Politics, Policy and Business in PHM

Register TodayThe PHA Forum 2014 Politics, Policy and Business in Population Health Summit pre-conference event is where the political landscape meets your business and informs PHA Government Affairs strategies. 

Treating the Symptoms and Not the Disease

Research tells us that people who score higher in wellbeing perform better on the job and have lower healthcare costs – two vital factors to executives, community leaders, and of course, to all of us as individuals. But, very few Americans across the country are achieving a high level of wellbeing. While many employers report offering solutions to curtail unhealthy behaviors, a vast majority of employees see their job as a detriment to their overall wellbeing. Are your investments treating the symptoms or the disease?

Confirmed Speaker

Douglas Stover

Douglas R. Stover

Senior Managing Consultant, Gallup

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Federal Update on Population Health

Hear an overview of key Federal issues for the PHM industry for 2015 and beyond. What can the industry, consumers and the market expect following the election in November and in preparation for the Presidential race? What will be the key federal issues? Can change occur?

Confirmed Speakers

Doucet Shane

Shane Doucet

Principal, WILLIAMS & JENSEN, PLLC

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Grande Tina

Tina Grande

Senior Vice President for Policy, Healthcare Leadership Council

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Damon Davis

Damon Davis

Director for the Health Data Initiative, HHS IDEA Lab, Office of the Chief Technology Officer

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State of the States

Join experts for a briefing on population health management at the State level. 

Confirmed Speakers

Tom Betlach

Tom Betlach

Medicaid Director, State of Arizona

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Tony Rodgers

Tony Rogers

Principal, Health Management Associates

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Military Health

 

Confirmed Speakers

Ellen Bonner

Ellen Bonner, JD

Founder, Callaway Bonner Law, LLC

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Kerry E. Evers

Kerry E. Evers, Ph.D.

Senior Vice President, Pro-Change Behavior Systems, Inc.

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George Tracy

George Tracy

President, Spectrum Healthcare Resources, Inc.

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Jerome Hyzy

Jerome Hyzy

Vice President, Clinic Services Spectrum Healthcare Resources, Inc.

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EEOC

Confirmed Speakers

Fred Goldstein

Fred Goldstein

Chair and Interim Executive Director, Population Health Alliance

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Michael Dermer

Michael Dermer

Senior Vice President, Chief Incentive Officer, Welltok

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Vicki Shepard

Vicki Shepard

Chair, Government Affairs Population Health Alliance

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Bios

  

Tom BetlachTom Betlach

Medicaid Director, State of Arizona

As Director, Mr. Betlach reports to the Governor and is responsible for the health coverage of 1.5 million Arizonans at an annual cost of $11 billion. The agency administers multiple sources of governmental and private funds and is responsible for regulatory oversight and compliance of Medicaid managed care health plans and health care providers to assure quality of care, fiscal accountability and cost containment.

Mr. Betlach has over 20 years of experience in Arizona State government, including five years of service as director of the Governor's Office of Strategic Planning and Budgeting (OSPB) under Gov. Jane Hull and nearly eight years of service as the AHCCCS deputy director, where he was responsible for overseeing the financial operations for the agency, the financial regulatory oversight of the contracted health plans, program rate setting, information technology, member services and program integrity functions.

Mr. Betlach earned his bachelor's degree in political science from the University of Wisconsin and his master's degree in public administration (MPA) with an emphasis in finance and budgeting from the University of Arizona.

  

Ellen BonnerEllen Bonner

Founder, Callaway Bonner Law, LLC

Ellen Bonner is the founder of Callaway Bonner Law, LLC, and concentrates her practice in the areas of government contracts and healthcare. In addition, Ms. Bonner is a certified federal Equal Employment Opportunity (EEO) investigator.

With more than 20 years of government contracts and healthcare experience in both the public and private sectors, Ms. Bonner provides strategic advice to companies seeking business with the federal government. As a federal government lawyer successfully litigating and advising on multi-billion dollar healthcare contracts, and as an executive with healthcare insurance companies, Ms. Bonner brings a comprehensive and invaluable perspective to the demands of a government contract or healthcare business.

Ms. Bonner’s experience includes reviewing, advising and litigating government healthcare contracts for the Department of Defense TRICARE Management Activity. Her litigation experience includes practice before the General Accountability Office and the United States Court of Federal Claims. Ms. Bonner has extensive experience with the Centers for Medicare & Medicaid Services Medicare Administrative Contracts (MACs). She also served as Assistant General Counsel for a trade association providing legal and operational advice on a cooperative agreement with the Department of Homeland Defense. Ms. Bonner’ s business experience includes serving as Vice President Government Contracts for a Wisconsin health insurance company and on the Executive Leadership Team of a government contracts healthcare subsidiary of a Fortune 500 company where she was Vice President and Sr. Counsel.

Over the course of her career, Ms. Bonner developed a comprehensive understanding of the government procurement process, both as a legal counsel and an operations executive. Ms. Bonner advises her clients on obtaining and retaining government contracts while simultaneously achieving the client’s business objectives. Ms. Bonner speaks frequently on current issues facing the government contracting community and is an active member of the American Bar Association Public Contracts Section and the National Contract Management Association.

Ms. Bonner holds a Juris Doctorate from the University of Oklahoma College of Law and a Bachelor of Arts from the University of Oklahoma. She is licensed to practice law in the states of Tennessee and Oklahoma and is admitted to practice before the United States Court of Federal Claims and the United States District Court, Western District of Oklahoma.

 

Damon DavisDamon Davis

Director for the Health Data Initiative, HHS IDEA Lab, Office of the Chief Technology Officer

Damon Davis serves as Special Assistant in the Office of the National Coordinator for Health IT (ONC) in the U.S. Department of Health & Human Services. He joined the department in 2009.

Mr. Davis works in ONC’s Office of Consumer eHealth (OCeH) focusing on increasing consumer access to secure electronic personal health information. OCeH promotes greater Access to health information, consumers taking Action with their electronic health data toward better health outcomes, and Attitude changes on the part of providers and patients and families to promote shared decision making in a health IT enabled health care system – the three A’s of consumer engagement through health IT.

His work includes managing the Blue Button Pledge Community. The community is comprised of over 400 public, private, and non-profit organizations that have pledged to grant easy secure electronic access to personal health information through Blue Button and promote the use of Health IT to the constituents they serve. Additionally he is responsible for the consumer component of ONC’s Investing in Innovation (I2) initiative.

Mr. Davis holds a Bachelor of Science degree from Hampton University and a Masters of Business Administration from Loyola College of Maryland.

 

Doucet ShaneShane Doucet

Shane Doucet is a Principal at Williams and Jensen and serves in the healthcare practice group. Over the last 15 years, he has represented clients in a variety of areas including health care, public pensions, law enforcement, and high-tech. He has been a leading voice on behalf of his clients on issues related to the Medicare Modernization Act of 2003, the Genetic Information Nondiscrimination Act of 2008 and the Affordable Care Act of 2010. Mr. Doucet has specialized in work to promote health and wellness measures before Congress, the Administration, HHS, CMS, and the NAIC. Additionally, during his time at the National Federation of Independent Business (NFIB), he led successful coalitions bringing diverse sides together on health care reform and tax reform.

Mr. Doucet has moderated panels comprised of top union, business and trade association representatives on the impact of health reform and has been a featured speaker for over 250 CFOs on health and wellness provisions of the Affordable Care Act.

Before joining the private sector, Mr. Doucet spent time on Capitol Hill working for Congressman Chris John (D-LA) who is the former Chairman of the Blue Dog Democrats and served on the Energy and Commerce Committee’s Subcommittee on Health. He also spent time as a legislative aide for State Senator Phil Short in Louisiana.

Mr. Doucet serves in the District of Columbia Air National Guard as the Inspector General for the 113th Wing. With his experience in population health, Mr. Doucet initiated an education program “Wellness Warrior” to help soldiers and airmen improve and maintain their physical, mental and social health and well-being.

He has a B.A. in History and English from Tulane University and M.A. in National Security and Strategic Studies with distinction from the U.S. Naval War College.

He, his wife Heather, three daughters Reese, Massey and Sisi along with their black lab Cajun, reside in Falls Church, Virginia.

 

Tina GrandeTina Grande

Senior Vice President For Policy, Healthcare Leadership Council


Tina Grande is Senior Vice President for Policy for the Healthcare Leadership Council (HLC), a coalition of chief executives of the nation’s leading healthcare companies and organizations. HLC advocates for consumer-centered health reform, emphasizing the value of private sector innovation. It is the only health policy advocacy organization representing all sectors of the health care industry.

Ms. Grande took the helm of HLC’s Policy Department in 2007 where she oversees all policy-related matters pertaining to delivery systems, payment reform, health information technology, patient safety, and healthcare quality. She is Chair of the Confidentiality Coalition, the leading health privacy coalition bringing together all sectors of the healthcare industry to ensure that federal policymakers find the right balance between the protection of health information and the efficient and interoperable systems needed to provide high quality care. Ms. Grande was asked back to HLC after a previous time at HLC as Policy Director in the late 1990s.

Ms. Grande is a frequent speaker on health issues and her work has been published on numerous occasions. She also serves as Vice Chair of the Health Data Consortium’s Policy Committee.

Prior to leading HLC’s Policy efforts, Ms. Grande was Health Policy Director for Arnold & Porter LLP, where she advised clients in a number of different healthcare sectors and even foreign governments on Medicare and other U.S. health policies.

During her time as a California entrepreneur in the early 2000s, Ms. Grande launched the Medicare Advisory Group, Inc. a San Francisco-based healthcare policy and technology company providing hospitals and long-term care facilities with a software solution to ease the complexity of managing Medicare regulations.

Ms. Grande launched her career in health policy working in the U.S. Senate for Senator David Durenberger (R-MN). From there she went on to work as a researcher for the Health Care Advisory Board, health policy analyst for Patton Boggs LLP, and research director at the Institute for the Future in California where she forecasted key trends in healthcare, emerging technologies and corporate strategic planning.

Ms. Grande received her Master’s of Health Science degree from The Johns Hopkins University School of Public Health and her Bachelor of Arts from Saint Olaf College. In her spare time, she serves as a preceptor for health policy students at George Washington University and serves on her local government’s school health advisory board.

  

Tony RodgersTony Rogers

Principal, Health Management Associates

A veteran healthcare executive in the public and private realms, Tony’s leadership has delivered results in various settings, including hospitals, health systems, health plans, and state and federal health agencies.

During his more than 30-year career, Tony has made an indelible impact on local, state, and federal healthcare agencies, providing Medicare and Medicaid policy and program leadership, strategic planning and directing execution of those plans.

 Tony works with clients who are developing strategic and long-range business plans, health insurance market reform and health insurance exchange operations. He also helps clients navigate delivery system redesign and network development, payment reform strategies, and development of healthcare information and health analytics infrastructure and performance reporting.

Most recently, Tony served as deputy administrator at CMS where he worked with the Innovation Center to design and develop the State Innovation Models Initiative. The initiative provided financing and policy authority to states to plan and design innovative state level multi-payer accountable care delivery system designs and payment reforms. As a CMS deputy administrator, he had access to the CMS administrator and the Secretary of Health and Human Services’ executive leadership. In this capacity, Tony also had the opportunity to work with HRSA, AHRQ, and the CDC on broad integrated policy initiatives focused on maximizing the policy authorities provided in the ACA.

Prior to joining CMS, Tony was director of the Arizona Medicaid Agency. His health plan executive experience includes serving as general manager for WellPoint Health Networks (now Anthem Healthcare) and the CEO that started up the L.A. Care Medicaid health plan in Los Angeles.

Tony spent the first part of his career as the executive leader of major health systems, including the Maricopa Integrated Health System in Phoenix, Arizona; Olive View Medical Center of Sylmar, California; and the H. Claude Hudson Comprehensive Health Center in Los Angeles. Tony started his career with the L.A. County Department of Health Services and developed its first strategic facilities master plan.

He has also worked with such organizations as the Commissioner’s Office for Major League Baseball and the 1984 Los Angeles Olympic Organizing Committee to develop athlete drug testing protocols and processes.

Tony has a Master of Science in public health and a Bachelor of Arts in economics and political science from UCLA. They have enhanced the expertise and experience he brings to clients, especially when consulting on strategic restructuring, delivery system redesign, managed care conversions, or working with clients preparing to implement health insurance exchanges and coverage expansion.

 

Douglas StoverDouglas R. Stover

Senior Managing Consultant, Gallup

Douglas R. Stover is a Senior Managing Consultant at Gallup. He is responsible for the overall success of the joint venture between Gallup and Healthways, Inc., whose mission is to redefine how individuals, organizations, communities, and countries measure and manage well-being. As a member of the leadership team for this groundbreaking venture, he partners with Healthways to transition businesses from a narrow focus on employees’ physical health to a multidimensional emphasis on their customers’ and employees’ overall well-being. Mr. Stover also serves as a strategic advisor to Gallup’s leading clients on their most pressing employee and customer opportunities and challenges. His industry expertise includes the healthcare, pharmaceutical, and hospitality sectors.

Before joining Gallup, Mr. Stover was an associate director at The Advisory Board Company, a healthcare research organization, developing workplace improvement and customer/patient loyalty strategies. Prior to his work with The Advisory Board Company, Mr. Stover was a senior consultant with OgilvyOne, charged with building strategic marketing solutions for pharmaceutical, consumer packaged goods, and retail finance organizations. Mr. Stover has also served as a consultant with ICG Commerce, specializing in the development of supply chain solutions for pharmaceutical clients.

Mr. Stover received his bachelor’s degree from The Pennsylvania State University and his master’s degree in business administration from Georgetown University.

Kerry E. EversKerry E. Evers, Ph.D.

Senior Vice President, Pro-Change Behavior Systems, Inc.

Kerry Evers, Ph.D. is Senior Vice President of Research and Product Development at Pro-Change Behavior Systems, Inc., the leading research and development company for computer-and coaching-based programs to change health risk behaviors. Her work includes the development and dissemination of health behavior change programs, as well as techniques to maximize their impact. She oversees a multidisciplinary team of public health experts, psychologists, designers, writers, technology experts and project managers. In July 2011, Dr. Evers was named one of Rhode Island’s top business people in the annual “40 Under Forty” feature in Providence Business News (PBN) based on her career success and community involvement.

Dr. Evers has been with Pro-Change since its inception. She obtained Pro-Change’s first SBIR funding from the National Institutes of Health in 1998, and has been integral in the awarding of many of Pro-Change’s major corporate contracts, including its largest. Kerry has continued her grant funded research over the years and led two subcontracts with the Pacific Health Research and Education Institute through funding from the Telemedicine & Advanced Technology Research Center (TATRC), an office of the U.S. Army Medical Research and Materiel Command (USAMRMC). She has over 40 published works including refereed research publications, book chapters and published reports. She has been invited to speak at nearly 100 meetings and conferences in the US and in over 10 countries around the world.

She is a skilled public speaker, able to convey complex scientific research into easily understood and practical applications for her audience.

Kerry has served as an Associate Editor for the American Journal of Health Promotion, adjunct faculty at the University of Rhode Island, and is actively involved in the Society of Behavioral Medicine and the International Society of Behavioral Medicine. She served as the Chair of the Society of Behavioral Medicines Multiple Behavior Change Special Interest Group and served as the Guest Editor for a special issue of Translational Behavioral Medicine in 2013. In 2009 she was selected as one of 20 experts invited by the Robert Wood Johnson Foundation and the Monitor Institute to participate in the “Forum on the Future Impact of Neuroscience and Behavior Change”. In 2008, Dr. Evers was selected by the U.S. Office of the Secretary of Defense as one of 50 leaders from across the country to participate in the 76th Joint Civilian Orientation Conference (JCOC). In 2009 she received an invitation from the Secretary of the Air Force to attend the 56th Annual National Security Forum (NSF) at the Air War College.

Personally, Kerry holds a 3rd degree black belt in Okinawan Shorin-Ryu Shidokan, and in 2007 she completed the Mayor’s Midnight Sun Marathon as part of the RI Leukemia Society’s Team in Training Walking team. Perhaps Kerry’s strongest passion is providing support for the US Military and over the years, she has supported well over 200 deployed service members.

 

George TracyGeorge Tracy

President, Spectrum Healthcare Resources, Inc.

Mr. Tracy has been the President of Spectrum Healthcare Resources (SHR) a wholly-owned affiliate of Team Health since January 2009 and had served as the Executive Vice President of the company since September 2001. He joined Spectrum Healthcare Services in 1985 as a physician recruiter and in 1988 he joined the team responsible for developing SHR, and led the development of the group dedicated to serving the Federal Sector in the areas of operations management and new business development. Mr. Tracy has been involved in and had oversight responsibility for developing healthcare professional staffing support contracts for over 1,700 separate projects that have provided over 22,000 people in the military and VA health systems. This work has included process and system development under the Managed Care Support Contracts (MCSC) that operated from 1995 until 2004. During this time, SHR served as a subcontractor to various primes.

Beginning in mid-2004 as the company transformed from serving Military Treatment Facilities primarily as a subcontractor under the MCSC contracts to a prime contractor providing on a daily basis over 1,600 healthcare professionals to provide services in the military and VA health systems, Mr. Tracy was responsible for leading the business development efforts and operational delivery in the market by the company.

Mr. Tracy earned a Bachelor of Science degree with a major in Accounting from the Syracuse University Whitman School of Management. He lives in Colorado Springs, CO with his wife and two sons.

 

Jerome John HyzyJerome "John" Hyzy

Vice President, Clinic Services Spectrum Healthcare Resources, Inc.

Mr. Hyzy is the Vice President for Clinic Services with Spectrum Healthcare Resources and is a retired Air Force healthcare administrator with 25 years of experience in military healthcare and three years of government medical consulting experience with Booz Allen Hamilton. He has proven leadership experience in rural clinic, community hospital, and regional medical center facility settings. Mr. Hyzy has functional experience in medical planning, patient administration, hospital finance (a two time Chief Financial Officer with Resource Sharing Agreement experience), managed care, group practice management, and medical informatics. He was recognized by Healthcare Informatics Magazine as “Innovator of the Year” in 2006 and was awarded the Microsoft Health Utilization Group Innovation Award for Performance Reporting in 2006 and again in 2007. He is also an accomplished public speaker and post-graduate-level course writer and instructor.

Mr. Hyzy specializes in executive-level problem resolution, innovation, and enterprise-level program management and draws on his experiences from his time on the staff for the Office of the Air Force Surgeon General (where he served as the Chief of Data Modeling and Informatics) and his current role as the Program Director for the Fort Belvoir Community Hospital satellite clinics in Fairfax and Dumfries Virginia (responsible for 400 medical staff who care for 47,000 patients), he holds a Masters of Business Administration from Auburn University and is board certified with the American Academy of Medical Administrators.

 

Fred GoldsteinFred Goldstein

Chair and Interim Executive Director, Population Health Alliance

Fred Goldstein is the Founder and President of Accountable Health, LLC. He has over 25 years of senior management experience in the health care industry encompassing Disease Management and Wellness, HMO, hospital and physician group operations, strategic planning, mHealth, marketing, product development, network development, and government affairs.

He received a BA in Zoology from U.C. Berkeley and an MS in Health Care Administration from Trinity University in San Antonio Texas.

 

Michael DermerMichael Dermer

Senior Vice President, Chief Incentive Officer, Welltok

Mr. Dermer joined Welltok through the acquisition of IncentOne in October 2013. Michael was the founder and CEO of IncentOne, the first company that identified incentives in healthcare as a critical solution to driving cost savings and engagement. His role is to help the health marketplace optimize their incentive program from both a design and execution perspective to create true health optimization.

 

 

Michael DermerVicki Shepard

Chair, Government Affairs, Population Health Alliance

Vicki joined Healthways in September, 2004 and leads Industry and Government Relations. In her position with the company, Vicki provides leadership, business development and ongoing relationship management with government officials, strategic company partners, stake-holders, and industry and trade associations. She serves on a number of industry and association Boards and manages the company’s political and policy agenda.

Vicki has extensive experience in both the government and business sectors. She served as the Vice President of the Healthcare Industry Group and Government Solutions for North America for EDS (now HP) prior to joining Healthways. Before EDS, Vicki was a presidential appointee for five years serving as a Deputy Assistant Secretary at the U.S. Department of Health and Human Services.

Vicki is a member of the Academy of Certified Social Workers and has a Master’s Degree in Social Work and a Master’s Degree in Public Administration. She has received numerous awards, including the Koshland Award for “Outstanding Administrator of the Year” for the State of California and the Monty Award as Alumni of the Year for San Diego State University.