Agenda – Day 3

Don Crane is the President and CEO of America’s Physician Groups, the nation’s leading professional association representing medical groups and independent practice associations practicing coordinated care. With offices in Los Angeles, Sacramento and Washington, America’s Physician Groups has become a leading voice for the value-based healthcare movement at the state and federal levels. America’s Physician Groups’ are at the forefront of national healthcare reform and represent the care model and payment methodologies adopted by federal legislation for the entire nation. Crane serves on the Board of Directors of the National Coalition on Health Care. In 2016, he received the prestigious Mathies Award for Vision and Excellence in Healthcare Leadership.

Dr. Kavita Patel is a Nonresident Senior Fellow at the Brookings Institution as well as a practicing primary care physician with leadership experience at Johns Hopkins Medicine. In her role at the Brookings Institution, Dr. Patel was instrumental in the development of several specialty payment models that have been adopted by Medicare. Dr. Patel was previously a Director of Policy for The White House under President Obama and a senior advisor to the late Senator Edward Kennedy. Her prior research in healthcare quality and community approaches to mental illness have earned national recognition and she has published numerous papers and book chapters on healthcare reform and health policy. She has testified before Congress several times and she is a frequent guest expert on NPR, CBS, NBC and MSNBC as well as serving on the editorial board of the journal Health Affairs.

Dr. Terrell is CEO of Envision Genomics, a company helping clinicians diagnose rare disease through the integration of genomic data into clinical care. She is a national thought leader in health care innovation and delivery system reform, and a serial entrepreneur in population health outcomes driven through patient care model design, clinical and information integration, and value-based payment models. Previously, she started Cornerstone Health Care, a multi-specialty medical practice, and CHESS, a population health management company that brought the innovations of the Cornerstone care model redesign process to a wider group of health care systems. Dr. Terrell currently serves on the U.S. Department of Health and Human Services’ Physician-Focused Payment Model Technical Advisory Committee, the Board of Directors of the American Medical Group Association, and the Oliver Wyman Health Innovation Center’s Leadership Alliance.

Gregory Woods is the Acting Deputy Director of the Policy and Programs Group at CMMI. He previously served as the Director of the Division of Alternative Payment Model Infrastructure at the CMS Innovation Center, which has responsibility for the alternative payment model provisions of MACRA and led the Innovation Center’s health plan work, including the development of the Medicare Advantage Value-Based Insurance Design (VBID) and Part D Enhanced Medication Therapy Management models. Prior to joining the Innovation Center, Gregory worked for the Assistant Secretary for Financial Resources at the Department of Health and Human Services, where he focused on Medicare policy and budget issues. Apartment, suite, unit, building, floor, etc. He has also previously worked for a health policy consulting firm and for a non-profit focused on behavioral health policy.

Karen Fisher leads the AAMC’s public policy initiatives on medical education, health care delivery and medical research, providing strategic guidance to advance the association’s legislative and regulatory priorities and developing policy proposals that support the work of academic medicine. Ms. Fisher has more than 20 years of experience in legislative and regulatory health care policy. Most recently, she served as senior health counsel for the Senate Finance Committee where she played a key role in drafting the Medicare Access and CHIP Reauthorization Act of 2015 and the new Medicare physician payment system. She also served as lead adviser on other Medicare issues and health care policies. Before moving to the Senate, Ms. Fisher spent almost a decade as senior director in health care affairs at the AAMC after serving as senior health policy analyst and general counsel for the Prospective Payment Assessment Commission—the precursor to the Medicare Payment Advisory Commission (MedPAC).

Paul Ginsburg is the Leonard D. Schaeffer Chair in Health Policy Studies at the Brookings Institution. He is also Professor of Health Policy at the Sol Price School of Public Policy, University of Southern California and serves as Director of Public Policy at the USC Schaeffer Center for Health Policy and Economics. He directs the USC-Brookings Schaeffer Initiative for Health Policy. Previously, he founded and served as President of the Center for Studying Health System Change (HSC). Initiated with core support from the Robert Wood Johnson Foundation, HSC conducted research to inform policymakers and other audiences about changes in organization, financing and delivery of care and their effects on people. HSC was widely known for the objectivity and technical quality of its research and its success in communicating it to policy makers, industry and the media as well as to the research community.

Dan Todd is the Principal of Todd Strategy, LLC, He provides legislative and regulatory strategic guidance and advocacy for healthcare stakeholders impacted by federal healthcare programs.

Prior to Todd Strategy, Mr. Todd was a Senior Healthcare Counsel for the Republican staff of the Senate Finance Committee, the Committee of jurisdiction for the Medicare and Medicaid programs. Before joining the Finance Committee, Mr. Todd spent several years in the biotechnology industry, where he led policy development and government affairs strategy. Dan also served as a Special Assistant in the Office of the Administrator at the Centers for Medicare & Medicaid Services (CMS), the federal agency charged with the operation of the Medicare and Medicaid programs. While at CMS, Dan worked on Medicare Part B and Part D issues during the implementation of the Medicare Modernization Act from 2003 to 2005.

Dr. Kavita Patel is a Nonresident Senior Fellow at the Brookings Institution as well as a practicing primary care physician with leadership experience at Johns Hopkins Medicine. In her role at the Brookings Institution, Dr. Patel was instrumental in the development of several specialty payment models that have been adopted by Medicare. Dr. Patel was previously a Director of Policy for The White House under President Obama and a senior advisor to the late Senator Edward Kennedy. Her prior research in healthcare quality and community approaches to mental illness have earned national recognition and she has published numerous papers and book chapters on healthcare reform and health policy. She has testified before Congress several times and she is a frequent guest expert on NPR, CBS, NBC and MSNBC as well as serving on the editorial board of the journal Health Affairs.

Nick Bluhm is Senior Director, Strategy and Government Policy with Remedy Partners. Previously, he was a Litigation Attorney/Health Insurance Specialist with the U.S. Department of Health and Human Services where he served in the Office of the General Counsel (Litigation Attorney) and the Centers for Medicare and Medicare & Medicaid Innovation (Health Insurance Specialist). He began his career as a Research Associate with the Committee on Capital Markets Regulation.

Melanie Matthews is the dynamic and innovative CEO at Physicians of Southwest Washington (PSW) in the state’s charming capital of Olympia. She has 20 years of operations, financial, human resources and product marketing experience in health care services for specialty populations with a proven track record for operational, financial and market success. With her personal capacity for energy, focus and performance excellence, Melanie has been leading PSW through today’s health care climate since she joined the company in early 2016. Her nationally recognized visionary leadership will assure that PSW continues its work to help integrate the ideas of health care reform into the lives of patients and physician practices.

Dr. Terrell is CEO of Envision Genomics, a company helping clinicians diagnose rare disease through the integration of genomic data into clinical care. She is a national thought leader in health care innovation and delivery system reform, and a serial entrepreneur in population health outcomes driven through patient care model design, clinical and information integration, and value-based payment models. Previously, she started Cornerstone Health Care, a multi-specialty medical practice, and CHESS, a population health management company that brought the innovations of the Cornerstone care model redesign process to a wider group of health care systems. Dr. Terrell currently serves on the U.S. Department of Health and Human Services’ Physician-Focused Payment Model Technical Advisory Committee, the Board of Directors of the American Medical Group Association, and the Oliver Wyman Health Innovation Center’s Leadership Alliance.

Don Crane is the President and CEO of America’s Physician Groups, the nation’s leading professional association representing medical groups and independent practice associations practicing coordinated care. With offices in Los Angeles, Sacramento and Washington, America’s Physician Groups has become a leading voice for the value-based healthcare movement at the state and federal levels. America’s Physician Groups’ are at the forefront of national healthcare reform and represent the care model and payment methodologies adopted by federal legislation for the entire nation. Crane serves on the Board of Directors of the National Coalition on Health Care. In 2016, he received the prestigious Mathies Award for Vision and Excellence in Healthcare Leadership.

Ana Gupte is a Managing Director and Senior Research Analyst covering Healthcare Services, including Managed Care and Healthcare Facilities for LEERINK Partners. She joined LEERINK with close to 20 years of healthcare and strategy consulting experience. Previously, she was Senior Research Analyst and Head of Health Services Research at Dowling & Partners and served as a Vice President and Senior Research Analyst at Sanford C. Bernstein & Company. Over the course of her career, Dr. Gupte has served in senior roles at Managed Care and Pharmaceuticals companies and was a consultant at McKinsey & Company.

Cory Capps specializes in industrial organization, empirical methods, and antitrust, with a focus on healthcare. He has consulted on behalf of private firms and government agencies on market power and competition issues in the healthcare sector and has served as a testifying expert in multiple healthcare and antitrust cases on behalf of the FTC, DOJ, and private parties. For example, he has worked on behalf of the FTC in the merger of Cabell Huntington Hospital and St. Mary’s Medical Center in Huntington, West Virginia; on behalf of Kaiser Foundation Health Plan in Chris McGowan v. Kaiser; and on behalf of DOJ in United States v. United Regional Health Care System. Dr. Capps was previously a Staff Economist at DOJ’s Antitrust Division and taught on the faculties of the University of Illinois and Northwestern University’s Kellogg School of Management.

Dr. Kavita Patel is a Nonresident Senior Fellow at the Brookings Institution as well as a practicing primary care physician with leadership experience at Johns Hopkins Medicine. In her role at the Brookings Institution, Dr. Patel was instrumental in the development of several specialty payment models that have been adopted by Medicare. Dr. Patel was previously a Director of Policy for The White House under President Obama and a senior advisor to the late Senator Edward Kennedy. Her prior research in healthcare quality and community approaches to mental illness have earned national recognition and she has published numerous papers and book chapters on healthcare reform and health policy. She has testified before Congress several times and she is a frequent guest expert on NPR, CBS, NBC and MSNBC as well as serving on the editorial board of the journal Health Affairs.

Paul Ginsburg is the Leonard D. Schaeffer Chair in Health Policy Studies at the Brookings Institution. He is also Professor of Health Policy at the Sol Price School of Public Policy, University of Southern California and serves as Director of Public Policy at the USC Schaeffer Center for Health Policy and Economics. He directs the USC-Brookings Schaeffer Initiative for Health Policy. Previously, he founded and served as President of the Center for Studying Health System Change (HSC). Initiated with core support from the Robert Wood Johnson Foundation, HSC conducted research to inform policymakers and other audiences about changes in organization, financing and delivery of care and their effects on people. HSC was widely known for the objectivity and technical quality of its research and its success in communicating it to policy makers, industry and the media as well as to the research community.

Robert Berenson is an Institute Fellow at the Urban Institute. He is a board-certified internist who had tours of duty on the Carter White House Domestic Policy Council, and at CMS as a senior political appointee in charge of Medicare payment policy and contracting with private health plan. He was vice chair of MedPAC in 2010-2012. He conducts policy research analysis on payment policy, market consolidation, and Medicare more generally.

Michael Chernew is the Leonard D. Schaeffer Professor of Health Care Policy and the Director of the Healthcare Markets and Regulation (HMR) Lab in the Department of Health Care Policy at Harvard Medical School. Dr. Chernew’s research activities focus on several areas, most notably the causes and consequences of growth in health care expenditures, payment reform, and Value Based Insurance Design (VBID). Dr. Chernew is a member of the Congressional Budget Office’s Panel of Health Advisors and of the Institute of Medicine Committee on National Statistics. He is the former Vice Chair of the Medicare Payment Advisory Commission, served on technical advisory panels for the Center for Medicare and Medicaid Services, was appointed to the Massachusetts Health Connector Board of Directors, and appointed as Vice Chair of the Board. Dr. Chernew is a Research Associate of the National Bureau of Economic Research.

Dr. Wilensky is an economist and senior fellow at Project HOPE, an international health foundation. She co-chairs the Bipartisan Policy Center’s initiative on the future of health care and serves as a trustee of the Combined Benefits Fund of the United Mine Workers of America and the National Opinion Research Center. Previously, she served in the White House as a senior adviser on health and welfare issues to President GHW Bush. Her expertise is on strategies to reform health care, with particular emphasis on Medicare, comparative effectiveness research and military health care. Dr. Wilensky serves on the Board of Regents of the Uniformed Services University of the Health Sciences and of the Geisinger Health System Foundation. She is also a director on Quest Diagnostics and United Health Group boards. She is a former chair of the board of directors of Academy Health and a former trustee of the American Heart Association.

Christopher F. Koller is President of the Milbank Memorial Fund and Publisher of the Milbank Quarterly. The Fund is a 112 year operating foundation that improves population health by connecting leaders with the best information and experience. Before joining the Fund in 2013, he served the state of Rhode Island for eight years as the country’s first health insurance commissioner, where he and his team aligned regulation and rate review with statutory authority to help promote delivery system reform in such areas as primary care transformation. Prior to that, he was CEO of Neighborhood Health Plan of Rhode Island. He is a member of the National Academy of Medicine’s Health Care Services Board and serves in numerous national and state health policy advisory capacities. Mr. Koller is also adjunct professor of community health in the School of Public Health at Brown University.