Summit Speakers

Medicare Advantage is at the forefront of innovative care delivery and modernizing Medicare with a focus on improving quality, cost and access. 

Keynote Speakers

Larry J. MerloLarry J. Merlo
President & CEO, CVS Health

Larry J. Merlo is President and CEO of CVS Health, the nation’s premier health innovation company helping people on their path to better health. Under Merlo’s leadership, CVS Health is pioneering a bold new approach to total health by making quality care more affordable, accessible, simple and seamless. CVS Health is community-based and locally focused, engaging consumers with the care they need when and where they need it. As part of this deep commitment to public health, in 2014 the company announced the landmark decision to be the first major retail pharmacy to eliminate tobacco sales in all of its stores. To reflect this broader health care commitment, the company subsequently changed its corporate name to CVS Health.

Congresswoman Allyson SchwartzCongresswoman Allyson Schwartz
President & CEO, Better Medicare Alliance; Co-Chair Medicare Advantage Summit 2019

Allyson Y. Schwartz, a former member of the U.S. House of Representatives from Pennsylvania who served from 2005-2015, is a nationally recognized leader on health care issues. Throughout her professional life she has worked on issues such as affordability, primary care, coordinated care, and increased access to coverage.
Having worked as a health service executive, Schwartz was elected to the Pennsylvania State Senate in 1990, serving 14 years until her election to Congress. In the state Senate, Schwartz was the driving force behind Pennsylvania’s CHIP program, which was a model for the federal CHIP program five years later.
 

Jerry Penso, M.D., M.B.A.Jerry Penso, M.D., M.B.A.
President & CEO, American Medical Group Association

Jerry Penso, M.D., M.B.A., is President and CEO at AMGA (formerly the American Medical Group Association), a trade association that represents medical groups and other organized systems of care, including some of the nation’s largest, most influential integrated healthcare delivery systems.
Dr. Penso previously served as chief medical and quality officer for AMGA and president of AMGA Foundation. Under his leadership, the impact of AMGA’s quality programs grew to improve care for 26 million patients.

Bruce BroussardBruce Broussard
President & CEO, Humana

Bruce D. Broussard, President and CEO, joined Humana in 2011. Under his leadership, Humana has created an integrated care delivery model centered on improving health outcomes, driving lower costs, enhancing quality, and providing a simple and personalized member experience. With its holistic approach, Humana is dedicated to improving the health of the communities it serves by making it easy for people to achieve their best health.

Megan CallahanMegan Callahan
Vice President of Healthcare, Lyft

Lyft is excited to announce our first Vice President of Healthcare, Megan Callahan. Megan will lead the strategic direction and expansion of Lyft’s healthcare business, spearheading the development of innovative services and technology to better collaborate with our growing base of healthcare partners. Megan brings more than two decades of experience from across the healthcare industry, serving most recently as Chief Strategy Officer at Change Healthcare, and as Senior Vice President of Corporate Strategy & Business Development at McKesson prior to that.

Alex M. Azar Alex M. Azar
HHS Office of the Secretary

Alex M. Azar II was sworn in as the Secretary of Health and Human Services on Jan. 29, 2018. Azar has spent his career working in both the public and private sectors, as an attorney and in senior leadership roles focused on advancing healthcare reform, research and innovation.

From 2001 to 2007, Azar served at the U.S. Department of Health and Human Services – first as its General Counsel (2001–2005) and then as Deputy Secretary. During his time as Deputy Secretary, Azar was involved in improving the department’s operations; advancing its emergency preparedness and response capabilities as well as its global health affairs activities; and helping oversee the rollout of the Medicare Part D prescription drug program.

 

Seema VermaSeema Verma
Administrator, Centers for Medicare and Medicaid Services (CMS)

President Trump nominated Seema Verma to be the Administrator for the Centers for Medicare and Medicaid Services (CMS) on November 29, 2016, and she was confirmed by the United States Senate on March 13, 2017. As Administrator of CMS, she oversees one of the largest federal agencies that administers vital healthcare programs to over 100 million Americans. Before becoming CMS Administrator, she was the President, CEO and founder of SVC, Inc., a national health policy consulting company. For over 20 years, Ms. Verma has worked extensively on a variety of policy and strategic projects involving Medicaid, insurance, and public health, working with Governor's offices, State Medicaid agencies, State Health Departments, State Departments of Insurance, as well as the federal government, private companies and foundations.

 

Featured Speakers

Paul CottonPaul Cotton
Director of Federal Affairs, National Committee for Quality Assurance

Paul Cotton is the National Committee for Quality Assurance Director of Federal Affairs. He works with Congress, the Administration and other stakeholders to improve health care quality. Previously he was a lobbyist for AARP on Medicare, Medicaid, CHIP, health reform, health IT and quality improvement issues. He has also worked at the Center for Medicare & Medicaid Services as Hearings & Policy Presentation Director in the Office of Legislation, and as a journalist for publications including the Journal of the American Medical Association. 

Robert SaundersRobert Saunders
Research Director, Duke-Margolis Center for Health Policy

Dr. Saunders is Research Director, Payment and Delivery Reform at Duke-Margolis.  In this role, he directs a portfolio of payment and delivery reform initiatives, which focus on ACOs, alternative payment models for specialty care, new payment and delivery approaches for serious illness care, and translating evidence to policy-relevant options.
Prior to joining Duke-Margolis, Dr. Saunders was a Senior Director and then Senior Advisor to the President of the National Quality Forum, where he managed a large federally-funded project that provided recommendations on more than 200 quality measures for 20 different federal programs in a period of two months. As Senior Advisor, he directed special projects on topics including data, payment reform, systems engineering, and future of healthcare quality measurement. There, he authored targeted communications to translate the organization’s technical work for a broad audience, including journal perspectives, white papers, and blogs and supported the development of new funding opportunities, including developing relationships with foundations and authoring concept papers and proposals. He was previously Senior Program Officer at the Institute of Medicine and managed health care legislative affairs for Representative Rush D. Holt.

Lucy TheilheimerLucy Theilheimer
Chief Strategy and Impact Officer, Meals on Wheels
Jennifer L. JackmanJennifer L. Jackman
Vice President, Business Development America’s Physician Groups
Doug Holtz Eakin Doug Holtz Eakin
President, American Action Forum

Douglas Holtz-Eakin has a distinguished record as an academic, policy adviser, and strategist. Currently he is the President of the American Action Forum and most recently was a Commissioner on the Congressionally-chartered Financial Crisis Inquiry Commission. He was the 6th Director of the non-partisan Congressional Budget Office (CBO) from 2003 to 2005. Following his tenure at CBO, Dr. Holtz-Eakin was the Director of the Maurice R. Greenberg Center for Geoeconomic Studies and the Paul A. Volcker Chair in International Economics at the Council on Foreign Relations. During 2007 and 2008, he was Director of Domestic and Economic Policy for the John McCain presidential campaign. Dr. Holtz-Eakin serves on the Boards of the Tax Foundation and National Academy of Social Insurance.
 

Ann Mond JohnsonAnn Mond Johnson
CEO, American Telemedicine Association

Ann Mond Johnson joined the American Telemedicine Association (ATA) as CEO in 2018.  Her experience includes launching, building and leading client driven companies that have been innovators in using healthcare technology and data to support consumers using healthcare.

Prior to joining the ATA, Ann served as CEO of Zest Health, a technology-enabled service; as Board Chair and Advisor to ConnectedHealth, a leading provider of private insurance exchanges; and as co-founder and CEO of Subimo, a pioneer in healthcare cost and quality transparency tools for consumers. Ann began her career in healthcare data and information as Senior Vice President at Sachs Group (now part of IBM Watson/Truven Health). She also worked at a multi-hospital system in Minneapolis which is now part of Allina. 

Ann’s ability to inspire and lead diverse teams has helped build both profitable organizations and innovation in the industry. Widely acknowledged as a thought leader, she presents at a range of professional meetings and conferences. She also maintains an active professional network and affiliations, including membership in the Healthcare Executive Leadership Network and Women Business Leaders of US Healthcare. She was inducted in the Chicago Entrepreneurship Hall of Fame in 2016. Ann serves on the board of Pathfinder International, and has served on the board of Round Earth Media, a non-profit organization focused on journalism. 

Jeff Micklos (Moderator)Jeff Micklos (Moderator)
Executive Director, Health Care Transformation Task Force

Jeff Micklos is the Executive Director of the Health Care Transformation Task Force, a group of private sector stakeholders working to accelerate the pace of delivery system transformation. Representing a diverse set of organizations from various industry segments – including providers, health plans, employers, and consumers – Task Force members share a common commitment to transform their respective businesses and clinical models to deliver person-centered high quality care at lower cost through innovation. Task Force members aspire to put 75 percent of their business into value-based arrangements by 2020.


Jeff is the former Executive Vice President, Management, Compliance, & General Counsel of the Federation of American Hospitals, a national trade association representing investor-owned hospitals, and a former Partner in the Health Law Department of the international law firm of Foley & Lardner LLP.  He began his career as a litigator and regulatory counsel for the Health Care Financing Administration, U.S. Department of Health and Human Services, and also served in the Office of General Counsel, Social Security Administration. 
 

Chester A Speed, J.D., LL.M. (Moderator)Chester A Speed, J.D., LL.M. (Moderator)
Chief Policy Officer, AMGA
Griffin MyersGriffin Myers
Chief Medical Officer, Oak Street Health
Dr. Michael LeDr. Michael Le
Co-Founder / Chief Medical Officer Landmark Health, LLC
Cheryl Phillips, M.D.Cheryl Phillips, M.D.
CEO, SNP Alliance
Michael Castellano Michael Castellano
Chief Executive Officer, Esse Health

Mike Castellano is an accomplished Senior Executive, Accountant, and Board Member with more than 10 years of success in the healthcare industry. Leveraging extensive experience in optimizing organizational design, finance, and treasury, Mike is a valuable asset for companies seeking guidance on strategic planning, product development, and market applicability. His broad areas of expertise include healthcare population management, strategy formation and planning, operations, risk management, safety, acquisitions analysis and execution, accounting and financial reporting, human resources, employee benefits, continuous quality improvement, corporate governance, and commercial real estate.
 

Bryan Demarie, M.D.Bryan Demarie, M.D.
Senior Medical Director, USMD Health System and WellMed

Bryan Demarie, M.D., serves as senior medical director of USMD Health System and WellMed. He is also a practicing internal medicine physician with more than 25 years of experience caring for patients.
He is board certified by the American Board of Internal Medicine and is an active member of American College of Physicians, Texas Medical Association, Dallas County Medical Association and American Medical Group Association. Dr. Demarie lives in the Dallas area and enjoys spending free time with family and friends, running, cycling and swimming.

Beth HonanBeth Honan
Healthcare Executive

Beth is currently an independent health care advisor for several organizations, she was most recently the Chief Contracting Officer for Atrius Health, responsible for leading Atrius Health’s overall health plan contracting strategy for nearly two decades including; negotiations, contract performance and relationship management efforts. Additionally, Beth oversaw Atrius Health’s contracting initiatives in support of key hospital and other provider partnerships. This work involved monitoring contract performance and implementing improvement initiatives, developing new approaches to alternative financial arrangements, identifying strategic business opportunities and aligning incentives through innovative contracting models between Atrius Health and its’ key health plan and hospital partners. Beth joined Harvard Vanguard Medical Associates, Atrius Health largest affiliate, in 2000 as Assistant Vice President of Contracting. Prior to joining Harvard Vanguard, Beth served in various leadership roles including Regional Director for Tufts Health Plan – Rhode Island, Director of Contracting at Lowell General Hospital and Executive Director of the Lowell General Physician Hospital Organization. Beth’s responsibilities have included network development, product development, provider contracting, business development, strategic planning, provider relations, and provider operations. Beth received her Bachelor of Science from Connecticut College and her Master’s degree in Health Care Administration from Simmons College.

Paul Dagum, MD, PhDPaul Dagum, MD, PhD
Founder and CEO, Mindstrong Health

Paul Dagum, MD, PhD is founder and CEO of Mindstrong.  He is a computer scientist, physician and entrepreneur and has managed global R&D teams with a track record of creating and launching products in three successful venture-backed companies. He has delivered exceptional results through in-depth understanding of markets, implementation of successful R&D strategies, and development of strong teams. Dr. Dagum developed dynamic Bayesian networks is in use in many modern-day AI applications. He further developed and patented large-scale algorithms for big data science in use by the some of the largest data companies, and created and patented the first ever digital measures of central nervous system function using human-computer interaction patterns. Dr. Dagum led NSF and NIH grants while at Stanford University, published over 75 peer-review articles and book chapters in computer science and medicine, and was awarded over 25 patents. Dr. Dagum received an MSc in theoretical physics, PhD in theoretical computer science both from the University of Toronto and an MD from Stanford University where he also completed several years of residency and a cardiovascular postdoctoral research fellowship.

Jane GilbertJane Gilbert
Director, Retiree Health Care Teachers' Retirement System

Jane Gilbert is the Director of Retiree Health Care for the Teachers’ Retirement System of the State of Kentucky (TRS) and has served TRS retirees since April 2002.  She manages two retiree health plans covering 48,000 retirees.  She also serves as a leader in the areas of health insurance cost containment, project management, risk management and federal health care solutions.

Ms. Gilbert served in management and directorship positions for a Louisville Kentucky law firm and cost containment company, The Rawlings Company, from 1989 through 2002.  Prior to serving at The Rawlings Company, she worked as an accountant for a national CPA firm.  
 

Julia HuJulia Hu
CEO, Lark Health

Julia founded Lark to make healthcare more personal and compassionate through A.I. Lark’s A.I. chronic disease platform helps payors offer 24/7, one-on-one chronic disease prevention and management to all patients. Lark’s A.I. is fully medically reimbursed and has been named  "10 Most Innovative Companies in the World" alongside Uber, Airbnb, and Wechat, ,  "Most Innovative Digital Health Product of the Year" by Forrester Research, and "Top 10 Apps of the Year” out of all 2 million apps by Apple.
 
A serial entrepreneur, Julia was named “Top 10 Women in Tech to Watch”, “30 Under 30” by Inc. Magazine, and "17 Female Healthcare CEOs to Know", Becker's Hospital Review. Prior to Lark, Julia founded two cleantech companies and was an EIR at Stanford’s StartX Incubator. Julia has advised President Obama on innovation, is a faculty member of Singularity University, and on the boards of the Council of Diabetes Prevention and the Silicon Valley Leadership Group.

Susan DentzerSusan Dentzer
Visiting Fellow, Duke-Margolis Center for Health Policy
Jane Galvin Jane Galvin
Managing Director Regulatory Affairs BlueCross BlueShield Association
John DwyerJohn Dwyer
President, Global Alzheimer's Platform Foundation

John R. Dwyer, Jr. is the President of the Global Alzheimer’s Platform Foundation. The GAP Foundation is dedicated to making the clinical trial process for Alzheimer’s therapies substantially more efficient thereby speeding cures to patients afflicted with this insidious disease.
John is a serial healthcare entrepreneur who most recently participated in the acquisition of MeYou Health, upon whose Board he now serves. Prior to GAP, John served as the co-founder and Chairman of Telcare, Inc., a high technology manufacturer of the first wirelessly enabled blood glucose meter designed to empower patients with diabetes to better manage their disease.
Mr. Dwyer first became a CEO at the age of 30. In the following years, he has held “C” level positions in six emerging growth companies in the healthcare industry. His past assignments have included serving as CEO of e-Medex, Inc., which later merged with Active Health Management to become the leading provider of population health management services where he served as the Chief Operating Officer. Active Health as purchased by Aetna in 2005. He was also a co-founder and Chairman of CodeRyte, Inc., a venture-backed seller of medical billing software using natural language processing to generate billing codes. CodeRyte was purchased by 3M in 2012.Mr. Dwyer currently serves on the Boards of Directors of a number of private and notfor-profit organizations. Mr. Dwyer is a graduate of Marquette University and the Cornell Law School.

Dan Mendelson (Moderator)Dan Mendelson (Moderator)
Founder, Avalere Health
Chris Jennings Chris Jennings
Founder, Jennings Policy Strategies Inc
Melissa Smith (Moderator)Melissa Smith (Moderator)
Senior Vice President of Stars & Strategy Gorman Health Group
Patricia Griffey (Moderator)Patricia Griffey (Moderator)
President, National Association of Health Underwriters
Dr. Virginia Brown Dr. Virginia Brown
Affiliate Faculty with the Center for Health Literacy and the Family and Consumer Sciences Evaluator, University of Maryland
Edo Banach Edo Banach
President & CEO, National Hospice and Palliative Care Organization (NHPCO)
Greg JonesGreg Jones
Government Affairs, CVS Health
Jennifer SpearJennifer Spear
Population Health Strategy Lead, Humana

Jennifer Spear is a Population Health Strategy Lead with Humana’s population health team. With a diverse background in business, sales and marketing, Spear is in charge of executing interventions and programs that address food insecurity in Humana’s member population. Spear also leads employee awareness strategies dedicated to raising awareness around the importance of social determinants of health and Healthy Days. Prior to her role working with food insecurity, Spear implemented member call programs that focused on Healthy Days assessments, which is how Humana is tracking progress toward its Bold Goal – that the communities it serves will be 20 percent healthier by 2020.

With the help of community partnerships that span from Feeding America to Meals on Wheels, Humana is changing what it means to be a health insurance company. They are focused on being a health partner for life by looking upstream from the traditional health care system at the root causes of disease.

Jeff MicklosJeff Micklos
Executive Director Healthcare Transformation Taskforce
Sonia MillsomSonia Millsom
Chief Growth Officer, Iora Health

Sonia is the Chief Growth Officer at Iora Health, a VC backed, national value-based risk provider. She leads Iora's annual go to market planning, market expansion, payer contracting, marketing, sales, and patient acquisition to meet annual growth targets. Sonia has a relentless and systematic focus on the voice of the patient to inform growth strategy.

Previously, Sonia held leadership roles at Best Doctors, Health Dialog and UnitedHealthcare where she led teams in marketing, sales, and business development. She has chosen roles that focus on transforming the delivery system for better consumer outcomes. She built and managed new and existing business lines for revenue diversification and growth. 

Her passion for innovation in healthcare started during her time as a Maternal Child Health Peace Corps volunteer in Morocco. She has a Masters in Public Health from Columbia University and a BA from Boston College. She is a mentor with Mentiuum and the Council for Women at Boston College. Sonia serves on the board of Healthsource RI and the Social Enterprise Greenhouse. Sonia resides in Rhode Island with her husband and two teenage daughters.

Adam Finkelstein (Moderator)Adam Finkelstein (Moderator)
Counsel, Manatt, Phelps & Phillips

Adam Finkelstein is counsel with Manatt Health in the Washington, D.C., office.

Prior to joining Manatt, Adam served as a health insurance specialist at the CMS Center for Medicare and Medicaid Innovation. There, he led the Medicare Advantage Value-Based Insurance Design model test, an innovative test of benefit flexibilities for Medicare Advantage and Medicare Part D enrollees. He contributed to the development of other Innovation Center initiatives, such as the Part D Enhanced Medication Therapy Management model test and the Medicare Diabetes Prevention Program expanded model. He also participated in the implementation of the Medicare Access and CHIP Reauthorization Act of 2015 and the development of alternative payment models.

Adam has served as counsel for a national insurer, supporting its Medicaid and CHIP business lines. He held lead legal responsibility for the company’s Medicaid managed care provider relationships, and in that role he built new provider networks, developed strategies for implementing value-based provider contracting and established approaches for managed care contracts with long-term services and supports providers. Adam also advised on the creation of Medicare-Medicaid plans, the submission of proposals to state Medicaid agencies and the implementation of Medicaid-related provisions of the Patient Protection and Affordable Care Act. 

Dr. Mark FendrickDr. Mark Fendrick
Center Director, University of Michigan Center for Value Based Insurance Design

A. Mark Fendrick, M.D. is a Professor of Internal Medicine in the School of Medicine and a Professor of Health Management and Policy in the School of Public Health at the University of Michigan. Dr. Fendrick received a bachelor’s degree in economics and chemistry from the University of Pennsylvania and his medical degree from Harvard Medical School. He completed his residency in internal medicine at the University of Pennsylvania where he was a fellow in the Robert Wood Johnson Foundation Clinical Scholars Program. 


Dr. Fendrick conceptualized and coined the term Value-Based Insurance Design (V-BID) and currently directs the V-BID Center at the University of Michigan [www.vbidcenter.org], the leading advocate for development, implementation, and evaluation of innovative health benefit plans. His research focuses on how clinician payment and consumer engagement initiatives impact access to care, quality of care, and health care costs. Dr. Fendrick has authored over 250 articles and book chapters and has received numerous awards for the creation and implementation of value-based insurance design. His perspective and understanding of clinical and economic issues have fostered collaborations with numerous government agencies, health plans, professional societies, and health care companies. Dr. Fendrick is an elected member of the National Academy of Medicine (formerly IOM), serves on the Medicare Coverage Advisory Committee, and has been invited to present testimony before the U.S. Senate Committee on Health, Education, Labor and Pensions, the U.S. House of Representatives Ways and Means Subcommittee on Health, and the U.S. Senate Committee on Armed Services Subcommittee on Personnel. 


Dr. Fendrick is the co-editor in chief of the American Journal of Managed Care and is an editorial board member for 3 additional peer-reviewed publications. He is also a member of the Institute for Healthcare Policy and Innovation at the University of Michigan, where he remains clinically active in the practice of general internal medicine. 

Heather HodgeHeather Hodge
Senior Director for Evidence-based Health Interventions, YMCA of the USA

Heather Hodge is the Senior Director for Evidence-based Health Interventions at YMCA of the USA (Y-USA). In this role, Heather provides leadership and direction for the Y’s national infrastructure to support the scaling, dissemination, and oversight of a portfolio of evidence-based health interventions. Heather has led projects demonstrating cost savings and improved health resulting in reimbursement for Y program delivery with strict fidelity to program evidence and outcomes. Through public/private partnerships, Y-USA and local Ys are discovering, developing, and scaling proven programs like the YMCA’s Diabetes Prevention Program, Blood Pressure Self-Monitoring, and Enhance®Fitness to improve the nation’s health and well-being. 

Heather’s Y career has spanned more than 18 years. She led efforts to build YMCA capacity to strengthen their support of individuals and families who struggle to adopt and maintain healthy lifestyles, and Heather spent several years working on national grants from the Corporation for National and Community Service and the Pew Charitable Trusts on service-learning and civic engagement for teen-based programming.  

Heather received a BA from Butler University and a Master’s of Education from DePaul University. In her free time, she loves to travel, and enjoys watching college basketball.  She lives in Chicago and cherishes time spent with her family and friends.

Leila Nowroozi (Moderator)Leila Nowroozi (Moderator)
Alliance Development, Government Affairs office, CVS Health/Aetna

Leila Nowroozi leads National Partnerships within the Business Strategy and Consumer Experience group at Aetna.  Her expertise includes health policy with a focus on social determinants of health. Leila identifies and forges partnerships with community based organizations to address social and behavioral care gaps in the healthcare system in order to improve member health and quality of life.  Areas of focus for partnerships include addressing food, transportation, housing, social isolation and education needs in communities across the United States.  The programs are designed to drive patient-centered care that reflects the patient’s definition of value, and promotes the use of technology to inform health and wellness choices at the individual level.  In collaboration with Aetna business lines and functional leaders, she creates a targeted enterprise strategy and forges unique national alliances that will also promote Aetna’s thought leadership by sharing program data and results for internal and external audiences. Her work enhances Aetna’s national reputation in promoting member health and ensuring Aetna as a partner of choice through strategic, scalable, and sustained investments and partnerships.  National Partnerships serves as a centralized coordination point for all large scale relationships and coordinates with CVS Health to ensure a seamless market presence. Examples of partnerships include Meals on Wheels, YMCA, Area Agencies on Aging. Prior to joining Aetna, Leila was the Chief Marketing Officer of Avalere Health.  She worked for a number of years in the pharmaceutical industry launching pharmaceutical products with J&J and Pfizer.  Leila has her MBA from Duke’s Fuqua School of Business and her MPH in Epidemiology and Biostatistics from the University of South Carolina School of Public Health.master’s degree in public policy, and the University of Pennsylvania.
 

Kari Holloway Kari Holloway
Vice President, CVS Health
Clive Fields M.D.Clive Fields M.D.
President, Village Family Practice & Co-Founder and Chief Medical Officer, VillageMD
Mark FoulkeMark Foulke
Executive Vice President, Transformational Value-Based Care, Privia Health
Matt Salo (Moderator) Matt Salo (Moderator)
Executive Director, National Association of Medicaid Directors
Nicole Fallon Nicole Fallon
Director of the LeadingAge Center for Managed Care Solutions and Innovations, Leading Age
Michael Adelberg (Moderator)Michael Adelberg (Moderator)
Principal, Lead Healthcare Strategy Practice, Faegre Baker Daniels Consulting
Andrew Sperling (Moderator) Andrew Sperling (Moderator)
Director of Federal Legislative Advocacy, National Alliance on Mental Illness
Jon BlumJon Blum
Managing Principal, Health Management Associates

Jonathan (Jon) Blum has more than 20 years of senior-level experience working in public and private healthcare financing organizations, including the Centers for Medicare and Medicaid Services (CMS).

From 2009-2014, Jon had direct responsibility for administration of the Medicare program, leading the development and implementation of many of the cost-reduction and delivery system improvements that remain in place today and have been adopted by an array of public and private healthcare organizations. These reforms include fundamental changes to the Medicare Advantage program that accelerated its rapid growth, the Accountable Care Organization (ACO) program, bundled-payment initiatives, value-based purchasing, new competitive bid pricing systems, and improvements to the Medicare Part D prescription drug program.

Under Jon’s leadership, the Medicare program experienced its lowest sustained period of overall spending and premium growth. He also directed the release of unprecedented levels of Medicare data to make the program more transparent and accountable to the public.

Most recently, Jon was an executive vice president at CareFirst BlueCross BlueShield, overseeing its medical policies, pharmacy benefit, provider networks, and care coordination programs. Earlier in his career, he was a Congressional healthcare staffer to the Senate Finance Committee, a Medicare budget analyst at the White House Office of Management and Budget, and an executive at Avalere Health.

Jon is active on many non-profit boards and health policy advisory councils. He is a graduate of the John F. Kennedy School of Government at Harvard University, where he earned a master’s degree in public policy, and the University of Pennsylvania.

James Ricciuti (Moderator) James Ricciuti (Moderator)
Founder, JR Policy & Business Strategies
Dr. Trent HaywoodDr. Trent Haywood
Senior Vice President, Office of Clinical Affairs and Chief Medical Officer, Blue Cross Blue Shield (BCBS) Association
Andrew MacPherson (Moderator) Andrew MacPherson (Moderator)
Principal, Public Sector Healthcare Roundtable
Rafael SciulloRafael Sciullo
President and CEO, Empath Health
Lisa HunterLisa Hunter
Director of Government Affairs and Alliance Engagement, Better Medicare Alliance

Having spent over a decade working on health policy and political strategy in both the public and private sectors, Lisa Hunter joins Better Medicare Alliance as the Director of Government Affairs. Hunter combines her Medicare policy expertise, consulting background, and public service experience to drive legislative and regulatory strategy, as well as lead Better Medicare Alliance’s recruitment and engagement efforts with Ally organizations.

Prior to joining Better Medicare Alliance, Hunter was a Director with Avalere Health where she played a critical role establishing the firm’s Health Plans & Managed Care Practice that provided clients with strategic advisory services and analyses on the impact of the Affordable Care Act and helping clients anticipate and operationalize regulatory changes around quality, risk, and innovation under Medicare. Before joining Avalere, Hunter served as a political appointee at the U.S. Department of Health & Human Services where she contributed to the implementation of the Affordable Care Act within the Office of the Assistant Secretary for Legislation and under the Immediate Office of Secretary Kathleen Sebelius. Hunter is also a former Capitol Hill staffer who worked for Rep. Judy Chu (D-CA).

From 2007-2008, Hunter served in the U.S. Peace Corps in Guyana. Hunter holds a Master of Public Policy degree from Georgetown University, and a BA in Anthropology from Vassar College.

Tom RileyTom Riley
President & CEO, Seniorlink
Dr. Gaurov DayalDr. Gaurov Dayal
New Markets and Chief Growth Officer, ChenMed
Christie Teigland, PhDChristie Teigland, PhD
Avalere
Angela SellsAngela Sells
Senior Vice President, AseraCare

Angie Sells, RN is the Senior Vice President of Clinical Operations for AseraCare Hospice and Palliative Care, leading 50 hospice teams in 18 states in providing exceptional life-limiting, person-centered care. Angie believes that each death is a sacred moment and that hospice provides the opportunity for each person and their family to live each remaining moment to the fullest. Angie has spent over 30 years in nursing, with 19 of those years in hospice and palliative care, both pediatric and adult. Her passion for hospice care was generated by a missionary nursing experience in Ghana and her own mother’s death experience. Angie has held several certifications throughout her nursing career including Certified Hospice and Palliative Care Nurse. Angie serves on Boards for NHPCO and NAHC and is active in AAHPM, CAPC and HPNA. Angie graduated from Methodist Hospital School of Nursing and is pursuing her Master of Nursing degree at Sacred Heart University with an expected graduation in 2020.

Caroline KhalilCaroline Khalil
Tivity Health
Elena RiosElena Rios
President and CEO, National Hispanic Medical Association

Dr. Rios serves as President & CEO of the National Hispanic Medical Association, (NHMA), representing 50,000 Hispanic physicians in the United States. The mission of the organization is to improve the health of Hispanics.  Dr. Rios also serves as President of NHMA’s National Hispanic Health Foundation affiliated with the Robert F. Wagner Graduate School of Public Service, New York University, to direct educational and research activities.
Dr. Rios also serves on the Campaign Against Obesity, Care First Blue Cross Blue Shield, Better Medicare Alliance and the National Hispanic Leadership Agenda Boards of Directors, Centene Health Policy Advisory Committee, Cancer Treatment Centers for America Hispanic Advisory Council, Office of Research on Women’s Health Advisory Committee, NIH, US Department of Health and Human Services, and Public Health Institute Health Alliance.  Dr. Rios has lectured,  published articles and has received several leadership awards, including awards from the U.S. Department of Health and Human Services, the Congressional Black, Hispanic, Asian and Native American Caucuses, American Public Health Association Latino Caucus, Association of Hispanic Health Executives, Minority Health Month, Inc., Hispanic Magazine, Verizon’s First Pollin Community Service Award, and Amerigroup.  Dr. Rios was appointed to the Minority Alumni Hall of Fame of Stanford University in October, 2006, as a Fellow of the New York Academy of Medicine in 2007, the Institute of Medicine Global Forum for Health Professions Education in 2014, as a Fellow of the American College of Physicians in 2016, and as a member of the Society of Medical Administrators in 2017.
Prior to her current positions, Dr. Rios served as the Advisor for Regional and Minority Women’s Health for the U.S. Department of Health and Human Services Office on Women’s Health from November 1994 to October 1998. In 1998-2004, Dr. Rios served as Executive Director, Hispanic Serving Health Professions Schools. In 1993, Dr. Rios was appointed to the National Health Care Reform Task Force as Coordinator of Outreach Groups for the White House. From 1992-94, Dr. Rios worked for the State of California Office of Statewide Health Planning and Development as a policy researcher. 
Dr. Rios has also served as President, Chicano/Latino Medical Association of California, Founder of the National Network of Latin American Medical Students, member of the California Department of Health Services Cultural Competency Task Force, the Stanford Alumni Association, Women’s Policy Inc., Commission to End Healthcare Disparities, Nurse Family Partnerships, and Partnership for Prevention Boards of Directors, PacifiCare-UnitedHealthcare California Investment Committee, ASU Health Futures Council and the AMA’s Disparities Commission and Minority Affairs Consortium Steering Committees.
Dr. Rios earned her BA in Human Biology/Public Administration at Stanford University in 1977, MSPH at the UCLA School of Public Health in 1980, MD at the UCLA School of Medicine in 1987, and completed her Internal Medicine residency at the Santa Clara Valley Medical Center in San Jose and the White Memorial Medical Center in East Los Angeles in 1990, and her NRSA Primary Care Research Fellowship at UCLA Division of General Internal Medicine in 1992.
 

Narda IpakchiNarda Ipakchi
Health Management Associates

A results-oriented health policy analyst, Narda Ipakchi is passionate about helping stakeholders turn policy into practice.


She joins HMA after serving as the senior director of managed markets at American Health Care Association/National Center for Assisted Living (AHCA/NCAL), a non-profit federation of affiliate state health associations, together representing nursing facility and subacute care providers. While there, she led the federal advocacy and technical analysis efforts for Medicare Advantage and Medicaid Managed Care.


She previously served as a senior analyst with Manatt Health, where she provided policy research and analysis, project implementation support and other business services to a wide array of healthcare clients, including providers, insurers and health plans, pharmaceutical companies, foundations and vendors. Her areas of focus included pharmaceutical policy and reimbursement issues and provider delivery system reform, including managed care.


Her experience in the data analytics division of Avalere Health included conducting quantitative analyses for pharmaceutical manufacturers regarding changes in drug coverage and assessing the financial impact of healthcare legislation on key stakeholders. She played an integral part in creating the business development strategy for the firm's Medicare Part D business line and kept clients informed about pertinent Medicare policy developments that would likely impact their businesses.  
She earned her Master of Business Administration and bachelor’s degrees from the University of Maryland, College Park.

Gary PuckreinGary Puckrein
President & CEO, National Minority Quality Forum
Dora Hughes, MD, MPHDora Hughes, MD, MPH
Associate Research Professor of Health Policy & Management at the Milken Institute School of Public Health at The George Washington University

Dora Hughes, MD, MPH, is Associate Research Professor of Health Policy & Management at the Milken Institute School of Public Health at The George Washington University, where her work focuses on the intersection of clinical and community health, social determinants of health, health equity, healthcare quality and workforce. Previously, Dr. Hughes was a Senior Policy Advisor at Sidley Austin, where she advised on regulatory and legislative matters in the life science industry. Prior to that, she served for nearly four years in the Obama Administration as Counselor for Science & Public Health to Secretary Kathleen Sebelius at HHS. Her areas of responsibility included implementation of the ACA, as well as signature legislation for tobacco, Alzheimer’s and FDA reform. She served in leadership roles for several White House initiatives, including the Childhood Obesity Task Force, President’s Food Safety Working Group, Committee on STEM Education and Let’s Move. Dr. Hughes began her career in health policy as Senior Program Officer at the Commonwealth Fund, and subsequently as Deputy Director for the HELP Committee under Senator Edward M. Kennedy. She then served as the Health Policy Advisor to former Senator Barack Obama. Dr. Hughes received a BS from Washington University, MD from Vanderbilt and MPH from Harvard. She completed internal medicine residency at Brigham & Women’s Hospital.

Erik KomendantErik Komendant
Vice President, Federal Affairs, Association for Accessible Medicines (AAM)

As an experienced public affairs professional for multiple health care sectors, Erik Komendant is a tested leader and manager of diverse teams with a nearly fifteen-year track record of influencing public policy through the development and execution of successful advocacy campaigns. Currently the Vice President of Federal Affairs at the Association for Accessible Medicines, Erik is the senior strategist and lobbyist for the national trade association representing the generic pharmaceutical industry. He is the point person for the industry with Congressional Democrats, including House and Senate leadership and the principle health care committees in Congress. As part of his duties, Erik is responsible for shaping the industry’s advocacy agenda and messaging. Prior to this role, Erik served as a member of the senior management team, both as head of Federal Affairs and Public Affairs, at America’s Health Insurance Plans (AHIP), the national trade association representing the health insurance industry. For over five and a half years, he led efforts to effectively position the industry during the implementation of the Affordable Care Act (ACA). Erik successfully increased the impact of AHIP’s federal affairs and public affairs teams with 34 individuals responsible for the association’s strategic priorities, lobbying agenda, media relations, Wall Street outreach, coalition building, digital strategy, and grassroots campaigns. In these roles, he was responsible for overseeing budgets of approximately $2 million in federal affairs and close to $10 million in public affairs. Erik was a driving force behind the industry’s major legislative wins over the past five years. Recognized as a “Top Association Lobbyist” in 2015 by The Hill, he advanced the industry’s priorities through passage of several laws to fix the ACA, including the PACE Act and a one-year suspension of the health insurance tax (HIT) which saved consumers more than $12 billion. Erik also played a pivotal role in building bipartisan support for the Medicare Advantage program, which culminated in more than 400 Members of Congress weighing in to protect and strengthen the program in 2016. Prior to AHIP, Erik worked on Capitol Hill for more than seven years, including as Policy Director for the Blue Dog Coalition, a group of 54 moderate members of the U.S. House of Representatives. As Policy Director, he helped to build consensus among Coalition members, establish public policy positions, and represent the Coalition with Congressional leadership and the White House. Erik oversaw major changes to health care (ACA), financial services (Dodd- Frank), budget and appropriations (ARRA), and tax policy as part of his role spearheading the Coalition’s engagement on these priorities. Erik is a graduate of the McDonough School of Business at Georgetown University (2014) and the University of Pennsylvania (2001). Raised in the Bay Area, California, he currently resides in Washington, D.C. and is a proud father of a charming four-year-old girl.

Michael AndersonMichael Anderson
Chief Executive Officer of Part D, UnitedHealthcare Medicare & Retirement


Mike Anderson serves as Chief Executive Officer of Part D for UnitedHealthcare Medicare & Retirement.  In this role, Mike has overall responsibility for pharmacy programs within Medicare & Retirement, including Part D product strategy across PDP, MAPD and Employer Group.  

Mike is a pharmacist by training who has specialized in the care of older adults throughout his career, including work within the Veterans Health Administration and PBM industry.  

Mike joined UnitedHealth Group in 2002 and helped lead the successful launch of Medicare Part D in 2006.  Prior to his current role, he was Chief Pharmacy Officer for UnitedHealthcare Medicare products.  Mike is passionate about advancing safe, appropriate, and affordable medication use among older Americans, and he is committed to ensuring a sustainable Part D benefit that is grounded in the Triple Aim framework.

Mike is a veteran who served on active duty in the U.S. Air Force from 1988-1992, during Operation Desert Storm.  Mike was appointed by the Secretary of Defense to chair the Uniform Beneficiary Advisory Panel, where he advised the Defense Health Agency on TRICARE pharmacy benefits.  Mike currently serves on the Board of the Pharmacy Quality Alliance (PQA).

Dr Jonathan Bloom, MDDr Jonathan Bloom, MD
CEO and Co-Founder, Podimetrics

Dr. Jon Bloom is a board-certified physician and entrepreneur with over 15 years of experience in technology development, patient monitoring, biomedical research, and health care delivery.  He is the chief executive officer of Podimetrics, a care management company with the leading solution to help prevent diabetic foot ulcers, one of the most debilitating and costly complications of diabetes. 

Dr. Bloom co-founded Podimetrics in 2011 while a student at the MIT Sloan School of Management. Podimetrics combines an FDA-cleared SmartMat™ with wraparound care management to spot signs of ulcers, on average, five weeks before they usually would present clinically. By combining cutting-edge technology with best-in-class care management, Podimetrics earns high engagement rates from patients and achieves unparalleled outcomes saving limbs, lives, and money.

Dr. Bloom served as a Clinical Assistant Professor and staff anesthesiologist at the University of Pittsburgh Medical Center. He also served as the Director of Global Medical Affairs for Covidien's Respiratory and Monitoring Solutions division in Boulder, Colorado. Dr. Bloom is a diplomate of the American Board of Anesthesiology, completing residency at the Massachusetts General Hospital. He has co-authored more than 20 peer-reviewed publications with a primary focus on health care economics and perioperative complications. Prior to his career in medicine Dr. Bloom studied cytochrome P450 drug metabolism at The Scripps Research Institute.


 

Arvin RajandArvin Rajand
CEO & Co-Founder, Cricket Health

Arvind Rajan is the co-founder and CEO of Cricket Health, a technology-enabled specialty care provider for patients with chronic kidney disease (CKD) and end-stage renal disease (ESRD). Prior to starting Cricket, Arvind served on the executive leadership team at LinkedIn, where he led the company's growth into new markets around the world, and helped the business scale from $30M to over $2B in revenue in six years. Prior to joining LinkedIn, Arvind co-founded and led Grassroots Enterprise, which built online grassroots marketing and influencer programs for Fortune 500 companies, national non-profit organizations, and issue campaigns. Grassroots pioneered the use of podcasting and social media in the political world, and was responsible for orchestrating some of the most  influential online campaigns in North American history. Arvind began his career with the Boston Consulting Group, and has also held  leadership roles in technology companies across a wide range of industries.  
 

Bryce WilliamsBryce Williams
CEO, HealthMine Inc

Mr. Williams has been the President and CEO of HealthMine since 2014. Prior to HealthMine, he was the co-founder, President and CEO of Extend Health – the nation’s first and largest Medicare plan exchange utilized by the Fortune 500 and large public sector retiree groups to deliver the same or better retiree health coverage at an average of 28% less cost. Extend Health was acquired by Towers Watson in 2012 and became TW’s fourth business unit (Exchange Solutions). Mr. Williams led the Exchange Solutions business unit for Towers Watson from 2012 to 2014. Prior to Extend Health, Mr. Williams was the SVP of Marketing and Business Development at eHealth, Inc. (Nasdaq: EHTH). Prior to eHealth, Mr. Williams was VP and General Counsel of Advance Paradigm in Irving, Texas. He began his career as a corporate transactions attorney at Jones Day in Dallas, Texas. He is a graduate of Baylor University and the National Law Center at George Washington University. He and his wife Leigh reside in Dallas, Texas.

Oliver KimOliver Kim
Mousetrap, Consultant for the Asian & Pacific Islander American Health Forum

Oliver Kim has over fifteen years of legislative and policy experience at the state and federal level. He has a decade of experience on Capitol Hill, serving for eight years as a Senior Advisor to Senator Debbie Stabenow (D-MI) and then as Deputy Director for the Special Committee on Aging under Chairman Bill Nelson (D-FL). Over the course of his tenure in the Senate, he has worked on key issues such as Medicare, Medicaid, prescription drugs, health information technology, nutrition, and social services.

Additionally, Oliver served as Legislative Director for Planned Parenthood Federation of America. As the co-director of the federation’s government relations team, Oliver oversaw congressional relations for the organization and its affiliates across the nation during one of the most critical times in the organization’s history.

He was selected for the Woodrow Wilson foreign policy fellowship, the AcademyHealth Health Policy in Action award, and the American Council of Young Political Leaders’ exchange program. He is a collaborating researcher with the Center for Healthcare Research and Transformation at the University of Michigan and an adjunct professor with the University of Pittsburgh’s Washington, DC program.

He serves on the boards of the Asian Pacific Island

Lee GoldbergLee Goldberg
Health Policy Specialist, AFL-CIO

Lee Goldberg is a health policy analyst for the AFL-CIO with extensive experience working on health and aging issues. Prior to his work for the AFL-CIO, he served as a Project Director for The Pew Charitable Trust where he led a multi-million advocacy project that advanced federal policies designed to help people with serious illness receive high-quality care, successfully advocated for the Administration to allow Medicare reimbursement of physicians for advanced care planning, and provided technical and strategic advice to crafting bipartisan, bicameral legislation to improve end-of-life care. He also served as Director of Long-Term Care Policy for the Service Employees Union International, where he worked with members of Congress and state policymakers to expand the availability of Medicaid home- and community-based services. He is a graduate of University of California, Davis and received a law degree from The George Washington University.  

Debra BarrettDebra Barrett
Executive Director, Coalition for Affordable Prescription Drugs

Debra Barrett is the Executive Director of the Coalition for Affordable Prescription Drugs (CAPD). As Executive Director, Barrett leads a diverse group of employers, unions, public sector employees and retirees who partner with pharmacy benefit managers (or PBMs) to provide more affordable prescription drug coverage for millions of Americans.

Prior to leading CAPD, Barrett worked for over a decade at Teva Pharmaceuticals, the world’s largest generic drug manufacturer, as the global head of government affairs and public policy. At Teva and in her previous role at the generic drug industry trade association, she was a key advocate for policies that promote access to medicine – from the Medicare prescription drug benefit to the creation of a biosimilar approval pathway.

Barrett previously held roles at The Washington Group, a bipartisan advocacy firm focused on health care issues, and spent six years on Capitol Hill working for now Minority Leader Chuck Schumer (D-NY), former Senator Chris Dodd (D-CT) and Senator Patrick Leahy. She has also worked at the Kaiser Family Foundation Commission on Medicaid and the Uninsured, and was an assignment editor and producer at CNN’s Washington bureau. Barrett holds a Master in Public Policy at the John F. Kennedy School of Government at Harvard University.

Marisa Scala-FoleyMarisa Scala-Foley
Director, Aging and Disability Business Institute, National Association of Area Agencies on Aging
Autumn CampbellAutumn Campbell
Director, Public Policy and Advocacy, National Association of Area Agencies on Aging (n4a)

Autumn Campbell is the Senior Director, Public Policy and Advocacy at n4a. In this role, Autumn leads many and supports all of the association’s public policy and advocacy efforts. Autumn brings a broad portfolio of experience to the position and has worked for nearly 15 years for DC-based associations and nonprofits.

Most recently, Autumn served as the Director of Community Programs at the National Association of Regional Councils (NARC). At NARC, she led the organization’s community and economic development program, managing priorities for NARC’s member metropolitan and rural planning organizations, which include many Area Agencies on Aging. Autumn has experience in transportation, workforce development, rural development, housing, and community and social services policies and federal programs. She has also worked both for Congress and as a reporter for the Capitol Hill–based publication Roll Call, where she gained an extensive understanding of the legislative process.

Matt Kazan, Principal, AvalereMatt Kazan, Principal, Avalere
Principal, Avalere
Nicholas JohnsonNicholas Johnson
Principal & Consulting Actuary, Milliman
Bruce JapsenBruce Japsen
Forbes
Representative Donna E ShalalaRepresentative Donna E Shalala
D-FL 27th District
Adam BoehlerAdam Boehler
Senior Advisor HHS Secretary, Deputy Administrator CMS & Director CMMI
Neal NeubergerNeal Neuberger
Director Health Innovation at Bipartisan Policy Center
Sabra RosenerSabra Rosener
Vice President, Government & External Affairs, UnityPoint Health
Scott CodeScott Code
, Associate Director of LeadingAge Center for Aging Services Technology (CAST)
Don RebhunDon Rebhun
Regional Medical Director, DaVita HealthCare Partners Inc.
Jane ScottJane Scott
Senior Vice President, Population Health Management & Clinical Innovations, Gorman Health Group
Amal AgarwalAmal Agarwal
VP Medicare Trend and Innovation, Humana
Ikenna OkezieIkenna Okezie
CEO, Somatus
Richard KnightRichard Knight
President, American Association of Kidney Patients
Rich BringewattRich Bringewatt
President and CEO, National Health Policy Group (NHPG)
Jon RotherJon Rother
President and CEO, National Coalition on Health Care
Soumi SahaSoumi Saha
Senior Director of Advocacy, Premier Inc
Robin GorackeRobin Goracke
Chief of Staff, Better Medicare Alliance
Tim BrousseauTim Brousseau
VP Client Services, Deft Research
Steve SlatonSteve Slaton
Director of Product Management, Council for Affordable Quality Healthcare
Ellinor HillerEllinor Hiller
Partner in the Health Care Group, Alston and Bird
James MichelJames Michel
Director of Policy & Research, Better Medicare Alliance
Gia LeeGia Lee
General Counsel, Clover Health
Ann KempskiAnn Kempski
Senior Advisor, National Coalition on Health Care
Anne TumlinsonAnne Tumlinson
Anne Tumlinson Innovations
Dan SavittDan Savitt
EVP & Chief Financial Officer, Visiting Nurse Service of New York
Phil BongiornoPhil Bongiorno
Executive Director at Home Care Association of America
Pamme TaylorPamme Taylor
Senior Vice President, Social Innovation, Solera Health
Aisha PittmanAisha Pittman
Senior Director, Payment and Quality Policy with Premier
Danielle TurnipseedDanielle Turnipseed
Vice President Government Affairs and Policy, Solera Health