Medicaid Innovations Forum
2018 SPEAKERS
ADVISORY BOARD MEMBERS
Medicaid Health Plans
Government Organizations
Health Care Providers
Industry Experts
ADVISORY BOARD MEMBERS BIOGRAPHIES
Medicaid Innovations Forum
Bill Clark
Managed Care Compliance Director
Department of Vermont Health Access

Bill Clark is the Managed Care Compliance Director at the Department of Vermont Health Access (DVHA, the department responsible for Vermont's publicly administered health insurance programs). Mr. Clark is responsible for maintaining the department’s compliance with federal and state managed care regulations and policies and he coordinates all programmatic audits and compliance corrective action plans. He also provides leadership and supervision to the Provider and Member Relations Unit which is responsible for managing DVHA's provider network and enrollment processes, member support and the Non-Emergency Medical Transportation benefit.

Prior to working in Compliance and Provider and Member Relations, Mr. Clark was a Financial Director at DVHA where he managed audits, accounting practices, grants/contracts and other fiscal management duties. Before entering the Medicaid world, Mr. Clark served in various roles within the Vermont Department of Health, including: terrorism preparedness, death investigation and emergency medical services.

Medicaid Innovations Forum
Clay Farris
Director of Operations
Mostly Medicaid

Clay has advised CMS administrators, state Medicaid Directors and a wide range of other clients in the healthcare industry. His unique blend of management consulting, project management, policy making and analytics help deliver on-time, actionable results for a wide array of business challenges.

His experience includes policy making at both the federal and state levels, management consulting for large organizational change initiatives, big data solution sales and implementation and cutting-edge analytics. He currently serves as the Director of Operations for Mostly Medicaid, where he leads key project components related to consultation design, Medicaid subject matter expertise and project management. He has a masters in Health Policy from the Johns Hopkins Bloomberg of School of Public Health and is also a Certified Internal Auditor.

Medicaid Innovations Forum
Jim Milanowski
President and CEO
Genesee Health Plan
Jim Milanowski has over 22 years experience in the management of mental health, substance abuse, behavioral health managed care and medical care coverage programs. Mr. Milanowski currently serves as the President and Chief Executive Officer of the Genesee Health Plan (GHP), administering a community based indigent health care plan. The health plan has covered over 70,000 Genesee County residents since 2001. Since the start of enrollment into Affordable Care Act in 2013, GHP has conducted outreach and enrollment sessions with over 15,000 Genesee County residents. The health plan received the 2015 Pinnacle Award from the Michigan Association of Health Plans for this effort.

As a strong advocate, his expertise includes working to reduce racial disparities, uncompensated care, and the impact of chronic disease. During his leadership, Genesee Health Plan has received the national quality award from URAC for Best Practices in Patient Empowerment and Protection, the Greater Flint Labor Council's Community Partnership Award and the Robert M. Pestronk Excellence in Public Health Award. He is a founding member of the Health Net Collaborative, and a member of the Greater Flint Health Coalition Access, Dental and Medical Group Visit Committees. He is the Treasurer of the Michigan Association of County Health Plans and is on the Board of Directors for the Genesee Community Health Center.

Mr. Milanowski received his Bachelor of Arts degree in Psychology from Spring Arbor University and his Master's of Science degree in Clinical Psychology from Eastern Michigan University. He is a limited-licensed psychologist in the state of Michigan, and has extensive counseling experience with adult, child, and adolescent populations.

Medicaid Innovations Forum
Beth B. Nelson
Director, Medicaid Programs
Blue Cross Blue Shield of Minnesota
Beth Nelson has over 30 years of experience in program development, implementation and management within the fields of Medicaid managed care, dual eligibles and home and community based service. She is currently the Director of Medicaid Services at Blue Cross Blue Shield of Minnesota and oversees a managed care Medicaid product that serves over 300,000 members.

Medicaid Innovations Forum

Henry W. Osowski
Managing Director
Strategic Health Group LLC

Hank Osowski, a Founding Member of Strategic Health Group, is an experienced health care executive and strategist who has provided leadership to commercial, Medicare and Medicaid health plans for more than 30 years. He currently is the Managing Director of Strategic Health Group, a new boutique strategic and financial advisory firm dedicated to bringing seasoned leadership to enable health care organizations to succeed in a challenging and changing environment. He is an expert in Medicare Advantage and Medicaid long-term care strategies.

Formerly, as Senior Vice President Corporate Development, he was a key member of the senior leadership team that the company from a near death experience to an exceptionally strong financial position. He led SCAN Group's efforts to expand into seven additional California counties. Hank also led SCAN's entry into Arizona and served as the initial President of SCAN Health Plan Arizona and SCAN Long Term Care. The service area expansions represent approximately a quarter of SCAN's membership and added nearly $450 million to SCAN's revenue. He also led the organization's strategic planning efforts and initiated an innovation development regimen to seek improvements in care coordination practices and future care outcome protocols.

Prior to SCAN, Hank served as a Principal in a national health care consulting organization providing a range of strategic, financial and development services for health plans, physician groups and hospitals. He began his California career as a member of the senior management team responsible for the turnaround and financial survival of Blue Cross of California. In this capacity, Hank led the financial turnaround of the Individual and Small Group Division and provided leadership to the organization's strategic planning efforts.

Earlier he served as Vice President International Operations for American Family Life Assurance Corporation where he directed the activities of the company's Canadian and European operations. In this role he directed the development of start-up operations in the United Kingdom, Germany and Italy, as well as the financial turnaround of the company's Canadian operations. Earlier, Hank also served as Director of Insurance Consulting Services for Coopers and Lybrand, a predecessor to PriceWaterhouse Coopers.

Throughout his career, he has been a frequent speaker on critical issues and challenges facing the Medicare and Medicaid programs. In 2011, Hank spoke to the Managed Medicaid Congress about principles for structuring effective long term care programs, to the Medicare Market Innovations conference about opportunities for strengthening a plan's five star quality rating and offered his strategic projections for the future of Medicare. He also spoke to a diverse health care and technology audience at the Healthcare Unbound conference about leveraging the power of technology to improve the quality of health outcomes and care interventions.

Medicaid Innovations Forum
Sheila Wilson, BSN, RN, CCM
Director of Care Management, Medicaid
Priority Health
Sheila is a Registered Nurse with over 31 years' experience in both clinical and managed care environments. She has extensive experience in case management, and is especially knowledgeable about the challenges facing the Medicaid population. Currently Sheila serves as the Director of Care Management for Medicaid at Priority Health, a Michigan based company serving HMO, PPO, Medicare and Medicaid members across the State of Michigan. Her responsibilities include the development, implementation and administration of programs to achieve medical cost goals for the Medicaid Business Unit. She directly oversees case and disease management, as well as medical utilization operations. Sheila and her team recently received two prestigious Pinnacle Awards from the Michigan Association of Health Plans for work done to incorporate children with special health care needs into managed care, and for spearheading a pilot project with the use of a medical mobile application for children with asthma.

Sheila obtained her Bachelor of Science degree in Nursing from Alverno College, and has held her Certification in Case Management (CCM) since 1994. She has completed the first year of a 2 year Executive MBA Program with Grand Valley State University. She currently lives in Grand Rapids, Michigan with her husband Bill and daughter Ashley.
SPEAKER BIOGRAPHIES
Medicaid Innovations Forum

Robin Barclay
Director of Development
Trusted Health Plan

As Director of Development for Trusted Health Plan, Robin Barclay provides visionary leadership to the executive team to assure continued growth in the managed care arena. She is also responsible for developing and implementing innovative programming to enhance the health care outcomes for Trusted members. Barclay continues to create paths to strengthen Trusted's market position. Barclay brings nearly thirty years of executive Medicaid managed care experience to Trusted Health Plan.

Medicaid Innovations Forum

Elizabeth Burtch, LMSW, IMH-E® (III)
Manager of Coordinated Family Support Services
Genesee Health System


Medicaid Innovations Forum
Melanie Cavaliere
Chief of Innovative Care Delivery
Maryland Health Care Commission
Melanie Cavaliere serves as the Chief of Innovative Care Delivery at the Maryland Health Care Commission (MHCC). Melanie has twenty years of professional experience in health care policy and employee benefits consulting. Current projects include aligning practice transformation efforts in Maryland and assisting in the development of a statewide primary care strategy. Melanie previously worked as a Vice President at Discern Consulting in Baltimore, Maryland where she developed and implemented PCMH and ACO incentive plan and reward programs and Value Based Insurance Design (VBID) strategies. Melanie has also held consulting positions at Mercer and Aon. Melanie received a Bachelor of Arts in Psychology and a Master of Science in Industrial and Labor Relations from West Virginia University.

Medicaid Innovations Forum

Bernard “Deck” Decker
Executive Director, Office of Administrative and Technology Services
Kentucky Cabinet for Health and Family Services


Medicaid Innovations Forum

Kerda DeHaan
Management Analyst
DC Department of Health Care Finance

Kerda DeHaan currently serves as the administrator for the DC Department of Health Care Finance’s health home program for individuals with multiple chronic conditions. She has over 15 years of experience in the public health and has transferred her knowledge in maternal and child health, communicable disease surveillance, developmental disabilities, social determinants of health, health disparities, and case management to her role in Medicaid. Other responsibilities include the development, implementation of programs to improve health outcomes for the Medicaid population and assisting in the development of a statewide Medicaid quality improvement strategy. Kerda received a Master of Science in Nutritional Sciences from the University of Kentucky.

Medicaid Innovations Forum

Neng Bing Doh
CEO
HealthCrowd


Medicaid Innovations Forum

Barbara Dusenberry, BSN, RN
Manager of Care Management, Medicaid
Priority Health

Barbara Dusenberry is a Registered Nurse with 30 years’ experience in both clinical and managed care environments. She has extensive experience in care management has worked exclusively with the Medicaid population since 2008 and understands the challenges, including the social determinants of health impacting the Medicaid population.

Currently Barb serves as the Manager of Care Management for Medicaid at Priority Health. Priority Health is a Michigan based Health Plan serving HMO, PPO, Medicare Advantage and Medicaid members across the State of Michigan. Her responsibilities include the development, implementation and administration of programs to improve the member experience of care, improve health outcomes for the Medicaid population and achieve medical cost goals for the Medicaid Business Unit. She directly oversees the care management department. She also has experience working in Critical Care, Post-Acute Recovery Care, and has held leadership roles in Home Health Care and Long Term Acute Care Hospital and Hospital Administration.

Barb obtained her Bachelor of Science degree in Nursing from Ferris State University. Barb lives in Montague, Michigan with her husband David and their 5 children.

Medicaid Innovations Forum
Clay Farris
Director of Operations
Mostly Medicaid

Clay has advised CMS administrators, state Medicaid Directors and a wide range of other clients in the healthcare industry. His unique blend of management consulting, project management, policy making and analytics help deliver on-time, actionable results for a wide array of business challenges.

His experience includes policy making at both the federal and state levels, management consulting for large organizational change initiatives, big data solution sales and implementation and cutting-edge analytics. He currently serves as the Director of Operations for Mostly Medicaid, where he leads key project components related to consultation design, Medicaid subject matter expertise and project management. He has a masters in Health Policy from the Johns Hopkins Bloomberg of School of Public Health and is also a Certified Internal Auditor.

Medicaid Innovations Forum

William E. Golden, M.D.
Professor of Medicine and Public Health, University of Arkansas for Medical Sciences
Medical Director, Arkansas Medicaid

William E. Golden, M.D. is Professor of Medicine and Public Health at the University of Arkansas for Medical Sciences and Medical Director of Arkansas Medicaid where he is the clinical lead for the program’s nationally recognized multipayer payment reform initiative. Previously, he served as the Vice President for Clinical Quality Improvement of the Arkansas QIO and designed numerous statewide quality improvement projects. A past Chair the Board of Regents of the American College of Physicians, Dr. Golden served 4 years on the Board of Directors of the National Quality Forum and is a past President of the American Health Quality Association. He is currently on the Guiding Committee of the CMS Health Care Payment Learning Action Network and co-chair of its Primary Care workgroup. Dr. Golden received an AB from Brown University, an MD from Baylor College of Medicine, and internal medicine training at Rush Medical Center in Chicago.

Medicaid Innovations Forum
Erine Gray
Founder and CEO
Aunt Bertha
Erine is the Founder and CEO of Aunt Bertha, a Public Benefit Corporation based in Austin, TX. The Aunt Bertha Software Platform is the leading Social Services Search and Referrals Platform used by payers, hospital systems, cause organizations, corrections organizations and community colleges. Erine is a 2014 TED Fellow, has an MPA from LBJ School of Public Affairs at the University of Texas ('04), and BA from Indiana University Economics ('00). He lives in Austin, TX.

Medicaid Innovations Forum

Jennifer Harp
Deputy Executive Director, Office of Administrative and Technology Services
Kentucky Cabinet for Health and Family Services


Medicaid Innovations Forum

Lisa Holden
Vice President, Accountable Care
Independent Care Health Plan

Lisa Holden is the Vice President of Accountable Care for Independent Health Care Plan (iCare) located in Milwaukee, Wisconsin. In her role, Holden is responsible for developing and implementing strategies and programs to obtain measured care management performance levels and for the on-going management of the iCare’s member experience within its model of care.

Holden has extensive and varied experience in nonprofit management, government affairs, public policy, coalition building and leadership. Prior to joining iCare in 2014, Holden was the Senior Director of Organizational Development and Education at Visiting Nurse and Hospice Care of Santa Barbara.

Holden's public policy and government affairs experience includes eight years serving as the Executive Director of the Connecticut Coalition Against Domestic Violence (CCADV) and Board Member for the National Network to End Domestic Violence. Under her leadership CCADV became a state and national leader on addressing the needs of domestic violence victims within the criminal justice system.

Holden's nursing leadership career included serving as the Regional Manager for Ambulatory and Community Women’s Health Services for Aurora Health Care in Milwaukee, WI. In that position, Holden led efforts to improve health care services for women and children and foster reform and improvements in government agencies and community organizations to reduce infant mortality. From 1983 to 2000, Holden was extensively involved in both the March of Dimes and the Wisconsin Association of Perinatal Care (WAPC), chairing the joint Public Policy committee.

Medicaid Innovations Forum

Jenny Ismert
Vice President, Health Policy
UnitedHealth Group


Medicaid Innovations Forum

Ernestine Johnson, RN, BSN, MPA
Director of Utilization Management
Trusted Health Plan

As Director of Utilization Management for Trusted Health Plan, Ernestine Johnson is responsible for the day to day management of both utilization review and case management. This involves oversight of both in-patient and out-patient authorizations as well as case management and care coordination of services needed before and after service utilization. Johnson has held leadership positions in acute and long-term care for more than twenty years.

Medicaid Innovations Forum
Leornard J. Kirschner M.D. M.P.H.,
Immediate Past President
AARP Arizona
Dr. Kirschner is Immediate Past President of AARP Arizona. He is a member of the AHA Committee on Research and was a member of the 2010 Long Range Policy Committee. He is on the Board of Directors of Wickenburg Community Hospital. He is a member of the National Advisory Board on Improving Health Care Services for Seniors and People with Disabilities. He is a Trustee of the Arizona Perinatal Trust, a member of the Arizona State Medicaid Advisory Committee, the State Trauma Advisory Board, and Fighter Country Partnership. He was a member of the Harvard School of Public Health Leadership Council, 2003 to 2006, and the 2003 Citizens' Task Force on the Maricopa County Health Care System. He is a past President of the Veterans Medical Leadership Council of the Carl T. Hayden VA Medical Center, and he served on the Board of the AzHHA from 1998 to 2005. He was a member of the AHA Regional Policy Board from 2000-2003 and 2007-2009 and was on the Board of the PMH Health Systems Strategy Group, 1994-2001; Del E. Webb Hospital, 2002-2008; and Sun Health, 2004-2008.

He retired as a Principal with William M. Mercer Inc., a global consulting firm, in 2001. During his tenure with the company, he provided consulting services to such diverse Medicaid programs as TennCare, MediCal and AHCCCS. Dr. Kirschner was Vice President, Health Care Initiatives, State Health Care, EDS, 1993 to 1999. During his 6 years with EDS, he provided consulting services to Medicaid programs across the United States, including business trips to all 50 states. Dr. Kirschner was Director of the Arizona Health Care Cost Containment System (AHCCCS) from February, 1987 until July, 1993. This program provides health care to over 1 million residents of the state. The prepaid model pioneered by Arizona is considered to be the most cost effective means of providing quality health care to Medicaid beneficiaries. During his 6 years as AHCCCS Director, he represented the western states and Pacific territories on the Executive Committee of the State Medicaid Directors Association and chaired the Medicaid Managed Care Technical Advisory Group.

During the past 40 years, he has been an invited speaker at numerous conferences across the country speaking on the subjects of Medicaid, Medicare, managed care, behavioral health and health care reform. He was on the Advisory Committee of the National Managed Health Care Congress, a featured speaker of the Medical Leadership Forum and co-author of "Medicaid Managed Care" in the Managed Health Care Handbook. He was the recipient of the 1994 Arizona Hospital and Healthcare Association's Salisbury Award and the 1997 Arizona Department of Health Services and Arizona Medical Association's Public Health Service Award. In 2006, he was awarded the Healthcare Lifetime Achievement Award by the Phoenix Business Journal and the Individual Leadership Award by WESTMARC. Dr. Kirschner is a graduate of Williams College, Albany Medical College, and the Harvard University School of Public Health. He is board certified by the American Board of Preventive Medicine and is a Fellow of the American College of Preventive Medicine and the Aerospace Medical Association.

Dr. Kirschner served on active duty in the United States Air Force for 22 years commanding five Air Force hospitals before retiring in 1985 as Commanding Officer of the USAF Hospital, Luke Air Force Base with the rank of Colonel. He spent ten years at military medical facilities outside the United States, including assignments in Turkey, Japan, Vietnam, Thailand and Spain, and served four years as Director, Cadet Health Services at the USAF Academy. His military awards include the Legion of Merit, Bronze Star, Air Medal and Vietnam Service.

Medicaid Innovations Forum
Lawrence J. Kissner
Chief Executive Officer
Aetna Better Health
Lawrence was most recently the Commissioner of Medicaid for the Commonwealth of Kentucky and was instrumental in leading the state to a position of national prominence by smoothing out the transition from fee-for- service (FFS) to managed care, expanding Medicaid, and building a fully functional health benefit exchange.

Previously, Mr. Kissner was CEO of Magnolia Health Plan in Mississippi, Vice President of National Accounts and Large employers at Independence Blue Cross, and President and CEO of UnitedHealthcare in Kentucky. He also was selected to participate in UnitedHealth Group’s prestigious Presidents Leadership Development Program where 30 students from throughout the company tackle a difficult assignment from the Board and attend Wharton’s Executive Development Program.
Medicaid Innovations Forum
Steve Konsin, RPh
Principal
Syrtis Solutions
Steve Konsin is responsible for Syrtis Solutions' leadership direction. Before founding Syrtis, Steve, a licensed pharmacist, has held executive leadership positions at several fortune 500 companies and operational management positions in leading retail and mail service pharmacies, pharmacy benefit managers, MMIS and specialty pharmacy organizations.

Steve has spent his career dedicated to the business of pharmacy, which includes expertise in management of operations, information technology, clinical programs, third party liability, sales, reporting, network management, specialty and mail service distribution, formulary design, and rebate management.

Medicaid Innovations Forum

Sarah Matousek
Senior Consultant
Day Health Strategies

Sarah Matousek joined Day Health Strategies (DHS) in late 2014, where she contributes to strategic planning/implementation, change management, health reform, quantitative and qualitative research, operations, and program development.

After spending eight years in academia researching Alzheimer’s disease in Rochester, NY and then at the Brigham and Women’s Hospital in Boston, Sarah studied health policy and management at the Boston University School of Public Health. While there, she collaborated with a team at Harvard Medical School to develop and implement a mobile phone solutions program for surgical patients in rural Haiti. She also bolstered her skills and knowledge in quantitative and qualitative research, operations, strategic management, data analytics, and human resources.

Since joining Day Health Strategies, Sarah helped developed the MOSAIC Maturity ModelTM to evaluate both general and industry-specific organizational capabilities, across public agencies, value-based healthcare systems, and insurance exchanges. Sarah recently aided the submission of a State Innovation Model grant, implemented weekly dashboard reporting for the executive team at a state health insurance exchange, and conducted a detailed analysis and recommendations for an incoming secretary of EOHHS.

Sarah has recently led the planning and implementation effort for a large Model A MassHealth ACO, redesigned care management for a major provider network, and evaluated primary care/behavioral health integration efforts for a public agency in Massachusetts. Other client work includes supporting strategic planning and using a change management framework to help implement a large-scale transformation at a provider organization.

Sarah holds an adjunct faculty position at Boston University’s Metropolitan College teaching Introduction to the US Healthcare System for Health Communicators. She also recently accepted an affiliate faculty position with Atul Gawande’s Ariadne Labs. She holds a PhD in Neurobiology & Anatomy from the University of Rochester and a MPH in Health Policy & Management from Boston University.

Medicaid Innovations Forum
Jordan Mauer
EVP of Marketing & Engagement
NovuHealth
Jordan develops and leads NovuHealth's marketing and brand initiatives, as well as the end-to-end management of member-facing operations. Jordan brings a passion for analytics, loyalty operations and engagement, as well as strategic energy to NovuHealth.

Medicaid Innovations Forum
Jim Milanowski
President and CEO
Genesee Health Plan
Jim Milanowski has over 22 years experience in the management of mental health, substance abuse, behavioral health managed care and medical care coverage programs. Mr. Milanowski currently serves as the President and Chief Executive Officer of the Genesee Health Plan (GHP), administering a community based indigent health care plan. The health plan has covered over 70,000 Genesee County residents since 2001. Since the start of enrollment into Affordable Care Act in 2013, GHP has conducted outreach and enrollment sessions with over 15,000 Genesee County residents. The health plan received the 2015 Pinnacle Award from the Michigan Association of Health Plans for this effort.

As a strong advocate, his expertise includes working to reduce racial disparities, uncompensated care, and the impact of chronic disease. During his leadership, Genesee Health Plan has received the national quality award from URAC for Best Practices in Patient Empowerment and Protection, the Greater Flint Labor Council's Community Partnership Award and the Robert M. Pestronk Excellence in Public Health Award. He is a founding member of the Health Net Collaborative, and a member of the Greater Flint Health Coalition Access, Dental and Medical Group Visit Committees. He is the Treasurer of the Michigan Association of County Health Plans and is on the Board of Directors for the Genesee Community Health Center.

Mr. Milanowski received his Bachelor of Arts degree in Psychology from Spring Arbor University and his Master's of Science degree in Clinical Psychology from Eastern Michigan University. He is a limited-licensed psychologist in the state of Michigan, and has extensive counseling experience with adult, child, and adolescent populations.

Medicaid Innovations Forum
Jeff Myers
President and CEO
Medicaid Health Plans of America
Jeff Myers is the president and CEO at Medicaid Health Plans of America (MHPA), the leading national trade association for Medicaid managed care organizations. Mr. Myers serves as the primary spokesperson for the Medicaid health plan industry before Congress, the executive branch, state governments, and the media. Mr. Myers is responsible for demonstrating the value of Medicaid managed care to these audiences as well as opening new markets for Medicaid health plan business. He also leads advocacy efforts in advancing an aggressive policy agenda on behalf of the industry.

A government affairs veteran, Mr. Myers comes to MHPA from the American Health Care Association (AHCA), where he was senior vice president of policy and government relations. Prior to AHCA he represented pharmaceutical companies like Cephalon, Biogen Idec, Pharmacia, and Hoffman-LaRoche before the legislative and executive branches. His time on Capitol Hill included serving as U.S. Representative Fred Upton’s legislative director and health staff for the Energy and Commerce Health Subcommittee, and working for U.S. Representatives Don Sundquist and Alex McMillan. While at McMillan’s office, Mr. Myers led McMillan’s health staff during the attempt at health reform in 1994. Mr. Myers received his MBA from the Fuqua School of Business at Duke and his bachelor’s degree from Rhodes College in Memphis. He lives in McLean, Virginia with his wife and three children.

Medicaid Innovations Forum

Cynthia Knorr-Mulder MSN, BCNP, NP-C
Administrative Director - Pain and Palliative Medicine
Pain Management Nurse Practitioner
Englewood Hospital & Medical Center


Medicaid Innovations Forum

Elena Nicolella
Executive Director
New England States Consortium Systems Organization


Medicaid Innovations Forum

Henry W. Osowski
Managing Director
Strategic Health Group LLC

Hank Osowski, a Founding Member of Strategic Health Group, is an experienced health care executive and strategist who has provided leadership to commercial, Medicare and Medicaid health plans for more than 30 years. He currently is the Managing Director of Strategic Health Group, a new boutique strategic and financial advisory firm dedicated to bringing seasoned leadership to enable health care organizations to succeed in a challenging and changing environment. He is an expert in Medicare Advantage and Medicaid long-term care strategies.

Formerly, as Senior Vice President Corporate Development, he was a key member of the senior leadership team that the company from a near death experience to an exceptionally strong financial position. He led SCAN Group's efforts to expand into seven additional California counties. Hank also led SCAN's entry into Arizona and served as the initial President of SCAN Health Plan Arizona and SCAN Long Term Care. The service area expansions represent approximately a quarter of SCAN's membership and added nearly $450 million to SCAN's revenue. He also led the organization's strategic planning efforts and initiated an innovation development regimen to seek improvements in care coordination practices and future care outcome protocols.

Prior to SCAN, Hank served as a Principal in a national health care consulting organization providing a range of strategic, financial and development services for health plans, physician groups and hospitals. He began his California career as a member of the senior management team responsible for the turnaround and financial survival of Blue Cross of California. In this capacity, Hank led the financial turnaround of the Individual and Small Group Division and provided leadership to the organization's strategic planning efforts.

Earlier he served as Vice President International Operations for American Family Life Assurance Corporation where he directed the activities of the company's Canadian and European operations. In this role he directed the development of start-up operations in the United Kingdom, Germany and Italy, as well as the financial turnaround of the company's Canadian operations. Earlier, Hank also served as Director of Insurance Consulting Services for Coopers and Lybrand, a predecessor to PriceWaterhouse Coopers.

Throughout his career, he has been a frequent speaker on critical issues and challenges facing the Medicare and Medicaid programs. In 2011, Hank spoke to the Managed Medicaid Congress about principles for structuring effective long term care programs, to the Medicare Market Innovations conference about opportunities for strengthening a plan's five star quality rating and offered his strategic projections for the future of Medicare. He also spoke to a diverse health care and technology audience at the Healthcare Unbound conference about leveraging the power of technology to improve the quality of health outcomes and care interventions.

Medicaid Innovations Forum

Holly Cunningham Piggott
Director GBD Special Programs
Anthem Indiana Medicaid

Holly Cunningham Piggott serves as the Director of Special Programs for Government Business Division at Anthem. Holly joined the Anthem team August 31, 2015 to oversee Hoosier Care Connect, which is Indiana’s risk based managed care for the aged, blind, disabled, foster and wards populations. Holly came to Anthem with 24 years of experience working with individuals with disabilities in many different roles starting from front line staff to executive leadership.

Holly has spent years serving individuals in Home and Community Based Waiver programs as well as supervising intensive care facilities across Indiana. She has partnered with state agencies to provide better care to individuals with disabilities and met with legislators, including advocating for better reimbursement rates during Indiana General Assembly budget sessions. Holly currently is on the Board of Directors for About Special Kids, a statewide parent to parent network that offers support and resources to families with children who have special needs.

Holly received her Bachelor of General Studies: Human Services and Master of Public Management: Health System Utilization from Indiana University.

Medicaid Innovations Forum

Kristi Putnam
Program Manager - Kentucky HEALTH Medicaid Transformation
Kentucky Cabinet for Health and Family Services


Medicaid Innovations Forum

Randy Ricker
Vice President of Managed Long Term Services and Supports
Optima Health

Currently Vice President of Managed Long Term Services and Supports at Optima Health, Randy has been in the health insurance industry since 1981. Randy was the Compliance Officer for Lincoln National’s Employee Benefits division, followed by leading the product development function for United Healthcare’s insurance subsidiary, and then helping to develop United’s Medicare Complete product portfolio.

In 2000, Randy moved to AMERIGROUP to implement product management strategies. Randy was hired by Optima Health in 2004 to lead product management efforts, and led Optima’s entry into the Medicare Advantage program. Randy led Optima’s Medicaid program, serving 178,000 Virginians for 5 years, prior to leading the development and implementation of the MLTSS program.

Randy is married to his former mixed doubles partner. They are enjoying empty nesting, with frequent happy disruptions from their two married adult children, and two granddaughters (pictures available on request). Randy also coaches tennis whenever he can find the time.

Medicaid Innovations Forum
Rob Robidou
Vice President, Operations
Children’s Medical Center Health Plan
Mr. Robidou has over 22 years of Managed Care experience. He is currently the Vice President of Operations for Children’s Medical Center Health Plan (CMCHP) in Dallas which involves working with all areas of operations within CMCHP management including supervision of network development, credentialing, claims, system configuration, member and provider services and network administration. He is involved in the strategic planning, initiatives, and administration of CMCHP in order to ensure compliance with the agreement between CMCHP and the Health and Human Services Commission (HHSC). This also encompasses leading and working with health plan staff in the implementation of programs, chairing committees and serving on projects within all areas of the health plan. He has been part of the establishment of two start up HMO’s, the development of other POS programs, PPO networks and transplant programs in various parts of the United States.
Medicaid Innovations Forum

Danis Russell
Chief Executive Officer
Genesee Health System


Medicaid Innovations Forum

Kirk Smith
President & CEO
Greater Flint Health Coalition


Medicaid Innovations Forum

Mindy Smith, BSPharm, RPh
Vice President, Pharmacy Practice Innovation
PrescribeWellness

Smith joined PrescribeWellness as the Vice President of Pharmacy Practice Innovation in August 2015 where she works to drive the adaption of pharmacist patient care services. PrescribeWellness offers innovative technological solutions designed to make it easier for pharmacists to manage patient care services by improving patient adherence, building customer loyalty and providing extended services via the appointment-based model. PrescribeWellness solutions have been proven to improve a patient’s adherence to their medication and the pharmacy’s ratings in various performance measures.

Prior to joining PrescribeWellness in August 2015, Mindy Smith served as the Executive Director of the American Pharmacists Association Foundation from 2011 to 2015. Smith was appointed as chief executive officer of the Arizona Pharmacy Alliance in 2006 and served in that role for five years. Previous to her service in Arizona, Smith served as the executive director of the Wyoming Pharmacy Association from 2003-2006.

The first seven years of her career, Smith practiced in community pharmacy settings as well as spend six years practicing in health systems where she was awarded the Health-System Clinical Pharmacist of the Year in 2001 for helping establish an anticoagulation patient care service through collaborative practice. She holds two clinical certificates in diabetes and anticoagulation, and was ACLS (Advanced Cardiac Life Support) certified during her tenure at the hospital. She also holds a certificate in Professional Fundraising from Boston University’s Center for Professional Education.

Mindy Smith earned both a Bachelor of Science in Zoology-Physiology from the University of Wyoming in 1995 and a Bachelor of Science in Pharmacy in 1998 from the University of Wyoming School of Pharmacy. Smith serves on the National Alliance of State Pharmacy Associations (NASPA) associate board and the Alliance for Patient Medication Safety. Smith also serves on the board the Alliance for Integrated Medication Management.

Medicaid Innovations Forum
Jill Spencer
Executive Vice President, Business Development and Client Relations
Human Arc
Jill Spencer holds overall responsibility for new business sales, cross-selling, client retention and strategic partnerships for all three major Hospital Business product groups – Eligibility Enrollment Solutionssm, PayerLogicsm Solutions and Disproportionate Share Solutionssm– as well as the company's two main Health Plan Business product groups – PremiumAssistsmDual Eligibility Outreachand Enrollment Services and Best Benefitssm for the Aged, Blind and Disabled. Prior to promotion to this position in 2011, she had responsibilities over the firm's Health Plan Business sales and strategic initiatives. She joined Human Arc in 2001 with responsibility for the firm's Dual Eligibility Services, including P&L functions, internal operations, product development, compliance requirements, sales, new client implementation and ongoing process improvement. In 24 months, Ms. Spencer grew her service line's revenues over threefold.

Prior to joining Human Arc, Ms. Spencer was Vice President, Managed Care, for MemberHealth, a Cleveland, Ohio-based pharmacy benefits management firm. Before that, she served 15 years with Prudential HealthCare in its commercial health plan and Medicare+Choice operations. She holds a BA degree from Miami University (Oxford, OH) and a number of industry designations: Financial Life Management Institute (FLMI) membership, Associate of Customer Service of the Life Office Management Association (LOMA), and Professional, American Academy of Healthcare Management (PAHM). She also holds Ohio insurance agent licensure, has served on advisory boards focused on seniors, and is a recognized speaker around the industry.ncer

Medicaid Innovations Forum

Phil Stalboerger
Vice President, Medical Affairs
MTM, Inc.

Phil Stalboerger is Vice President of Public Affairs at MTM (Medical Transportation Management) and has over 20 years of experience in health care and government relations. Phil began his career in the Minnesota legislature as staff for the Senate Commerce Committee. In 1999 he became the director of legislative affairs for the Department of Commerce. From there, Phil joined Blue Cross Blue Shield of Minnesota and became the Vice President of Legislative and Public Affairs for 12 years. Now as a Vice President at MTM, Mr. Stalboerger's responsibilities include managing public affairs efforts in nearly 30 states and Washington D.C.as MTM continues to grow in contracting with health plans, state governments, and municipalities around the country.

Mr. Stalboerger holds a Bachelor of Arts degree in government and political science from St. John's University in Collegeville, MN and a Master of Arts degree in public administration from Hamline University in St. Paul MN.

Medicaid Innovations Forum

Joseph A. Stankaitis, MD, MPH
Chief Medical Officer
Monroe Plan for Medical Care

Joseph A. Stankaitis, MD, MPH is the Chief Medical Officer of YourCare Health Plan in Western New York and the Monroe Plan for Medical Care, a healthcare management organization in Rochester, New York. He is a Fellow of the American College of Physicians and the American College of Physician Executives and Clinical Associate Professor of Family Medicine at the University of Rochester School of Medicine and Dentistry. He is an active reviewer and past Chair of the Review Oversight Committee for the National Committee for Quality Assurance (NCQA) and is the President of American Diabetes Association (ADA) Rochester Volunteer Leadership Board, currently serving as a member of the ADA's National Professional Practice Committee.

Dr. Stankaitis received a bachelor's degree in biology from Boston College, his MD from the University of Connecticut School of Medicine and completed his residency and chief residency in the Primary Care Program in Internal Medicine at the University of Rochester. As a Kellogg Foundation Fellow at Harvard University, he received a Master's degree in Health Policy and Management.

Medicaid Innovations Forum

Molly Taroli
Project Coordinator, Central Oregon CCO
PacificSource Community Solutions


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Katherine Tavitian
Director of Business Development
Anthem Indiana Medicaid


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Dr. Lauren Tompkins
Vice President, Clinical Operations
Genesee Health System


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Trudy Townsend
Community Health Development Coordinator
PacificSource Community Solutions


Medicaid Innovations Forum

Cindy Wichman, M.S.
HCBS Director
Kansas Department for Aging and Disability Services

Cindy Wichman serves as director for seven 1915(c) Home and Community Based Services (HCBS) waiver programs for Kansans with disabilities. The HCBS waivers run concurrently with the 1115 Medicaid demonstration waiver in Kansas called KanCare. Through KanCare, qualifying HCBS members choose from three managed care plans that are available. The managed care organization then coordinates and authorizes the individualized services available through the applicable HCBS waiver. As of August 2017, just over 24,000 Kansans were eligible and served through one of the seven HCBS programs in conjunction with KanCare. Cindy has a 25-year career in long-term services and supports including 15 years working with the I/DD system. She has additional work experience in acute care settings, continuing care retirement communities, skilled nursing facilities, home health and hospice services. Cindy holds a Bachelor's degree in Communication Arts and a Master of Science in Nonprofit Leadership and Management.

Medicaid Innovations Forum

Karyn Wills, MD, CHIE
Chief Medical Officer
Trusted Health Plan


Medicaid Innovations Forum
Sheila Wilson, BSN, RN, CCM
Director of Care Management, Medicaid
Priority Health
Sheila is a Registered Nurse with over 31 years' experience in both clinical and managed care environments. She has extensive experience in case management, and is especially knowledgeable about the challenges facing the Medicaid population. Currently Sheila serves as the Director of Care Management for Medicaid at Priority Health, a Michigan based company serving HMO, PPO, Medicare and Medicaid members across the State of Michigan. Her responsibilities include the development, implementation and administration of programs to achieve medical cost goals for the Medicaid Business Unit. She directly oversees case and disease management, as well as medical utilization operations. Sheila and her team recently received two prestigious Pinnacle Awards from the Michigan Association of Health Plans for work done to incorporate children with special health care needs into managed care, and for spearheading a pilot project with the use of a medical mobile application for children with asthma.

Sheila obtained her Bachelor of Science degree in Nursing from Alverno College, and has held her Certification in Case Management (CCM) since 1994. She has completed the first year of a 2 year Executive MBA Program with Grand Valley State University. She currently lives in Grand Rapids, Michigan with her husband Bill and daughter Ashley.
Medicaid Innovations Forum

Karin Van Zant
Executive Director, Life Services
CareSource

Karin VanZant is the VP/Executive Director, Life Services at CareSource. She has been charged with building a new division of CareSource that will transition current Medicaid members off of government subsidies into a high quality life. Life Services will accomplish this goal through assisting members to build a solid structure of economic and social supports that when coupled with the health supports currently in place will give members a new path for their future.

Prior to joining CareSource, Karin VanZant was the co-founder and Executive Director of Think Tank, Inc. For ten years as this organization’s leader, Karin assisted the team to live out the mission of equipping and facilitating collaboration among people and organizations seeking ways to promote greater connectedness and a more thriving community.

Prior to starting Think Tank, Karin VanZant has served in various Leadership capacities in the nonprofit sector through the Community Action Network – at the local level and as a member of the Ohio Association of Community Action Agencies. This has included working with diverse teams to develop and implement strategies and approaches aimed at fostering economic opportunity and personal and community leadership potential present among under-resourced neighborhoods and groups.

Karin VanZant has a MPA in Public Administration (2008) and a BA in Social Work (1998) from Wright State University. Karin is certified in various curriculums including Bridges Out of Poverty, Family Development & WIA Case Management. She has helped author presentations and curriculum for use within nonprofit, business and faith based organizations seeking to become relevant and holistic in theirapproach to poverty alleviation. Karin also teaches at Antioch Midwest University and Wright StateUniversity on a variety of subjects including US Hunger and Poverty, Introduction to Human Services,Grant Writing, Leading Change, Coaching as Management, Holistic Case Management and EmotionalIntelligence. She lives in Springfield, Ohio with her husband and her son.

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