Agenda – Precon/Day I

Dr. Sanjay Doddamani is the Chief Medical Officer of the Geisinger led Keystone ACO, and a Senior Director in Population Health, at Geisinger Medical Center. In this capacity, he works with the executive leadership to accelerate improvement of performance metrics across the system, working closely with the service line medical directors, platform leaders, and operational leadership, to improve integration of population health initiatives. He was recently appointed interim Chief Medical Officer of Geisinger at Home, a new home-based medical care program, and is also the System-wide Chief of the Advanced Cardiac Disease – Heart Failure Program for Geisinger Medical Center. His background as a heart failure cardiologist has kept him interested in chronic disease management aspects of heart failure. Additionally, he oversees the LVAD program for mechanical circulatory (heart pump) support. Dr. Doddamani is board certified in Internal Medicine and Cardiology, as well as in heart failure and cardiac transplant.

Larry Kocot is a Principal at KPMG, LLP and National Leader of KPMG’s Center for Healthcare Regulatory Insight. Prior to joining KPMG, Mr. Kocot practiced law at Epstein Becker Green, PC, and Dentons, US LLP; he also served as Deputy Director of the Engelberg Center for Health Care Reform at Brookings and was a visiting fellow in the Economic Studies Program at the Brookings Institution.

Previously, he was Senior Advisor to the Administrator of the Centers for Medicare and Medicaid Services (CMS) at the U.S. Department of Health and Human Services.

Mr. Kocot also served as Senior Vice President and General Counsel at the National Association of Chain Drug Stores, a Fellow in International Security Studies at the Center for Strategic and International Studies (CSIS) and an adjunct fellow at CSIS. Mr. Kocot has served on a number of boards including the Partnership for a Healthier America, ICF International, Inc. and the Commonwealth Health Research Board.

Dr. 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, is a Visiting Policy Fellow at the Margolis Center for Health Policy at Duke University, and is a Visiting Fellow at the Accountable Care Learning Collaborative. In these roles he conducts research to translate learnings of high-performing organizations for the benefit of the broader health care system.

Jay Sultan is Vice President, Product Management at Cognizant. 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.

Dr. Farzad Mostashari is the CEO of Aledade, a start-up he co-founded aimed at helping primary care doctors transform their practices and form accountable care organizations (ACOs). Prior to Aledade, he was a Visiting Fellow at the Brookings Institution in Washington DC, where he focused on payment reform and delivery system transformation. He served from 2011-2013 as the National Coordinator for Health Information Technology where he coordinated US efforts to build a health information technology infrastructure for healthcare reform and consumer empowerment, in addition to programs for health information exchange, health IT workforce, research, and privacy and security.

Aneesh Chopra is the President of CareJourney, a Hunch Analytics company that provides actionable, clinically-relevant analytics services to population health organizations. He served as the first U.S. Chief Technology Officer under President Obama (’09-’12) and in 2014, authored, “Innovative State: How New Technologies can Transform Government.” He joined the Board of the Health Care Cost Institute in 2017.

Since March 2017, Joe Grogan is Associate Director for Health Program at the Office of Management and Budget, managing the allocation and budgeting of over $1 trillion in federal spending. He has worked as an executive in private industry, both as a consultant and with leading biopharmaceutical companies, Amgen, Inc. and Gilead Sciences, Inc. During the Administration of President George W. Bush, he served as both a civil servant and in policy making roles for over 7 years. Of note, he served as Executive Director of the Presidential Advisory Council on HIV and AIDS (PACHA) and as the Special Assistant to Commissioner of FDA. He is a graduate of William and Mary School of Law and the University at Albany.

Dr. Julian Harris is President of CareAllies, an innovative population health management services company focused on helping physician groups and delivery systems navigate the transition to value-based care.

Prior to Cigna, Julian served as the Associate Director for Health in the White House Office of Management and Budget (OMB). During his time as the chief executive of the $11 billion Medicaid program in Massachusetts, Julian led the development of a primary care-centered ACO program, built value-based payment into the country’s first Medicare-Medicaid duals demonstration, and launched the Delivery System Transformation Initiative to accelerate safety net hospitals’ transition to value-based payment.

Julian has supported and led public and private sector delivery system reform and population health projects in the U.S. and abroad. He has also advised technology startups, physician groups, investors and delivery systems on innovative approaches to navigating and supporting the transition to value-based payment.

As president, Joint Venture Market Operations, Brigitte Nettesheim drives the execution of the business plans for Aetna’s Joint Venture markets with a focus on achieving goals through growth, advancing Aetna’s relationship with the provider and transforming the way care is delivered locally. . Brigitte earned a master’s degree in business administration from the Kellogg School of Management at Northwestern University. She received her Bachelor of Science in economics with a minor in systems engineering from the United States Military Academy and served in the US Army, departing with the rank of Captain.

Hoangmai Pham is Vice President, Provider Alignment Solutions at Anthem. Previously, she was a general internist and Director of the Seamless Care Models Group at the CMS Innovation Center, where she is responsible for overseeing portfolios of demonstrations on accountable care organizations and advanced primary care. Prior to CMS, Dr. Pham was senior researcher and co-director of research at the Center for Studying Health System Change and Mathematica. She has published extensively on care fragmentation and coordination, provider market trends, health disparities, primary care, and quality measurement/improvement, and the intersection of each of these with provider payment policy. Dr. Pham also contributed to the design of Medicare demonstrations and programs, including the Physician Quality Reporting System and Resource Use Reports. She practiced for many years at safety net clinics in the Washington area.

Amy Smith is the Manager of Quality and Transformation on the Episodes of Care team at Horizon Blue Cross Blue Shield of New Jersey. She is responsible for the development and oversight of the quality management program and works directly with EOC partners to assist with care transformation at the practice level. In this role she is committed to patient centered care that includes quality of care provided to patients, their overall satisfaction with the care rendered and seeking opportunities to reduce the total cost of care. Amy has over 20 years of expertise in clinical and administrative facets of nursing; from rendering of bedside nursing care to oversight of multiple hospital departments and the management of multi-million dollar hospital budgets.

Jeff Micklos is the Executive Director of the Health Care Transformation Task Force, a consortium of over 40 members (including purchasers, payers, providers and patients) committed to accelerate the pace of transformation to a value-based payment and care delivery system. Jeff has held prior positions as an Executive Vice President with the Federation of American Hospitals and a partner in the national health law practice of Foley & Lardner LLP. He began his career as a regulatory counsel and litigator representing the Medicare and Medicaid programs.

Karen Conway advances how improved supply chain data quality and visibility improves understanding of what increases value for patients and for those organizations that develop healthcare products and services. She is a recognized expert on unique device identification, a foundational element for real world evidence generation. Conway is immediate past chair of the Association for Healthcare Resource and Materials Management (AHRMM), a member the Strategic Marketplace Initiative (SMI) board of directors, the GS1 Global Healthcare Leadership Team, the expert advisory council for SCAN Health, and the healthcare advisory board for CAPS Research. Conway co-authored the book, Leading from the Edge, with the former chief talent officer of Cisco in 2013, and was a contributing author to eBusiness in Healthcare, published by Springer in 2008. Her column, Standard Practices, appears monthly in Healthcare Purchasing News.

Dr. Sanjay Doddamani is the Chief Medical Officer of the Geisinger led Keystone ACO, and a Senior Director in Population Health, at Geisinger Medical Center. In this capacity, he works with the executive leadership to accelerate improvement of performance metrics across the system, working closely with the service line medical directors, platform leaders, and operational leadership, to improve integration of population health initiatives. He was recently appointed interim Chief Medical Officer of Geisinger at Home, a new home-based medical care program, and is also the System-wide Chief of the Advanced Cardiac Disease – Heart Failure Program for Geisinger Medical Center. His background as a heart failure cardiologist has kept him interested in chronic disease management aspects of heart failure. Additionally, he oversees the LVAD program for mechanical circulatory (heart pump) support. Dr. Doddamani is board certified in Internal Medicine and Cardiology, as well as in heart failure and cardiac transplant.

Dr. Nace is the CMO at Innovaccer. He was formerly the board member of Delaware Valley ACO and served as VP of Clinical Development and Population Health for the McKesson Corporation for over a decade. Dr. Nace is a national health care thought leader with years of varied operational experience and has been involved in healthcare reform and managed care strategies since the early 1990s. He has held medical directorships in a variety of academic and community-based health care organizations. He has been an appointed advisor to the American Association’s CPT Editorial Panel, the National Business Group on Health, and the World Health Organization on issues ranging from health promotion, and wellness to employer benefit design and healthcare payment methodologies

Dr. 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, is a Visiting Policy Fellow at the Margolis Center for Health Policy at Duke University, and is a Visiting Fellow at the Accountable Care Learning Collaborative. In these roles he conducts research to translate learnings of high-performing organizations for the benefit of the broader health care system.

Mark McClellan is the Robert J. Margolis Professor of Business, Medicine, and Health Policy, and Director of the Margolis Center for Health Policy at Duke University. He is a physician-economist who focuses on quality and value in health care including payment reform, real-world evidence and more effective drug and device innovation. He is former administrator of the Centers for Medicare & Medicaid Services and former commissioner of the U.S. Food and Drug Administration, where he developed and implemented major reforms in health policy. He was previously Senior Fellow at the Brookings Institution and a faculty member at Stanford University.