We Support The Healthcare Industry! For this event, SSN is proud to offer FREE admission to
employees of health plans, state agencies and hospitals as a thank you for all you do for all of us.

2020 Speakers

Health Plans/Providers
Tufts Health Public Plans

Jean Yang

President
Genesee Health Plan

James Milanowski

CEO
Trusted Health Plans, Inc.

George Aloth

Chief Operating Officer
Blue Shield of California Promise Health Plan

Kristen Cerf, JD

President & CEO
L.A. Care Health Plan

Francisco Oaxaca, BS, MBA

Senior Director, Communications and Community Relations
Anthem

Merrill Friedman

Senior Director, Disability Policy Engagement
Community Health Plan of Washington

Melissa Stevens

Vice President, Community Engagement and Growth
CareSource

Amy Riegel

Director, Housing
Health Net

Nancy Wongvipat Kalev, MPH

Director, Health Education/Wellness/Cultural and Linguistic Services
Affinity Health Plan

Joanne Scillia

Vice President, Medical Management
Affinity Health Plan

Michelle Squire, MSN, RN, CCM

Manager, Case Management
Cambridge Health Alliance

David Elvin, MD

Senior Medical Director, CHA Accountable Care Organization, Interim Senior Vice President of ACO Performance
CareOregon

Summer Sweet

Triage and Data Integration Manager of Population Health
Alabama Care Network Mid-State administered by VIVA Health, Inc.

Allana M. Alexander, PharmD, MSMTM, BCMTMS

Triage and Data Integration Manager of Population Health
AmeriHealth Caritas DC

Tracey Davis, PharmD

Director of Pharmacy
Simply Healthcare Plans

Pedro Cachon

Manager, Department of Obstetrics
Blue Shield of California Promise Health Plan

Katie Abbott, MHA, FACHE

Senior Consultant
Government Organizations
Delaware Health and Social Services

Steven M. Costantino

Director, Health Care Reform and Financing
Maine State Legislature

Senator Geoff Gratwick

Senate Chair, Health and Human Services Committee
Idaho Department of Health and Welfare

Chris Barrott

Medicaid Program Policy Analyst
Maryland Health Care Commission

Melanie Cavaliere

Chief of Innovative Care Delivery
DC Department of Health Care Finance

Lisa Truitt

Director of the Health Care Delivery Management Administration
DC Department of Health Care Finance

Felecia Vida Stovall

Project Manager, Division of Managed Care
Arkansas Office of Health Information Technology

William E. Golden, M.D.

Professor of Medicine and Public Health University of Arkansas for Medical Sciences Medical Director
Department of Vermont Health Access

Beth Tanzman

Executive Director of the Vermont Blueprint for Health University of Arkansas for Medical Sciences Medical Director
Vermont Department of Health

Anthony Folland

Clinical Services Manager & Opioid Treatment Authority Director, Alcohol & Drug Abuse Programs
New England States Consortium Systems Organization

Elena Nicolella

Executive Director
TennCare

Jessica Hill, MHA

Director, Strategic Planning & Innovation
North Carolina Department of Health and Human Services

Michelle Laws, MA, PHD

Assistant Director for Consumer Policy and Community Engagement
North Carolina Department of Health and Human Services

Suzanne B. Thompson, MBA/MHA

Team Leader for Community Engagement and Empowerment NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
Minnesota Department of Human Services

Mat Spaan, MPA

Manager, Care Delivery & Payment Reform
South Carolina Department of Health and Human Services

Allison Shumpert

Program Coordinator/Medically Complex Children’s Waiver Administrator
Agency for Health Care Administration

Christina McGinnis, DA, MPH, CPC-A

Administrator, Medical and Behavioral Health Policy
Minnesota Department of Human Services

Vimbai Madzura, MA, LGSW

Integration Reform Manager, Community and Care Integration Reform Division Health Care and Community Supports Administrations
Washington Association of Sheriffs and Police Chiefs (WASPC)

Jamie Weimer

Projects and Programs Manager
Washington State Health Care Authority (HCA)

Amy Dobbins

Section Manager, Office of Medicaid Eligibility Policy
Industry Experts
Mostly Medicaid

Clay Farris

Director of Operations
Helgerson Solutions Group

Kalin Scott

Chief Innovation Officer
Strategic Health Group LLC

Henry W. Osowski

Managing Partner
AARP Arizona

Leonard J. Kirschner M.D. M.P.H.

Immediate Past President
Carrot Health

Amogh Rajan

Product Manager
MedImpact Healthcare Systems, Inc.

Janeen McBride, RPh

Principal, Government Programs
AIS Health, an MMIT company

Lauren Flynn Kelly

Managing Editor
Association for Community Affiliated Plans

Jennifer McGuigan Babcock

Vice President for Medicaid Policy and Director of Strategic Operations
Michigan Association of Health Plans

Tiffany Stone

Deputy Director, Medicaid Policy
Blue Venture Fund

Binoy Bhansali

Vice President
LexisNexis

Trey Harrison

Director, Business Development
Verisys

Jan Smith Reed

VP of Payer and Hospital Solutions
HMS

Gary Call, M.D.

Chief Medical Officer
Mom’s Meals

Holly Spinks, RN, BSN, CCM

Director of Strategic Partnerships
VirtualHealth

Hants Williams, Ph.D., RN

Director of Clinical Operations
NovuHealth

Jihan Golden

Sr. Health Care Engagement Strategist
HealthMine, Inc.

Amy Lung

Chief Operating Officer
Tabula Rasa HealthCare

Mindy D. Smith, BSPharm, R.Ph.

President, PrescribeCare MSO
Appriss Insights

Jarrod Carnahan

Business Development Executive
Omnicell, Inc.

Mark Gregory, RPh

Director, Pharmacy Consultant, Population Health Services
Healthify

Manik Bhat

CEO
MedImpact

Karen Geary, RPh, MHA

VP Strategy & Innovation, External Operations & Innovations
MIT Center of Biomedical Innovation

Danielle Rollmann

Senior Advisor, FoCUS Project
HealthTech for Medicaid (HT4M)

Adimika Arthur

Executive Director
Speakers Biographies


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.

Jean Yang

President
Tufts Health Public Plans

Jean oversees the strategic direction and business operations for Tufts Health Public Plans, Tufts Health Plan's managed Medicaid and state-sponsored plans division, which operates in Massachusetts and Rhode Island. With more than 15 years in health care, including provider, insurer and Exchange marketplace experience, Jean’s background gives her deep knowledge of the health insurance industry and its complexities. Prior to joining Tufts Health Plan, Jean served as the executive director of the Children’s Hospital Integrated Care Organization, a group representing Children’s Hospital Boston and its affiliated physicians. She is also a past executive director of the Commonwealth Health Insurance Connector Authority, after initially serving as its chief financial officer. Jean began her work in health insurance at Tufts Health Plan in 2004, where she served on the contracting, strategy and analytics team. Jean has served on the boards of the Health Policy Commission and Group Insurance Commission. She earned a B.S. in biochemistry from Peking University in Beijing, China and an M.B.A. from Harvard Business School.

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.

George Aloth

Chief Operating Officer
Trusted Health Plans, Inc.

As the Chief Operating Officer for Trusted Health Plans, George Aloth is responsible for all company operations to ensure the efficient and effective delivery of healthcare services to our members and appropriate reimbursement to our providers. Aloth drives decision-making that creates medium and long term improvement for Trusted operations as well as interacts regularly with the Executive Team and individual department heads to ensure that operational priorities are aligned with other business unit goals and with total company strategic direction. He also ensures alignment among initiatives to drive growth and ensure profitability. Aloth represents the organization in its relationships with major customers, vendors, and regulators. Before his current role, Aloth was Chief Compliance and Privacy Officer for Trusted. Before joining Trusted, he helped lead in new market implementations for Cigna Medicare-Medicaid dual plans and also worked with Medicare MCO’s nationwide in a role with CMS.

Kristen Cerf, JD

President & CEO
Blue Shield of California Promise Health Plan

Kristen Cerf is the President & CEO of Medi-Cal Growth Strategy for Blue Shield of California Promise Health Plan (Blue Shield Promise). Blue Shield Promise is a wholly owned subsidiary of Blue Shield of California, a 4-million-member nonprofit health plan that serves commercial, individual, and government markets in California. Kristen is responsible for setting and driving the strategy for Blue Shield Promise’s Medi-Cal membership growth and retention as well as partnerships. Kristen also oversees community and provider outreach, and the Blue Shield Promise resource centers. Kristen joined Blue Shield in January 2016 and most recently held the position of Chief Legal Officer for Blue Shield Promise where she was responsible for all legal services including the Medicare, Medi-Cal and Cal MediConnect lines of business. Prior to joining Blue Shield, Kristen served as Associate Vice President and Assistant General Counsel for Molina Healthcare where she provided legal counsel for health plans in multiple states including California, Washington, Texas, Missouri, and Wisconsin for all aspects of their health plan operations. Before that, Kristen was an attorney at Locke Lord LLP, where she advised clients regarding compliance with the Knox-Keene Health Care Service Plan Act of 1975, Title 28 of the California Code of Regulations, the California Insurance Code, and the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. Kristen earned her bachelor’s degree in Microbiology, with a minor in Medieval Studies from the University of California, Davis, and her doctor of law degree from the University of the Pacific, McGeorge School of Law.

Francisco Oaxaca, BS, MBA

Senior Director, Communications and Community Relations
L.A. Care Health Plan

Francisco joined L.A. Care Health Plan in 2014 as Director of Communications. In 2016, he was promoted into his current position as Senior Director of Communications and Community Relations. In this role he reports directly to the CEO and serves on the CEO's 5-member Strategy Council. He oversees a staff of over 70 responsible for the organization's internal and external communications, community outreach and engagement including 12 consumer advisory committees and a 24-member volunteer Health Promoters Program, and a network of 6 family resource centers. He also oversees all health plan public facing websites and social media channels, media relations, video production and photography services and crisis communications. He is currently leading an effort to add 8 more family resource centers across Los Angeles County by the end of 2020 leading to a network of 14 in a first of its kind partnership between L.A. Care and Blue Shield of California. Prior to joining L.A. Care, he served as Director of Public Affairs at First 5 L.A., an independent Los Angeles County commission that is the leading funder of programs for families with young children in California. Francisco earned his Bachelor’s degree from the University of Southern California and his Master’s in Business Administration from the University of Redlands.

Merrill Friedman

Senior Director, Disability Policy Engagement
Anthem

Merrill Friedman leads the Disability Policy Engagement team and advocacy strategy for Anthem, a leading health benefits company serving nearly 74 million people nationwide through its affiliates. She works collaboratively with consumers, advocates and stakeholders to ensure the diverse interests and preferences of older adults, individuals with disabilities, and children involved in child welfare programs inform Anthem’s health benefits approaches and related initiatives. Ms. Friedman also leads the National Advisory Board (NAB) on Improving Health Care Services for Older Adults and People with Disabilities and advances the integration of the NAB's six foundational principles, the independent living philosophy, and principles of self-determination throughout these programs, as well as Anthem’s member interactions and business practices. In addition, she leads strategic partnerships with national and local organizations to advance the development of inclusive public policy. Previously, Ms. Friedman was interim director at a nonprofit foster care agency serving children and adolescents who experienced severe neglect and physical abuse. She also served as president and chief executive officer of a private organization that owned and operated residential treatment facilities, group homes and home and community based services in several states for adolescents with mental health conditions, substance use disorders, and intellectual disabilities. Ms. Friedman is a nationally recognized leader in Medicaid, LTSS and health services that reflect the needs and interests of older adults, people with disabilities and children and adolescents. Health program expertise includes disability, aging, drivers of health (SDoH), foster care, mental health and substance use, intellectual and developmental disabilities, and justice involvement. Her extensive experience in program development, strategy, new business growth and operations management informs the innovation and development of home and community-based services and capacity building. Ms. Friedman has served on numerous national boards and commissions. She was appointed by President Barack Obama to the President’s Committee for People with Intellectual Disabilities and by Governor Jennifer Granholm to the MI Statewide Independent Living Council where she also served as Board Chair. Currently, Ms. Friedman serves on the board of directors for Family Voices, Rebuilding Together, and is a member of the National Academy of Social Insurance (NASI) and the NASUAD MLTSS Institute Advisory Board.

Melissa Stevens

Vice President, Community Engagement and Growth
Community Health Plan of Washington

Melissa Stevens has been named Vice President of Community Engagement and Growth at Community Health Plan of Washington (CHPW), Washington’s only local not-for-profit Medicaid and Medicare managed care plan. In her new role, Stevens will provide strategic leadership of CHPW’s business development, marketing and member acquisition and retention activities. She will also oversee the company’s brand strategy and messaging. Prior to joining CHPW, Stevens worked as a consultant, serving as Interim CMO/VP Marketing for mid-size businesses in healthcare and direct to consumer space. She also served with Group Health as the executive director of marketing to led digital and direct marketing efforts, including inbound marketing and traditional outbound direct marketing to drive new customer acquisition for all health plan offerings, and engaging members in Group Health’s care delivery systems.

Amy Riegel

Director, Housing
CareSource

Amy Riegel is the Director, Housing at CareSource. She plays an integral role in building a new division of CareSource that will transition current Medicaid members off of government subsidies into a high-quality life. JobConnect 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, Amy was with the City of Dayton for ten years serving as the Manager of Community Development and Grant Administration. Amy provided policy leadership to the City in the areas of housing development, asset-based community development, education, and homelessness reduction. During her tenure she oversaw the administration of over $200 million dollars in HUD funding and used forward thinking strategies to provide a 3:1 leverage with private, local and state dollars. She works tirelessly for the underserved within the community. She has served on numerous Boards within Ohio that are focused on poverty elimination, affordable housing, and neighborhood revitalization. Amy is a graduate of Wright State University. She has her Housing Development Finance Professional certification from The National Development Council. She is proud to live in Dayton, Ohio with her husband and three young daughters.

Nancy Wongvipat Kalev, MPH

Director, Health Education/Wellness/Cultural and Linguistic Services
Health Net

Nancy Wongvipat Kalev is Director of Health Education and Cultural and Linguistic Services at Health Net for the past 17 years. In her current position, Ms. Kalev is responsible for programs and services for the California business related to health education, prevention and wellness, language services, health literacy, cultural competency, and health equity. Ms. Kalev holds a Master of Public Health degree in community health sciences with an emphasis on socio-cultural aspects of health, and a bachelor's degree in psychobiology from the University of California, Los Angeles (UCLA). Ms. Kalev has over 20 years of experience in health care management, program development, implementation and evaluation. Prior to Health Net, Ms. Kalev was manager for prevention programs at AIDS Project Los Angeles, evaluation consultant for the Long Beach health department’s federal Housing and Urban Development (HUD) funded Healthy Homes Initiative and public health fellow responsible for disaster planning and HIV program evaluation, research associate with UCLA School of Public Health responsible for community research projects involved with women’s health and socio-cultural aspects of health, and research associate with UCLA School of Medicine responsible for breast and ovarian cancer research. Ms. Kalev is currently a board member with ETR, a behavioral health non-profit devoted to providing science-based programs and services, driven by its mission to improve health and increase opportunities for youth, families and communities.

Joanne Scillia

Vice President, Medical Management
Affinity Health Plan

Joanne Scillia is the Vice President of Medical Management for Affinity Health Plan in New York City. In this role she is responsible for the operations, quality and compliance of utilization management and case management. Ms. Scillia has over 25 years of executive level clinical operations experience performing change management for established organizations and new implementation within start up organizations. Her background includes conception and design of clinical programming and operations including clinical product development, quality outcomes and compliance. Prior to working with Affinity Health Plan Joanne was the Vice President of Population Health at Renown Health in Reno Nevada, a not for profit, fully integrated health care system. In this role Ms. Scillia was responsible for the implementation of this program and led a team of over 500 employees responsible for system level clinical integration including utilization management, clinical informatics, community health, member engagement, discharge planning and care management. Prior to Renown, Ms. Scillia was the Vice President of Clinical Operations for Complex Care Solutions a National Care Management organization contracted with over 25 insurance plans including Managed Medicaid and Medicare. In this role her responsibilities included care management operations, implementation of new contracts, new program development and the design of a proprietary EMR. Ms. Scillia has spoken at national forums in regard to population health and holds her BSN from Florida International University.

Michelle Squire, MSN, RN, CCM

Manager, Case Management
Affinity Health Plan

Michelle Squire currently oversees Case Management at Affinity Health Plan. She has more than 20 years of experience in the healthcare industry, starting with caring for critically ill pediatric and neonatal patients. Her current area of expertise lies in the insurance sector, working with private health insurance and managed-care companies on care management and population health. Michelle is a published author about Integrated Case Management with her most recent publication focusing on an evidence-based and holistic approach to population health and the necessity for an integrated method in care coordination. She is excited to have the incredible opportunity to bring her clinical and teaching expertise to organizations nationwide, engaging providers and assisting them with integrating care in hospital and insurance-based settings. Michelle earned her Associate of Applied Science in Nursing degree in 1998. In 2016, she earned her Bachelor of Science in Nursing degree, Summa Cum Laude, from Walden University. In 2018, Michelle completed her graduate studies, earning her Master of Science in Nursing degree from Walden University.

David Elvin, MD

Senior Medical Director, CHA Accountable Care Organization, Interim Senior Vice President of ACO Performance
Cambridge Health Alliance

David Elvin is an experienced health care executive and clinician focused on creating a sustainable healthcare system to serve the underserved in this new era of healthcare finance reform. David joined Cambridge Health Alliance in 2002 after graduating from the University of Texas Medical School with honors and completing a residency in Internal Medicine and Pediatrics from Baylor College of Medicine. At that time, his clinical duties included neonatology, inpatient care, ambulatory primary care and caring for nursing home residents. David continues seeing patients as a primary care float physician where he travels among CHA clinics experiencing the provider perspective first-hand informing policy development for providers in clinical practice. Over the past 15 years, David has held numerous leadership roles at CHA as the system continues to drive greater sustainability under risk models. He has served as Medical Director of two primary care sites, Chair of the Practice Management Committee, Physician Reviewer for Network Health MCO Insurance plan, Beth Israel Deaconess IPA board/quality/contract and finance representative, Beth Israel Lahey Medical Management and Policy Committee member, and President of the CHA Medical Staff. In 2012 he was appointed Senior Medical Director of the Accountable Care Organization where he and his team have developed strategies and Population Health. He recently took the role of interim VP of ACO performance. David is a former Macy Fellow and enjoys teaching medical students in the innovative Harvard-Cambridge integrated clerkship program. His prior experience included teaching medical residents in the inpatient and outpatient setting.

Summer Sweet

Triage and Data Integration Manager of Population Health
CareOregon

Summer Sweet is the Triage and Data Integration Manager of Population Health at CareOregon. Summer received her BS in both Neuroscience and Psychology from Washington State University in Pullman, Washington. She was a recipient of Psychology Dean’s Research Scholarship to develop and support a Longitudinal Study of Decision Making with persons diagnosed with Parkinson’s Disease led by Dr. Maureen Schmitter-Edgecombe and continued to support the project as a post graduate. Summer has a broad knowledge base from her diverse experience across the spectrum of healthcare. She has experience in direct patient care, customer service, billing and coding, insurance, care coordination and technical systems. She has a unique understanding about how to integrate systems, assist with data analysis, and coordinate care. She is extremely passionate about the healthcare service industry and utilizing the technological tools available to improve process, reduce cost and utilization impacting our most vulnerable and underrepresented populations.

Allana M. Alexander, PharmD, MSMTM, BCMTMS

Transitional Pharmacist
Alabama Care Network Mid-State administered by VIVA Health, Inc.

Dr. Allana Alexander is the owner/operator of A2 Pharmacy Solutions LLC. She has years of managed care experience in Medicare and Medicaid spaces, specializing in medication therapy management (MTM). She earned her Doctor of Pharmacy degree from the Samford University McWhorter School of Pharmacy (MSOP). She went on to complete a PGY-1 Managed Care Pharmacy residency at VIVA Health, Inc. and a Master of Science in Pharmacy in Medication Therapy Management degree from the University of Florida. She is board certified in MTM by the National Board of Medication Therapy Management. As the owner of A2 Pharmacy Solutions LLC, Dr. Alexander provides an array of services including: medication therapy management, clinical conference advising and speaking and community education. During her time at Viva Health Inc., Dr. Alexander justified two additional positions through her longitudinal research project. She also developed and implemented a comprehensive medication review training program and provided medication therapy management platform training for Medicare clinical staff. During her time with the Medicaid Health Home, she has performed hundreds of comprehensive medication reviews and patient home visits and developed educational materials for pediatric and low literacy patients. She continues that work as Transitional Pharmacist for the Alabama Coordinated Health Network Mid-State region. Dr. Alexander serves as a preceptor for the MSOP chapters of the Student National Pharmaceutical Association and the American Pharmacist Association Academy of Students of Pharmacy. She is a member of the MSOP Admissions Committee and frequents MSOP as a guest lecturer. She is also a member of the Alabama Society of Health-System Pharmacists New Practitioners Committee and the Minority Women Pharmacists Association. In her spare time, she enjoys exercising, traveling, reading, cooking and serving her community through her local church and her sorority.

Tracey Davis, PharmD

Director of Pharmacy
AmeriHealth Caritas DC

Dr. Tracey Davis is the Director of Pharmacy at AmeriHealth Caritas DC, which is a managed care organization in the DC market. AmeriHealth Caritas DC works to innovatively service their members through integrated health care and member driven services. As Director of Pharmacy, Dr. Davis holds responsibilities as the Pharmacy Liaison to the state, collaborator with the Medical Director, Case Management, and the Executive team to reach the health plans quality goals, community outreach, and oversight of the PBM. Dr. Davis specializes in policy development and change management. She is a passionate pharmacist with an extremely diverse background. Over the last 17 years, she has worked in hospital, retail and managed care pharmacies, and also for a government health plan. She obtained her Doctor of Pharmacy from Howard University and has also earned certification in MTM (medication therapy management) and completed a general practice residency in 2004. She believes that evolution requires us to aspire to be more. Dr. Davis lives in Maryland, where you'll find her playing golf or teaching yoga. She also delights in taking her children to the park.

Pedro Cachon

Manager, Department of Obstetrics
Simply Healthcare Plans

Pedro Luis Cachon obtained his Bachelors of Science in Nursing degree at Miami Dade College in 2015 and has over nine years of nursing practice. Pedro began his career in case management in the discipline of obstetric nursing at Simply Healthcare Plans in Miami, Florida in 2013. His interest in obstetric nursing and drive to increase the quality of maternal and newborn care for minority populations in South Florida soon promoted him as a supervisor in 2015 and, more recently, manager of the department of obstetrics. Pedro works tirelessly in the field, along with his team of case managers, with a mission to reduce infant mortality rates, low birth weights, premature deliveries, and neonatal ICU admissions, locally and regionally. During his tenure at Simply Healthcare Plans, Pedro has successfully implemented two prevention and intervention programs, the NICU Post-Traumatic Stress Disorder (PTSD) and Gestational Diabetic Programs, developed to support the mental health and physical wellbeing of at-risk mothers and families. In 2017, the obstetrics department achieved perfect scores in the Healthcare Effectiveness Data and Information Set (HEDIS) measures, reflecting timeliness prenatal and postpartum care for patients in South Florida, under his leadership. Pedro was also awarded the Values and Actions Award in 2017 and 2018 for his extensive work and achievements in obstetric case management. Pedro continues to support diverse populations, as well as increase infant and maternal healthcare outcomes in South Florida. His main goal is to develop the best obstetric program in the state of Florida.

Katie Abbott, MHA, FACHE

Senior Consultant
Blue Shield of California Promise Health Plan

Katie Abbott, FACHE is a healthcare advisor, certified health coach, author & speaker with a passion for improving the health and well-being of individuals and communities. As a Senior Consultant, Katie works with large healthcare organizations to lead strategic planning and program implementation to deliver increased patient value, operational effectiveness, and enhanced staff engagement. Katie is currently co-chair of Women Health Care Executives’ Advisory Council whose mission is to Advance Women who Advance Healthcare. Outside of her role as a healthcare leader, Katie volunteers as a group facilitator for children who have experienced the death of a parent and provides them with the opportunity to grieve and grow in a supportive and safe environment.

Steven M. Costantino

Director, Health Care Reform and Financing
Delaware Health and Social Services

Steven M. Costantino is currently the Director of Health Care Reform for the Delaware Department of Health and Social Services. His emphasis is on driving payment and delivery transformation to more value-based and integrative care models across multiple payers of services. He is actively engaged in the development and implementation of a health care quality and cost benchmark for the State of Delaware Department of Health and Social Services. He was the lead on approval of a 1332 waiver application to CMS for reinsurance. He is also actively involved in the development of an MCO/ACO application process for Medicaid. As Commissioner of the Department of Vermont Health Access and Medicaid Director (2015-2017), he provided leadership and strategy for many of Vermont's expansive Health Care Reform initiatives to increase access, improve quality, and contain health care costs for all Vermonters, including the federally funded SIM grant, Vermont Health Care Innovation Project (VHCIP), Vermont’s Blueprint for Health and the development of an All Payer Model. As Secretary of the Executive Office of Health & Human Services (2011-2015), he applied his extensive experience in government and a variety of fields relating to health and human services to improve the quality of life of Rhode Island residents. He was committed to innovative reforms benefiting those relying on the programs and services provided by the EOHHS from infants to senior citizens. During his tenure at the EOHHS, Secretary Costantino defined and developed the EOHHS as an innovative organization that focused on improving the customer experience while simultaneously increasing transparency and accountability. He created three new offices within the EOHHS that supported this approach: an Office of Partner Engagement, an Office of Program Integrity, and an Office of Policy and Innovation. He leveraged the EOHHS’s role as the Single State Medicaid agency to ensure that publicly funded health care services were coordinated across State agencies and were also complementary to efforts in the commercial market. He was elected to the Rhode Island House of Representatives from 1995 to 2010. He was appointed to the House Committee on Finance in 1999 and rose to the position of Chairman in 2004, retaining that leadership position for seven years. He was Executive Director of the Drug and Alcohol Treatment Association of RI from 1986 to 1995. He is currently attending Dartmouth College obtaining a Masters in Health Care Delivery Science, class of 2020

Senator Geoff Gratwick

Senate Chair, Health and Human Services Committee
Maine State Legislature

Geoff Gratwick, MD, of Bangor Maine, is now retired after practicing rheumatology for 40 years. He has been in the Maine State Senate for 7 years and is currently the Senate Chair of the Health and Human Services Committee. Geoff is a board member of Maine AllCare, the Maine branch of Physicians for a National Health Program, and along with many others searches for innovative ways to deliver affordable, accessible, and cost-effective health care. In 1984 he represented Maine in Oslo when Physicians for Social Responsibility received the Nobel Peace Prize and in 2018 he won a gold medal at the world rowing championships.

Chris Barrott

Medicaid Program Policy Analyst
Idaho Department of Health and Welfare

Chris Barrott has worked in contract management and program development for more than twenty years in the private and public sector. She has worked with Idaho Medicaid for ten years and is currently serving as the Quality Assurance Manager for the Bureau of Long Term Care as well as the Contract Manager for the Duals programs. Chris loves to find efficiencies, dream up solutions and then work to implement them to ensure the best outcomes possible.

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.

Lisa Truitt

Director of the Health Care Delivery Management Administration
DC Department of Health Care Finance

Lisa Truitt is the Director of the Health Care Delivery Management Administration at the DC Department of Health Care Finance (DC DHCF). In this role, Lisa monitors performance of service delivery to residents enrolled in the Medicaid managed care and non-waiver fee-for-service (FFS) programs. The managed care contracts are priced at over $1B, across three risk-based managed care organizations (MCOs) and a single shared-risk special needs organization. Lisa is responsible for policy development, program administration, planning, implementation and evaluation of performance by the MCOs, FFS providers and staff. Ms. Truitt has many years of experience within the healthcare industry, ranging from claims processing to Quality and Disease Management in both commercial and Medicaid Managed Care. This range of experience has been the cornerstone for maneuvering through the ever-changing health care industry.

Felecia Vida Stovall

Project Manager, Division of Managed Care
DC Department of Health Care Finance

Felecia Stovall is a Project Manager at the DC Department of Health Care Finance (DC DHCF) within the Division of Managed Care. Felecia is responsible for monitoring and oversight of network management activities, provider relations and claims payment issues across the District’s four Medicaid managed care organizations (MCOs). She develops network adequacy standards by which the MCOs must comply and oversees efforts to standardize reporting requirements pertaining to provider relation functions through the managed care program. Felecia was successful in implementing a standardized appeals process for federally qualified health centers (FQHCs) and the Medicaid MCOs in the District. Initially, each MCO required varying processes and forms for managing claims appeals from FQHCs, which often led to delays and repetitive submissions of claims and emails to attempt resolution and payments. Through the new process, all MCOs use the same forms, protocols and procedures, subsequently decreasing the number of appeals submitted to the agency for review and consideration.

William E. Golden, M.D.

Professor of Medicine and Public Health
University of Arkansas for Medical Sciences
Medical Director
Arkansas Office of Health Information Technology

William E. Golden, M.D. is Professor of Medicine and Public Health at the University of Arkansas for Medical Sciences and Medical Director of the Arkansas Office of Health Information Technology, the state HIE. Previously he served as Medical Director of the Arkansas Medicaid where he was 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.

Beth Tanzman

Executive Director of the Vermont Blueprint for Health
Department of Vermont Health Access

Beth Tanzman is the Executive Director of the Vermont Blueprint for Health. The Blueprint for Health reforms Vermont’s health service delivery network by developing patient-centered medical homes, community health teams, health information systems, alternative payment models, and networks of community-based collaboratives. In addition to supporting the statewide expansion of the Blueprint, Ms. Tanzman leads the Hub & Spoke program for opioid addiction for the Department of Vermont Health Access (Medicaid Agency). Beth led the development of the report to the Legislature on how the health services system could address Adverse Childhood Experiences. Prior to joining the Blueprint, Beth served as Vermont’s Deputy Commissioner for Mental Health leading the planning to replace Vermont State Hospital, supporting the development of intensive services for children and families, and the implementation of evidence-based services for adults with mental illness. Ms. Tanzman directed Adult Mental Health Services for the state Department of Mental Health for over a decade. Beth has an MSW from the Rockefeller College of Public Affairs and Policy at SUNY Albany.

Anthony Folland

Clinical Services Manager & Opioid Treatment Authority Director, Alcohol & Drug Abuse Programs
Vermont Department of Health

Elena Nicolella

Executive Director
New England States Consortium Systems Organization

Elena Nicolella is the Executive Director of the New England States Consortium Systems Organization, a private, non-profit committed to supporting State Government Health and Human Service agencies. Elena previously worked for the State of Rhode Island’s Executive Office of Health and Human Services as the Director of Policy and Innovation and prior to that, as Medicaid Director. Elena also worked for the Centers for Medicare and Medicaid Services for in the Boston Regional Office. She received her Master’s in Public Health from Boston University.

Jessica Hill, MHA

Director, Strategic Planning & Innovation
TennCare

Jessica is the Director of Strategic Planning & Innovation for TennCare, Tennessee’s Medicaid program, where she leads delivery system transformation strategies such as Episodes of Care. She previously worked at Children’s Hospital Colorado, where she created and implemented the organization’s culture of safety program that won the American Hospital Association McKesson Quest for Quality Award. She has a Master’s degree in Healthcare Administration from Trinity University in San Antonio, TX.

Michelle Laws, MA, PHD

Assistant Director for Consumer Policy and Community Engagement
North Carolina Department of Health and Human Services

Dr. Michelle Laws is the Assistant Director for Consumer Policy and Community Engagement at the NC Department of Health and Human Services, Division of Mental Health, Developmental Disabilities, and Substance Abuse Services (MH/DD/SAS). Prior to returning to work for the NC Division of MH/DD/SAS, Dr. Laws served as the Director of Policy and Public Advocacy for the NC National Alliance on Mental Illness (NAMI-NC). Dr. Laws’ distinguished professional career also includes serving as the Assistant Director of the Community Health Coalition, Inc, a nonprofit organization working to eliminate health disparities and improve health outcomes for poor and medically marginalized communities in North Carolina; serving as the former Executive Director of the North Carolina State Conference of the NAACP; serving as an adjunct professor, teaching undergraduate courses in sociology, research methods, and statistics for North Carolina Central University, North Carolina State University, and college-transfer courses in federal and state prisons. Dr. Laws also served as the legislative liaison for NC DHHS’s Division of MH/DD/SAS (where currently serves), during a time when the state was undergoing major reform (in early 2000) of its public MH/DD/SAS system including the dismantling and restructuring of area MH/DD/SAS authorities. Dr. Laws has been widely recognized both nationally and internationally as a dynamic speaker and passionate advocate for underserved populations, including impoverished women and children, the homeless, justice involved youth and youth aging out of foster care, and persons with lived MH and SUD experience. She has earned the respect from diverse communities of peers, colleagues, and policy makers for being a politically astute and diplomatic leader, operating in various capacities, including policy, public affairs, advocacy, and health and human services program development and evaluation. Dr. Laws is a native of Chapel Hill, NC and holds a Bachelor of Arts degree in Communications from the University of North Carolina at Chapel Hill, a Master of Arts Degree in Sociology from North Carolina Central (Magna Cum Laude graduate), and a Ph.D. in Social and Behavioral Sciences from Virginia Commonwealth University School of Medicine’s Department of Health Policy and Behavior.

Suzanne B. Thompson, MBA/MHA

Team Leader for Community Engagement and Empowerment NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
North Carolina Department of Health and Human Services

Suzanne Thompson has worked mental health, developmental disabilities and substance abuse services field for more than 30 years. She currently works as the Team Leader for the Community Engagement & Empowerment Team with the Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMH/DD/SAS). She has a bachelor’s degree in Psychology from James Madison University and Masters’ degrees in Business Administration and Health Administration from Pfeiffer University. She has held many positions over the years from direct care to administrative.

Mat Spaan, MPA

Manager, Care Delivery & Payment Reform
Minnesota Department of Human Services

Mat Spaan, MPA, has worked with the state of Minnesota for 10 years in health policy and payment reform, most recently as manager for the Care Delivery & Payment Reform unit. Since 2013, he has been the lead in developing and implementing the state’s Medicaid Accountable Care Organization initiative known as Integrated Health Partnerships. Prior to joining the state, he’s held several diverse positions in the private and nonprofit sectors, including as a manager with a national health advocacy organization, organizer for a neighborhood arts and economic development nonprofit in New Orleans, and as a boat captain on Lake Michigan. Mat earned his Master of Public Administration degree from the University of New Orleans.

Allison Shumpert

Program Coordinator/Medically Complex Children’s Waiver Administrator
South Carolina Department of Health and Human Services

Allison Shumpert serves as the South Carolina Department of Health and Human Services’ children’s community care waiver administrator. In this role, she oversees the Medically Complex Children’s Waiver, Children’s Private Duty Nursing Program and preadmission screening for the Medically Complex Children’s Waiver. Shumpert has spent her career in both the private and public sectors working with and for the medically complex children in the state of South Carolina. In her current role, Shumpert coordinates, manages, and leads a team of registered nurse care coordinators who serve medically complex children throughout the state, providing care coordination for children and their families in their natural environment. These services help medically complex children transition from the hospital to the community, offering a better quality of life for the child and their family while decreasing the cost of health care for the state. Shumpert is passionate about helping the medically complex children and their families and believes she has the opportunity to help make a difference in someone’s life every day.

Christina McGinnis, DA, MPH, CPC-A

Administrator, Medical and Behavioral Health Policy
Agency for Health Care Administration

Christina McGinnis, DA, MPH, CPC-A is the current Agency for Health Care Administrator of the Medical and Behavioral Health Policy Section at the Agency for Health Care Administration. She came to this position with over 16 years of health care experience, 8 of which were in the public sector. She currently oversees three units in Medicaid Policy that develops and maintains policy for health services and facilities, including behavioral health services.

Vimbai Madzura, MA, LGSW

Integration Reform Manager, Community and Care Integration Reform Division Health Care and Community Supports Administrations
Minnesota Department of Human Services

Vimbai Madzura, MA, LGSW works as an Integration Reform Manager within the Community and Care Integration Reform Division in the Health Care and Community Supports Administrations of the Minnesota Department of Human Services. Within her role, Vimbai is responsible for directing the work of behavioral health home (BHH) services, Minnesota’s version of the federal health home initiative, which is designed to deliver a set of services that integrate primary care, behavioral health, long-term supports and services, and social services for individuals with serious mental illness. Vimbai also works to support primary and behavioral health care integration efforts within DHS and in partnership with the Minnesota Department of Health (MDH). In addition, Vimbai is tasked as a champion liaison to support the DHS Policy on Equity and leads equity work within the division. Vimbai enjoys working with a team, as well as internal and external agency staff, who desire to see better health outcomes for all the communities served.

Jamie Weimer

Projects and Programs Manager
Washington Association of Sheriffs and Police Chiefs (WASPC)

Jamie Weimer currently serves as the Projects and Programs Manager at the Washington Association of Sheriffs and Police Chiefs (WASPC). Jamie has worked for WASPC since 2005 and has been in her present position since April 2015. She currently oversees several statewide programs including: Statewide Automated Information and Notification System; Protection Order Notification System; Sex Offender Registration using Offender Watch; Sex Offender Address Verification Program; Jail Booking and Reporting System; Denied Firearms Transaction Program; and 24/7 Sobriety Program. Jamie earned her Bachelor of Arts in General Studies from the Evergreen State College and received her Master’s Degree in Public Administration, also from the Evergreen State College.

Amy Dobbins

Section Manager, Office of Medicaid Eligibility Policy
Washington State Health Care Authority (HCA)

Amy joined the Health Care Authority in November 2013, just prior to the operational implementation of the Affordable Care Act. Prior to her experience with the Health Care Authority, she was a Program Manager for the partner agency, Department of Social and Health Services (DSHS) administering cash and medical assistance programs for aged individuals and individuals with disabilities. Currently, she is managing a team of 14 policy staff and 12 foster care medical staff. Why she works for HCA Having served the State of Washington for 14 years, I have a passion for developing the best programs in order to serve the state’s citizens, particularly those with low income and in need of access to health care. I am extremely lucky to work with a caring and professional team who have a shared passion to improve health care accessibility in Washington.

Kalin Scott

Chief Innovation Officer
Helgerson Solutions Group

Kalin Scott is the Chief Innovation Officer for Helgerson Solutions Group (HSG). HSG is a boutique global consulting firm focused on helping companies, providers, payers and governments make the move to value in health care. HSG also advises private equity firms and venture capital funds that share this commitment. Kalin’s previous experience includes more than ten years in senior health policy roles with New York State. Most recently, Kalin served in a dual role as Director of New York’s Medicaid Redesign Project Management Office and Assistant Director for Medical, Dental and Pharmacy policy. Over her eight years with New York’s Medicaid program, Kalin served on the senior leadership team, responsible for nationally-recognized policy development and implementation strategies to ensure alignment and execution of the Medicaid program’s key priorities. In this role, Kalin frequently provided insights, advice and consultation to other state Medicaid programs and national organizations interested in the redesign and transformation of New York’s Medicaid program. Kalin has extensive background in public policy, specializing in areas including program design, strategic planning, project management, Medicaid redesign, cross-sector initiatives, delivery system reform and value based payment. Prior to joining NYS DOH, Kalin worked in the New York State’s Governor’s Office, coordinating multi-agency initiatives across New York’s health and human services agencies.

Henry W. Osowski

Managing Partner
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.

Leonard 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.

Amogh Rajan

Product Manager
Carrot Health

Amogh Rajan is a Product Manager at Carrot Health overseeing the operations for the population health offering. Carrot Health leverages consumer data and public data to predict health outcomes. This unique approach allows payers, providers & community-based organization to identify and address risk for individuals in their population, even in the absence of clinical data. Amogh has played a pivotal role in standing up care management platforms for several entities. He has a deep understanding of population health workflows and dedicates most of his time trying to solve problems inherent to this universe by leveraging data outside of the healthcare realm. Amogh & his team are presently building out the Social Risk Grouper framework that can be leveraged to predict healthcare outcomes like ED Use, Morbidities & Mortalities for individuals in the absence of healthcare data.

Janeen McBride, RPh

Principal, Government Programs
MedImpact Healthcare Systems, Inc.

Janeen McBride has more than 25 years of managed care experience in the pharmacy benefit management area. Her background includes third party administration, account management, sales, marketing, and pharmacy operations. Ms. McBride has been appointed twice to the California State Board of Pharmacy by the governor of California and also served as the Board’s president. She currently serves on the Board of the Medi-Cal (Medicaid) DUR Board and has been for 26 years—appointed by the Director of the California Department of Health Services. Ms. McBride has been elected to the Board of Directors for National Association of Specialty Health Organizations (NASHO) and to the Board of Directors for the Academy of Managed Care Pharmacy (AMCP) twice. She is a past chair of the AMCP Legislative committee and has lobbied for AMCP on Capitol Hill for four years. Ms. McBride received a pharmacy degree from Washington State University and a Master of Business Administration degree from Pepperdine University. She also completed the USC Management Development Program in Healthcare Management and the Thunderbird School of Global Management-Leaders in Health Care Administration.

Lauren Flynn Kelly

Managing Editor
AIS Health, an MMIT company

Lauren Flynn Kelly is a managing editor with AIS Health, an MMIT company, where she has been covering health business issues ranging from drug benefits and specialty pharmacy to managed Medicare and Medicaid for the past 15 years. She served as editor of AIS Health’s Drug Benefit News (the predecessor to RADAR on Drug Benefits) from 2004 to 2005 and again from 2011 to 2016, and now manages RADAR on Medicare Advantage (formerly Medicare Advantage News). Lauren graduated from Vassar College with a B.A. in English.

Jennifer McGuigan Babcock

Vice President for Medicaid Policy and Director of Strategic Operations
Association for Community Affiliated Plans

Jennifer McGuigan Babcock is ACAP’s Vice President for Medicaid Policy and Director of Strategic Operations. She also spent over four years as ACAP’s Vice President for Exchanges. In 2010, she served the Eligibility and Enrollment team within the Office of Health Insurance Exchanges in the Department of Health and Human Service’s Office of Consumer Information and Insurance Oversight (OCIIO, now known as CCIIO), focusing primarily on the interplay between Medicaid and Exchange coverage. Before joining OCIIO, Jennifer served as ACAP’s Director of Policy, working primarily on Medicaid and CHIP health plan issues. Previously, she worked on policy related to Medicaid, CHIP, the uninsured, and private health insurance in the Office of Health Policy for the Assistant Secretary for Planning and Evaluation (ASPE) at the Department of Health and Human Services. She has also held positions with CHIP at the Centers for Medicare & Medicaid Services as special assistant to the Deputy Secretary of Health Care Financing at the Maryland Department of Health and Mental Hygiene, and as an associate consultant with The Lewin Group in Falls Church. Jennifer also served as an MPH Fellow at the Consumer Health Foundation in Washington, D.C., and as Executive Director of the Lovelight Foundation, an anti-poverty organization in Detroit. She has a Masters of Public Health from the University of Michigan, Department of Health Management and Policy, and a Bachelor of Arts in English from Kalamazoo College in Michigan. Jenny was recently given an award for Excellence in a Federal Issue Campaign by the Professional Women in Advocacy for her work to require states to report on pediatric quality measures in CHIP and Medicaid.

Tiffany Stone

Deputy Director, Medicaid PolicyAbuse Programs
Michigan Association of Health Plans

Tiffany Stone is the Deputy Director, Medicaid Policy for the Michigan Association of Health Plans (MAHP), a Lansing based organization that represents 12 health plans in Michigan. Prior to joining, MAHP, Tiffany worked in the Medicaid Health Plan space focusing on operations and program implementation. She also served as a Quality Analyst for the Michigan Department of Health and Human Services. Currently, Tiffany volunteers her time by serving as Vice President on the Board of the National Alliance of Mental Illness (NAMI) of Genesee County and on the Board of Honor Community Health. Tiffany earned her Bachelor’s Degree in Elementary Education from the University of Michigan-Flint and her Master’s Degree in General Administration from Central Michigan University.

Binoy Bhansali

Vice President
Blue Venture Fund

BlueCross BlueShield Venture Partners (BCBSVP) is a corporate venture fund program to which thirty-three BCBS entities have committed over $575 million across three Funds. Sandbox Industries is the exclusive provider of investment management services to BlueCross BlueShield Venture Partners. Binoy helps manage the Fund’s investments in Healthify, ExactCare, IdealOption, Payfone, Wellspring, and Swipesense. Prior to joining Sandbox, Binoy was a consultant at Accenture advising healthcare organizations on mergers and acquisitions while also working part-time at a social impact investment firm, Impact Investment Partners. Binoy started his career at Citibank in its investment banking group where he worked primarily within the hospital sector. Binoy holds a BA in Economics and a BA in Psychology from Northwestern University. He is a member of the Kauffman Fellows Program, Class 23.

Trey Harrison

Director, Business Development
LexisNexis

Jan Smith Reed

VP of Payer and Hospital Solutions
Verisys

Jan Smith Reed has dedicated her career to discovering and implementing the best ways to take a holistic view as a best practice to protect the patient while cutting out the fraud, waste and abuse in health care. She has a broad swath of expertise as a business-savvy executive with proven results in matrix management. She is well established in both commercial and government health plan management to include self-funded, fully insured, managed care, MAPD, PDP and Medicaid. She is quick to discern business needs while creating and communicating a vision of desired outcomes through building and motivating cross-functional teams to resolve problems and ensure successful execution. Ms. Reed is revered as an effective communicator and is tapped for national media interviews, marketing content, market perceptions, and strategies.

Gary Call, M.D.

Chief Medical Officer
HMS

Gary has more than 25 years of experience in the practice of medicine and managed care. Prior to coming to HMS, he most recently served as the Corporate Vice President of Clinical Programs at Molina Healthcare. His duties as the Chief Medical Officer include collaboration with HMS customers, and leadership of clinical program development and execution. Gary graduated from the University of Washington School of Medicine and completed his residency training at the University of Utah. He is a board-certified family physician.

Holly Spinks, RN, BSN, CCM

Director of Strategic Partnerships
Mom’s Meals

Holly Spinks is the Director of Strategic Partnerships with Mom’s Meals and works closely with our Medicaid, hospital and ACO partners on post-discharge and chronic care (including high risk pregnancy and behavioral health) meals programs for their members. She’s well-versed on clinical and social needs for Medicaid members, as well as many innovative programs across the country working to address those needs. She is a Registered Nurse, Board Certified Case Manager and brings over 10 years of healthcare experience. Her passion to help others, allowed her to advance her career and continue her education. Her clinical experience ranges from utilization management, case management, care coordination, HEDIS, Care Gaps, STARS, and bedside nursing (Pulmonology, Pediatric, Emergency Medicine, Urgent Care, Primary Care, Geriatrics, Cardiology, Long Term Intensive Care, and Behavioral/Mental Health). She has been involved in developing healthcare management systems and providing support in the areas of clinical operations, program differentiation, utilization and care coordination/case management, staff and corporate training, risk management and regulatory and compliance management. She has worked on many initiatives focused on improving clinical outcomes (health plan, provider and ACO/MCO) while improving patient/member and employee satisfaction. Her current professional interest is to provide education to ensure every single at risk individual in our communities receive daily nutrition to promote food security and balanced nutrition. She enjoys spending free time with family and friends, biking, swimming, boating, walking on the beach looking for sea shells.

Hants Williams, Ph.D., RN

Director of Clinical Operations
VirtualHealth

Hants Williams, Ph.D., RN, is a registered public health nurse and published scientist who has dedicated his career to the enhancement and integration of cost-effective helthcare solutions that help provide care to vulnerable patient populations. His commitment to, and impact on, the field have directly contributed to the advancement of healthcare solutions that have influenced the health of more than 6 million individuals while at VirtualHealth. Having worked as both a nurse and a data scientist, Dr. Williams' experiences provide him with a unique understanding of, and insight into, advancements in technology and data engineering. As Director of Clinical Operations at VirtualHealth, Dr. Williams strengthens the company's position as a leader in care management by building impactful processes and functionalities designed to achieve the best possible outcomes for patients. He works hand-in-hand with care coordination teams to meet the unique needs of their patient populations, allowing them to achieve a whole-person approach to care by aggregating critical data regarding clinical, social and behavioral aspects of health. Equipped with this information, Dr. Williams and his team help organizations improve patient care compliance and identify care gaps, so action can be taken to prevent costly interventions, such as hospitalizations and emergency department visits. Before joining VirtualHealth, Dr. Williams worked as a health informaticist, data scientist and clinician at leading healthcare organizations exploring new models of care delivery aligned with value-based care principles. He has also concentrated on social determinants of health and emerging technology within chronically ill populations, specifically Sickle Cell Disease. Many of Dr. Williams' peer-reviewed publications and contributions to the field of healthcare delivery, as well as his research, focus on non-opioid solutions for pain management, nursing led transitions to value-based care models and implementation of advanced technology to improve care delivery for complex populations. Dr. Williams' dedication to enhancing the overall health of individuals throughout the nation is also evident in his work with the early career advisory board, National Pain Policy, at the American Pain Society. For the last three years, Dr. Williams has worked on developing strategic plans and social outreach programs that have helped to drive the expansion of non-pharmacological chronic pain management strategies for those suffering with opioid addiction. Dr. Williams has also created advanced healthcare technology that has received accolades from N.A.S.A., Partners Connected Health, M.I.T., U.C.S.F., Mt. Sinai., and Porsche Automotive.

Jihan Golden

Sr. Health Care Engagement Strategist
NovuHealth

Jihan Golden is a subject matter expert in consumer engagement best practices for the Medicaid, Medicare, and Qualified Health Plan markets. In her role as Senior Health Care Engagement Strategist, Jihan helps national and community-based health plans optimize and maximize engagement with hard-to-reach member populations to improve quality, enhance member satisfaction, and manage costs. Jihan has 10+ years of consumer engagement experience in the health care, consumer packaged goods, automotive, and wireless industries. Prior to NovuHealth, she held marketing leadership positions at Aimia, Inc. and Rushton Gregory Communications where she helped clients execute successful customer loyalty programs.

Amy Lung

Chief Operating Officer
HealthMine, Inc.

Amy Lung joined HealthMine in 2019 as the Chief Operating Officer. She brings 14 years of healthcare experience focused on Quality Improvement through data-driven member and provider engagement strategies. With extensive experience working between health plans and provider organizations, Amy has designed multi-year, sustainable quality improvement programs for several organizations and has a keen interest in utilizing data and technology to expedite results. In previous roles, she led high performing health plans to achieve and sustain a 4.0 Star Rating in Medicare Advantage, 4.0 NCQA Medicaid Health Plan Ratings, led top-rated Medicaid Plan Performance, collaborated to win two state Medicaid RFPs and has captured significant revenue return in Medicaid Withhold Programs. Amy is certified as an Improvement Advisor from the Institute of Healthcare Improvement and holds a LEAN for Healthcare certification through UCLA extension. She also holds a B.A. in Biology from the University of Wisconsin— Eau Claire. In her free time, Amy enjoys traveling, reading, food & wine and spending time with her husband and two sons in their hometown of Grosse Pointe, Michigan.

Mindy D. Smith, BSPharm, R.Ph.

President, PrescribeCare MSO
Tabula Rasa HealthCare

Smith joined PrescribeWellness as the Vice President of Pharmacy Practice Innovation in August 2015 and now serves as President, PrescribeCare MSO, a subsidiary of PrescribeWellness – a Tabula Rasa HealthCare company, 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 as Chair of the NCPDP Foundation, the Alliance for Patient Medication Safety, and the Alliance for Integrated Medication Management.

Jarrod Carnahan

Business Development Executive
Appriss Insights

Jarrod Carnahan has been working with Appriss Insights since 2014. He partners with states to improve the quality and efficiency of state assistance programs, including Medicaid, Child Support, Unemployment Insurance, and SNAP. Previously, Jarrod worked with Appriss’ VINE products, expanding resources for victims of crime nationwide. Jarrod has a background in providing consultative services and holds a B.A. degree from the University of Kentucky.

Mark Gregory, RPh

Director, Pharmacy Consultant, Population Health Services
Omnicell, Inc.

Mr. Gregory joined Omnicell in July 2014. In his current responsibilities he works with pharmacies and payers to improve their position in the market with their medication management objectives. Most recently Senior Vice President of Store Operations previously Vice President of Pharmacy and Government Relations for Kerr Drug, Inc. based in Raleigh, North Carolina. Responsibilities included all store operations, oversight of pharmacy systems and automation, managed care contracting, store support, pharmacy administration, operational policies and procedures, patient care and compliance programs, university relationships and government affairs activities. He also served as Kerr Drug’s Privacy Officer and Chairman of Kerr Drug’s PAC. Mark Gregory graduated in 1982 from Ohio Northern University and in October 2011 was awarded a Distinguished Alumni Award. Other pharmacy involvement include: Past President of North Carolina Association of Pharmacists, Past Chairman Executive Committee North Carolina Retail Merchants Association and Past Chair of NACDS Policy Council.

Ted Jones

Vice President, Government Engagement
Medecision

Based in Denver, Colorado, Ted Jones has more than 25 years of experience working with Medicaid programs in several states, and serves as the Vice President of Government Engagement for Medecision. Ted has long worked in an environment of complex systems-based modern technology, leading transitions from legacy systems to more efficient platforms. He is able to achieve on-time start-up of new accounts through effective operations planning. His experience includes leading a claims processing department that accurately processed more than 150 million claims per year; leading a team of 700 employees conducting full Medicaid fiscal agent operations, including claims, financial, call center, prior authorization, provider relations, and systems teams; serving as Deputy Account Manager for the DDI; and startup of a state Medicaid program. In his spare time, Ted enjoys working with Urban Peak, a Colorado organization dealing with at-risk and homeless teenagers and youth. He also enjoys travel and is an avid comic book collector, amassing a collection of over 14,000 comics.

Manik Bhat

CEO
Healthify

Manik Bhat is the CEO of Healthify, a New York-based startup that provides leading solutions to address the social determinants of health at scale. Manik co-founded Healthify in 2013 while working as a community health worker in East Baltimore clinics. He saw how social needs - like access to food and housing - dramatically impacted health outcomes in the community and was moved to create Healthify. Since Healthify’s founding, Manik has become an avid speaker and advocate for addressing the social determinants of health through equitable and collaborative partnerships between healthcare and social service organizations.

Karen Geary, RPh, MHA

VP Strategy & Innovation, External Operations & Innovations
MedImpact

Karen Geary is Vice President, Strategy and Innovation for MedImpact Healthcare Systems where she focuses on industry changes impacting pharmacy benefits. Previously, Karen was MedImpact’s Director of Specialty Pharmacy Programs and a Regional Director for account management. Karen has been at MedImpact since 2005. Prior to then, she worked at UPMC Health Plan and Aetna. Karen holds a Bachelor of Science Degree in Pharmacy and a Master of Health Administration, both from the University of Pittsburgh.

Danielle Rollmann

Senior Advisor, FoCUS Project
MIT Center of Biomedical Innovation

Danielle Rollmann is a Senior Advisor for the FoCUS (Financing of Cures in the US) Project for the MIT Center of Biomedical Innovation. She is responsible for leading a team in the development and implementation of the FoCUS Tool Kit, a resource for practitioners facing the financial challenges of offering, choosing, reimbursing and/or supporting an advanced durable therapy. Previously she led Access Priorities and International Policy within Pfizer’s Global Policy team, where she worked on rare disease/gene therapy issues and alternative payment models. She also has significant consulting experience as a partner with Next Wave Consulting and previously the Global Health Practice of Booz & Company.

Adimika Arthur

Executive Director
HealthTech for Medicaid (HT4M)

Adimika Arthur is an experienced clinical epidemiologist and hospital/health system executive. She uniquely brings her population health, public hospital expertise and focus on improving health equity and access to advancing quality care for vulnerable populations to her daily advocacy. She serves as the founding Executive Director for HealthTech for Medicaid (HT4M). HT4M is a collaborative convening of payers, providers, policymakers and innovative entrepreneurs rapidly advancing health equity and improvement of the Medicaid program on a national scale. Seen as a market-enabler, HT4M believes that a strategic injection of technology and innovation into the Medicaid ecosystem is essential. This bold, action-oriented, and inclusive network is working to ensure critical novel technologies reach Medicaid enrollees and other traditionally vulnerable and disadvantaged populations. Mrs. Arthur has worked at many hospital systems including Alameda County Medical Center, University of California at San Francisco and Sutter Health. In her role as a hospital executive, her specialties included acute and children’s hospital and ambulatory care operations. She is skilled in turn-around environments including healthcare cost containment and revenue cycle enhancement engaging clinicians and staff without compromising patient care or quality. She is passionate about leadership development and is motivated to create successful pathways to further women’s advancement into C-suite roles in the healthcare delivery system and on hospital boards. She consistently mentors and inspires women to make meaningful changes in leadership while promoting health equity and making conditions better for vulnerable populations. She is an ardent champion for providing leadership on planning, development, and implementation of strategies and initiatives to better understanding and improve the US Medicaid program. She was one of the authors of the 2005 California 1115 waiver Medicaid expansion grants for Alameda County Medi-Cal program, an investment of over $50 Million dollars into safety-net care improvements. This paved the way for Medicaid expansion in California (before the ACA) and is the largest healthcare award to date in Alameda County Adimika is a public health leader, hospital executive and humanitarian who holds numerous certificates and awards. She combines her love of mentoring, servant leadership and service by maintaining non-profit board roles for many organizations including CALHIPSO and many others focusing on the promoting the pipeline of underrepresented youth getting into the full spectrum of health careers. She received her Bachelors in Science (BS) in Biochemistry from Clark Atlanta University in Atlanta, Georgia, her Master’s Degree in Public Health (MPH) in Epidemiology and Health Systems from the University of Washington and was educated at Boston University School of Medicine.