Interested in becoming a contributor? E-mail Laura Joszt or Surabhi Dangi-Garimella for more information.
Molly MacDonald is founder and CEO of The Pink Fund, a non-profit providing 90 days of non-medical financial aid to cover basic costs of living expenses, such as health insurance, housing, transportation, and utilities for patients with breast cancer in treatment. Since 2006, The Pink Fund has made $2.7 million in payments on behalf of 1939 survivors. MacDonald herself was diagnosed with breast cancer in 2005; while the disease was unlikely to take her life, it did take her livelihood. MacDonald is recognized by Crain’s Detroit Business as a Health Hero and is a member of the Advisory Board Member for the University of Michigan’s Center for Value-Based Insurance Design.
Joseph Andelin is the founder of Olavi Group, LLC, a healthcare research and consulting firm. His work focuses on quantitative storytelling for commercially insured healthcare strategies, equity market research and insights, as well as healthcare and financial literacy. His past professional experience includes roles at Goldman Sachs, ExtendHealth, Willis Towers Watson, and Compass Professional Health Services.
InSight Telepsychiatry is the leading national telepsychiatry service provider organization with a mission to transform access to quality behavioral health care through innovative applications of technology. InSight has 2 decades of experience with telepsychiatry, and serves hundreds of organizations across the country with its on-demand, scheduled, connected services, and Inpathy divisions. InSight is uniquely positioned to offer scalable telepsychiatry services in settings across the continuum of care. InSight has a diverse provider team, a robust internal infrastructure and a history of adapting its programs to fit the needs of a variety of different settings and populations.
Caroline Carney, MD, MSc, FAPM, CPHQ, serves as the chief medical officer for Magellan Healthcare on the corporate clinical team. In this role, Carney is broadly responsible for supporting Magellan Healthcare in developing and supporting the clinical mission, vision, products, and medical strategies. Prior to joining Magellan in 2016, Carney served in chief medical officer roles, working with Medicare, Medicaid, commercial, and exchange populations. She was trained in and practiced psychiatry, internal medicine, and psychosomatic medicine. Carney has a Masterís degree in preventive medicine, focusing on health services research and epidemiology. She also brings strong public sector expertise having served as medical director for Indianaís Office of Medicaid Policy and Planning where she oversaw quality, pay for performance, and initiatives for behavioral and physical health.
L. Patrick James, MD, is the Chief Clinical Officer, Health Plans and Policy, at Quest Diagnostics. Prior to assuming this role, he served in other senior leadership roles within Quest. Before joining Quest Diagnostics, Dr. James served LabOne as Executive Vice President for Pathology and Laboratory Services. He spent nine years with Health Midwest, a 14 hospital integrated delivery system in Kansas City, as Medical Director of Hospital Integration. Dr. Jamesí experience spans Research Medical Center, St. Joseph Hospital in Denver, Colorado, and National Naval Medical Center in Bethesda, Maryland. Dr. James earned his medical degree with honors from St. Louis University.
Win Whitcomb, MD, MHM, is the Chief Medical Officer of Remedy Partners. He is also the co-founder and past president of the Society of Hospital Medicine.
The Michigan Value Collaborative (MVC) is a partnership between Michigan hospitals and Blue Cross and Blue Shield of Michigan (BCBSM) designed to accelerate improvements in both quality and cost efficiency across the state. Working in conjunction with the other specialty-specific Collaborative Quality Improvement programs in BCBSMís Value Partnership Program, MVC aims to understand variation in healthcare use, identify best practices, and lead interventions for improving care before, during, and after hospitalization.
Medecision is a leading provider of population health management technology and services for risk-bearing healthcare organizations across the care continuum. Why? 25-plus years of insight, innovation, and proven implementation. Health plans, hospitals, and health systems rely on Medecision and its Aerial platform and applications for a more effective path toward effectively managing new populations and confidently managing through market changes and regulatory updates, while improving quality and reducing costs. It’s not enough to deliver technology. Medecision is driven to create real solutions that solve real problems, with the goal of improving the care and outcomes of everyone involved.
Jackie Rogers is manager of the Quality Reporting Engagement Group at AmerisourceBergen. Jackie helped build the group back in 2011 when it started as a M.U.S.T. program, intended to provide the very first Meaningful Use attestations in the country for clients. Since then, she has expanded the group into a robust consulting practice. Before joining AmerisourceBergen, Jackie traveled the country implementing EPIC (Electronic Health Record), working at Stanford University Hospital and Clinics, Cedars Sinai Hospital, and Mt. Sinai Hospital in New York City.
Gary Mangiofico, PhD, is an academic director and executive professor of organizational theory and management at the Pepperdine Graziadio Business School (https://bschool.pepperdine.edu/) . He has taught at the school since 2002, and brings more than 20 years of experience leading strategic development, operations management, turnaround operations as a CEO, COO, and general management executive. In addition, he is also COO and senior vice president (SVP) for Pathmakers, SVP for Apria Healthcare Group, and CEO for CPC Alhambra Hospital.
Sanjula Jain is a doctoral candidate in Health Services Research & Health Policy at Emory University. Her research focuses on how hospitals and health systems manage financial risk and deliver value-based care. She also contributes to readiness assessments and strategy development focused on regulatory and legislative payment reforms affecting large health systems. Previously, Sanjula served as the Director of the Health Management Academy’s (“The Academy”) Chief Executive Officer Forum and Trustee Institute. Prior to joining The Academy, Sanjula completed fellowships in medical human factors and disease prevention at M.D. Anderson Cancer Center and Harvard Medical School. Sanjula received her BA in Psychology and Ecology & Evolutionary Biology from Rice University.
Founded in 1998, The Health Management Academy is a peer-to-peer learning and leadership development organization comprised of executive members from the country's largest integrated health systems and a strategic balance of the industry's most innovative companies. The Academy is a knowledge source for identifying and monitoring tactical and strategic issues, with educational programming that assesses the top priorities of its members, monitors the organization and development of large health system executive teams, and facilitates structured interaction among its health system members. Peer-focused, problem-solving based programs—where the latest Academy research, policy analysis and expert views on the issues driving healthcare are analyzed and discussed—create the foundation for developing the leadership strategies and skills needed to strategically guide critical health system decisions.
Rick Burnett, PharmD, FACHE, is the chief operating officer of CompleteRx and leads the day-to-day operations delivery for customers. With more than 25 years of experience in hospital pharmacy management, Rick has worked in a variety of sets from small rural hospitals to multisystem academic settings and is currently a Fellow of the American College of Healthcare Executives.
Dr Sharp is an emergency physician at Kaiser Permanenteís Los Angeles Medical Center and a research scientist at the Research and Evaluation Department. He is a former Robert Wood Johnson Clinical Scholar and his work aims to improve the effectiveness and affordability of healthcare by embedding research methods and rigor into care improvement efforts. His research has identified gaps in healthcare quality and has described the impact of quality improvement interventions designed to narrow those quality gaps. Dr Sharpís work has improved antibiotic stewardship, emergent care of ischemic stroke, appropriate use of diagnostic CT imaging and the acute evaluation of chest pain. He is also currently working to identify and address social determinants of health within the healthcare delivery system.
Syapse is on a mission to deliver the best care for every cancer patient through precision medicine. Our software platform, data-sharing network, and industry partnerships enable healthcare providers to bring precision cancer care to every patient who needs it. By bringing together leading healthcare innovators into a unified ecosystem, we are working toward a future in which all cancer patients have access to the best personalized care, regardless of location or income. We are headquartered in San Francisco, and our customers manage 1 million active cancer cases at nearly 300 hospitals in 25 states.
Doris Savron is the executive dean of the College of Health Professions, College of Education and College of Humanities and Sciences at University of Phoenix. Savronís career spans 20 years in healthcare, information technology and academia. She has held a number of leadership roles in her tenure with University of Phoenix, including serving as vice president of Student Services and territory vice president over campuses. Prior to joining the University, Savron spent 10 years in leadership roles in healthcare operations, rehabilitation services and information technology consulting. Savron holds a master of business administration from Cleveland State University and is completing her doctorate in health administration from University of Phoenix.
Suzanne F. Delbanco is the executive director of Catalyst for Payment Reform (CPR), an independent, non-profit corporation working to catalyze employers, public purchasers, and others to implement strategies that produce higher-value healthcare and improve the functioning of the healthcare marketplace. In addition to her duties at CPR, Suzanne serves on the advisory board of the Blue Cross Blue Shield Institute. Previously, Suzanne was the founding CEO of The Leapfrog Group. She holds a PhD in Public Policy from the Goldman School of Public Policy and a MPH from the School of Public Health at the University of California, Berkeley.
William Winkenwerder, MD, is a board-certified physician and nationally prominent healthcare executive. He served as Assistant Secretary of Defense for Health Affairs and was CEO at Highmark, one of the country’s largest diversified health insurance companies. Dr Winkenwerder is a member of the board of Cureatr, which Redox recently recognized as one of the top companies driving healthcare innovation.
Cardinal Innovations Healthcare is the largest specialty health plan in the country, insuring more than 850,000 North Carolinians with complex needs. Using a community-based model of care management, Cardinal Innovations has led the way in developing services, processes and solutions that improve the lives of our members and their families. Recognized for operational excellence, innovative solutions and superior outcomes for members, accuracy and speed of payments to providers, and cost-effective funds management, Cardinal Innovations is a leading healthcare company in the United States.
Michael Kolodziej, MD, is the vice president and chief innovation officer of ADVI Health, Inc. He focuses on supporting innovative alternative payment programs, including the Oncology Care Model and private payer initiatives, on behalf of life science, payer, and provider organizations in the United States and globally. He has been published in more than 50 medical journal articles, abstracts and book chapters. He specializes in hematology and medical oncology and is board certified in internal medicine, medical oncology and hematology by the American Board of Internal Medicine. Dr Kolodziej previously served as national medical director at Flatiron Health and Aetna Inc.
Philip Parks, MD, MPH, is the senior director of Medical Affairs, Exact Sciences. He is a board-certified practicing physician with more than 16 years of clinical, corporate medicine, and managed care experience. Dr. Parks served in the US Navy as a diving and undersea medical officer and held technology assessment leadership roles. He received his medical and graduate degrees from Tulane University School of Medicine and Tulane School of Public Health and Tropical Medicine, and Harvard T.H. Chan School of Public Health.
Darcie Hurteau has worked in the healthcare industry for more than 15 years. For the last 10 years, Darcie has helped hospitals and other healthcare providers understand changes in Medicare's reimbursement systems. As Director, she leads the DataGen team that provides decision support and education to hospitals and health systems across the country as they prepare for health reform payment strategies. Darcie started her career in healthcare finance at Albany Medical Center in Albany, New York.
Jon Christianson, PhD, is on the faculty of the Division of Health Policy and Management, School of Public Health, University of Minnesota and has held the James A. Hamilton Chair in Health Policy and Management since 1998. Christianson's recent research has focused on measurement and reporting of provider performance, physician payment arrangements, and healthcare purchasers. He has received the Annual Research Award of the National Institute for Health Care Management and chaired AcademyHealth's annual research meeting. From 1998-2000, Christianson served on the Institute of Medicine (IOM) committee that produced the report To Err Is Human. More recently, he was a member of the IOM's Geographic Adjustment Factors in Medicare Payment Committee and served 6 years on the IOM's Board on Health Care Services, which oversees all IOM health service projects. He currently is Vice Chair of the Medicare Payment Advisory Commission.
Christopher Chen, MD, is the CEO of ChenMed, a physician practice that aims to bring concierge-style medicine and better health outcomes to the neediest populations low-income seniors managing multiple complex chronic conditions. Under his leadership, ChenMed has grown from 4 senior medical centers in Florida in 2010 to the more than 40 locations in 9 US markets today. Raised in South Florida, Chen graduated from the University of Miami's Honors Program in medicine, and completed his medical training at Beth Israel Deaconess. He also held a specialty position studying cardiology at Cornell University Medical College.
Ara is currently a senior executive at Unite US, a collaborative care coordination innovator. After founding and leading 2 successful technology companies as CEO, Ara led an international cloud business as senior vice president of Infor, the third largest B2B applications company in the world. Ara speaks 5 languages, and in his spare time serves as the entrepreneur-in-residence at New York Institute of Technology's center for entrepreneurship.
The Digestive Health Physicians Association (DHPA) is a national trade association of independent gastroenterology (GI) physician practices with the aim of promoting and preserving accessible, high quality and cost-efficient care in the independent GI medical practice setting. DHPA focuses on collecting, benchmarking and analyzing data relevant to independent GI medical practices. The association capitalizes on its member practices' data resources to augment DHPA's public policy, education and advocacy efforts to serve independent practices and their patients. Members strive to improve patient care and outcomes by supporting policies that promote accessible, high quality and cost-efficient medicine in independent practice settings.
Mr Griffiths is chief technology officer for BridgeHead Software. He has worked with systems design, product management, and leading software development teams for more than 30 years. As a founding member of BridgeHead Software, Mr Griffiths is responsible for development and technology planning for all of BridgeHead's products and solutions.
Robin Gelburd, JD, is the president of FAIR Health, a national, independent, nonprofit organization with the mission of bringing transparency to healthcare costs and health insurance information. In that capacity, she has led the creation and development of FAIR Healthís English and Spanish language consumer websites and mobile apps. FAIR Health possesses the nationís largest collection of private healthcare claims data, which includes over 25 billion claim records contributed by payers and administrators who insure or process claims for private insurance plans covering more than 150 million individuals. FAIR Health also holds separate data representing the experience of more than 55 million individuals enrolled in Medicare. Certified by the Centers for Medicare & Medicaid Services as a Qualified Entity, FAIR Health receives all of Medicare Parts A, B and D claims data for use in nationwide transparency efforts.
Sammy Courtright is the co-founder of Fitspot Wellness Program. She has a BA in fine arts from the University of Miami and is a nationally certified Pilates instructor.
Adam Fawer is the COO of NOOM Inc., a mobile health company that harnesses the power of technology and the empathy of real human coaches to deliver successful behavior change programs that scale. Adam has a BS in Economics from the Wharton School and an MBA from the Stanford Graduate School of Business.
Jennifer Major is a registered dietitian and the clinical lead for the virtual health coach Noom Coach. She received her Master of Science and Nutrition Sciences from the University of Alabama at Birmingham.
Symphony Health provides data analytics to help professionals understand the full market lifecycle. Gregory Hess, MD, MBA, MSc, executive vice president and chief medical officer, is responsible for supporting clinical data, analytics strategy and programs. Aimee Delorey, PhD, is senior director, Strategy & Research, and has spent nearly 20 years in analytics and consulting roles serving biotechnology, pharmaceutical and health plan clients.
Dan Konzen, MBA, is the Phoenix college campus chair for the University of Phoenix College of Information Systems. Prior to his current position, he was the co-founder and director of Zen Investment Group/Fiesta Lakes and has served as director of finance, chief financial and risk officer, and acting chief information officer for national warranty and administration companies. Konzen is pursuing his PhD in applied management and decision sciences.
Cindy Buckels is director of population health at TAVHealth. She brings more than 30 years of healthcare experience to TAVHealth from both the payer and provider perspective. Cindy guides TAVHealth customers in their understanding of how addressing the social determinants of health positively impacts both quality of care and financial metrics.
Jessica Walradt leads the Association of American Medical Colleges' policy, advocacy, and data analytic efforts surrounding alternative payment models. She directly supports approximately 60 academic medical centers' efforts to implement Medicare bundled payment programs, and has been working on the Oncology Care Model since it was announced in 2015. Jessica holds an MS in Health Policy and Management from the Harvard School of Public Health and a BA in Political Science from the University of Richmond.
Kara S. Couch, MS, CRNP, CWS, is a nurse practitioner in the Division of Rheumatology. She practices at the Limb Preservation Center at the George Washington (GW) University Hospital. Prior to joining the staff at GW, Kara worked at Medstar Georgetown University Hospital and Walter Reed National Military Medical Center. She srves as a member of the International Consolidated Guidelines Task Force for the Association for the Advancement of Wound Care and is the co-leader of the International Consolidated Venous Ulcer Guideline which was updated in 2015. She lectures nationally on wound care topics and has been published multiple times in peer-reviewed journals and textbooks on wound care.
Dr Hallberg is the medical director at Virta Health. She is also the medical director and founder of the Medically Supervised Weight Loss Program at Indiana University Health Arnett and an adjunct professor of clinical medicine at the Indiana University School of Medicine. Dr Hallberg is a diplomate of the American Board of Internal Medicine, American Board of Obesity Medicine, and The American Board of Clinical Lipidology and is a Registered Exercise Physiologist by the American College of Sports Medicine.
Chris Seib is the chief technology officer and co-founder of InstaMed, a healthcare payment network used by payers, providers, and consumers. Before founding InstaMed, he was an executive in Accenture's Health and Life Sciences practice. He been involved in strategic development efforts regarding government health initiatives, consumer-directed health plans, and direct connectivity between providers and payers. He is a named inventor of multiple patents and patent applications held by InstaMed.
PatientsLikeMe, the world's largest personalized health network, helps people find new options for treatments, connect with others, and take action to improve their outcomes. The company has worked with every major pharmaceutical company and a range of government organizations to bring the patient voice to research, development and public policy. With more than 500,000 members, PatientsLikeMe is a trusted source for real-world disease information and a clinically robust resource that has published more than 100 research studies.
Amanda Waltemath, PharmD, MPH, is a clinical pharmacist at Healthesystems She leverages her special interest in pain management and data analysis to direct the firm's opioid therapy management program and develop risk assessment tools for workers' compensation payers. Her responsibilities include creating medication formularies for clients; tracking and analyzing pharmacy trends, and conducting drug therapy reviews and pharmacotherapy evaluations. In addition, she provides educational programs on emerging issues in prescription drug therapies and serves as a clinical resource for clients and colleagues.
Dr. Rosenberg is a board-certified gastroenterologist and is currently the medical director of the North Shore Endoscopy Center, president of Illinois Gastroenterology Group, and president and chairman of the Board for the Digestive Health Physicians Association. Dr. Rosenberg's professional honors include selection to the Landacre Research Honorary, from the Ohio State University, and the Founder's Award from the Chicago Chapter of the Crohns and Colitis Foundation.
Kristen Coletto is the vice president of Financial Counseling at Change Healthcare, where she is responsible for developing and expanding financial counseling solutions for provider organizations. Before Change Healthcare, she led concept incubation at Healthagen, a subsidiary of Aetna, and developed new start-up businesses focused on population health information technology and services. She also served as the Head of Operations for NeoCare Solutions. Prior to joining Healthagen, Coletto was a member of Aetna's Corporate Strategy team and managed strategy and planning for Aetna International to identify global growth opportunities. Before joining Aetna, she worked for the Advisory Board Company and PA Consulting Group.
Lisa DiSalvo is senior vice president of product strategy and development at Altegra Health, a Change Healthcare company.
John Peabody, MD, PhD, FACP, is an international healthcare leader in measurement, health policy, health systems and quality of clinical care; a professor at UCSF and UCLA; and the founder and president of QURE Healthcare. An actively funded National Institutes of Health researcher, Peabody works with clinical leaders, academic medical centers and multidisciplinary teams to help healthcare organizations better align their clinical staff. For almost 2 decades, he has examined how health systems affect, and potentially improve, care quality, and patient outcomes.
Buster Elrod, a senior manager with Change Healthcare Consulting, has more than 40 years of business management and information technology (IT) and systems experience including the last 20 years in the healthcare industry. He has broad based experience in project management, IT assessments, system implementations, operations integration, strategic IT and business planning, and process re-engineering. His primary responsibilities include Change Healthcare Consulting's ICD-10 service line and the CAQH CORE Certification service line. Mr. Elrod is actively involved as Change Healthcare Consulting's Workgroup for Electronic Data Interchange (WEDI) representative.
Jim Thomson is chief operating officer at Physicians Plus Insurance Corporation, a nationally recognized managed care organization focused on providing high-quality, innovative products and services that help improve the health of its 65,000 members in south central Wisconsin and the community.
The Community Oncology Alliance (COA) is a non-profit organization dedicated to advocating for community oncology practices and, most importantly, the patients they serve. COA is the only organization dedicated solely to community oncology where the majority of Americans with cancer are treated. For nearly 15 years, COA has built a national grassroots network of community oncology practices to advocate for public policies that benefit patients. Individuals from all levels of the cancer care delivery team oncologists, hematologists, pharmacists, mid-level providers, oncology nurses, patients and survivors volunteer their time on a regular basis to lead COA and serve on its committees. By offering innovative solutions to Congress and policymakers, empowering patients, and working closely with other healthcare stakeholders, COA is helping shape a future where all Americans have access to quality, affordable cancer care. Learn more at https://www.communityoncology.org/.
Jessica L. Johnson, MEd. serves as the director of Health Transformation, the clinical and business innovation division of Population Health Management at Dartmouth-Hitchcock. She brings cross-industry experience in defense contracting and homeland security, corporate business, non-profit development, health information technology, health policy, and hospitality to inform human-centered solutions in healthcare. She is dedicated to advancing clinical operations and community-based solutions. She is engaged in system-level leadership to enhance existing business models, while developing readiness for future requirements via new models that are convincing at scale. She is also participating in state and federal level initiatives through the Delivery System Reform Incentive Payment program and HHS-sanctioned groups.
As quality program analyst at Continuum Health Alliance, Morris facilitates customer engagement in quality initiatives at the heart of practice transformation. He helps practices navigate and translate the detailed logistics of Meaningful Use, PQRS, and Patient-Centered Medical Home. To build customized strategic planning for engagement with the Quality Payment Program, he has developed training programs for Continuum's clients to ensure that have timely access to performance data. Morris holds an MBA in healthcare management and is an NCQA Patient-Centered Medical Home Certified Content Expert (PCMH CCE).
Halah is the community manager for Nursing@USC, the online Family Nurse Practitioner program at the University of Southern California. A dedicated storyteller for all things public health and social justice, she writes about health literacy, the social determinants of health and patient advocacy. Halah is an alumna of the School of Media and Journalism at the University of North Carolina at Chapel Hill.
Patrick Dougherty is an entrepreneur with more than 18 years of experience in revenue cycle management. After founding and later selling a medical billing company, he joined M-Scribe as the general manager and vice president of business development.
The National Center for Complex Health and Social Needs, a new initiative of the Camden Coalition of Healthcare Providers, was created as a professional home for clinicians, healthcare leaders, social service service providers, researchers, public health officials, data scientists, policy makers, payers, consumer advocates, and others who are working in the emerging field of complex care. We are working toward better-integrated, more efficient care for the relatively small population with complex health and social needs, including necessities often considered "non-medical" such as addiction, housing, hunger, and mental health. The National Center for Complex Health and Social Needs is funded by AARP, The Atlantic Philanthropies, and the Robert Wood Johnson Foundation.
Medica Research Institute is a non-profit, research organization determined to improve health outcomes for all, especially the most vulnerable through advancing knowledge that informs value-based healthcare and accountable communities for health. We are committed to contributing to evidence through independent, data-driven health services research that is placed in the public domain.
Mark Heaney is the chief strategist and founding partner of Get Real Health, a Rockville, Maryland-based health information technology (IT) company. Heaney has created award-winning software designs, including Get Real Health's instantPHR product, which is now deployed in health organizations worldwide. Prior to founding Get Real Health, he was the vice president of architecture and development at USWEB. During his career, he has spoken at numerous international forums, and has testified on Capitol Hill on the topic of health IT.
AHIMA is committed to increasing awareness about information governance (IG) in healthcare. As a super discipline, it is important for healthcare professionals to understand the true value of a successful IG program. AHIMA is working to advance IG in the healthcare industry to ensure integrity of all types of information necessary to support safe, quality, cost-effective care and the improvement of individual and population health.
Noah Dermer, JD, is InstaMed's security officer. Prior to joining InstaMed, Dermer was Epic's chief privacy and security officer. Dermer also managed Epic's security research and development team, which develops software that helps hospital organizations ensure the confidentiality, availability, and integrity of healthcare data. Prior to his work on the security team, Dermer worked at Epic on clinical applications where he designed, coded, and maintained computerized physician order entry software. He has also been a network administrator and worked for a large financial technology services company and a technology consulting firm.
Dr Alvandi is an enthusiastic honors health science practitioner with extensive experience in teaching and clinical roles in health care. She is a former clinical educator in cardiology, where she provided support and learning experiences to students and new staff. She played a role in educating, supporting, and guiding students from the time they arrived until evaluation and beyond in a clinical setting. She helped students to become proficient at organizing and coordinating work, prioritizing tasks, and multi-tasking. Dr Alvandi has published an article with The American Journal of Accountable Care that explores the role of electronic databases in healthcare environments.
Greg Fulton is Philips Wellcentive's Industry & Public Policy Lead. He has extensive health IT experience in government relations at Congressional, Health & Human Services, state and industry organizational levels. He is a current member of the CommonWell Health Alliance Government Affairs Advisory Council and the HIMSS Government Relations Roundtable.
Antibiotic resistance is a growing problem and the main cause of this problem is misuse of antibiotics. CDC's Get Smart: Know When Antibiotics Work program works to make sure antibiotics are prescribed only when they are needed and used as they should. All healthcare facilities and their administrators and providers have a role to play in antibiotic stewardship, including acute care hospitals, outpatient clinics and offices, emergency departments and nursing homes.
Jeff Blake, MBA is a healthcare strategy and communications leader with expertise in regulated healthcare marketing, community engagement, public/government relations and strategic partnerships. Over the past decade, he has directed marketing and communications for major integrated healthcare systems, operating at the intersection of strategic planning and corporate communications. His writing often covers topics such as reputation management, strategic growth and patient experience in both provider and payer settings.
Julia Adler-Milstein is an associate professor at the School of Information at the University of Michigan with a joint appointment in the School of Public Health (Health Management and Policy). Her research focuses on policy and management issues related to the use of information technology in healthcare delivery. Her expertise is in health information exchange and she has conducted 5 national surveys of health information organizations.
Since its inception in 2005, the University of Michigan Center for Value-Based Insurance Design (V-BID) has led efforts to promote the development, implementation, and evaluation of innovative health benefit designs balancing cost and quality. A multidisciplinary team of faculty, including A. Mark Fendrick, MD and Michael E. Chernew, PhD, who first published and named the VBID concept, have guided this approach from early principles to widespread adoption in the private and public sectors. The Center has played a key role in the inclusion of VBID in national healthcare reform legislation, as well as in numerous state initiatives. The basic VBID premise is to align patients' out-of-pocket costs, such as copayments, with the value obtained from health services and providers.
Susan Kreimer is passionate about good health a person's most precious asset. Without it, she believes little else matters. She has spent most of her 20-year career as a journalist reporting on healthcare and informing consumers, physicians, hospital executives, and other stakeholders about issues that resonate with them. Her articles have appeared in many major newspapers, magazines, and trade publications. She has written on an array of topics that delved into numerous clinical aspects of medicine and the costs of delivering quality care. Raised in the Chicago area, Susan earned a master's degree in journalism from Columbia University and now lives in New York City.
As the CEO and founder of Lifely Insights, Mandi Bishop is bringing life context to healthcare decision making with actionable social and behavioral determinant insights, helping communities partner with health systems and payers to tailor and optimize health management program design, care plans, interventions, and engagements. An open data evangelist, she is a recurring steering committee member for Health Datapalooza, and is the co-chair of nationwide HealthIMPACT Forum events. She has been a founding, and returning, social media ambassador for both the HIMSS and AHIP national conferences. Additionally, she is an advisory board member of the Society for Participatory Medicine and #STEMPrincess organizations, a contributor to The American Journal of Accountable Care and Tincture, and co-host of the Managed Care Cast podcast series for The American Journal of Managed Care.
Having an interest in healthcare, Rehm quickly found himself communicating executive-level nursing strategies on patient experience, care continuity, and frontline engagement to chief nursing officers and chief executive officers of some of the nation's leading healthcare systems. Currently, he is the community manager for Nursing@Georgetown, the online Master of Science degree in Nursing program from Georgetown University School of Nursing and Health Studies.
Kelly Price is Vice President and Chief of Healthcare Data Analytics at DataGen, a healthcare data analytics and policy firm. Kelly has worked in healthcare finance for more than 20 years, focused on helping healthcare leaders and decision makers understand the impact of payment policy and regulations on their organizations. She provides decision support and education to hospitals and health systems across the country to help them prepare for the shift to value-based payment. Kelly works with hospital associations in 47 states and eight multi-state systems on Medicare and Medicaid reimbursement issues.
JT Ripton is a freelance healthcare, technology, and business writer out of Tampa, Florida. He loves to write to inform, educate, and provoke minds. Follow him on twitter @JTRipton.
Marc M. Boutin, JD, is the chief executive officer of the National Health Council. He has been a leading voice for greater patient involvement at every stage of the healthcare continuum. Currently he serves as a member of the Patient-Centered Outcomes Research Institute Patient Engagement Advisory Panel, FasterCures Benefit-Risk Advisory Council, and MDIC Patient-Centered Benefit-Risk Steering Committee. He is a founding member of the international Patient-Focused Medicine Development consortium and has served on the Governing Board of the International Alliance of Patients' Organizations as a member and treasurer.
Dr Fry is executive vice-president of Clinical Outcomes Management for MPA Healthcare Solutions of Chicago, and adjunct professor of surgery at the Northwestern University Feinberg School of Medicine. He is a career academic surgeon and former Chair of Surgery at the University of New Mexico School of Medicine. He has a career interest in surgical infections and is editor-in-chief of the journal Surgical Infections. Current research interests are measurement of outcomes of care and healthcare payment redesign.
R. Scott Oswald is managing principal of The Employment Law Group, P.C., a law firm based in Washington, DC. He represents healthcare whistleblowers and others who stand up to wrongdoing by their employers. An accomplished trial lawyer who has brought nearly 50 trials to verdict, Oswald has recovered more than $90 million in judgments and settlements for his clients. He is a graduate of The Trial Lawyers College and a past president of the Metropolitan Washington Employment Lawyers Association.
Aiden Spencer is a health IT researcher and writer at CureMD who focuses on various engaging and informative topics related to the health IT industry. He loves to research and write about topics such as Affordable Care Act, electronic health records, revenue cycle management, privacy, and security of patient health data. You can get in touch with him on Twitter @AidenSpencer15
Al Lewis wears multiple hats, both professionally and also to cover his bald spot. As founder of Quizzify, he has married his extensive background in trivia with his 30 years experience in healthcare to create an engaging, educational, fully guaranteed and validated, question-and-answer game to teach employees how to spend their money and your money wisely. As an author, his critically acclaimed category-bestselling Why Nobody Believes the Numbers, exposing the innumeracy of the wellness field, was named healthcare book of the year in Forbes. As a consultant, he is widely acclaimed for his expertise in population health outcomes, and is credited by search engines with inventing disease management. As a validator of outcomes, he consults to the Validation Institute, part of an Intel-GE joint venture.
Robert Chapman, MD is director of the Josephine Ford Cancer Institute in Detroit, Michigan. He also leads the hematology and medical oncology division at Henry Ford Hospital, where he has been a staff physician since 1981. Dr Chapman is a graduate of Cornell University Medical College and did an oncology fellowship at Memorial Sloan Kettering Cancer Center. His professional interests include cancer clinical trials, management of lung cancer, and clinical program management. Dr Chapman is also a board director of 340B Health.
Sophia Bernazzani is a health care journalist. She has a background in healthcare and previously worked in health marketing and advocacy. She's passionate about nutrition and sustainability and studied global public health at the George Washington University.
Travis Broome is vice president of policy at Aledade, a new company helping doctors stay independent and thrive in the transition to value-based care. Joining Aledade early on, Travis helped Aledade grow from 2 accountable care organizations (ACOs) to 20 ACOs. From business development with both practices and payers, to early population health analytics, to serving as executive director for the Aledade Louisiana ACO, he has touched every part of Aledade as it has grown. Today, he is a thought leader on accountable care and is responsible for strategy development, policy analysis and economic modeling. Prior to Aledade, Travis was a regional director at CMS. He earned his MPH and MBA from the University of Alabama at Birmingham.
Dr Kaufman is a senior medical director at Quest Diagnostics. He was the lead author of the 2015 study in Diabetes Care, which found a 23% increase in new diabetes cases among Medicaid patients in states that expanded the program under the Affordable Care Act
Julie Potyraj is the community manager for MHA@GW and MPH@GW, both offered by the Milken Institute School of Public Health at the George Washington University. For several years, she served as a community development specialist in Zambia coordinating youth empowerment programs and reproductive health education. She is currently an MPH@GW student focusing on global health and health communications.
Dr. Ide brings her diverse experiences in medicine, science, venture capital, and technology in leading Rimidi, a software company focused on improving the lives of individuals living with chronic diseases. Motivated by the belief that we can do much better in managing health as individuals, industry and society, Dr. Ide left clinical medicine to join the ranks of healthcare entrepreneurs who are trying to revolutionize the healthcare industry. She founded Rimidi Diabetes in 2012, and currently lives in Atlanta, Georgia, with her husband and their four boys. She enjoys sports and travel in her free time.
Neeraj Sood, PhD, is director of research at the Leonard D. Schaeffer Center for Health Policy and Economics, vice dean for research at the Price School for Public Policy, and associate professor at the Titus Family Department of Clinical Pharmacy and Pharmaceutical Economics and Pharmaceutical Economics & Policy at the University of Southern California. His prior work has focused on the economics of innovation, HIV/AIDS, health care financing, and global health. His research has been published in several peer-reviewed journals and books, including leading journals in economics, medicine, and health policy. Dr Sood is on the editorial boards of Health Services Research and Forum for Health Economics and Policy. He is a research associate at the National Bureau of Economic Research and standing member of the Health Services Organization and Delivery study section at the National Institutes of Health. Prior to joining USC, Dr Sood was a senior economist at RAND and Professor at the Pardee RAND Graduate School.
Bruce Sherman, MD, FCCP, FACOEM, is the medical director for Population Health Management for the RightOpt private exchange offering for Buck Consultants, A Xerox Company, and he is the consulting medical director for Employers Health Coalition, Inc. Previously he served as consulting corporate medical director for Wal-Mart Stores, Inc, Whirlpool Corporation, and The Goodyear Tire
Samantha Eisenstein Watson, MBA, is the chief executive officer and founder of The Samfund. Sam is a 2-time young adult cancer survivor. After completing her treatment for Ewing's sarcoma and secondary myelodysplastic syndrome, she co-founded The Samfund in 2003 after recognizing a void in programs and services tailored specifically for young adult cancer survivors. She is an active member of the cancer community and an advocate for young adult survivors throughout the country. Sam holds a BA and an MBA from Brandeis University.
Leigh Purvis is the director of Health Services Research in AARP's Public Policy Institute. She leads a team of policy analysts and researchers who work on healthcare issues that are relevant to the 50 population. In addition, Ms Purvis heads the Institute's work on prescription drug and mental health issues. Her primary areas of expertise are prescription drug pricing, biologic drugs, and prescription drug coverage.
Dr. Brull is a family medicine physician in solo practice in Plainville, Kansas, at the Prairie Star Family Practice. 2015 marks her fourteenth year of private practice in a rural area, where she precepts medical and physician assistant students on a regular basis. She served 2 years (2013-2014) as a Health Information Technology Fellow for the Office of the National Coordinator, and was recently recognized as a Hypertension Control Challenge Champion by the CDC. Dr. Brull is a physician leader in quality improvement, electronic record adoption, change management, and health information exchanges. Special interests include integrating promotion of health behaviors into office visits and the use of social media in medicine. Dr. Brull also serves as a physician delegate to the American Academy of Family Physicians.
Brenda is the Founder & CEO of Solera Health, a technology-enabled managed services organization that supports accountable care communities through a national network of community-based and digital providers of evidence-based chronic disease prevention programs as an adjunct to primary care. Follow Brenda on twitter @solerahealth
Dr Petricoin is co-director of the Center for Applied Proteomics and Molecular Medicine at George Mason University, and co-founder of Perthera Inc, a personalized medicine firm in McLean, Virginia, where he also chairs the Scientific Advisory Board. Formerly, Dr Petricoin was co-director of the FDA-NCI Clinical Proteomics Program and a senior investigator within the Center for Biologics Evaluation and Research at the FDA.
John Rother is the president and chief executive officer of the National Coalition on Health Care and the leader of the Campaign for Sustainable Prescription Drug Pricing. The Coalition is the largest, oldest, and most broadly based coalition of major stakeholders promoting a affordable, sustainable, and fair health system for all Americans, whether covered by private insurance or public programs.
Ms Berry is the chief executive officer for the Health Care Administrators Association (HCAA), and has more than 35 years' experience in the healthcare and software industries. She has held a variety of executive positions in self funding, managed care, managed behavioral health, and group medical insurance, including principal of Lockhurst Consulting, director of account services for Coastal TPA, and senior vice president of HealthLogic Systems Corporation.
Amy Holm is the operations coordinator at Triple Aim Development group. She is a member of the American College of Healthcare Executives and has worked in the insurance, hospital, university, physician office, accountable care organization (ACO), and consulting arenas.Hymin Zucker, MD, is chief medical officer at Triple Aim Development Group. Dr Zucker, a practicing internal medicine physician for more than 20 years, is one of the nation's leading authorities and innovators on physician protocols and providing quality experiences to patient care while reducing unnecessary costs.
Lee Barrett is the executive director for the Electronic Healthcare Network Accreditation Commission. Mr Barrett has a 10-year track record of leading healthcare professional service organizations, as well as 20 years of experience in senior management roles in payer organizations. He speaks nationally on a variety of healthcare topics and is involved in a number of industry coalitions promoting the use of administrative and clinical health IT, including EHR systems and health information exchange.
Howard Chen is a radiology chief resident at University of Pennsylvania in the Healthcare Quality and Leadership pathway. Howard graduated from Harvard Medical School and Harvard Business School and was the recipient of the 2014 Imaging Informatics Open-Source Leadership Award from the Society of Imaging Informatics in Medicine. His peer-reviewed papers investigate the role of data science in patient care, radiology education, and computational genomics. Howard writes about creating value for patient care through informatics and innovation. He tweets under @howardpchen.
A practicing oncologist, board certified in Hematology, Oncology, Internal Medicine, and Holistic and Integrative medicine, Dr Patel is currently the president of the South Carolina Oncology Society and also serves on the board of the Community Oncology Alliance. He has been a practicing oncologist in 3 different continents and different healthcare delivery models, including the National Health Service in the UK and Scotland. His primary areas of interest and expertise include end-of-life and palliative care, primary and secondary prevention of cancer with lifestyle modification, and healthcare policy. He is a certified physician educator and trainer for end-of-life and palliative care.
Katy B. Kozhimannil, PHD, MPA, is an associate professor in the Division of Health Policy and Management at the University of Minnesota School of Public Health and Director of Research at the University of Minnesota Rural Health Research Center. Her research applies health policy and health services research to the field of women's health, with a focus on maternal and child health. Dr Kozhimannil conducts research to inform the development, implementation, and evaluation of health policy that impacts reproductive-age women and their families. Twitter @katybkoz. E-mail email@example.com
David Schleifer is a senior research associate at Public Agenda, a nonprofit organization that helps leaders and communities navigate complex issues through nonpartisan research and engagement. David conducts public opinion and stakeholder research through surveys, focus groups, and in-depth interviews on topics including healthcare, K-12 education, higher education, and participatory budgeting. David holds a Bachelor's degree in sociology from Wesleyan University and a PhD in sociology from New York University. You can follow him on Twitter @david_schleifer
Dr Druz is a nationally recognized expert in cardiology, with a focus on prevention and cardiac imaging. She has a long-standing interest in functional medicine, and has developed comprehensive programs utilizing genomic and metabolic approaches for treatment and prevention of cardiac disease. Dr Druz is a passionate believer in creating web-based and mobile tools for patient engagement. In 2013, Dr Druz launched a start-up company, iVisitMD, Inc, which connects patients seeking evaluation for urgent symptoms with healthcare professionals for walk-in, phone or video visits.
Dave Stukus, MD is a pediatric allergist at Nationwide Children's Hospital in Columbus, Ohio. His clinical practice focuses on treating children with various allergic conditions and he specializes in caring for patients with difficult to control asthma. Dr Stukus also serves as an official spokesperson for the American College of Allergy, Asthma and Immunology and is on the Board of Directors for the Asthma and Allergy Foundation of America. You can follow him on Twitter @AllergyKidsDoc.
Jesse Pines, MD, MBA, MSCE is professor of Emergency Medicine and Health Policy and director of the Office for Clinical Practice Innovation at George Washington University. He is a Visiting Scholar at Brookings Institution. He has written over 200 peer-reviewed articles and 3 books on emergency care, diagnostic testing, and quality. He has contributed to Slate, TIME, Wall Street Journal, and Emergency Physicians Monthly, and interviews for two podcasts: Urgent Matters and Clinical Practice Innovations.
Ms Jacobs is the chief operating officer for PCG Software and has more than 25 years' experience in the healthcare industry, encompassing both administrative and clinical arenas. Prior to joining PCG, Ms Jacobs was the administrative director, medical management for VertiHealth Administrators. Previously, she was an independent consultant in ambulatory care and practice management, where her clients have included hospitals, physician groups, and the University of California, Los Angeles.
Jim is the executive vice president of Advera Health Analytics (previously AdverseEvents Inc). He brings over 12 years of experience in commercial strategy, global sales management and execution, business development, and product development. He has over 9 years of specific domain expertise in biopharma market research, intelligence, and data. Prior to joining Advera Health Analytics, Jim served as the Global Head of Sales for the BioPharm Solutions Suite at Infinata, Inc. (A part of The Mergermarket Group, a Financial Times Group company and a division of Pearson, Plc.)
Keith is the vice president of scientific affairs at Advera Health Analytics (previously AdverseEvents Inc). He has 17 years of science, business, and intellectual property development experience in the biotechnology, pharmaceutical, and consumer goods industries. Prior to Advera Health Analytics, he was the chief business officer of Antigen Discovery, chief operation officer (COO) of ChemoTherapeutics, COO of LALO Tactical, COO of Thuris Corporation, and Head of Scientific Affairs at Ancile Pharmaceuticals. Keith has a PhD in Neuropharmacology from the laboratory of Gary Lynch and an undergraduate degree in biology, both from UC Irvine.
Brian is the co-founder and president of Advera Health Analytics (previously AdverseEvents Inc). He brings more than 15 years of experience building and managing companies in the data, research and investment industries. Previously, Brian co-founded Sagient Research Systems, Inc, where he served as the company's president and CEO from 1999 to 2009 and as the chairman of the board from 2010 until the company's acquisition by Informa plc in May 2012. While at Sagient Research, Brian was responsible for the development, production, and sale of the Company's proprietary research products to global enterprises including pharmaceutical companies, investment banks, mutual and hedge funds, academic institutions, and government agencies.
Daniel J. Klein is the president and chief executive officer at the Patient Access Network (PAN) Foundation. Mr Klein came to the PAN Foundation from the Cystic Fibrosis (CF) Foundation, where he was senior vice president for Patient Access Programs and, prior to that, senior vice president for the CF Services specialty pharmacy. Mr Klein has had numerous leadership roles in the health and information technology (IT) sectors, including as chairman and CEO of Panurgy Corporation, a leading mid-market IT services company, as well as a consultant on health planning and health promotion for the World Health Organization and HHS, respectively.
Debra Madden is a 2-time cancer survivor who was diagnosed with Hodgkin's lymphoma as a young adult and breast cancer nearly 20 years later, which was thought to be secondary to the radiation she had received for her original cancer treatment. Debra became an active Cancer Research Advocate following her second cancer diagnosis at the age of 42 years. She is currently a member of the ECOG/ACRIN Cancer Research Group and the Patient-Centered Outcomes Research Institute's Advisory Panel on the Assessment of Prevention, Diagnosis, and Treatment Options. She also serves on multiple grant review panels, including the Congressionally Directed Medical Research Program Breast Cancer Research Program. Debra blogs at "Musings of a Cancer Research Advocate", (https://draemadden.wordpress.com/) and you can follow her on Twitter at @AdvocateDebM.
Ana Progovac is trained in Neuroscience (BS, 2010) and Health Services Research and Policy (PhD, 2015). She will be completing an NIMH Mental Health Policy Post-Doctoral Fellowship at Harvard Medical School during 2015-2017. Her dissertation examined the role of psychological attitudes in womens' health. She has also worked in primary care mental health integration at the VA and at the Pittsburgh Regional Health Initiative. Her interests include integrated care, implementation science, and health disparities. https://www.linkedin.com/in/anaprogovac
Michele Brown is a former pharmaceutical and healthcare marketing and advertising executive. She launched several blockbuster drugs and managed the marketing for several large hospital systems. Currently, Michele works for a nonprofit organization, helps direct a diabetes summer camp for kids, writes an inspirational blog for diabetics at Totally Diabetic (www.totallydiabetic.wordpress.com), and tweets frequently @totallydiabetic. During her free time, Michele likes to run marathons, coach field hockey, go on adventures with her family, and play with her two yellow lab dogs. Michele received her BS in psychology from the George Washington University and her MS in rehabilitation counseling from Georgia State University.
Balavignesh (Bala) Thirumalainambi is the meaningful use director for the New Jersey Health Information Technology Extension Center (NJ-HITEC) leading the department that educates, trains, and analyzes meaningful use statewide. His team will assist 5000 primary care providers in New Jersey achieve meaningful use in accordance with federal requirements. Prior to NJ-HITEC, Mr. Thirumalainambi was the coordinator/project manager of Health e-cITi-NJ, a federally funded health information exchange in New Jersey.
Dr Cameron M. Kaplan is a health economist and an assistant professor in the Department of Preventive Medicine at the University of Tennessee Health Science Center (UTHSC). He received his PhD in economics from the University of California, Santa Barbara in 2011. Dr Kaplan's research focuses on behavioral health economics and health policy, including adherence to prescription drug treatments, risk compensation, smoking, and obesity. His recent work has touched on many aspects of health policy including examining geographic and ethnic disparities in health outcomes, optimal insurance benefit design, the impact of health on education, and how economic incentives can affect healthy behaviors and health status.
Inmaculada (Inma) Hernandez, PharmD, PhD, is an assistant professor at the University of Pittsburgh School of Pharmacy. Her research program is built at the intersection of pharmaceutical health services and outcomes research, pharmacoepidemiology, pharmacoeconomics, and pharmaceutical policy. Specifically, she is interested in the real-world use and outcomes of oral anticoagulation therapy in stroke prevention in atrial fibrillation, on the use of large data sets, advanced data mining techniques, and comparative effectiveness research to predict and compare outcomes of medications, and on value-based health insurance and health services delivery.
Thomas Morrow, MD, is the chief medical officer for Next IT. His current position is the culmination of his passion to improve clinical outcomes for people with chronic disease through the use advanced natural language processing and artificial intelligence. He graduated from Thomas Jefferson Medical College in Philadelphia, practiced family medicine for 14 years, and held a variety of positions including a faculty position at a residency and medical school, staff physician at a staff model health maintenance organization, and numerous medical director positions at multiple health plans.
Dr Finola Moore's long-standing interest in cell death led her to study various aspects of cancer. The seemingly simple evasion of cell death by tumor cells truly requires disruption of several normal processes of the cell. Dr Moore has worked on some of these processes in her research career, ranging from cell cycle, stem cell self-renewal, tumor cell invasion, and leukemia. Dr Moore received her PhD at Northwestern University in Chicago, studying the spindle assembly checkpoint and the related changes in cell shape that help tumor cells migrate and invade distal sites. She continues to study cancer in her present position as a post-doctoral fellow at Massachusetts General Hospital/Harvard Stem Cell Institute in Boston. Dr. Moore's research at MGH focuses on T cell acute lymphoblastic leukemia, using a zebrafish model to study relapse caused by leukemia propagating cell self-renewal. Her current projects now encompass the common pathways in hematopoiesis and leukemogenesis. Dr Moore has a passion for scientific outreach and policy; she believes a scientifically literate public will help scientists and clinicians make sound health decisions for individuals and larger society.