2018 Congress Faculty

Jennifer McGuigan Babcock is ACAP’s Vice President for Medicaid Policy and Director of Strategic Operations. She was recently appointed to direct ACAP’s Medicaid policy work after spending over four years as ACAP’s Vice President for Exchanges. And this is her second tour at ACAP; in 2010, she served the Eligibility and Enrollment team within the Office of Health Insurance Exchanges in the Department of Health and Human Service’s Office of Consumer Information and Insurance Oversight (OCIIO, now known as CCIIO), focusing primarily on the interplay between Medicaid and Exchange coverage.

Before joining OCIIO, Jennifer served as ACAP’s Director of Policy, working primarily on Medicaid and CHIP health plan issues. Previously, she worked on policy related to Medicaid, CHIP, the uninsured, and private health insurance in the Office of Health Policy for the Assistant Secretary for Planning and Evaluation (ASPE) at the Department of Health and Human Services. She has also held positions with CHIP at the Centers for Medicare & Medicaid Services as special assistant to the Deputy Secretary of Health Care Financing at the Maryland Department of Health and Mental Hygiene, and as an associate consultant with The Lewin Group in Falls Church. Jennifer also served as an MPH Fellow at the Consumer Health Foundation in Washington, D.C., and as Executive Director of the Lovelight Foundation, an anti-poverty organization in Detroit.She has a Masters of Public Health from the University of Michigan, Department of Health Management and Policy, and a Bachelor of Arts in English from Kalamazoo College in Michigan.

Laura Balsamini, PharmD, BCPS, specializes in medication therapy management, drug use and drug safety review, and continuing pharmacotherapy education for physicians. As National Director of Pharmacy Services for Summit Medical Group, Dr. Balsamini advises physicians about drug use and control. She also develops and evaluates clinical guidelines for medication protocols. Dr. Balsamini teaches patients about the benefits and side effects of their medications as well as the importance of taking medications as prescribed.

Summit Medical Group is the premier multispecialty medical practice in New Jersey. The state recently introduced one of the most stringent opioid prescribing laws in the country. In her role, Dr, Balsamini is actively engaged in provider and patient education around opioid prescribing and identifying alternative therapies.

Before joining Summit Medical Group, Dr. Balsamini was a clinical pharmacy specialist with the Veteran's Administration Healthcare System of New Jersey. She has been a drug safety scientist with Novartis Consumer Health, a clinical safety manager with Medco, and a pharmacist with the Great Atlantic & Pacific (A & P) Tea, Co.

Dr. Balsamini is a member of the American Society of Health-System Pharmacists, American College of Clinical Pharmacy, New Jersey Pharmacist Association, and American Pharmacists Association.

Joshua Benner, PharmD, ScD, is the President and CEO of RxAnte, a provider of science-based information technology solutions for improving quality and lowering the cost of healthcare. A leading voice on medication adherence, Dr. Benner’s award-winning research and numerous publications have shed new light on the problem of non-adherence and identified promising approaches to improving it. Prior to RxAnte, Dr. Benner was Fellow and Managing Director at the Brookings Institution’s Engelberg Center for Health Care Reform, where he focused on medical technology policy. Prior to Brookings, Dr. Benner was principal at ValueMedics Research, an analytic and consulting services firm. Following the successful sale of ValueMedics to IMS Health in 2007, he served as senior principal in health economics and outcomes research and global lead for medication adherence at IMS. Dr. Benner received his Doctor of Pharmacy degree from Drake University and his Doctor of Science in health policy and management from the Harvard University School of Public Health.

Rick Brooks has served in the role of Director of Healthcare Workforce Transformation for the RI Executive Office of Health & Human Services since April, 2016. In this newly-created role, Rick is responsible for leading efforts to develop healthcare workforce development plans, programs, and partnerships that address the needs of healthcare providers and workers and support the population health and system transformation goals of the State.

Before coming to EOHHS, Rick served for 4½ years as the Executive Director of the Governor’s Workforce Board (GWB), where he was responsible for developing policies and programs to train and hire unemployed Rhode Islanders; expand work-opportunities for youth; promote internships, work-readiness, and career pathways; and develop employer-led, sector-based strategies to address the workforce needs of RI employers.

Prior to coming to the Governor’s Workforce Board, Rick served for 17 years as the Executive Director of United Nurses and Allied Professionals, the state’s largest union of healthcare workers, where he was responsible for collective bargaining, health policy, and communications. In this capacity, Rick co-founded the Stepping Up Program – a health care career ladder program for entry-level employees and unemployed workers. Rick also served for five years as the State’s first co-chair of the Office of the Health Insurance Commissioner’s Advisory Committee.

Rick received his undergraduate education at Brown University and Empire State College, SUNY. Rick has a Master’s Degree in Labor Relations from the University of Rhode Island, and has done post-graduate studies at Boston University School of Public Health and the Harvard Kennedy School of Government.

Dr. Richard M. Celko is a graduate of the University of Pittsburgh, School of Dental Medicine. He completed his General Practice Dental Residency at Montefiore Hospital, Pittsburgh, PA. He received his MBA from Indiana University of Pennsylvania. In addition to his private practice of general dentistry, he was also a part time Clinical Instructor at the University of Pittsburgh, School of Dental Medicine for four years. Dr. Celko worked at Aetna for 11 years and was their National Dental Director of Utilization Management. He is a Certified Dental Consultant and former president of the American Association of Dental Consultants. He is a Fellow in both, the International College of Dentists (ICD) and the American College of Dentists (ACD). He is a veteran lecturer for the National Health Care Anti-Fraud Association (NHCAA) and continues to lecture nationally on dental fraud. He is currently the Dental Director for the University of Pittsburgh Medical Center (UPMC) Health Plan.

Alex Chan is the chief executive officer of the Clinton Health Matters Initiative (CHMI) at the Clinton Foundation. In his role, Alex oversees the initiative’s overarching goals of decreasing the prevalence of preventable diseases and closing health equity and health disparity gaps. Alex previously served as the director of National Health for CHMI and oversaw the portfolio of programs focused on chronic disease prevention and treatment. Included within this portfolio of work are programs that address critical needs or gaps in services across a broad array of domestic health issues, including health promotion on college campuses, addressing prescription drug abuse and misuse, providing technical support to employers to implement business practice changes aimed at improving employee health, and developing a scalable model of community engagement to increase the impact of youth-serving sports organizations. Prior to joining the Foundation, Alex worked in both the public and private sectors on projects designed to improve health outcomes through interventions in the built environment. He holds a master's in urban planning from the University of Michigan, as well as graduate degrees in public administration and communications management from the University of Southern California

Dr. Phillip K. Chang, MD, FACS is the Chief Medical Officer for UK HealthCare. As CMO, Dr. Chang is a key member of the senior leadership team, focusing directly on clinical outcomes, patient experience, team member and faculty engagement and efficiency.

Prior to his role as CMO, Dr. Chang served as medical director for perioperative services and associate CMO for UK HealthCare. In 2015, Dr. Chang was part of a team that conducted a literature review focusing on opioid pain management, leading to the implementation of a non-opioid pain management strategy for UK HealthCare. Currently he is speaking on the state and national level around the opioid crisis and health care provider opportunity.

Dr. Chang completed his undergraduate education at The College of William and Mary in Virginia and received his medical degree from Eastern Virginia Medical School in Norfolk. In 1999, he began a surgical internship at UK HealthCare’s Chandler Medical Center, which led to a general surgery residency and a surgical fellowship, also at UK. Since 2005 he has been a member of the surgical faculty, rising to the rank of professor of surgery in the College of Medicine and the role of chief of the Section of Trauma and Critical Care. He is board certified in surgery as well as surgical critical care.

Kevin Coughlin has spent the last 25 years in the private and public sector working in the assisted living arena as an operator, a regulator and a public funder. Mr. Coughlin has been a speaker at numerous state and national conferences presenting on the subject of assisted living regulatory reform and quality improvement. In 2007 Mr. Coughlin was the Recipient of the “Public Official of the Year” by Governing Magazine (http://www.governing.com/poy/Kevin-Coughlin.html) for collaborating with key stakeholders and reforming Wisconsin’s assisted living regulatory process by rewarding assisted living communities striving for excellence.

Judith Davis is a Divisional Vice President of Government Programs Clinical Operations at Blue Cross and Blue Shield of Illinois (BCBSIL). She received her Bachelors from Bethel College and her Masters in Health Administration from Xavier University.

Prior to her 11 year tenure at BCBSIL, she served in AmeriCorps as a Direct Care Clinician with underserved populations. In addition to her work with Medicaid populations, Judith serves as a Volunteer for Junior Achievement and is very active in her community. Her expertise in Population Health stems from current Doctoral status as a candidate with Central Michigan University. Judith resides in the Chicago area with her husband Earnest and son Ernie.

Jill Collins Fyock is an experienced Managed Care leader who works with managed care organizations to ensure accurate and innovative network development and contracting solutions for today’s healthcare market. Healthcare payment and delivery is complicated, but the experience should be supportive and caring. Jill is passionate about patient driven care and service quality. To this end, she strives to develop partnerships that engage consumers, health plans and providers to drive towards the Triple Aim. Jill seeks and develops innovative solutions that include all aspect of the care continuum such as risk based contracting, quality and cost based performance models, and win-win negotiations that align the needs of patients, providers and payers.

Jill is currently VP of Managed Care for UnitedHealth Group in North Carolina, and was most recently Administrative Director of Managed Care for ProMedica Health System in Ohio and System Director of Payer Contracting for Mercy Health, in Ohio as well.

Jill holds a Bachelor of Arts Degree in Biology, an MBA and a Master of Health Administration from the University of Colorado.

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 and impact in an ever-evolving marketplace.

Most recently, Mohit was on the senior leadership team of Molina Healthcare of California as vice president of government contracts, policy & strategic initiatives.

Under his direction, the government contracts team served as the plan’s primary point of contact with regulatory agencies while also driving contract implementation within the plan. Mohit also led the policy team covering legislative, public policy and regulatory challenges and opportunities. The strategic initiatives department initiated by Mohit now manages company planning and implementation of new initiatives and projects impacting all business units, including Molina’s annual operating plan.

Prior to Molina, 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. Earlier, 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 all industry issues over several legislative and policy campaigns, including the landmark Medicare Prescription Drug bill.

David Hasleton, MD is a practicing emergency physician and Associate Chief Medical Officer for Intermountain Healthcare. In 1999, he obtained his Doctor of Medicine degree from the University of Illinois College of Medicine. He also obtained a masters degree in business administration from the University of Illinois College of Business in 1999, as part of the dual-degree Medical Scholars Program. He then completed his internship and residency at Oregon Health and Science University in 2002, where he was chief resident. Following residency, Dr. Hasleton practiced medicine at Oregon Health and Science University as part-time clinical faculty, teaching and mentoring residents, and also practiced emergency medicine at PeaceHealth Southwest Medical Center (formerly Southwest Washington Medical Center) in Vancouver, Washington.

Dr. Hasleton has been with Intermountain Healthcare since 2004, and has held various medical staff leadership positions, including chair of the emergency department and president of the medical staff at Intermountain Riverton Hospital, and member of the regional Board of Trustees. After his service in these positions, he worked as the hospital medical director, also at Intermountain Riverton Hospital, where he took on operational and clinical leadership roles.

Dr. Hill joined the faculty in 1998 as Assistant Chief of Service, after serving as Chief Resident. He co-founded the department’s Emergency-Acute Care Unit, where he still serves as Medical Director. In addition, he is the physician leader of the Department of Emergency Medicine's 'Mid-Level Provider Group,' consisting of Nurse Practitioners and Physician Assistants who work in all three of the department's clinical venues. He became Clinical Director for the department in 2005.

His research interests include the utilization, management, and role of Observation or Acute Care Medicine in the practice of Emergency Medicine. Specifically, he is interested in the role this field can play in the interdisciplinary management of special disease process; such as asthma patients, low to intermediate risk chest pain patients, sickle-cell anemia patients, and those with acute decompensated heart failure. In addition, he is actively involved in several projects examining the role and utility of novel devices designed to detect the presence of cardiac ischemia. Dr. Hill was the Co-PI on a multi-site, FDA-approval trial of a magnetocardiography device that has shown promise as a very sensitive adjunct to the ECG in identifying patients with ACS. He has lectured internationally and has written text book chapters on the topic of risk stratification of the undifferentiated chest pain patient.

He is also actively involved in the areas of emergency department operations, delivery of service, patient satisfaction, risk management and quality improvement. He co-led restructuring of the department’s triage and patient assignment systems, resulting in reductions in walk-out and ambulance diversion rates, and dramatic improvements in the department’s patient satisfaction scores; for which the department received an institution wide award for Service Excellence.

Using her legal training to analyze the impact of laws and policies on the lives of persons with disabilities, Martha Hodgesmith, J.D. develops resource materials and tools to use in making such laws more effective. Her primary legal resource materials on key disability, health, and public benefits laws and policies have been used in continuing professional education, peer training, direct advocacy, and public testimony on state and national policy initiatives.

Hodgesmith has developed collaborative systems for information distribution and delivery of professional and consumer training for implementation at local, regional, and national levels. She has advises on public benefits law, elder law, Americans With Disabilities Act (ADA) application to the state court systems, access to health care, and other public services and supports, health care fraud, patient/abuse neglect, and public financing of community based long term services and supports and primary health care. She is a graduate of the University of Kansas and the University Of Kansas School Of Law.

Kim Holland is Vice President of State Affairs for the Blue Cross and Blue Shield Association (BCBSA), a national federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield companies. The Blue System is the nation's largest health insurer covering one-in-three of all Americans. It is the largest single processor of Medicare claims in the nation, and holds the world's largest privately underwritten health insurance contract – the nearly 5.4-million-member Federal Employee Program® (FEP).

In her role with BCBSA, Holland is responsible for ensuring that Blue Cross Blue Shield Plan interests are represented in the development of federal and state legislative and regulatory positions and priorities. She is also responsible for coordinating resource development and deployment to assist member Plans in advancing Blue positions in the states. Holland has worked on many priority issues for BCBSA, including state flexibility for exchanges and appropriate accounting treatment of the health insurance tax.

Prior to joining BCBSA, Holland, a former career insurance producer and independent agency executive, was the first woman elected insurance commissioner in Oklahoma, an office she held for six years. Holland has served on numerous healthcare related boards and commissions, including the state’s employees’ benefits board and Medicaid authority.

Eric C. Hunter is the President and Chief Executive Officer of CareOregon, based in Portland, Oregon. Prior to joining the team at CareOregon, Eric was the COO of Boston Medical Center HealthNet Plan which serves Medicaid, Medicare, and Commercial members in Massachusetts and New Hampshire. Previously, he has held Executive positions with Schaller Anderson, Centene, and ValueOptions Behavioral Health. State government experience includes positions in the Oklahoma Governor’s office and with the Oklahoma Health Care Authority. Eric studied Petroleum Engineering at the University of Tulsa, earned a Bachelor’s degree in Business Administration from St. Leo University, and a Masters of Business Administration from Northeastern University.

Anne Jacobs leads the Federal practice within Navigant’s Government Healthcare Solutions business unit. Ms. Jacobs frequently serves as Project Director for large, complex, multi-year engagements on behalf of government agencies. Her clients have included US DHHS, the Veterans Healthcare Administration, Governors’ offices, State Medicaid agencies, Departments of Health and other health and social services agencies and commercial payers. She directs engagements that involve strategic planning, regulatory analysis, change leadership activities, data analytics and modeling, stakeholder engagement and communications, and development of governance models to assist government agencies in the design, implementation, ongoing monitoring and evaluation of public healthcare programs and reform initiatives, including Medicaid managed care.

She has extensive experience in the design and application of value based insurance design principles, including both financial and non-financial incentives, and in alternative approaches to government purchasing, provider payment and consumer empowerment. Her work has relied on extensive clinical and cost data analytics, and Ms. Jacobs advises and supports client decision-making and program management using population health measurement approaches, quality and cost benchmarks and other analytics methods to drive transformation in the healthcare delivery system.

John Kaelin has diverse executive level experience in the health care industry spanning government, academia, U.S. based health insurers and health systems in the Middle East. At Centene John’s portfolio encompasses health financing and policy and he supports its health plans on Medicaid financing and risk adjustment issues as well as commercial insurance policy including the various Congressional proposals related to the Affordable Care Act and health insurance exchanges. Previous positions include SVP for health reform at UnitedHealth Group and Executive Director of the University of Maryland’s Hilltop Institute where he supported that state’s efforts to implement managed care for Medicaid and a risk adjusted payment system. Earlier in his career, John served in New York State government where led the financing team in the development and implementation of New York’s first 1115 Medicaid managed care waiver in the mid 1990s.

In 2014, John lived in Abu Dhabi, the capital of the United Arab Emirates where he served as a special advisor to the government as it implements a mandatory health insurance program and a long term financial sustainability plan for the health care sector. Finally, John has maintained his academic affiliations with University of Maryland teaching classes in health finance and policy and most recently was appointed as a visiting fellow at the Rockefeller Institute of Government at the State University of New York.

Bob Kalin is the Vice President of Long Term Care Operations for Molina Healthcare of Texas. In this role he is responsible for the administration of both the STAR+PLUS and Medicare Medicaid Program (MMP) with nursing facilities across the state of Texas. He established and developed the Nursing Facility department and programs for Molina Healthcare of Texas in order to roll out nursing facility STAR+PLUS and MMP which started in March 2015. Bob has spent over 32 years in the long term industry as a licensed nursing facility administrator, with 22 of those years as a Regional Vice President of Operations for a national long term care company. He has served on the Board of the Texas Health Care Association (THCA), as well as held various positions within the organization. Additionally he has been on advisory boards for THCA, various managed care plans and Texas Health and Human Service Commission. Bob has provided private consulting to various long term companies. He has presented at various conferences and summits nationwide regarding the relationship between managed care and nursing facilities. Bob is a Licensed Nursing Facility Administrator and holds a BA in psychology as well as a Masters of Education from the University of Missouri.

Amy Kendall was appointed Chief Administrative Officer for Cardinal Innovations Healthcare in 2015. In this role, she is responsible for overseeing the Community Operations, Corporate Communications, Government Relations, Cultural Competency and Human Resources departments.

Kendall previously was the company’s Senior Associate General Counsel, serving as the senior legal and regulatory advisor and focusing on a variety of legal, regulatory and policy issues, including corporate governance, regulatory compliance, corporate transactions and intellectual property matters. She also managed a team of legal and regulatory professionals who provided advice, counsel and support to the business. She started her career with Cardinal Innovations as Assistant General Counsel in 2011.

Kendall graduated magna cum laude from Charlotte School of Law in 2011, where she served as Senior Managing Editor of the Charlotte Law Review and as a founding member of the Order of the Crown.

Prior to obtaining her juris doctor, Kendall obtained a doctorate in neuroscience from the University of Alabama at Birmingham in 2006, where she authored six peer-reviewed publications and served as Chair of the Neurobiology Graduate Student Seminar Series. She graduated with a bachelor of science in biology from Virginia Tech in 2000.

Kendall was recently nominated to serve on the Council of the North Carolina Bar Association’s Health Law Section for the upcoming year. She and her husband live in Charlotte with their two sons.

Josh Krintzman is the Director of Government Relations for Commonwealth Care Alliance, which is a not-for-profit, community-based healthcare organization dedicated to improving care for individuals who are dually eligible for Medicaid and Medicare with complex medical, behavioral health and social needs, including persons with disabilities. CCA is recognized nationally for its innovative Model of Care that improves quality and health outcomes and reduces overall cost of care. Josh is responsible for CCA’s state government relations program; communicating with state elected official; state agencies and advocacy groups; and advocating for CCA’s position on matters of public policy.

Before joining Commonwealth Care Alliance, Josh worked as a Senior Consultant for the Center for Health Law and Economics at the University of Massachusetts Medical School where he advised clients on various aspects of health care policy. At UMass Medical School, Josh ensured that clients were provided with the highest standard of services or products and managed support for the One Care Implementation Council; a provider-led group, which advises the Executive Office of Health and Human Services on the implementation of the One Care program serving adults who are eligible for Medicaid and Medicare.

Josh also worked for the Massachusetts Senate for 12 years, ultimately serving as the Deputy Senate Counsel. As Deputy Senate Counsel, he managed a team of attorneys, reviewed all bills and amendments coming before the Senate to ensure their constitutionality; and provided in-house legal services to the Senate, such as contracts and human resources, consulting on information technology efforts and providing conflict of interest advice to all Senators.

Josh is a graduate of the University of Massachusetts at Amherst who received his law degree from American University’s Washington College of Law. He is also an elected member of the city council in Newton, Massachusetts.

Scott LaNeve is the Senior Vice President of Health and Patient Care Systems at HealthTrackRx, a clinical solutions provider based in Denton, Texas. He is a national advocate for the prevention of opioid misuse through vigilant patient monitoring. Working with federal, state, and local leaders, Mr. LaNeve recently developed and launched a clinical support program to help providers meet best practice monitoring protocols, a program that now includes 30 clinical sites in locations hardest hit by the opioid epidemic. His career experience includes leadership roles with healthcare companies such as Abbott Laboratories, Roche and Quest Diagnostics. He is certified in both Six Sigma and Lean process engineering. Mr. LaNeve is a former Army officer and combat veteran.

Debra J. Lipson is a Senior Fellow at Mathematica and a nationally recognized expert in Medicaid managed care policy and program design. She has over 30 years of experience as a health policy analyst and qualitative researcher, specializing in Medicaid and state health policy, managed care for vulnerable populations, and long-term services and supports (LTSS) for older adults and people with disabilities. For the last five years, she directed a project for CMS that strengthened federal oversight of state Medicaid managed care programs and provided technical assistance to state Medicaid agencies in the design and oversight of managed LTSS programs, development of provider network and access standards, and capitation rate setting. Ms. Lipson also launched a CMS project to develop new quality measures for Medicaid programs serving vulnerable beneficiaries, including dual eligibles and MLTSS enrollees. She has led studies for MACPAC, CMS and private foundations on Medicaid managed care rate-setting and value-based payment arrangements. She also led the design of an evaluation of MLTSS programs, and was co-investigator of the national evaluation of the Money Follows the Person Demonstration. Before coming to Mathematica, Ms. Lipson held research positions at LeadingAge Center for Applied Research, the World Health Organization, AcademyHealth, and other organizations. She earned a master’s degree in health services administration and policy from the University of Michigan School of Public Health.

John Loughnane, MD, serves as Chief Innovation Officer for Commonwealth Care Alliance (CCA), as well as Director of Winter Street Ventures, CCA’s for-profit health innovation accelerator subsidiary. He has previously served as Senior Vice President of Medical Services as well as Medical Director of Commonwealth Community Care for Commonwealth Care Alliance’s Inpatient and Palliative Care Services. While at CCA, he has spearheaded the formation of CCA’s Inpatient Medical Service at Boston Medical Center, Community Paramedicine Program, and Life Choices End of Life Program. Before joining Commonwealth Care Alliance, John was Medical Director of Quincy Medical Center’s Hospitalist Service and was named as Quincy Medical Center’s Physician of the Year in 2007.

John is a graduate of the University of Massachusetts Medical School and completed a family practice residency at the University of Washington, Seattle. He is board certified in Family Practice and Palliative Care and Hospice Medicine.

Leah Lozier, Ph.D., is a Social Science Analyst in the Office of Policy Development and Research, Program Evaluation Division, at the U.S. Department of Housing and Urban Development (HUD). Leah designs and manages demonstrations and evaluations for HUD, and primarily works on issues related to senior health and housing. Leah is managing the Supportive Services Demonstration, which is a HUD initiative that pairs a resident wellness director and wellness nurse in senior housing developments to promote resident self-care management; the service coordinator/nurse team work together to assess residents’ needs, connect residents with appropriate social and health services, and liaise with providers. The cluster randomized-controlled evaluation will assess program impacts on healthcare utilization using Medicare and Medicaid claims data.

Leah received her Ph.D. in neuroscience from Georgetown University and a B.S. in psychology from Virginia Tech. She entered the Federal government in 2014 as a Presidential Management Fellow (PMF).

As a founding member of the Division of Community Health, Ms. Lyn was instrumental in designing its community-based clinical, care management, educational, and research initiatives. Clinical initiatives include neighborhood clinics; school-based health centers; and the Just for Us Program, which cares for chronically ill seniors in their homes. Care management services include a North Carolina Community Care Network, Northern Piedmont Community Care (NPCC) covering six NC counties linking primary care practices, hospital systems, and local departments of social services, health and mental health serving approximately 80,000 Medicaid beneficiaries; and the Local Access to Coordinated Healthcare Program (LATCH) which provides care management services for uninsured individuals in Durham County.

Recently, Ms. Lyn worked with Duke Health leadership to create the Population Health Management Office (PHMO) to unify and centralize ambulatory care management and services provided by NPCC, LATCH, and DukeWELL under one Duke University Health System entity. Ms. Lyn serves as Lead for Community Health Initiatives and Strategy for the PHMO. The PHMO will guide clinical care transformation initiatives as Duke Health transitions to value-based care.

In addition to her work in the Division and PHMO, Ms. Lyn serves as Co-Director of the Center for Community and Population Health Improvement (CCPHI) at Duke’s Clinical and Translational Science Institute. A multi-disciplinary center, CCPHI leverages academic, health system, and community partnerships to improve community and population health. As Co-Director, Ms. Lyn focuses on identifying opportunities to create new evidence-based cross-sectoral models to improve health and inform policy.

With 30 years of experience merging health, human services and housing, Nick Macchione serves as San Diego County’s Director of the Health and Human Services Agency. Macchione improves the lives of approximately 1.3 million, or one in three San Diegans. Leading a workforce of 6,400 county and 7,000 contracted employees with a $2 billion annual budget, including 186 citizen advisory boards/commissions with over 500 contracted community service providers, Macchione is at the forefront of a paradigm shift transforming how government influences public welfare. As the architect and strategist of “Live Well San Diego,” Macchione is championing a transformative, social movement for prevention, wellness and whole person care. Considered a strategic and visionary leader of systems-wide solutions, Macchione has helped develop this ambitious vision for population health and social wellness. Since its inception in 2010, Macchione continues to champion efforts along with hundreds of diverse partners including governments, schools, businesses, faith-based and communities to collectively unify a region where everyone can be healthy, safe and thriving!

The Agency is one of the largest, integrated health and human services networks in the nation and has earned numerous national accolades for its highly innovative and cost effective solutions in improving the health, safety and well-being among residents across the region. In his role, Macchione manages the day-to-day operations of major departments of which include: Public Health, Behavioral Health, Inpatient Medical Care (109-licensed bed acute-care Psychiatric Hospital and 192-licensed bed sub-acute care Edgemoor Hospital - which in October 2017 won Gold for Baldrige Award for Performance Excellence), Public Assistance Services, Child Welfare Services, Aging & Independence Services, Public Guardian & Public Administrator, Early Childhood Development Services and the Executive Office (finance, operations, human resources, compliance, strategy, information technology, legislative affairs, media and contracts). Specific client services include: public health for the entire county, behavioral health for 70,000 clients, inpatient medical care for over 192 patients, and an extensive Medicaid managed care network for 975,000 lives including major safety net programs to increase access to health care for those without health insurance, as well as, managed the care of special health needs populations (developmentally disabled, severely physically disabled, and/or mentally ill).

Macchione holds Master’s degrees from Columbia University and NYU specializing in leadership, management and policy.

Palmer MacKie, M.D. is a Clinical Assistant Professor in the Department of Neurology and Medicine at Indiana University School of Medicine. He is also Director of Eskenazi Health’s Integrative Pain Program and an attending physician at Eskenazi Health in Indianapolis. He is currently a co-investigator on a National Institute on Drug Abuse, R21 study on communication in opioid management. His largest clinical and educational focus over the last decade has been in chronic pain and recovery. Eskenazki Health’s Integrative Pain Program (IPP) is a multi-disciplinary participation based pain management venue and has developed and implemented curricula for patients including a 5-week Pain School.

Dr. MacKie’s clinical and educational focus has also included the safe and effective use of chronic opioid therapy (COT) for chronic nonmalignant pain. He has led a multidisciplinary team within Eskenazi Health in the creation, dissemination and implementation of evidenced-based consensus guidelines and practice algorithms for chronic opioid therapy. A large component of this program is substance abuse screening, prevention and identification. Dr. MacKie also worked with the Prescription Drug Abuse Prevention Task Force, the Indiana Medical License Board and the Indiana legislature to develop safer and effective opioid use practices for Indiana.

Cindy Mann has more than 30 years of experience in federal and state health policy, focused on health coverage, financing, access and operational issues. She guides states, providers, plans, consumer organizations and foundations on creating and implementing strategies around federal and state health reform, Medicaid, Children’s Health Insurance Program (CHIP), and delivery and payment system transformation.

Ms. Mann joined Manatt from the Centers for Medicare & Medicaid Services (CMS), where she served as Deputy Administrator and Director of the Center for Medicaid and CHIP Services. At CMS, she led the administration of Medicaid, CHIP and the Basic Health Program at the federal level for more than five years during the implementation of the Affordable Care Act (ACA). Her role included setting federal policy, supporting state program operations, and coordinating policy and program operations with the Marketplace. She also was responsible for developing and executing national policies and initiatives regarding long-term services, and supports a broader delivery system and payment system reform. In addition, she provided leadership in federal and state efforts to align financing and delivery systems across Medicaid and Medicare.

Prior to CMS, Ms. Mann was a research professor at the Georgetown University Health Policy Institute, where she was Founder and Director of the Center for Children and Families. Her work at Georgetown focused on health coverage, financing and access issues affecting low-income populations.

Before coming to Georgetown, Ms. Mann served as a Senior Advisor at the Kaiser Commission on Medicaid and the Uninsured. She also was Director of the Family and Children’s Health Program Group at the Healthcare Financing Administration (HCFA), now CMS. In that role, she developed the initial CHIP program rules, as well as led policy development related to Medicaid for children, families and pregnant women.

Ms. Mann came to HCFA from the Center on Budget and Public Policy, where she directed federal and state health policy work. She has extensive experience in state-level matters, having worked on healthcare, welfare and public finance issues in Massachusetts, Rhode Island and New York.

Dr. Ali Mchaourab is Associate Professor of Anesthesiology at Case Western Reserve University School of Medicine, and Chief of the Pain Medicine Service at the Northeast Ohio Veterans Affairs (VA) Health Care System in Cleveland.

Dr. Mchaourab is the founder and director of the Pain Management Center. The Center offers a continuum of multi-disciplinary care as well as research and education. He and his team were awarded the 2015 American Pain Society Clinical Center of Excellence for their tremendous achievements in pain care, particularly when it comes to low reliance on, and safety of opioids utilization.

Dr. Mchaourab is also the Director of the VA-ECHO Center (Veterans Affairs- Extension for Community Healthcare Outcomes) in Northeast Ohio VA Health Care System in Cleveland. Over the last 6 years, through innovative use of video-teleconferencing technology, much needed pain care education was provided to the primary care workforce in Cleveland and other VAs around the country. These efforts have been supported by $11,000,000 million in grants over 6 years, awarded by the VA office of Rural Health and office Specialty Care Services.

Dr. Mchaourab has numerous publications, editorials and book chapters. He is a guest-editor for peer-reviewed journals; and often invited to national meetings and academic centers. He has received over 25 grants for education and program development, and has been on grant review boards for the Department of Defense, as well as guest reviewer for VA Research and Development.

Dr. Mchaourab has championed a reduced reliance on opioids for well over a decade. Years before the term “opioid epidemic” became commonplace, he recognized that the relatively new reliance on opioids was not a sustainable model. His early initiatives resulted in drastically lowered opioid prescription rates at the Cleveland VA and resulted in the creation of a Culture in Cleveland, to the extent that the facility became a significant outlier.

In September 2017, the President’s Commission on Combating Drug Addiction and the Opioid Crisis along with VA secretary David Shulkin visited and commanded him and the Cleveland VA on their unique work and results. A roundtable discussion was held; and the commission heard how a large health care system kept its opioids use at a record low during the opioid epidemic. His program was recognized in the final report to President Trump in November 2017.

Under Dr. Mchaourab’s leadership, the Northeast Ohio VA Healthcare System has become a model of care in the treatment of chronic pain with minimal dependence on opioids.

Andy McMahon is the Vice President of Health and Human Services Policy at UnitedHealthcare Community & State. UnitedHealthcare Community & State proudly serves nearly 6.4 million Medicaid members in 26 states, plus Washington D.C. UnitedHealthcare is a division of UnitedHealth Group, a health and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone. In his current role, Andy focuses on integrating and leveraging affordable housing and human services to provide better care at lower costs for populations with complex health needs. Andy works with UnitedHealthcare’s Medicaid plans and the myConnections™ team, and his portfolio includes policy and program work in affordable and supportive housing, criminal justice, child welfare, and social impact investment.

Prior to joining UnitedHealthcare, Andy worked at the Corporation for Supportive Housing (CSH) for 15 years, most recently as the Vice President for Policy and External Affairs. At CSH, Andy led an array of national, state, and local efforts to align systems and integrate resources to create supportive housing opportunities for vulnerable populations. Andy also led CSH's work to develop Pay for Success and impact investing models for supportive housing. Prior to CSH, Andy held positions in both state and local government, as a lobbyist for state housing and community development agencies in Washington, D.C., and helped found and was the first executive director of a non-profit housing organization in Minnesota.

Shannon M. McMahon, MPA, was appointed the Deputy Secretary of Health Care Financing at the Maryland Department of Health and Mental Hygiene in February, 2015. In this role, she is responsible for the operation of the state’s Medicaid program, which serves over 1.2 million Marylanders.

Previously, Ms. McMahon was the Director of Coverage and Access at the Center for Health Care Strategies (CHCS) where she lead Medicaid eligibility, benefit design and purchasing implementation efforts and learning collaboratives for states and the federal government. Prior to CHCS, she worked in executive and management-level roles in Minnesota Medicaid, most recently as the Chief Administrative Officer, where she oversaw finance and operations for Minnesota’s three public health care programs. Ms. McMahon also spent several years working on health policy issues as a non-partisan analyst at the Department of Legislative Services in Annapolis and also held the position of senior budget and policy adviser to the Secretary and Principal Deputy Secretary of Maryland’s Department of Health and Mental Hygiene.

Ms. McMahon has a bachelor’s degree in justice from American University, Washington, D.C. and a master’s degree in public administration from Northeastern University, Boston, Massachusetts where she was a recipient of a full tuition public policy fellowship. She is a member of the board of directors of the National Association of Medicaid Directors

Perry Meadows, MD is Medical Director, Government Programs Geisinger Health Plan. His responsibilities include

He is the medical lead for government programs, which includes Medicare and Medicaid. His responsibilities include health care services and the development of medical necessity guidelines for Geisinger Health Plan. He is the medical director lead for GHP Fraud, Waste, & Abuse and is involved in multiple initiatives related to the opioid epidemic.

Dr. Meadows has been with Geisinger Health Plan since August 2014. Prior to joining GHP, he was in Louisville, KY for several years.

Dr. Meadows graduated from Marshall University with a Bachelor of Science in chemistry, Master of Science in Biological Sciences, and Doctorate of Medicine. He completed his internship and residency at Marshall University School of Medicine in Family Practice. He is a fellow of the American Academy of Family Physicians. He also received his Juris Doctor from Salmon P. Chase College of Law, Northern Kentucky University and M.B.A. from Regis University.

Congressman Markwayne Mullin was first elected to serve the people of Oklahoma’s Second Congressional District in November 2012. He is currently serving his third term in office.

During his time in the U.S. House of Representatives, Mullin has been a strong voice for business owners across Oklahoma, bringing their perspective into the national debate on many issues that directly impact the business community. He is a strong advocate for ranchers and farmers and works diligently to make sure the voice of rural Oklahoma is heard. A member of Cherokee Nation and one of only two Native Americans currently serving in the House, Mullin brings a firsthand knowledge of Native American issues to Washington, D.C.

Mullin currently serves on the House Energy and Commerce Committee whose broad jurisdiction includes issues important to rural Oklahoma including energy policy, health care, commerce, and manufacturing. He sits on three subcommittees: Energy, Health, and Digital Commerce and Consumer Protection. Additionally, Mullin is a member of a number of caucuses, and is a co-chair of the Men’s Health Caucus and of the Regulatory Review Caucus.

Mullin and his wife Christie have five children and reside in Westville, Oklahoma on the same family farm where Mullin was raised.

Jeff Myers is the president and CEO at Medicaid Health Plans of America (MHPA), the leading national trade association for Medicaid managed care organizations. Mr. Myers serves as the primary spokesperson for the Medicaid health plan industry before Congress, the executive branch, state governments, and the media. Mr. Myers is responsible for demonstrating the value of Medicaid managed care to these audiences as well as opening new markets for Medicaid health plan business. He also leads advocacy efforts in advancing an aggressive policy agenda on behalf of the industry.

A government affairs veteran, Mr. Myers comes to MHPA from the American Health Care Association (AHCA), where he was senior vice president of policy and government relations. Prior to AHCA he represented pharmaceutical companies like Cephalon, Biogen Idec, Pharmacia, and Hoffman-LaRoche before the legislative and executive branches. His time on Capitol Hill included serving as U.S. Representative Fred Upton’s legislative director and health staff for the Energy and Commerce Health Subcommittee, and working for U.S. Representatives Don Sundquist and Alex McMillan. While at McMillan’s office, Mr. Myers led McMillan’s health staff during the attempt at health reform in 1994. Mr. Myers received his MBA from the Fuqua School of Business at Duke and his bachelor’s degree from Rhodes College in Memphis. He lives in McLean, Virginia with his wife and three children.

Noah Nesin, M.D., FAAFP, has been a family doctor in Maine since 1986, first in a private, solo practice and then in federally qualified health centers. He has served as Chief of Staff of Penobscot Valley Hospital, Medical Director of Health Access Network in Lincoln, Maine, and Chief Quality Officer at Penobscot Community Heath Care (PCHC). He now serves as Vice President of Medical Affairs at PCHC. Throughout his career Dr. Nesin has led efforts in evidence-based prescribing practices and in practice transformation to improve efficiency and to use health care resources judiciously. He has mentored physician assistants, nurse practitioners, medical students, and Family Practice residents throughout his career.

Dr. Nesin serves as the Chair of the Academic Detailing Advisory Committee, the body that oversees the Maine Independent Clinical Information Service. He also sits on the Advisory Committee for the Lunder Dineen Health Education Alliance of Maine, is a member of the Prescription Monitoring Program Policy Advisory Group, is a member of the Board of the Maine Public Health Association, and serves on the board of the Dan Hanley Center for Health Leadership. Dr. Nesin served on Maine’s Opiate Task Force in 2016 and is a member of AHRQ’s National Integration Academy Council.

Dr. Nesin is co-founder of Maine Quality Counts’ Maine Chronic Pain Collaborative and is a leader of the Caring For ME initiative, aimed at evidence based treatment for chronic pain and expanding treatment for opioid use disorder. He led PCHC’s work as a partner with John Snow, Inc., in a 3-year Agency for Healthcare Research and Quality grant-funded project aimed at redesigning the primary care delivery team and is convener of the Bangor Area Controlled Substance Work Group, which established regional standards for the management of all controlled substance prescriptions. Dr. Nesin appears regularly on local TV and radio in Bangor, Maine, and has appeared on MPBN and on NPR’s All Things Considered discussing opioid prescribing and opioid addiction.

Kathleen Nolan is a managing principal in HMA’s Washington, DC office. Since coming to HMA, she has worked with clients from across the health care spectrum. She is an expert in federal and state policy, with particular attention to Medicaid. She is closely monitoring the new Administration, and helping states and health care stakeholders navigate emerging policy changes.

Prior to joining HMA, Kathleen worked on numerous health care reform issues as the Director for State Policy and Programs at the National Association of Medicaid Directors, and as Director of the Health Division in the National Governors Association’s Center for Best Practices. In her many years in those roles, she worked with governors’ offices and other state leaders on health care issues facing states including health care reform, Medicaid, health IT, and public health.

Kathleen also held health policy positions with the Association of State and Territorial Health Officials and the Institute of Medicine. Before moving to Washington, she served as a Program Specialist in the Colorado Department of Public Health and Environment. Kathleen received her M.P.H. from the George Washington University, and her B.A. in psychology from Carleton College in Northfield, Minnesota.

Thomas is the Medicaid Interoperability lead in the Office of Policy at the Office of the National Coordinator for Health IT where he supports the advancement of Medicaid interoperability in the drafting and review of Federal regulations. He is detailed part time to the Centers for Medicare and Medicaid Services – Medicaid Data and Systems Group – where he provides direct support to state Medicaid agencies and state governments on Health Information Exchange funding and strategy.

Maureen Pero, Vice President of Business Development, leads all aspects of business development for Aetna Medicaid in the Great Plains region, including planning, strategy, product development, relationship development and proposal strategy. In this role, Maureen works with state officials, elected officials, community stakeholders, health care providers and CBOs to forge alliances to build healthy communities. With more than 13 years of experience working in multiple Medicaid managed care markets and a wealth of expertise in community relations and health care policy, she joined Aetna in 2015. Prior to joining Aetna, Maureen served as Vice President of Federal Affairs and Policy at CareSource, Ohio’s largest Medicaid managed care plan. She is active with a number of community organizations including serving as board president of Homefull, a nonprofit providing support and housing services for those at risk of homelessness and serves on the advisory board of the Ohio Alzheimer’s Association.

A certified health insurance executive, Maureen is an attorney and holds a Juris Doctor and Master of Public Administration from the University of Dayton.

Tamyra has nearly 19 years of experience working on the design, implementation and oversight of Medicaid programs and initiatives in many states, including Alabama, Pennsylvania, North Carolina, Indiana, Mississippi, Texas, the District of Columbia, Maryland, Kansas, Ohio, Iowa, Illinois and Georgia.

Her experience provides clients with subject matter expertise to interpret legislation, develop administrative service codes, conform to various other Federal requirements and opportunities.

She regularly directs and supports the development of procurement and re-procurement tools, including state code development, RFPs, proposal evaluation resources and contracts for her clients. She provides support with a focus on ongoing operations and oversight incorporating principles of value-based purchasing.

Currently Vice President of Managed Long Term Services and Supports at Optima Health, Randy has been in the health insurance industry since 1981. Randy was the Compliance Officer for Lincoln National’s Employee Benefits division, followed by leading the product development function for United Healthcare’s insurance subsidiary, and then helping to develop United’s Medicare Complete product portfolio.

In 2000, Randy moved to AMERIGROUP to implement product management strategies. Randy was hired by Optima Health in 2004 to lead product management efforts, and led Optima’s entry into the Medicare Advantage program. Randy led Optima’s Medicaid program, serving 178,000 Virginians for 5 years, prior to leading the development and implementation of the MLTSS program.

Randy is married to his former mixed doubles partner. They are enjoying empty nesting, with frequent happy disruptions from their two married adult children, and two granddaughters (pictures available on request). Randy also coaches tennis whenever he can find the time.

Marisa Scala-Foley is the Director of the Office of Integrated Care Innovations in the Center for Integrated Programs at the U.S. Administration for Community Living (ACL), where she manages the agency’s efforts to build the capacity of state and community-based organizations for delivery system reform. She also identifies and analyzes emerging policy issues and trends related to health care, aging, and disability; advances innovative program strategies; and provides training and technical assistance related to the Affordable Care Act. Prior to joining ACL, she served as Director of the National Center for Benefits Outreach and Enrollment at the National Council on Aging, and has worked her entire career in the field of aging on issues related to health-care and long-term services and supports. Marisa holds a Masters in Gerontological Studies from Miami University (Ohio), and a Bachelor’s degree in Sociology/Gerontology from the College of the Holy Cross in Worcester, MA. She lives in Alexandria, VA with her husband and two sons.

Claudia Schlosberg is the Senior Deputy and State Medicaid Director for the Department of Health Care Finance (DHCF) for Washington. DC. DHCF provides health insurance coverage to over 260,000 low income residents of the District of Columbia. Ms. Schlosberg is a member of the Executive Management Team and oversees policy development, health care operations, program integrity, long-term care and implementation of health care reform including coordination of eligibility with the District’s State-based marketplace. Previously, Ms. Schlosberg served as DHCF’s Director of the Health Care Policy and Research Administration.

Ms. Schlosberg has over 30 years of experience in health care policy, program administration and regulatory affairs. Her prior public sector experience includes: Director of the Office of Regulatory Affairs for the CLASS Program, Administration on Aging; and Acting Director of Programs, Policy and Training for the HHS Office for Civil Rights (OCR).

Ms. Schlosberg has worked for health care providers as a consultant and as a partner and government affairs specialist at the law firm of Blank Rome in Washington, DC. She also has served as Director of Policy and Advocacy for the American Society of Consultant Pharmacists, Founding Director of Advocacy for the Elderly at the Columbus School of Law at Catholic University and has twice been appointed to monitor federal consent decrees involving the provision of health care services to older adults and people with serious disabilities. She is a 1981 graduate of Antioch School of Law and a member of the DC Bar.

James Schuster, MD, MBA is the Chief Medical Officer for Behavioral and Medicaid Services and Vice President of Behavioral Integration for the UPMC Insurance Division.

In his role at the Insurance Division, Dr. Schuster provides medical leadership to both physical and behavioral health Medicaid products and has spearheaded development of multiple programs designed to address wellness and physical health concerns for individuals with serious mental illness and other disabilities. He leads a team that has secured 3 awards from the Patient Centered Outcomes Research Institute (PRORI) to evaluate activities focused on health integration and shared decision making. Dr. Schuster is board certified in psychiatry and in the subspecialties of geriatric and addiction psychiatry. He obtained his medical degree from the University of Louisville and completed his psychiatric residency at the University of Pittsburgh. He also received an MBA from the University of Pittsburgh. He is currently a Clinical Professor of Psychiatry at the University of Pittsburgh and has published numerous articles and book chapters.

Robert Seifert is Principal with the Center for Health Law and Economics at the University of Massachusetts Medical School. Since joining CHLE in 2007, his work includes analyzing state and national health care reform, writing about MassHealth – Massachusetts’ Medicaid program – and assisting the Commonwealth in efforts to improve the delivery and financing of services to people with complex health care needs, including those needing long-term services and supports and those who are dually eligible for Medicare and Medicaid. He is the author or co-author of a number of policy analyses and issue briefs related to cost containment efforts and the implementation of the Affordable Care Act in New England states. Previously, Mr. Seifert was the Executive Director of the Massachusetts Medicaid Policy Institute and, prior to that, Policy Director of The Access Project. Earlier in his career, Mr. Seifert worked at the Massachusetts Rate Setting Commission, later called the Division of Health Care Finance and Policy. He has additional government experience at the federal and municipal levels, at the U.S. Department of Health and Human Services and the New York City Human Resources Administration.

Alexander Shekhdar is in-charge of Federal and State policy for the Medicaid Health Plans of America (MHPA). In this role, Mr. Shekhdar is responsible for assisting in the promulgation of the association’s policy positions, as well as analyzing and responding to regulatory matters governing and implicating Medicaid managed care plans.

Mr. Shekhdar has 15 years of business and policy experience in the government payor space with various providers including multiple managed care plans and pharmacy benefits management companies.

In the managed care space, Mr. Shekhdar has been responsible for business development for both Medicare Advantage and Medicaid managed care plans. In addition, he has worked on product development for various specialty health business including behavioral health and consumer healthcare companies.

Mr. Shekhdar has also been both a federal and state lobbyist, as well as, a subject matter expert engaged by multiple healthcare trade associations. Finally, Mr. Shekhdar is a professional lecturer and adjunct faculty associated with The George Washington University, The University of Baltimore, and The University of Maryland-University College and has presented on issues related to health policy at numerous industry trade meetings, gatherings of state health plan associations, and audiences of financial analysts.

Mr. Shekhdar holds his undergraduate and graduate degrees in public health from The Johns Hopkins University and his juris doctorate from the Seton Hall University School of Law.

June Simmons is President and CEO of Partners in Care Foundation. Over the past two decades, June has pioneered the development and scaling of innovative, evidence-based interventions for management of medications at home, self-management of chronic conditions, coordinated care to improve health outcomes, and care transitions.

Throughout her distinguished career, she has been instrumental in envisioning, creating, funding, and operating forward-looking health and social service programs that meet the mutual needs of patient populations, health care delivery networks and health plans. Her priority is sustainable, cost-effective, patient-driven integration of care across settings, from primary care and hospital to home and community in the 21st century.

Richard Snyder, M.D. is the senior vice president, chief medical officer, and clinical care transformation officer at Independence Blue Cross (Independence). In this role, he is the company’s chief clinical spokesperson, and he has overall corporate responsibility for medical, quality, and pharmacy management, and all clinical policies and programs.

Dr. Snyder currently leads the Independence effort to drive clinical care transformation by bringing vital clinical information to the point of care, integrating and coordinating care management efforts and more closely aligning financial incentives between Independence and its participating physician and health system partners. This Facilitated Health Network model will provide the cornerstone for creation of a more streamlined, high quality, satisfying and affordable experience for Independence members. Dr. Snyder is active in a variety of state and professional advisory committees. He chairs the National Council of Physician and Pharmacy Executives at the Blue Cross Blue Shield Association, and serves as chair of the board of HealthShare Exchange of Southeastern Pennsylvania, a regional health information organization and serves on the board of directors for the American Heart Association of Southeastern Pennsylvania, Great River Affiliate.

He is a member of the American Medical Association, the Pennsylvania Medical Society, the American Academy of Family Physicians, and the Pennsylvania Academy of Family Physicians.

Dr. Snyder is a graduate of Franklin & Marshall College and the Medical College of Pennsylvania. He is board certified by the American Board of Family Medicine.

Dr. Strenio received his MD from the University of Pittsburgh in 1983 and completed his Family Medicine Residency at UPMC Shadyside before going into practice in rural Vermont.

He subsequently worked as Medical Director for the Community Health Center in Burlington before joining Vermont Medicaid in 2004.

He subsequently served as Medical Director for the Vermont Department of Corrections, Medical Director at Vermont BCBS as well as Senior Medical Director for UPMC Health Plan in Pittsburgh, Pennsylvania. He recently returned to Vermont as the State’s Medicaid CMO in early 2017.

Dr. Strouss received her Bachelor of Science degree and Doctor of Pharmacy degree from the University of Pittsburgh. She is currently the Director for Field Medical Strategy at ODH, Inc. where she leads clinical strategy with emphasis in pharmacy analytics.

She has 10+ years in neuroscience scientific affairs; 10+ years in health care management with 4 years as Director of Pharmacy Research and Outcomes for Managed Care Organization. Her experience includes pharmacy clinical practice with emphasis on psychiatric medicine and physician interaction, collaboration with internal and external stakeholders within managed care organization and serving as a bridge between the two from a clinical and scientific perspective, educating accounts on clinical therapeutics presentation, medical writing, and clinical management in managed care.

Dr Strouss’ private sector experiences include development of innovative strategies for pharmacy cost management within Medicaid managed care industry, scientific liaison experience within the behavioral health MCO with emphasis on fostering relationships with key opinion leaders, integration with clinical development and assistance in site identification and education for Pennsylvania Medication Algorithm Project. Serve on Pharmacy and Therapeutics Committee specific duties include policy development and review; editing and development of the health plan drug formularies specific to behavioral health medications; evidence based review of clinical pharmacy literature with provision of clinical recommendations to P&T; Committee; and development and implementation of various clinically appropriate and cost-effective clinical management strategies. Oversight of behavioral clinical pharmacist staff; interaction with state agencies for approval and implementation of formulary management policies.

Dr. Strouss is a member of International Society of Pharmacoeconomics Research (ISPOR) Patient-Reported Outcomes as well as ISPOR Clinician Reported Outcomes Good Measurement Practices. She serves on the Allegheny County Medical Response Team and is an adjunct clinical instructor at the University of Pittsburgh School of Pharmacy.

Dr. Swift is currently the Vice President/ Chief Pharmacy Officer at the Thomas Jefferson University Hospital and a Clinical Professor and Associate Dean for Professional Affairs at the Jefferson School of Pharmacy. In this capacity, Dr. Swift has responsibility for acute care Pharmacy operations servicing approximately 1000 patient beds, 4 outpatient Retail Pharmacy operations, a health system based Home Infusion program, and a Specialty Pharmacy program.

Dr. Swift served as the first Chair of the American Society of Health System Pharmacists (ASHP) Section of Home Care Practitioners and was instrumental in the success of the launch of the Section. He has also represented ASHP on the Joint Commission of Health Care Organizations (JCAHO) Home Care Professional and Technical Advisory Committee (PTAC) and was Chair of the group for a number of years. Dr. Swift had previously been a Home Care Surveyor for the JCAHO and he served on the Health Care Finance Administration Task Force to establish Peer Review Organization Criteria for Catastrophic Healthcare Coverage. He has served as the Vice Chair of the Standards Committee for The National Home Infusion Association (NHIA) and as the ASHP Representative to the Joint Commission’s Home Care PTAC. He also serves on the Joint Commission Pharmacy Advisory Committee.

Dr. Swift received his Bachelor of Science in Pharmacy and his Doctor of Pharmacy from Philadelphia College of Pharmacy and Science. He completed a clinical residency in ambulatory care at Philadelphia College of Pharmacy and Science and The Veteran’s Administration Medical Center in 1986. He received his Masters in Business Administration in Healthcare Administration from Saint Joseph’s University in 2004. Dr. Swift has served as a Clinical Assistant Professor of Pharmacy for Philadelphia College of Pharmacy and Science since 1985, and is a Clinical Professor at the Jefferson School of Pharmacy.

Dr. Swift served on the 2015 Task Force and Advisory Committee on Opioid Prescription Drug Proliferation in Harrisburg, and is the current Co-Chair of the Jefferson Opioid Task Force. Dr. Swift also serves on the Saint Joseph’s University Bioethics Institute Advisory Board and the Lehigh University Healthcare Systems Engineering program Advisory Board. He has published numerous articles in professional and scientific journals and presented at international, national, state, and local meetings. He and his wife Colleen live in Havertown, PA with their three children Kara, Anna and Danny.

Martha Temple joined Optum Consumer Solutions Group in 2015 as Senior Vice President, Optum Behavioral Health Services (OBHS), a leading mental health and substance abuse services provider to more than 35 million members. Martha is responsible for the overall profitability of the business, including ensuring the highest quality and clinical effectiveness and driving growth within commercial, Medicaid, Medicare and payer markets.

Prior to joining Optum, Martha cultivated a 25-year career at Aetna, Inc. An actuary by training, she received her Fellowship in the Society of Actuaries in 1994. She spent the majority of her career in executive management positions after successful roles in underwriting, reserving and operations. Martha created Aetna Global Benefits and under her leadership grew the business into the industry’s largest provider of expat benefits. Martha served as President of Aetna’s New England Market from 2010 to 2015.

Martha is an active community member, having served on the boards of the Middlesex United Way, among other education and arts related boards. Martha graduated from the Pennsylvania State University with a Bachelor of Science in Mathematics. She is based in Hartford, Connecticut.

Shawn Terrell has been working in the long term services and supports (LTSS) arena for 18 years. He is a Health Insurance Specialist at the Administration for Community Living, where his primary focus is on developing person-centered planning capacity and quality measurement and improvement in home and community based services (HCBS) systems. He is also engaged in a number of policy development and implementation activities including: behavioral health recovery, self-directed HCBS, managed LTSS, LTSS access, and Medicaid financing.

Shawn holds a Master’s Degree in Medical Anthropology/Health Services Administration and a Master’s Degree in Social Work.

Dr. Bea Thibedeau is the Director of Clinical Management and Long Term Support Services (LTSS) at Tufts Health Plan, in Massachusetts. In this role, she is responsible for program leadership of the One Care Medicare Medicaid (MMP) Plan, including operational oversight of care management services, utilization management functions and LTSS service integration activities. The plan, which serves 3000 members across three counties, is designed as a duals demonstration project, which is now in its fourth year. Bea has held this role for two years, during which time she has successfully led growth strategies, advanced clinical programs and has developed strong collaborative partnerships with LTTS provider networks that support the population served by the plan.

Bea is a registered nurse with a professional career that spans over thirty years across both acute and post-acute settings. During this time she has held executive leadership roles in clinical operations, home care services and patient care services. Prior to joining Tufts Health Plan, Bea was the Senior Vice President of Patient Care Services and Chief Nursing Officer at the North Shore Medical Center located in Salem Massachusetts and which is a member of the Partners Healthcare System. Prior to beginning her administrative career, Bea’s clinical practice was in the area of community health nursing and quality management.

Bea received her Bachelor’s degree in Nursing, a Master’s degree in Health Care Management and a doctorate degree in Nursing Administration.

Lori Tishler, MD MPH has always been passionate about the care of vulnerable populations and making health care work better for people. She is Vice President of Medical Affairs at Commonwealth Care Alliance; responsible for the oversight and management of medical policy, physician staff, behavioral health integration, clinical network provider engagement and clinical quality initiatives. In her role, Lori partners closely with CCA’s executive leadership to spearhead and further clinical redesign efforts, ensure quality care delivery and care management, respond to the concerns and needs of medical staff members, implement medical policy and help to drive clinical growth and transformation.

Lori comes to CCA from Brigham and Women's Hospital where she was an active primary care physician and Medical Director for the Phyllis Jen Center for Primary Care. She managed over 100 physicians and led the medical home transformation.

Lori graduated from Harvard Medical School and completed a residency in Internal Medicine at Brigham and Women’s Hospital. She graduated from Harvard and Radcliffe Colleges with an AB in History and Science and from Harvard School of Public Health with a Masters in Public Health. She loves to spend time with her husband and teenage daughter and to travel.

Patsy Tschudy is the Corporate Director of Managed Care for Cantex Continuing Care Network. She is a Registered Nurse and CCM with over 40 years of experience.

Ms. Tschudy has been in Long Term Care, working as a Charge Nurse, Supervisor, and Director of Nursing for over 11 years.

In 1995 she transitioned into Case Management and worked at Mariner Health Care (SavaSeniorCare). She was the Director of Case Management and then became the Division Director of Managed Care. While at Mariner/Sava she set up the Nurse Liaison program, infrastructure to support the Managed Care environment, including a Pre-Certification Department and Regional Case Management Department.

Ms. Tschudy transitioned to Cantex in 2013. At Cantex she completed all Managed Care Contracting and established the infrastructure to support the ever growing needs of the Managed Care environment for the in-patient SNF and Home and Community Based Services. She has been working on the Executive Managed Care Committee for Texas Health Care Association (THCA) and is a frequent speaker for this organization as well as local hospitals and Case Management Conferences.

Ms. Tschudy is a graduate of Mobile College School of Nursing. She has served as President and various Board positions at the Case Management Society of America. She was the Co-Chair for Elder Services Provider’s Network, has worked with the American Association of Managed Care Nurses and various other committees in health care. In addition, she has worked on projects with Texas Medical Foundation.

Dr. Tucker is an Associate Administrator at Memorial Regional Hospital in Hollywood, Florida. Her role includes overseeing Imaging, Laboratory, Inpatient Rehabilitation, Spiritual Care and the Behavioral Health product line. Most recently, Dr. Tucker has been actively involved working with key hospital leaders and community partners to implement initiatives to help patients with opioid addictions. The recently implemented programs include Mothers In Recovery program which assists opiate addicted women to safely detoxify so their infants are born drug free and has also successfully started the Medication Assisted Treatment (MAT) for adults addicted to opiates. MAT services are initiated in the Emergency Department and the individuals are followed and engaged in on-going outpatient treatment followed with aftercare and support services.

Dr. Tucker started her professional career at The Starting Place while earning her Doctoral degree. The Starting Place treated children, adolescents, and families with substance abuse issues. She also further developed her expertise in Post Traumatic Stress Disorders and Mental Illness while training at the Miami Veterans Administration Hospital. Dr. Tucker also worked in the Nova Southeastern University Family Violence program adding another aspect in understanding the effects of psychological and physical violence by treating both victims and perpetrators. Tammy Tucker received her Doctorate Degree in Clinical Psychology from Nova Southeastern University and is a Florida Licensed Psychologist.

Tammy has been involved in numerous committees and boards over the years. Her current board memberships include The United Way of Broward Commission on Substance Abuse, the Governing Board of Correct Care/South Florida State Hospital and The Broward Behavioral Health Coalition as well the Governor’s Task Force on Involuntary Commitment for Minors.