Agenda – Day I

Eyal Gurion leads strategic initiatives for IHA, including the development of a statewide Provider Directory Utility. Also, as part of his responsibilities, Eyal leads the Encounter Data initiative and the Digital Health acceleration program. As part of the Digital Health acceleration program, Eyal is working with various IHA stakeholders to develop a digital health strategy and accelerate suitable solutions. Previously, Mr. Gurion worked as a strategy and business development consultant with various healthcare organizations including start-ups, venture capital firms, academia and not-for-profits. Prior to that, he worked for Johnson & Johnson’s medical device division, managing the commercial relationships with large integrated plan/provider organizations; and held various commercial roles with Agilent Technologies and Applied Materials. Originally from Israel, Eyal served as a military commander in the Israeli Missing in Action unit.

Shelley Rouillard is the Director of the California Department of Managed Health Care. Prior to her appointment as director, Rouillard served as DMHC Chief Deputy Director for two years, overseeing the day-to-day operations of the department. Prior to joining the DMHC, she served as the Deputy Director for Benefits and Quality Monitoring at the California Managed Risk Medical Insurance Board (MRMIB) and was a founder and director of the Health Rights Hotline, the first-of-its-kind independent consumer advocacy program designed to assist consumers who have problems with the health care system, and which became the model for the DMHC Help Center.

She has also served as chief of health policy at the California Public Employees Retirement System, director of network development for a national preferred provider organization, and legislative advocate working on health and long-term care issues affecting low income seniors and persons with disabilities.

Shantanu Agrawal, MD, MPhil, is president and CEO of the National Quality Forum (NQF). A board-certified emergency medicine physician who has worked in both academic and community settings, Dr. Agrawal is the former deputy administrator for the Centers for Medicare & Medicaid Services (CMS) and director of one of its largest centers, the Center for Program Integrity (CPI). Dr. Agrawal’s main focus at CPI was to improve healthcare value by lowering care costs through the detection and prevention of waste, abuse, and fraud in Medicare and Medicaid. He also was instrumental in CMS efforts to improve the physician experience with Medicare by working to minimize the administrative tasks with which doctors contend. In addition, Dr. Agrawal was one of the main architects of CMS’s strategy and action plan to address the national opioid misuse epidemic. He has testified many times before Congress, has published in numerous medical journals, and is a frequent national speaker on healthcare costs and value.

David Lansky is the president and Chief Executive Officer of the Pacific Business Group on Health (PBGH)–directing efforts to improve the affordability and availability of high-quality health care. Lansky has served as a board member or advisor to numerous healthcare programs and currently is the chair of the HealthCare Transformation Task Force. He also serves on the Guiding Committee of the HHS Learning and Action Network, the Congressional Budget Office Health Advisors Panel, and the Board of the Alliance for Health Reform. Previously, Lansky was senior director of the Health Program at the Markle Foundation (NY), and he established the Foundation for Accountability (FACCT). Dr. Lansky was a senior policy analyst for the Jackson Hole Group during the national health care reform debate of 1993-94 and he led the Center for Outcomes Research and Education at Oregon-based Providence Health System.

Dr. Rideout is President and CEO of the Integrated Healthcare Association. Dr. Rideout holds academic appointments with Stanford University School of Medicine and University of California Berkeley Haas School of Business. He serves as an independent director for the Amedisys Corporation, is an independent director for privately held MatrixCare, was recently a Senior Advisor/EIR to GE Ventures, is Senior Advisor to the American Heart Association’s Worksite Wellness Initiative and frequently advises new health IT and digital health companies.

Previously Dr. Rideout served as Senior Medical Advisor for Covered California and was SVP, Chief Medical Officer for The TriZetto Group. Dr. Rideout also served as the global leader of the healthcare division for Cisco He also served as a member of the American Health Information Community’s Chronic Care Workgroup for the US Department of Health and Human Services under the direct leadership of Secretary Michael Leavitt.

Dr. Duprat received his medical degree from McGill University in Montreal, Quebec, Canada and completed his residency in general surgery and diagnostic radiology at University of Montreal in Quebec. He completed his fellowship in angiography and interventional radiology at Anderson Hospital and Tumor Institute in Houston, Texas. He is board-certified in radiology.

Dr. Duprat is a member of the American College of Radiology, the Society of Vascular and Interventional Radiology, the Radiological Society of North America and the Canadian Interventional Radiology Society.

Dan Parker serves as Director of Value Based Strategy and Business Intelligence at Beacon Health System in South Bend, Indiana. In this role, Dan has responsibility for Beacon’s Medicare Shared Savings Program ACO, Quality initiatives, bundled payments as well as a Business Intelligence unit to help support all data-driven decision required under the new Value-Based contracting environment.

Outside of the workplace, Dan also serves as Treasurer of the Memorial Hospital Auxiliary Board of Directors, is a member of the Young Professionals Network of South Bend, and teaches as an adjunct professor of Accounting and Healthcare Finance at Indiana University South Bend.

Jen Johnson is a managing director with VMG Health and has led the Professional Service Agreements Division for over ten years. Her expertise is related to determining Fair Market Value, market data, and regulatory guidelines associated with valuing professional service arrangements with both healthcare systems and life sciences companies.

Mrs. Johnson began her valuation career with KPMG, LLP in their Forensic and litigation Services department in 1998, where she worked directly under experts in the field of finance, accounting and economics. She also worked at the University of North Texas as a finance professor. Prior to that, she worked for several companies in a consulting capacity, and served as a finance professor for the University of North Texas. Her consulting work included business valuation, financial projections, and operational systematizations.

Mrs. Johnson is a member of the American Health Lawyers Association, the Healthcare Financial Management Association and the Chartered Financial Analyst Institute.

Scott Sarran is the Chief Medical Officer, Government Programs for Health Care Service Corp. Previously, Dr. Sarran was Chief Medical Officer for Blue Cross Blue Shield of Illinois and Fidelis Senior Care. Dr. Sarran’s past positions also include Vice President and Chief Medical Officer for Advocate Health Centers; Vice President and Medical Director for the University of Chicago Health System; Vice President, Clinical Quality Improvement, for Advocate Health Care; and several positions at Lutheran General Health Systems. In addition, Dr. Sarran is currently an adjunct assistant professor in Family and Community Medicine at Northwestern University Feinberg School of Medicine. Dr. Sarran is a diplomate of the American Board of Family Practice and he is a long-time volunteer physician and board member at Community Health, the nation’s largest free clinic.

Angela Mitchell leads innovative healthcare solutions for Intel in the US. Angela came from the healthcare industry with an Executive Master’s focused on healthcare reform in the US. Currently, she oversees Intel’s Connected Care ACO contracts with 6 healthcare systems, representing over 40K covered lives. ACO outcomes show Triple Aim results with significant cost savings, improved outcomes, and high patient satisfaction and retention.

Sally currently advises health care organizations, entrepreneurs, and others in the health care and employee benefits arenas. She was most recently the Senior Vice President of Global Benefits for Walmart Stores, Inc. Her area of expertise is in payer/employer solutions which result in improved health care quality, lower cost and less inappropriate care.

Prior to joining Walmart, she was senior vice president, Corporate Benefits for Wells Fargo & Company. Her career includes consulting with large employers in all areas of benefits strategy and health care optimization at HCIA, Inc. and William M. Mercer, Inc. She also worked for Aetna and Union Bank.

Sally currently serves on the Board of Directors of the Leapfrog Group as well as a Board Advisor for the Penn Center for Health Incentives and Behavioral Economics and has served as the Chair of the Board of Directors for the ERISA Industry Committee.

Jeff White is the Director of Global Healthcare and Well Being at The Boeing Company. His previous roles at The Boeing Company include, Director, Healthcare Strategy and Manager, Health Plan Financing. Jeff has been with Boeing since 2006. Prior to Boeing, Jeff was a consultant at two of the leading national health benefits consulting firms where he advised large organizations on health care benefits strategy.

Bill Kramer is Executive Director for National Health Policy at the Pacific Business Group on Health. Bill also serves as Project Director for the Consumer-Purchaser Alliance, a collaborative led by PBGH and the National Partnership for Women & Families to improve the quality and affordability of health care. Bill serves on the Board of the National Quality Forum and the NQF’s Measure Applications Partnership Coordinating Committee. Immediately prior to taking his position at PBGH, Bill led his own consulting practice focusing on health reform, finance and business strategy for public and private sector clients. Prior to developing his consulting practice, Bill was a senior executive with Kaiser Permanente for over 20 years–most recently as Chief Financial Officer for Kaiser Permanente’s Northwest Region. Bill also served as general manager for Kaiser Permanente’s operations in Connecticut; earlier in his career, he managed marketing, human resources, and medical economics functions.

Susanna Kramer, MA has been the Program Evaluation Coordinator for Community Behavioral Health for the past 3 ½ years. Community Behavioral Health (CBH) manages behavioral health care for Philadelphia County Medicaid recipients. As the Program Evaluation Coordinator, she provides leadership and coordination of CBH’s pay-for-performance initiative, as well as other behavioral health service quality improvement initiatives for individuals receiving services through CBH. Susanna has over 15 years of experience in behavioral health systems research, program evaluation, and program development. She holds a Masters degree in Clinical Psychology from West Chester University and a Bachelor of Fine Arts degree from the University of Pennsylvania.

As Director of Research, Dr. Lim oversees research, evaluation and epidemiology at Philadelphia Department of Behavioral Health (DBHIDS), supporting strategic planning and innovative approaches to clinical and business issues critical to DBHIDS. Prior to her current position, she led pay-for-performance efforts at Community Behavioral Health, the nation’s largest non-profit behavioral health managed care organization. As Director of Performance Evaluation, Analytics and Research, Dr. Lim had led the development, implementation and evolution of a complex financial incentive program in the past 8 years at CBH. During her CBH tenure, Dr. Lim provided leadership in performance measurement, analytics, evaluation and research to the clinical and business executive team. With 15 plus years in public health as an administrator and researcher, Dr. Lim is well-grounded in population health approach to managing health.

Dr. Henagan is the Chief Integration Officer with Partners in Recovery. She hails from the great state of Michigan and is a proud Michigan State University Alum. With more than 13 years of healthcare experience, Dr. Henagan has expertise in working with diverse populations and in multiple healthcare settings. She brings a comprehensive knowledge and understanding of current health education practice and solution-focused methods of behavior change and has facilitated therapeutic prevention and intervention services in medical inpatient, outpatient behavioral health, and residential services.

A mission-driven physician, Mark Stephan believes the greatest impact to be had is helping those who have the least. He says patients should “drive their own bus” and feels strongly about providing patient advocacy and education. His intense interest is in improving integrated medicine and care delivery systems for providers and patients.

Sherry Westlake is the Vice President of Sales for Scottsdale-based company, HealthBI. With 20+ years of subject matter expertise in population health, value-based care strategy, product management, and health care analytics. She is responsible for both strategic and technical solution consulting and sales. In her current and previous roles, with McKesson Technologies, MedeAnalytics, NantHealth, and now HealthBI she is assists in developing enterprise population health solution strategies and new business partner relationships. In addition to her role in business development, Sherry continues to provide thought leadership on healthcare integration, integrated care delivery models and has contributed thought leadership content for Healthcare IT Analytics Media, Georgia Council for Provider Integration and as a national thought leader speaker for HIMSS.

Elizabeth Cherot has been leading Brunswick Hills Ob/Gyn a division of Axia Women’s Health since 2008. She received her Doctor of Medicine from the University of Rochester and her Masters of Business administration from the Johns Hopkins Carey School of Business while continuing to practice full time. She is a member of Axia Women’s Health Value Based Care committee helping to align best patient practices and pay for performance.

Andrei Gonzales is AVP, Product Management, Value-Based Payments, at Change Healthcare. In this role, Andrei is responsible for product management of HealthQX, providing strategic context and input to the Change Healthcare portfolio. Prior to assuming this role, Andrei was Director, Value-Based Reimbursement Initiatives, leading strategic customer engagements to develop and implement McKesson’s risk-based payment capabilities. He also managed customer engagements and provided expert guidance to help customers develop and establish pilot programs using the McKesson Episode Management solution. Andrei has been with Change Healthcare, formerly McKesson, for eleven years, first managing physician-oriented acute care solutions at McKesson Provider Technologies. Prior to joining McKesson, he led product management for Medtronic Navigation’s cranial image guided surgery team and physician solutions at Thomson Micromedex. He received his MD from the University of Washington, School of Medicine.

Scott Paddock is a seasoned executive with over two decades of experience leading and growing healthcare and technology companies. Scott currently serves as President and Chief Operating Officer at Cota, a real-world data and analytics company bridging precision medicine to population health. Scott is responsible for overseeing business development, marketing, product development and operations at Cota and contributing to the overall strategic direction of the business. Scott joins Cota from Homecare Homebase, a Hearst Health technology company in the post-acute care industry, where he also served as President. Previously, he served as the Executive Vice President and General Manager of Healthcare Solutions at MedeAnalytics, a SaaS based technology company focused on performance management solutions that improve financial, operational and clinical outcomes, where he helped lead the company’s growth ultimately resulting in a successful transaction of the company.

Lili Brillstein is the Director of Episodes of Care for the Market Innovations team of Horizon Blue Cross Blue Shield of New Jersey, and, under her leadership, has built the largest program for commercially insured patients in the country.

Lili is responsible for the overall direction, strategy, design and oversight of the Horizon Episodes of Care/Bundled Payment Program. When Lili joined Horizon in January of 2013, the Episodes program was still in pilot and included only total hip and total knee replacement episodes. The program has grown to include additional orthopaedic episodes, obstetrics and gynecology, GI, cardiology, and oncology.

Lili is a passionate advocate of Episodes of Care/Bundled Payments as a strategy to successfully migrate from fee for service to quality- & value-based models that reward providers for excellent outcomes and patient experience, while reducing the overall cost of healthcare.

Since 1983 Dr. Arthur Chen has practiced as a family physician at Asian Health Services in Oakland, California where he also served as Medical Director. Previously he served as the Chief Medical Officer of the Alameda Alliance for Health, and was the Public Health Officer for Alameda County. Prior to this, he served as the Associate Medical Director of the Institute of Emergency Medicine at the Albert Einstein College of Medicine. He was also the Executive Director of the New York Chinatown Health Clinic. He currently serves as an Executive Council member of the Alameda Contra Costa County Medical Association.

Dr. Chen has served on several Boards, including, the California Endowment, the Asian and Pacific Islander American Health Forum, the California Conference of Local Health Officers, and the Task Force on Culturally and Linguistically Competent Physicians and Dentists for the CA Dept of Consumer Affairs.

Dr. Fichtenberg is a public health researcher and advocate with over a decade of experience working to improve health and economic outcomes for America’s most vulnerable families, including seven years leading national efforts in Washington, DC. Caroline was previously the Director of the Economic Mobility and Poverty Project at the Convergence Center for Policy Resolution. Prior to that she served as Director of Research at the Children’s Defense Fund (CDF), where she led the development of reports on childhood poverty, education, child health, child welfare and gun violence with a focus on the needs of poor children and children of color. Prior to working at CDF, Caroline directed the Center for Public Health Policy at the American Public Health Association (APHA), served as Health Policy Advisor to Senator Harkin on the Senate Health, Education, Labor and Pensions committee, and as Director of Epidemiology for the Baltimore City Health Department.

Dr. Thu Quach serves as the Chief Deputy of Administration at Asian Health Services, a federally qualified health center in Oakland, providing primary care, mental health and dental care to approximately 28,000 patients. In this capacity, she oversees community services programs, specialty mental health, and general administration. As an epidemiologist, Dr. Quach has conducted different research focusing on Asian Americans and immigrant populations, including examining occupational exposures and health impacts among Vietnamese nail salon workers.

Rupinder Singh carries over a decade of experience in mathematical modeling, image processing, software developments and cardiac electrophysiology. He is currently applying his software development expertise to create Cozeva’s EMR system. He has earned prestigious fellowships with NIH and NSF and developed a novel patented approach to map the electrical excitation of the heart using ultrasound.

Bill Gil is a Healthcare Consultant providing strategic, managed care and operational advice to leading healthcare institutions. Bill retired in 2017 as President and Chief Executive Officer, Providence Southern California Medical Foundations, leading the two Providence medical foundations: Facey Medical Foundation and Providence Medical Institute (total 400 physicians and a patient population of 300,000 patients).

Bill is the former CEO of Facey Medical Foundation, a nonprofit medical foundation that manages Facey Medical Group, a 200-physician medical group. Providence and Facey formed an affiliation in 2012.

Bill is focused on growing both physician foundations while enhancing a commitment to clinical excellence through shared records and expert-to-expert collaboration. Bill also teaches at the University of Southern California (USC), in the Master’s Program.

Chris Girod is a principal and consulting actuary in the San Diego office of Milliman, Inc. He has 29 years of experience as a health insurance actuary, having worked for six years with a health insurance company in Oregon, and the last 23 years with Milliman. His clients primarily include health insurance companies, health care provider organizations, employers, and government entities. He specializes in helping those clients measure and understand the risks and financial implications associated with their health care products, purchasing decisions, reimbursement systems, and risk sharing arrangements.

Dr. Tsay’s medical career includes both as an office- and hospital-based physician with Bristol Park Medical Group and later with Kaiser Permanente. At Kaiser, she reorganized the Child Abuse Committee to include domestic violence and elder abuse – recognizing the importance of helping everyone affected by violence. After obtaining her MBA, Dr. Tsay joined the Nautilus Healthcare Management Group to be the Medical Director for Greater Newport Physicians, IPA. There, she executed strategies and tactics to improve the coordination of care throughout the continuum- providing the right care for the right patient at the right time.

Just prior to her current CAPG role, Dr. Tsay worked at Blue Shield of California as their Regional Medical Director. She worked directly with physician organizations and hospitals to improve their utilization and quality performance. She was also a physician lead for their Narcotic Safety Initiative.

William Golden is Professor of Medicine and Public Health at the University of Arkansas for Medical Sciences where he served as director of the division of general internal medicine. He is currently the Medical Director of Arkansas Medicaid at the Arkansas Department of Human Services. Prior to his current position he served as Vice President for Clinical Quality Improvement of the Arkansas Foundation for Medical Care. He sat on the national guiding committee of the Health Care Payment Learning Action for the last 2 years and co-chaired its work group on primary care.

A past Chair the Board of Regents of the American College of Physicians, Dr. Golden served on the Board of Directors of the National Quality Forum and was President of the American Health Quality Association. He was on the executive committee of the Physician Consortium for Performance Improvement and chaired numerous performance measure development committees.

Former Director of Payment and Delivery System Reform for the Maine Health Management Coalition, a multi-stakeholder organization comprised of purchasers, health systems, physician groups, health plans and consumer groups. In that role, worked with purchaser and provider partnerships to advance payment and delivery system initiatives. Former Executive Director of the Office of Employee Health & Benefits for the State of Maine. In that capacity, served as adviser to the State Employee Health Commission, a labor/management organization that serves as trustees to the group health plan. Advised the Commission on policies and strategies to improve the value of health care delivered to members. The Commission has been an innovative leader in the Maine market promoting value-based purchasing and advancing delivery and payment system reform.

Dr. Lang serves as Chief Medical Officer of Covered California, the state health benefits exchange. He also holds an appointment Clinical Professor of Family and Community Medicine at UCSF. Dr. Lang served as Clinical Director for the California Quality Collaborative (CQC). His work at CQC included leading an Advanced Primary Care Practice Coaching Collaborative and serving as a coach in the hospital safety program, Partnership for Patients, sponsored by the CMS Innovation Center. Dr. Lang has served as Chair of the Physician Advisory Committee for two California HealthCare Foundation projects: All Over the Map, profiling variation in preference sensitive care across California and Safety in Numbers: Cancer Surgery Volume in California Hospitals. Dr. Lang served as National Vice President and Clinical Quality Officer for Health Net, Inc. Previously, Dr. Lang was Vice President and National Director of clinical computing at Kaiser Permanente, following 19 years of clinical and leadership experience with Group Health Cooperative of Puget Sound.

Megan Burns has worked with Bailit Health clients on improving the payment and delivery of health care, specifically by supporting efforts of payment reform, behavioral health integration and value–based purchasing.

Megan has performed both applied work and research in payment reform, including supporting the creation of a multi–payer–supported statewide ACO in Vermont, facilitating a stakeholder engagement and quality measurement selection process for a comprehensive payment reform project in New York and co–facilitating a multi–payer, multi–provider bundled payment pilot in Pennsylvania. She has supported behavioral health integration efforts through creating a primary care practice toolkit and training, and by facilitating a work group focused on behavioral health integration for a multi–payer home initiative in Massachusetts. Megan has also co–facilitated the Massachusetts Task Force on Behavioral Health Integration (2013) and the Massachusetts Task Force on Behavioral Health Data Policies and Long Term Stays (2015).

Dr. Allen currently serves as the Executive Director for the Institute for Healthcare Leadership at Intermountain Healthcare. He also serves as medical director of the Emergency Department Development Team. As part of a novel collaboration with the Stanford University School of Medicine, he was recently appointed as Clinical Associate Professor (Affiliated) in the Department of Emergency Medicine of Stanford University.

He formerly served as the Director of Research for the Department of Emergency Medicine and the Division of Trauma at Intermountain Medical Center. He currently serves as the emergency medicine lead for the development and implementation of Intermountain Healthcare’s next generation electronic health record in partnership with the Cerner Corporation.

Previously, Dr. Allen was the director of research for the Department of Emergency Medicine at LDS Hospital. Dr. Allen assisted in founding the University of Utah Affiliated Residency in Emergency Medicine and served as its first assistant director.

Dr. Ken Cohen is an experienced physician leader, practicing internist, and researcher who has attained national recognition for health care quality improvement. He has successfully developed and reported numerous clinical quality studies in primary care, including tobacco cessation, osteoporosis, asthma, diabetes, hypertension, and ischemic vascular disease. He was one of the founding physicians of New West Physicians, which is the largest primary care group practice in Colorado and now part of OptumCare. He has served as Chief Medical Officer since 1995. Dr. Cohen has received awards of recognition and distinction for teaching, including the Lutheran Medical Center Physician of the Year award in 2011. Under his stewardship New West Physicians was awarded the AMGA Acclaim award in 2015 and the Million Hearts Hypertension Champion Award in 2017. He is a Fellow of the American College of Physicians and a member of the Phi Beta Kappa and Alpha Omega Alpha honor societies.

Dr. Strieff is a graduate of Washington University School of Medicine, St. Louis, MO. He is Division Chief Hematology & Oncology and Medical Director, Medial Specialties at Hill Physicians Medical Group.

David Muhlestein is Chief Research Officer at Leavitt Partners. He directs the study of accountable care organizations through the LP Center for Accountable Care Intelligence and leads the firm’s quantitative evaluation of health care markets. He is an expert in using policy analysis, predictive modeling, and applied analytics to understand the evolving health care landscape.

David also serves as Adjunct Assistant Professor of The Dartmouth Institute (TDI) at the Geisel School of Medicine at Dartmouth College and is a visiting fellow at the Accountable Care Learning Collaborative. In both of these roles he conducts research to translate learnings of high-performing organizations for the benefit of the broader health care system.

Michael van Duren has 20+ years’ experience delivering results at health plans and integrated delivery systems, most recently as VP of Variation Reduction at Sutter Health; His method of pinpointing care variation and facilitating helpful, actionable feedback has won physicians’ trust, generating over $70 million in savings. He currently is principal consultant with Variation Reduction Group, LLC and is the Clinical Variation Lead at Agathos, Inc, a start-up delivering individualized metrics to hospitalists on a mobile platform.

Kristen currently serves as Aetna’s California Market President and West Region Head, leading a Sales and Network organization that spans eleven states and a P&L in excess of $5 B. Prior to joining Aetna, Kristen served as Chief Integration Officer for agilon health, an organization founded to drive clinical transformation in provider organizations.

Kristen also served as Senior Vice President of Strategic Partnerships and Innovation for Blue Shield of California. Prior to joining Blue Shield, Kristen held leadership positions with Health Net and CIGNA in Provider Contracting and Provider Services. Her experience on the provider side includes the position of Executive Director for a large integrated physician/hospital organization in Northern California. As a consultant, Kristen has worked with several healthcare foundations and physician organizations on issues of access.

Kristen sits on the board of directors for both Integrated Healthcare Association (IHA) and Operation Access.

Walter Kopp is President of Medical Management Services a healthcare executive management and advisory group specializing in the development and improvement of clinically integrated communities. This group has assisted with medical group practice management, medical group and hospital integration, physician succession planning and healthcare technology implementation in Health Systems. Services also include strategic positioning and market analysis, medical group development, contract negotiations, service line development and operations reviews.

Walter is a board member for the Center for Healthcare Management an international health policy think tank. Walter has served on various boards of Directors, including; Operation Access, National IPA Coalition, Marin Community Clinic, and the Bay Pacific Health Plan.

Jay Sultan, Principal Strategy Advisor at Edifecs, is a nationally recognized expert in payment reform. Sultan began work on implementing episodes for payment over 15 years ago and has authored two patents in payment bundling. He has participated in both commercial and the Centers for Medicare and Medicaid Services (CMS) payment bundling programs – for both retrospective and prospective episodes, and is currently working on one of the largest episode of care programs in the industry. Jay has served and/or still serves as subject matter expert in payment bundles to the CMS, several states, various non-profits (such as IHA), and over 100 payer and provider organizations.

Pamela has a broad background in integrated delivery system administration and healthcare payment reform. She has worked in both clinical and payer settings and has experience in alternative risk contracting strategies. Pamela has particular expertise in analysis of healthcare claims and the development of episode-based payment definitions and benchmarking methodologies. She also has experience implementing both prospective and retrospective payment methodologies, including developing gainsharing methodologies, claims adjudication techniques, and quality monitoring programs.

Prior to joining Milliman, Pamela served as a senior technical advisor at the Centers for Medicare and Medicaid Services (CMS). She was responsible for developing and implementing novel payment methodologies to transform healthcare delivery and payment nationwide. Pamela played a key role in designing the national Bundled Payments for Care Improvement initiative, with thousands of participants nationally. Previously, Pamela worked at an academic medical center, building consensus for redesigning care delivery among diverse stakeholders including physicians, administrators, and patient advocates.

Valinda Rutledge is currently the Vice President, Public Payor Health Strategy in the Care Coordination Institute at Greenville Health System, SC. She is responsible for identifying, analyzing, and supporting the implementation of opportunities related to government initiatives such as Bundled payments, Medicare advantage, Medicaid pilots, Dual Eligible, PCMH, and ACOs.

She previously worked as a member of the leadership team (Senior Advisor and Group Director) at the Center for Medicare and Medicaid Services Innovation (CMMI). Ms. Rutledge also served as the Chief Executive Officer of CaroMont Health in Gastonia, North Carolina

Ms. Rutledge received the 2013 Becker’s Healthcare Leadership Award, which is given to the top 30 individuals in the nation who demonstrate leadership and impact to the industry on a national level. She currently serves on several National Scientific Advisory Boards including NaviHealth and as a Subject Matter Expert for SG2.

John Gorman is Founder and Executive Chairman at Gorman Health Group (GHG). In this role, he has led the development of the industry’s leading consulting practice and several entrepreneurial ventures in government health programs. John’s work focuses on Medicare, Medicaid, and Affordable Care Act strategy, governance, and turnaround of distressed health plans.

Prior to founding the firm in 1996, John served as Assistant to the Director of Health Care Financing Administration’s Office of Managed Care, where he provided day-to-day management and served as the external liaison for the Medicare and Medicaid managed care programs. During the 1993 debate on national healthcare reform, John was chief lobbyist on healthcare financing issues for the National Association of Community Health Centers, an organization of federally-funded primary care clinics for the medically underserved. John’s career in Washington began as Press Secretary and Staff Director for U.S. Representative John Conyers, Jr. (D-MI), then-Chairman of the Government Operations Committee.

Young Joo is the Vice President of Clinical Operations at CareMore Health System, an innovative health plan & care delivery system with $1.2B revenue & over 100,000 members in 8 states. He is responsible for the overall performance and operations of the CareMore Care Centers that serve the holistic needs of members with a team-based approach that includes PCPs, Extensivists, Advanced Practice Clinicians, Medical Assistants, Behavior Health Clinicians, Case Managers, Social Workers, Podiatrists, and many other specialties. Country:* City:* State/Province:* Zip/Postal:* Email Address A signed copy of this waiver will be sent to the email address you provide. Additional Information IP: 64.60.187.2 Email: young.joo@caremore.com Page 3 of 4 Prior to joining CareMore in June 2017, Young Joo was the Vice President of Medicare Accountable Care for Steward Health Care System, a Bostonbased integrated delivery system where he led the Steward’s Medicare Division to successfully generate over $30 million in savings through the Pioneer ACO, Next Generation ACO, and Bundled Payment for Care Improvement initiatives, innovative payment and service delivery models from the Center for Medicare and Medicaid Innovation (CMMI).

Josh Holmes is an experienced Healthcare IT executive with over 20 years in Business Development working with companies like WebMD, Thomson Reuters (Truven), Verisk, NaviNet, and RowdMap. Josh has a passion for payer and provider collaborations and helping risk bearing entities develop and implement network and product strategies around value.

Ms. Matovsky is the CEO and President of the San Francisco Community Clinic Consortium. She has extensive experience working with community clinics and Federally Qualified Health Centers (FQHCs), both on the provider and payer side.

Previously, she served as Executive Vice President of Integrated Health Partners of Southern California (IHP), a clinically integrated network of 11 FQHCs in the San Diego area. Ms. Matovsky brought together CMOs, CFOs, CIOs, COOs and CEOs to develop a shared vision and road map for the integrated entity, implemented a shared patient satisfaction survey, access audit, and shared clinical protocols.

Prior to her work with IHP, Ms. Matovsky was the Associate Vice President, Market Leader for Molina Healthcare and managed the second largest Medi-Cal health plan in San Diego. Previous roles also include: Administrator, Care1st Health Plan, San Diego Office and Director of Contracting, Council of Community Clinics.

Kenneth Tai, MD, is the Chief Medical Officer of North East Medical Services (NEMS). NEMS is the largest community health center serving the Asian community in the United States. Dr. Tai joined NEMS as a staff physician in 2005 and was subsequently promoted to medical director in 2009. Currently, he serves as a Physician Advisory and Quality Improvement Member for both Health Plan of San Mateo and San Francisco Health Plan. He is a graduate of the California Health Care Foundation Executive Fellowship Program Cohort 9. He has special interest in health disparities and has presented NEMS’ hepatitis B and colorectal cancer screening efforts at conferences on local, state and national levels.

Ms. McCamman is currently Assistant Director of Policy for the California Primary Care Association (CPCA) where she is responsible for policy and advocacy on behalf of FQHCs and community clinics in the areas of managed care, behavioral health and health integration, 1115 Waiver, the Health Benefit Exchange, rural health, veterans issues, Medicare, and the 330 grant program. Meaghan previously led CPCA’s efforts around state implementation of the Affordable Care Act, including representing FQHC and community clinic interests in the development of Covered California and Medicaid expansion. She also previously served as Director of Programs for the National Rural Health Association in Washington, DC.

A member of ECG’s Payment Innovation practice, Jim Ryan helps physician groups, hospitals, and other providers improve their reimbursement from commercial payors under traditional payment methodologies and more innovative payment arrangements, such as accountable care organizations and bundled payments. In particular, he works with clients to identify financial opportunities in both value-based and fee-for-service contracts, assess organizations’ readiness for value-based reimbursement models, and develop provider participation criteria to ensure the provision of high-quality, low-cost, and accessible healthcare.

With over 30 years of managed care and hospital leadership senior experience, Ken Steele offers his clients valuable insights into the complexities of managed care, healthcare finance and hospital operations. Ken has worked for both nonprofit and for-profit hospitals, as well as for individual hospitals and large health systems. He has held multiple leadership positions, including CEO, and was Vice President of Managed Care in a 42-hosptial system, responsible for over $1 billion in annual managed care revenue. Ken has helped many hospital and health systems make substantial improvements to contract reimbursement rates, contract language, and revenue cycle management. He has analyzed and negotiated statewide contract with national health plans and led financial and strategic turnarounds for hospitals in large, competitive markets.