 years of risk-based hospital and physician-practice operational experience, Ms. North has earned her reputation as a trailblazer in the industry. She is recognized for her role in developing the framework that enabled providers to go at risk in highly regulated, capitated markets. Over the last two-plus decades, she and her team have also helped large employers bend the healthcare cost curve thru innovative member care management strategies. Ms. North has lead several key initiatives to drive healthcare reform and the formation of clinically integrated organizations throughout the country. In addition, she has overseen the creation of a highly successful pay-for-performance model which has been widely adopted as the blueprint to govern physician and hospital alignment in California.
Jamie Phillips is the President of NAMM California and PrimeCare Medical Network, Inc. (PMNI) affiliate organizations of Optum and joined NAMM in 2016. NAMM owns and manages 16 provider networks in San Bernardino, Riverside and San Diego Counties serving over 430,000 shared and global risk members, 830 Primary Care Physicians and over 3,500 Specialist Physicians. Ms. Phillips has over 30 years’ experience in Managed Healthcare and Medical Practice Management. Prior to joining NAMM she held several high level positions for prominent Southern CA medical groups and a Managed Care Organization in South Africa. She has an extensive background in managed care including both IPA and Medical group operations, network development and population management. She is an Alumni of the California Healthcare Foundation, Leadership Fellowship. She earned her BS in Nursing from Creighton University and her Masters in Health Administration from the University of LaVerne.
Dr. Soujanya Pulluru, who goes by the name “Chinni”, is a family medicine physician and executive medical director of DuPage Medical Group (DMG), the largest independent, multi-specialty physician group in Illinois. In her role as executive medical director, she oversees value-based care contract maximization, clinical quality initiatives, medical management and pharmacy, which includes medical drug management. She also works closely with the leadership team to improve compliance, patient experience, safety and physician well-being. Dr. Pulluru has been in practice at DMG since 2004. She transitioned to physician leadership in 2011 when she became the chair of DMG’s family medicine department. In 2015, she took on the role as executive medical director. She earned her medical degree from Mahadevappa Rampure Medical College and completed her residency at Adventist Hinsdale Hospital, where she also served as chief recruiting officer and on the Ethics Committee. Dr. Pulluru serves as a board member for the DuPage Health Coalition and is a member of the American Academy of Family Physicians and the American Medical Association. She has also served as a board member and treasurer for the Illinois Academy of Family Physicians. She also previously served on the Will County Board of Health. Outside of work, Dr. Pulluru has three children and enjoys yoga, travel, photography and reading.
Naveen Raja, DO serves as the Medical Director of Population Health and Accountable Care at UCLA Health. His focus is on developing and supporting strategies and programs related to population health, including improvement activities, analytics, care management, and relationships with ACO contract partners. Prior to UCLA, he was at City of Hope where he served as the Chief Medical Information Officer. In that role, he had significant impact on practice standardization, integration, and physician engagement. He has experience in managing organizational change through setting of a shared vision, clinician and leadership engagement, clear governance structures, communication and team development. He is board certified in Rheumatology and Clinical Informatics and has over 17 years of clinical practice experience in rheumatology and internal medicine in academic, non-profit, managed care and private practice environments.
Dr. Donald Rebhun is the Regional Medical Director of HealthCare Partners Medical Group and Affiliated Physicians. He is recognized for his work in areas of coordinated care and quality outcomes. He is active in areas of strategic development and is involved with physician and patient education programs, works in areas of legislation and advocacy, and maintains a part-time clinical practice. Dr. Rebhun is a passionate champion of information technology for patient safety, collaborative treatment decisions, and evidence-based best practices. He received his Bachelor of Science, Master of Science in Public Health, and Medical Degree from UCLA. He is board certified in Internal Medicine. Dr. Rebhun is a former Board Member and past Chairman of the Integrated Healthcare Association (IHA) and is presently Co-Chair of the Quality and Performance Committee and Board Member for America’s Physician Groups (APG). He has served as a speaker at numerous professional conferences throughout the country and has authored many articles included in prestigious medical publications.
Jeff Rideout is President and CEO of the Integrated Healthcare Association (IHA), a California leadership group representing health plans, hospital systems, physician groups and other healthcare stakeholders. Dr. Rideout is responsible for management of all IHA programs and activities, including its nationally recognized pay-for-performance program, performance measurement and payment innovation initiatives, and efforts to enhance the adoption of health information technology and improve healthcare affordability. Prior to joining IHA, Dr. Rideout was the Senior Medical Advisor for Covered California, the California Health Insurance Exchange, supporting clinical quality, network management, and delivery system reform related to the 1.1 million Californians enrolled through the exchange. Previously he was SVP, Chief Medical Officer for The TriZetto Group, leading strategy around development and delivery of a comprehensive suite of products and services that enable payers, providers and employers improve the cost and quality of care for consumers. Dr. Rideout also served as the global leader of the healthcare division for Cisco Systems Internet Business Solutions Group, and Cisco’s Chief Medical Officer, working with health care and public sector leaders to help them use technology to accelerate transformation of the health care industry. Prior to Cisco, Dr. Rideout was Chief Medical Officer and SVP for Blue Shield of California. He has also supported numerous venture backed companies and venture capital firms in board, advisory and management roles. Dr. Rideout also holds academic appointments with Stanford University as Consulting Professor, Department of Health Research and Policy, and the University of California, Berkeley Haas School of Business, teaching on topics related to healthcare technology, services and innovation. Dr. Rideout completed his residency training in internal medicine at University of California, San Francisco and is a Fellow of the American College of Physicians. He received his medical degree from Harvard Medical School and his undergraduate degree from Stanford University. He also holds a master’s degree in Philosophy, Politics, and Economics from Oxford University where he studied as a Rhodes Scholar Previously Dr. Rideout served as the Senior Medical Advisor for Covered California, the state based insurance exchange for California. Previously Dr. Rideout was SVP, Chief Medical Officer for The TriZetto Group. Dr. Rideout completed his residency training in internal medicine at University of California, San Francisco and is a Fellow of the American College of Physicians. He received his medical degree from Harvard Medical School and his undergraduate degree from Stanford University. He also holds a master’s degree in Philosophy, Politics, and Economics from Oxford University where he studied as a Rhodes Scholar.
Valinda Rutledge leads APG’s federal legislative and regulatory activities in Washington, DC. She has a unique blend of policy, advocacy, and leadership experience in the healthcare field, including serving as CEO of multiple hospital and health systems; holding leadership positions at CMS’s Innovation Center.
Jessica Saba serves as Director of Value-Based and Population Health Pharmacy at Highmark, Inc in Pittsburgh, PA. Jessica has dedicated her career to ensuring patients receive the highest quality medication management. With a background in community pharmacy, medication therapy management, pharmacy benefit management, pharmacy quality and product management, Jessica launched Highmark’s Population Health Pharmacy Team in late 2017. Her team’s mission is to collaborate with Highmark’s provider partners in pursuit of implementing strategies and solutions that achieve positive health outcomes and improve patient access to high quality, affordable care. Jessica earned her Doctor of Pharmacy from Duquesne University School of Pharmacy in Pittsburgh, PA and is a Board Certified Geriatric Pharmacist.
Gordon has served as the Chief Financial Officer for Health Alliance Medical Plans and its affiliated companies for the past 21 years. He provides guidance and oversight for the underwriting, accounting, medical economics, and cash management aspects of the organization. Based in Illinois, Health Alliance is a provider-owned health plan serving more than 230,000 members throughout the Midwest and the State of Washington. Gordon is a graduate of Olivet Nazarene University and is a Certified Public Account. He has more than 35 years of experience in health care financial management both within health plans and hospitals, including hospital consolidations, system integrations, and information system conversions. Gordon currently serves as Board Chair for the Health Plan Alliance, a national association comprised of provider sponsored health plans.
Howard Saner is the Chief Executive Officer for Riverside Physician Network that is a contracted network of independent primary care and specialty physicians serving the Greater Riverside California area since 1984. Mr. Saner started in the healthcare industry with FHP Healthcare taking on various positions ranging from medical group operations, contract negotiations, community relations, and strategic development. After FHP Healthcare, he followed the physicians to Talbert Medical Group where he served as Vice President of Managed Care and, eventually, as the Senior Vice President of Business Development and Marketing. Having served in various positions, Mr. Saner was enthusiastic to come back to Riverside, CA in 2004 and work with local physicians who have established roots in the community.
Martin Serota, M.D. has over 20 years of experience in managed care, as a practicing physician and in leading successful medical organizations. Dr. Serota is the National Chief Medical Officer of Prospect Medical Systems, Inc. Prospect owns and/or manages over 20 physician groups/IPAs, medical practices and accountable care organizations in six states and a full suite of administrative support services through a managed services organization (MSO). Dr. Serota has a deep knowledge of clinical quality, medical management and business operations. He led the first group recognized by The Joint Commission as a Primary Care Medical Home and was previously the Chief Medical Officer for the nation’s largest Federally Qualified Health Center.
Mark Shinmoto, PharmD, is Vice President, Chief Pharmacy for Ventegra and has more than 20 years of managed care experience. At Ventegra, he is responsible for clinical pharmacy operations and account management. He has results-proven experience working with health plans, hospital health systems, PBMs, medical providers and the pharmaceutical industry market segments. Mark has experience with coordination of care health system operations, healthcare policies and compliance, Commercial and Medicare reimbursement for oral and injectable medications, benefit design and formulary considerations. Prior to joining Ventegra, Mark served as Director of Pharmacy for HealthCare Partners (HCP), where he had responsibilities for pharmacy operations and various committees within HCP. Mark was pharmacy co-chair for the APG Pharmaceutical Committee and the Medicare Pioneer ACO Pharmacy Workgroup Committee. Previous, he was Director of Pharmacy for PacifiCare Health Systems for multiple states nationally, and the Director of Pharmacy Services at RxSolutions, the PBM for PacifiCare. Mark received his Doctor of Pharmacy from the University of Southern California and completed a post-graduate clinical pharmacy residency program at the University of Southern California/Sepulveda VA Medical Center.
Stephen M. Shortell, Ph.D., M.P.H, MBA is the Blue Cross of California Distinguished Professor of Health Policy and Management and Professor of Organization Behavior at the School of Public Health and Haas School of Business at University of California-Berkeley where he also directs the Center for Healthcare Organizational and Innovation Research (CHOIR). A leading health care scholar, Dr. Shortell and his colleagues have received numerous awards for their research examining the performance of integrated delivery systems; the organizational factors associated with quality and outcomes of care; and the factors associated with the adoption of evidence-based processes for treating patients with chronic illness. He is a recent recipient of the AHA/HRET TRUST Visionary Leadership Award.
Dr. Skootsky is currently Chief Medical Officer (CMO) of the UCLA Faculty Practice Group and Medical Group, and Professor of Medicine at the David Geffen School of Medicine at UCLA. He attended the University of California at Berkeley, the Albert Einstein College of Medicine, and completed a program in Health Care Management at the UCLA Anderson School of Management. As CMO of the Faculty Practice Group, leads UCLA’s population based efforts in response to the Affordable Care Act’s emphasis on Accountable Care Organizations (ACO), MACRA, and commercial ACOs. As CMO of the UCLA Medical Group, he has led the clinical, quality, and improvement activities. Dr. Skootsky has led the collaborative development of the UCLA Primary Care Innovation Model, which is an integrated approach to care coordination that spans advanced primary care, care coordination, integrated behavioral health, advanced care planning, and ambulatory pharmacy. Dr. Skootsky serves on the governing board of APG, and is a long-standing member of the Patient Assessment Survey project sponsored by Pacific Business Group on Health, which produces statewide patient experience data. As CMO, leads UCLA’s efforts in response to the Affordable Care Act including Medicare Shared Savings Plan, and commercial PPO and HMO ACOs. For UCLA Medical Group he has led the clinical, quality, and improvement management for risk contracts, as well as relationships with Affiliates. Dr. Skootsky has lead the development of an integrated approach to care coordination that spans advanced primary care and related services such as integrated behavioral health, and advanced care planning. A current initiative is adapting the UCLA care coordination model for specialty-based care. Dr. Skootsky serves on the governing board of APG.
Mr. Slaggert is the CEO of Children First Medical Group, a pediatric only multi- specialty IPA with 600 physicians caring for nearly 55,000 children through the California Medi-Cal managed care program. His expertise over 25 years includes health system strategic planning, physician compensation redesign, medical group operations, Clinically Integrated Network (CIN) and ACO development, health system business growth, physician leadership development and population health management. Jim holds a BS degree in Biomedical Photographic Communications from Rochester Institute of Technology and earned his MBA from the University of Cincinnati. Previous positions include CEO, Medical Group Foundations at Providence Health and Services in Southern California and National Vice President of physician services at Catholic Health Initiatives, a large faith based health system headquartered in Denver. Other roles in the Bay Area of Northern California included 13 years as the CEO of Alta Bates Medical Group. Jim has also served on the APG Board of Directors and Executive Committee. He and his wife have a 10 year old daughter, now in fourth grade. Jim is an avid hockey fan and occasionally still gets on the ice for a spirited game.
Adam Solomon, MD, MMM, FACP is the Chief Medical Officer of the MemorialCare Medical Foundation, providing clinical oversight for both the MemorialCare Medical Group and Greater Newport Physicians Independent Practice Association (IPA). After receiving his Medical Degree from the University of Maryland, Dr. Solomon went on to complete his residency in Internal Medicine at the University of Utah in Salt Lake City. Subsequently, he joined The Doctors’ Clinic, an Oregon medical group with roots dating back to 1903. During his 14 years of clinical practice, Dr. Solomon served as Managing Partner of the group and held several offices in other health-related organizations, including president, of Mid-Valley IPA (now the WVP Health Authority). Dr. Solomon furthered his education in the business of medicine at the University of Southern California where he earned his Master in Medical Management degree. He was asked to come back to the Marshall School of Business in 2014 as an Adjunct Professor to assist in the training of the incoming group of new physician leaders. He remains Board Certified in Internal Medicine and has been honored with a Fellowship by the American College of Physicians. Beyond providing direct clinical services to patients, Dr. Solomon also became more involved in the greater community by serving as President of the Physician’s Choice Foundation, a non-profit dedicated to facilitating communication and cooperation between medical providers and community resources to improve the health of the population. Simultaneously, he served on DOC PAC, a Political Action Committee that worked to improve legislators’ understanding of how Oregon Laws impacted the health of its citizens.
Kevin P. Spencer, MD is Managing Partner and CEO of Premier Family Physicians (PFP), an Austin-based physician network, and co-founder of PFP Practice Services, created to provide efficient industry-class practice services and staff to the group’s physicians. Dr. Spencer’s vision and energy aimed at making Premier Family Physicians the very best in quality, access and patient service are boundless. He leads the network’s physicians towards excellence in patient protocols, use of enabling technologies and clinical outcomes; and he leads our partnership efforts for accountable care initiatives. He has led the network’s adoption of a comprehensive EHR solution and speaks extensively around the US on effectively utilizing technology to drive quality in an ambulatory setting. Dr. Spencer is also a co-founder of SW Provider ACO, an Austin-area clinically-integrated physician network created to bring together independent physicians and ancillary partners to collectively manage quality outcomes and create value for patients, providers, employers and service partners in an integrated delivery network. SW Provider ACO has multiple commercial insurance value based contracts and has managed an MSSP ACO. Most recently, Dr. Spencer has lead Premier Family Physicians into a joint venture arrangement with agilonhealth designed to take full financial risk in a capitated and delegated Medicare Advantage opportunity with multiple health plans. This local entity is Connected Senior Care Advantage. Dr. Spencer serves as the Medical Director for Connected Senior Care Advantage. His role includes the optimization of documentation, leading growth initiatives, and managing clinical programs. Board certified in Family Practice, Dr. Spencer maintains an active part time clinic where he cares for school age children and adults. His philosophy of care is to be a true partner with his patients. He provides personalized care hallmarked by intently listening and understanding their health and risk factors; allowing him to meet their needs and expectations and then arrive at correct conclusions in diagnosis and management decisions.
Mike has 27 years of experience in the industry, across US Market Access, Specialty Distribution and Commercial Brand Leadership. Prior to being named Vice President, U.S. Market Access, Mike has held strategic roles as Director of Marketing for both Creon and Synthroid. Within US Market Access, Mike has previously served as General Manager of National Accounts, Regional Sales Director and Customer Development. In his current role, Mike leads a team who is responsible for securing patient access for AbbVie’s diverse portfolio through the advancement and execution of clinical and economic exchange and the development of trade and distribution strategies aligned to AbbVie’s broader brand strategy for US pharmaceuticals into all supply chain channels. In addition to his role as Vice President, U.S, Market Access, Mike sits on the Board of Directors for the National Pharmaceutical Counsel (NPC) and has been a guest speaker and panelist at PCMA where he co-presented a session on PBMs, Specialty Pharmacies and Pharma Program Alignment: Affordability, Adherence and Outcomes. Mike also recently served on an Executive Roundtable that was published in Pharmaceutical Executive focused on the changing dynamics in reaching physicians and health care professionals. Mike attended Northern Illinois University (BS in Marketing).
Dr. Eric Topol is one of the leading innovators in medicine today, specializing in the use of artificial intelligence, “deep” data, and smart technology in the practice of individualized medicine. Also called precision medicine, individualized medicine tailors diagnosis, prevention, and treatment to the full biological and social profile of the individual, rather than the “average” human of traditional medical science. Dr. Eric Topol is the Founder and Director of The Scripps Translational Science Institute. He also is Executive Vice President of The Scripps Research Institute and Professor of Molecular Medicine. Britain’s National Health Service has called on Dr. Topol to lead a review into how the NHS can pioneer new treatments and technologies to transform healthcare. Dr. Topol will look at technologies such as artificial intelligence (including robotics), genomics and digital medicine and how to train tens of thousands of staff at the NHS.
Mark L. Wagar serves as President of Heritage Medical Systems, an affiliate of the Heritage Provider Network and physician organizations. These advanced physician organization networks serve over 1 million patient/members through integrated, population and value based health and payment programs. Over 30,000 physicians in medical groups and independent practice associations (IPA’s) in California, New York, and Arizona provide organized, accessible, accountable care. The Heritage Provider Network and it’s affiliates, founded in 1979 by Dr Richard Merkin, make up one of the nation’s leading physician-driven healthcare solutions organizations. On both the national and local level he is engaged in health policy, educating elected and appointed officials and interest groups on fact based, sustainable health policy change. A frequent public speaker on health issues, he regularly represents Heritage with national and local media. Previously Mr. Wagar served as the President and CEO of Empire BlueCross BlueShield based in New York City. He has been an operating partner and advisor to private equity backed healthcare firms, and held prior executive leadership roles in hospitals and other healthcare organizations. An experienced officer and director in public and private organizations, Mr. Wagar currently serves on the Boards of The New York Academy of Medicine, and TurningPoint. He has been recognized as a Distinguished Alumnus of The Ohio State University, and a recipient of the Dr. Jonas Salk Memorial Mentor in Medicine Award, as well as an honoree helping fund numerous charitable causes supporting healthy communities and diversity. In 1971, he was a member of the Big Ten Champion basketball team of The Ohio State University.
Dr. Bart Wald, a recognized leader in physician group development, is President of PA Healthcare Leadership Consultants and was most recently Physician Chief Executive of Providence Health and Services California where he led the efforts to develop, consolidate and integrate its physician groups and foundations. Bart has extensive executive experience in health plans, hospitals and physician groups. As the founding CEO of Physician Associates Medical Group, he led the group to become one of the most innovative and high performing in California, and through its successful merger with HealthCare Partners Medical Group. Bart has also served as Medical Director for DaVita-HealthCare Partners Medical Group, Chief Medical Officer of UniMed Physician Services, Regional Medical Director for Health Net of California, and Vice President of Medical Affairs for Children’s Hospital Los Angeles, where he also held the position of Clinical Professor of Pediatrics. Bart has served as chairman of the board of APG, chaired the Integrated Healthcare Association’s (IHA) Pay for Performance Governance Committee and served on the executive committee of the California Collaborative for Healthcare Research and Improvement (CCHRI). He is currently the medical director for the California Quality Collaborative (CQC) and is on the faculty of USC’s School of Public Policy. Bart received his MD from the SUNY-Downstate and an MBA from Pepperdine University and is board certified in pediatrics and pediatric hematology-oncology. He has spoken extensively on healthcare leadership, physician group development and governance, physician group – hospital affiliations, population health models, healthcare quality and physician incentive programs.
In his 35th year in internal medicine Dr. Willey has Managed “Population Health, One Patient at a Time”, for 25 years. With another physician, 7 NPs, a social worker in 5 offices he manages 2,000 global risk patients to 5 Star quality and satisfaction with unsurpassed efficiency. He has experience on all sides of medical business. He was founding CEO of Essence Healthcare an MA plan and a professional liability insurance captive. He created a cross IPA risk sharing model supplanting a substantial layer of reinsurance in their risk contract. Dr Willey organized physicians into leading risk groups including, Esse Health, Innovare, Senectus II, Vicinia Health and a Surgery Center. He led the production of an electronic prescription writer which became an EMR as well as the population health management software in use at Essence. He invented a Problem List Tracking software to ensure timely attention critical patient issues and compliant, auditable administration of Medicare Advantage’s HCC system. Dr Willey has advised hospitals and insurance companies on quality, performance and critical relationships with physicians. He has authored multiple health policy papers published in Investor’s business daily and has testified before Congress regarding Obamacare.
Dolores Yanagihara is Vice President of Analytics & Performance Information with the Integrated Healthcare Association. She has over 20 years of experience leading the development, administration and assessment of cutting edge performance measurement and public health programs. She led the development and transition of the California Pay for Performance (P4P) program to a value-based program now called Align. Measure. Perform. (AMP), which incorporates performance on quality, cost, and resource use into health plan incentive payments to physician organizations. Ms. Yanagihara has a deep understanding of the AMP program, including measurement, methodologies, and processes. Her focus is now on the development of new strategic initiatives in performance measurement, reporting, data use, and related areas, including IHA’s Cost & Quality Atlas. She has a passion for advancing healthcare value, and a track record for building consensus among stakeholders to expand and enhance programs in the field of performance measurement, transparency, and alignment of incentives. Ms. Yanagihara earned a Masters in Public Health from the University of Hawaii and a Bachelor of Science in Biology from the University of Notre Dame. She also served in the Peace Corps in Sierra Leone, West Africa. Ms. Yanagihara earned a Masters in Public Health from the University of Hawaii and a Bachelor of Science in Biology from the University of Notre Dame. She also served in the Peace Corps in Sierra Leone, West Africa.