PHA 2017 Capitol Caucus
Population Health Alliance Capitol Caucus
The PHA Board of Directors gathered in Washington, D.C. on October 19th to set the strategic agenda for 2018 and kick-off another successful event – PHA Capital Caucus 2017 – attended by its esteemed members and partners.
PHA Board Chair Rose Maljanian, Chairman & CEO – HealthCAWS, Inc, PHA Secretary Sean McManamy Sr. Vice President, Strategy & Product – HealthFitness, PHA Treasurer John Griffin, JD, Chief Operating Officer – EB Employee Solutions, PHA Director at Large Sandeep Wadhwa, MD, MBA, Senior Vice President, Care & Delivery Management – Noridian Healthcare Solutions, PHA Chair, Quality & Research Mary Jane Osmick, MD, Vice President and Medical Director – American Specialty Health, PHA Director Christopher Long, Executive Vice President and Chief Operating Officer – AxisPoint Health, PHA Director Jim Pshock, Founder, CEO and President – Bravo Wellness, Director Helene Forte, Vice President, Public Plans Emerging Markets – Tufts Health Plan, PHA Director John Sory, Chief Executive – UHealth Regional Alliance, University of Miami.
The Population Health Alliance Capitol Caucus drew executives across this multistakeholder industry to address policy issues and implications for the PHA membership. Attendees heard keynote presentations from Anne-Marie Polak, Senior Director Leavitt Partners, on President Trump’s Executive Order on healthcare reform and Congresswoman Allyson Y Schwartz, President and CEO, Better Medicare Alliance, on transforming Medicare for America’s Seniors.
Anne Marie Polak, Senior Director, Leavitt Partners, discusses implications of President Trump’s Executive order CRS’s and the Alexander- Murray bill- all intended to drive bipartisan support to move forward.
Robert Horne, Senior Director, Leavitt Partners, highlights the great progress being made in Medicaid policy to include coverage and more control at State level.
Board Chair Rose Maljanian leads off with 20 year history of PHA advances in the industry while highlighted PHA’s current broad umbrella and stakeholder group influencing advances in Value-based Care, Medicare, Medicaid, Employee Health and Technology Solution Innovation.
Congresswoman Schwartz, President & CEO, Better Medicare Alliance, highlights programs in Medicare Advantage leading to improved experience of care for older Americans and cost savings.
PHA Chair Rose Maljanian and Congresswoman Allyson Schwartz.
Matt Salo, Executive Director, National Association of Medicaid Directors, discusses challenges for Medicaid Directors to serve a growing number of vulnerable individuals.
Rose Maljanian Board Chair honors former PHA Board member Donald Fisher who served AMGA and a leader in the Value Based Care movement as esteemed panelist Romilla, John and Gordan take the stage. Dr. Romilla Batra, CMO, SCAN Health Plan, shared strategies deployed by SCAN Health Plan to meet members where they are. John Cuddeback, MD, PhD, CMO of AMGA, emphasized use of data analytics to understand the population served and triage individuals to the best program and Neil Gordon, MD, Founder and CEO, INTERVENT International, shared numerous examples of large scale multisite initiatives producing improved outcomes today.
Dr. Ray Fabius, Principal, AB3 Health, moderated a panel on Prevention and Wellness including and overview from Brenda Schmitt on incentives in the workplace, Kathryn Wilbur, Senior Counsel, Health Policy, American Benefits Council, shared perspectives on employer sponsored benefits and the need to maintain affordable as employers are focused on both advancing health and productivity, and James A. Paretti, Jr., Chief of Staff and Senior Counsel to Acting Chair Victoria A. Lipnic, Equal Employment Opportunity Commission discussed the challenges and successes for EEOC to balance advocacy for employee rights while supporting initiatives that advance the industry.
Elizabeth Carter, PhD, MPH, Senior Advisor Health Services Research, AARP, shared insights on intersection of public health and population health and key social determinants of health. Inaddition Elizabeth shared AARP’s Living Index tool so participants can look upan zip code and see ratings on number of social determinants for the area.
Gary Jacobs, Managing Partner, Circumference Consulting LLC,a industry veteran in home care innovation, shared his perspectives on interventions that work to maintain and improve health in the home environment and those that can be deployed to avoid unnecessary and costly acute care services.
The day concluded with Chair Rose Maljanian providing a recap of the broad umbrella of population health covered throughout the day and commented that it is because of PHA’s multi-stakeholder membership committed to serving consumers across all segments that significant advancements in health and making health care more affordable have been achieved and were shared today.
Thank you to our PHA Capital Caucus Event Sponsor:
The agenda included the following:
Welcome Address – Left, Right or Middle: Staying Focused on the Priority of Improving Population Health
Rose Maljanian, HealthCAWS, Chairman and CEO Population Health Alliance Board Chair
Keynote – Implications of President Trump’s Executive Order on HealthCare Reform
Anne Marie Polak, Senior Director Leavitt Partners
How Population Health Accelerates the Shift to Value-Based Care
The U.S. Department of Health and Human Services is underway in transitioning the health care system from pay-for-volume to pay-for-value. Though, where are we on this journey and how do population health management strategies play a vital role?
Speakers:
Dr. Romilla Batra, SCAN Health Plan, Chief Medical Officer (Moderator)
John Cuddeback, MD, PhD Chief Medical Informatics Officer, AMGA
Dr. Neil Gordan, INTERVENT International, Founder and CEO
Luncheon Keynote Discussion – Medicaid Headwinds and Opportunities 2018-2020
Medicaid reform has been the subject of much debate in 2017, with most of the focus being on the need to reduce the rate of growth in the program. How can population health and wellness programs help rein in spending and improve quality for Medicaid beneficiaries and state budgets.
Speakers:
Matt Salo, National Association of Medicaid Directors, Executive Director
Clay Alspach, Principal, Leavitt Partners, Founder
Addressing Social Determinants of Health – What Works
We all know that there are real social determinants of health that will impact patient outcomes and abilities to adhere to treatment recommendations. What role can population health programs play in helping to identify social determinants of health and improve the way quality programs are adjusted for the complexities they bring to the system?
Speakers:
Elizabeth Carter, PhD, MPH Senior Advisor Health Services Research AARP
Gary Jacobs, Managing Partner Circumference Consulting LLC
Prevention and Wellness Programs – Innovation Update and Policy Considerations
Many employers and other health care stakeholders recognize the value of prevention and wellness programs using a variety of intervention strategies to lower costs and improve health, wellbeing, and productivity. The landscape of legal and regulatory requirements surrounding these programs is complex. How are access and incentives changing to drive consumer engagement, and how is regulation changing?
Speakers:
Dr. Ray Fabius, AB3 Health, Principal (Moderator)
James A. Paretti, Jr., Chief of Staff & Senior Counsel to Acting Chair Victoria A. Lipnic, Equal Employment Opportunity Commission
Kathryn Wilbur, Senior Counsel, Health Policy, American Benefits Council
Brenda Schmidt, Solera Health, Founder and CEO
Ms. Polak is a senior director based in Washington, D.C. In her role, she provides policy counsel and analysis to clients with matters involving regu-lations, legislation, and business implications. Anne Marie’s experience includes developing strategic messages and policy positions for Capitol Hill, administration, trade associations, and corporate audiences. Prior to joining Leavitt Partners, Anne Marie was a vice president for Faegre BD Consulting in the firm’s health and biosciences group. She also spent five years with the Podesta Group in Washington, D.C., while completing her law degree in the evenings at the George Mason University School of Law, graduating cum laude in 2010. Anne Marie also worked in the government and legal affairs office of Novo Nordisk in Washington, D.C., and as a congressional aide to Rep. Michael Ferguson of New Jersey.
Dr. Fabius has recently returned to his start up. HealthNEXT, a company dedicated to the development of organizational cultures of health — after serving as Chief Medical Officer of Truven Health Analytics (formerly the healthcare business of Thomson Reuters), the world’s leading source of intelligent information for business and professionals. In this capacity he is charged with developing and deepening relationships with customers, advising on product development, and providing counsel to the leadership on business strategy and medical issues. Formerly, Dr. Fabius served as strategic advisor to the President of Walgreens Health & Wellness Division. This organization will coordinate over 1,000 workplace health centers and 10,000 pharmacies, many with retail clinics, into a seamless primary care network across the country within the next five years. In the not too distant future, it will be possible to offer large employers medical and fitness services on-site as well as episodic illness care, health coaching and disease management monitoring at the employee’s nearest Walgreens pharmacy.
Mr. Buettner is an explorer, National Geographic Fellow, award-winning journalist and producer, and a New York Timesbestselling author. He discovered the five places in the world—dubbed Blue Zones—where people live the longest, healthiest lives. His articles about these places in The New York Times Magazine and National Geographic are two of the most popular for both publications.
Ms. Cooney provides strategic direction for the Centers three Pillars of Population Health – Clinical to Community Connections, Health Equity and the Social Determinants of Health, and Public Health Data Analytics and Informatics. Mary Ann previously worked for 14 years at the New Hampshire Department of Health and Human Services where she was Deputy Commissioner for the Department and Director of Public Health.
Mr. Scully is a General Partner in the Healthcare Group, having joined WCAS in 2004. Before joining WCAS, he was the Administrator of the Centers for Medicare and Medicaid Services (CMS) for three years and the President and CEO of the Federation of American Hospitals for six years. He also served as the Deputy Assistant to the President and as the Associate Director of OMB under President GHW Bush from 1989 to 1993, and has practiced law at Alston and Bird; Patton Boggs; and Akin, Gump, Strauss Hauer and Feld. He is a Principal at the Lincoln Policy Group.
Dr. Don Wright has served as the Deputy Assistant Secretary for Health and Director of the Office of Disease Prevention and Health Promotion (ODPHP) since January 2012. In this capacity, he leads coordination and policy development for public health and prevention activities within the Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services. He is also currently the acting Executive Director of the President’s Council on Fitness, Sports & Nutrition.
Dr. Sidorov is a board-certified in general internal medicine physician with more than 25 years of experience in primary care, inpatient care, medical education and evidence-based practice. Jaan believes physician leadership throughout the continuum of care is the bedrock of value-based care delivery. He received his medical degree from Pennsylvania State University College of Medicine, and completed his internship and residency at the Dartmouth Hitchcock Medical Center in Hanover, New Hampshire. Jaan also served as a Chief Resident at Reading Hospital in Reading, Pennsylvania.
Dr. Ostrovsky is a practicing physician, social entrepreneur, and health policy expert who specializes in human-centered design, lean manage-ment, quality improvement, population health, and digital health. Dr. Ostrovsky was most recently the Chief Medical Officer for the Center for Medicaid and CHIP Services (CMCS), the nation’s largest insurer covering over 74 million people, annually.
Dr. Choice is vice president and medical director for physical medicine services at American Specialty Health (ASH). Dr. Choice oversees the Rehabilitation Services Clinical Quality Evaluation program and leads the content development, training and clinical quality processes for ASH’s musculoskeletal health and pain management products.
Ms. Forte is responsible for leading Tufts Health Public Plans expansion efforts. Prior to her current position, she was vice president of care management for all Public Plans members.
As Director of Strategic Initiatives, Ms. Bowman oversees new social needs intervention initiatives among our clinical partners — including program design, resource database build-outs, and integration of Health Leads’ signature technology, Reach. Elise brings 10 years of direct service experience to her role, having previously served as a Health Leads program manager, a case manager for adults struggling with mental illness and homelessness, and in developing parent engagement initiatives in public education settings.
Mr. Johnson leads the Sage Consulting’s work for a number of public sector, corporate, non-profit and multi-employer clients. David brings particular expertise in evidence-based workplace wellness programs and leveraging Behavioral Economics principles in Human Resources Management. He is also an Adjunct Professor in the Department of Psychology at Towson University.
Dr. Wadhwa is a leader in building population health programs for vulnerable populations. He serves as the senior vice president of market innovation and is the chief health officer for Solera Health where he is focused on scaling the Diabetes Prevention Program as well as health-related, social support interventions. Previously, Sandeep held population health leadership positions with 3M and McKesson. He also served as the State Medicaid Director for Colorado under its former Governor. While there, he oversaw a $4 billion program and led the effort to implement an accountable care collaborative. Sandeep also serves on the board of Reinvestment Fund, a $1 billion non-profit, financial institute devoted to revitalizing low-income neighborhoods. Sandeep continues to see patients at the Seniors Clinic at the University of Colorado Hospital where he serves as associate clinical professor in the division of Geriatric Medicine.
Focused on the intersection of information technology, informatics, clinical medicine and innovation, Dr. Jain is VP and Chief Health Informatics Officer at IBM Watson Health. He was Co-Founder, Senior VP and Chief Medical Officer of Explorys, Inc. formed in 2009 based on innovations that he developed while at the Cleveland Clinic. In April 2015, Explorys was acquired by IBM as an integral component of the newly formed Watson Health business unit. In 2017, he was appointed by Congress to the Federal Health IT Advisory Committee established by the 21st Century Cures Act.
Ms. Maljanian is an accomplished senior executive with more than 25 years of experience in the health care industry. Rose’s leadership experience
John Haughton MD, MS