Dr. Namita Ahuja received her MD degree from the Seth G.S. Medical College & King Edward Hospital, Bombay, India in 1995. She completed an Internal Medicine Residency at Methodist Healthcare University in 2000, where she served as Chief Resident during her final year. From 2000 to 2005, she was a Clinical Instructor at the University of Tennessee and as Medical Director of various Assisted Living Facilities and Long Term Care Facilities. After moving to Pittsburgh in 2005 Pittsburgh she completed her Geriatric Fellowship at the University of Pittsburgh Medical Center and subsequently joined as an Assistant Professor of Medicine. She is board certified in Geriatrics and Hospice and Palliative Medicine. In addition, she also has a Masters in Medical Management from the Carnegie Mellon University, Heinz College.

From 2006 until 2015 Dr. Ahuja served as Medical Director at UPMC Heritage Place. While in this role, she implemented multiple quality improvement projects and served as an educator for various learners from medical students to fellows. In 2012, Dr. Ahuja accepted the role of Medical Director of the UPMC for Life Options Program and subsequently in 2016 as Senior Medical Director of Medicare and Geriatric Programs for UPMC Health Plan. In her current role, she has implemented many initiatives focused on aging population and is responsible for approximately 160,000 members who are served under their managed Medicare line of business for UPMC Health Plan.

Andrew Allison currently serves as Director of Business Development and Innovation at Aetna, where he helps lead value-based contracting efforts with Medicare providers across the country and evaluates technology and Managed Services Organization capabilities that can enable Aetna’s provider network to move along the value-based care continuum. He is responsible for identifying target markets, developing the appropriate partnership strategy with the right provider partners, driving deal execution, and developing the go-to-market strategy for Medicare provider partnerships.

Andrew most recently served as Director of Business Development for Iora Health, a risk-bearing primary care group with global capitation Medicare contracts with national and regional health plans in markets across the country. In this role, he developed the company’s growth strategy, led payer negotiations, and secured Medicare contracts with multiple national health plans. He is proud to have contributed to Iora’s most successful year in new partnership business development on record.

Andrew has experience growing healthcare companies along life cycle stages from ideation to Fortune 50. Notable companies he’s helped develop include hospital patient experience company Docent Health, behavioral health integration company Quartet Health, and employer wellness and benefit management company Castlight Health, among others.

Andrew earned his MBA from the Dartmouth’s Tuck School of Business and his bachelor’s in finance at the University of Maryland, College Park.

As the Deputy Inspector General for Investigations, Gary Cantrell leads the Office of Investigations (OI) within the Department of Health and Human Services (HHS), Office of Inspector General (OIG). Since 2012, he has been overseeing the operations and resources of OI, an office with more than 600 employees including investigators, analysts, forensic examiners, and administrative staff. Under Mr. Cantrell’s leadership, OI has had record accomplishments with nearly 6,800 criminal and civil actions, more than 18,000 exclusions, and over $21 billion in investigative receivables.

Through his engagement with the Health Care Fraud Prevention and Enforcement Action Team (HEAT), Mr. Cantrell coordinates with the Department of Justice and State law enforcement agencies to prevent fraud in the Medicare and Medicaid programs. In June 2016, this partnership oversaw the largest national health care fraud takedown in history, resulting in charges against 301 individuals for approximately $900 million in false billing.

Mr. Cantrell also engages extensively with the private sector to prevent and detect fraud in health care. He serves on the Board of Directors for the National Health Care Anti-Fraud Association, represents OIG on the Health Care Fraud Prevention Partnership, and frequently speaks on the topic of health care fraud before numerous private associations.

Mr. Cantrell began his career with OI in 1996 as a Special Agent in the Atlanta Regional Office and has since served in a variety of leadership positions in OIG. He holds bachelor’s degrees in Criminal Justice from Georgia State University and in Computer and Information Science from the University of Maryland University College. He is a co-recipient of two Council of the Inspectors General on Integrity and Efficiency (CIGIE) awards for Excellence in Information Technology and of numerous HHS OIG awards.

Karen M. Dale is the Market President for AmeriHealth Caritas District of Columbia, the largest Medicaid Managed Care Organizations in Washington, DC. She leads initiatives that strategically position the organization as a market leader with innovative solutions for the critical challenges faced by its members.

Ms. Dale is a highly skilled, visionary leader who has dedicated her entire career to helping others and ensuring equal health opportunities for populations at risk. Having held multiple positions of leadership during the past two decades, she has worked with a broad group of stakeholders to address policies, and other key factors that impact the production of health. She considers it a privilege to utilize her expertise in program development, significant knowledge of health care finance and delivery systems to make a difference in the lives of so many.

Ms. Dale has guided the execution of unique approaches to managing the complex needs of persons with multiple health risks. These efforts include the use of telemedicine to aid in the management of chronic diseases, peer to peer outreach using community health workers, and the roll-out of a multifaceted member engagement approach. In addition, her philosophy that all persons deserve access to the right care, without barriers, starting where they are, has led to several collaborative relationships with providers, community partners, philanthropists and businesses to develop evidence-based, population health strategies.

Karen Dale holds a Master of Science Degree in Psychiatric Mental Health Nursing from The Catholic University, Washington, DC, a Bachelors of Science Degree in Nursing from George Mason University, Fairfax, Virginia, and was a member of the Leadership Greater Washington Class of 2003. She serves as Board Chair for CommonHealth ACTION, a Board Member for both Volunteers of America National Services and, the Volunteers of America National Board. In addition, she serves on the District of Columbia State Innovation Model Advisory Committee. In 2016, she was the recipient of the Washington Business Journal Minority Business Leader Award. This award honors 25 of the most successful business men and women in the region.

Mohit Ghose is a health care executive and healthcare policy expert with 20 years of experience working with business leaders to anticipate, respond to, and influence the changing health care landscape. He has managed a wide range of contracting, planning and implementation, advocacy and policy programs designed to improve results and position a company for success in an ever-evolving marketplace.

Mohit currently serves as vice president of government relations for Beacon Health Options (Beacon). In this role, Mohit focuses on the western states and is accountable for organizing, developing and leading government relations strategies and policy initiatives in support of the company’s strategic plan and business development goals. Mohit serves as an advocate for Beacon positions on policy and program design with senior legislative and executive branch officials across the West. In his role, Mohit works to promote awareness of Beacon’s brand, its mission and though leadership, and its capabilities in delivering high-quality behavioral healthcare services to government and private payers.

Prior to this role, Mohit was on the senior leadership team of Molina Healthcare of California as vice president of government contracts, policy & strategic initiatives where he led the government contracts team, served as the plan’s primary point of contact with regulatory agencies while also directing the company’s policy team covering legislative, public policy and regulatory challenges and opportunities. The strategic initiatives department under his direction was responsible for implementation of new initiatives and projects impacting all business units, including Molina’s annual operating plan.

Earlier in his career, Mohit was vice president of public affairs for Aetna, Inc. and led Aetna’s internal and external efforts for policy advocacy and communications through health care reform and its implementation.

Mohit started his career in health care policy and advocacy in Washington, DC at America’s Health Insurance Plans (AHIP). As senior vice president of public affairs, Mohit managed all aspects of media and crisis communications and served as national spokesman on industry issues over several years of legislative and policy campaigns, including the landmark Medicare prescription drug law, the genetic non-discrimination law and the mental health parity law of 2008.

For more than two decades, Anne has consulted to and advised government agencies, health plans and providers as they strive for success in government healthcare programs.

Her clients have included the United States Department of Health and Human Services, the Veterans Healthcare Administration, governors’ offices, approximately 24 states’ Medicaid agencies and their sister agencies, as well as private sector payers and providers serving in government programs, foundations and associations.

Anne specializes in the design, implementation, ongoing operation, monitoring and assessment of Medicaid managed care programs and other Medicaid programs. She also specializes in assisting payers, particularly Medicaid health plans, to identify opportunities to improve their operations, to implement such improvements and to develop and execute market entry and exit strategies. Anne earned a Bachelor of Science in Bio-Psychology and Community Health at Tufts University. She then received a Master of Healthcare Administration (MHA) from The University of North Carolina at Chapel Hill School of Public Health, where she also completed doctoral coursework and exams. Before founding Riverstone Health Advisors, Anne consulted for KPMG, Tucker Alan Inc., and Navigant Consulting. Early in her career, she served as a health policy government liaison for a national membership organization.

Tanya Shah, M.B.A., M.P.H., joined The Commonwealth Fund in November 2015 as Senior Program Officer in the Delivery System Reform Program with responsibility for the high-need, high-cost population portfolio. Previously, Ms. Shah was Assistant Commissioner, Bureau of Primary Care Access and Planning with the New York City Department of Health and Mental Hygiene, where she was responsible for creating the mission and developing the strategic plan for the bureau. She oversaw all functions including policy analysis, program management and evaluation, and budgeting and resource allocation. She helped guide planning related to primary care, Affordable Care Act implementation and the New York State legislative agenda. Recent work has included policy analysis on the impact of DSRIP, health planning for the New York’s State Health Improvement Plan, and health access for immigrants. Ms. Shah also served as the principal investigator on a number of ongoing studies that focused on the primary care provider landscape in New York City, as well as emergency planning and response for primary care. Ms. Shah worked at the Boston Consulting Group from 2005 to 2012, where she advised Fortune 500 companies, coordinated a climate change strategic planning process for Mayor Bloomberg’s office, and led the “International Consortium for Health Outcomes Measurement” for Harvard University’s Institute for Strategy and Competitiveness. From 1998 to 2004, Ms. Shah was a senior consultant for Accenture in their Health Services group. She holds a B.A. in International Development Studies, an M.B.A., and an M.P.H. in Health Policy and Management from the University of California at Berkeley.

Troy Timmons serves as the Director of Strategic Initiatives for the Western Governors’ Association. He manages a diverse policy portfolio ranging from high-level nuclear waste to health care, and oversees WGA’s outreach efforts to Capitol Hill. Troy’s previous experience includes work at the Department of Energy’s former weapons production facilities, Senior Policy Advisor to the U.S. Secretary of Energy, Professional Staff Member with the House Committee on Energy and Commerce, and Legislative Director for a U.S. Representative. Troy graduated with a B.A. in Political Science from Wheaton College in Illinois, and lives in Evergreen, Colorado.

Elena Tkachev is a Senior Director, ACO Analytics at Collaborative Health Systems, a WellCare Company. Elena supports multiple ACOs with over 2,700 providers serving over 210,000 Medicare beneficiaries. She focuses on transforming information into insight to improve managerial operations and prescribe clinical action that enhances beneficiary health outcomes. Previously, Elena worked at McKinsey Healthcare Group, where she concentrated on design and development of Innovative Population-Based Delivery and Payment Models. Elena held leadership positions at Horizon BCBS of NJ, Anthem and Milliman. Elena earned an MBA from Fordham University and a BS in actuarial science and mathematics from Maryville University.