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These unplanned events are not 8. In a practice with fewer than three partners, a cross-purchase agreement is the preferable method. A cross-purchase would be funded by each partner owning an insurance policy on the lives of the other partners in the practice. The proceeds from these insurance policies can be used as payment toward the purchase. Regardless of which type of agreement you decide, the funding needs to be in place well in advance so that the money is available to pay for the sales price outlined in the agreement.

The sales price can be. Even though it is important that the buysell agreement is in place, it is equally important that it is reviewed periodically for reasonableness. When there is a planned exit from the practice and you are seeking new partners, the new and remaining partners should organize its assets, liabilities and discretionary expenses. Discretionary expenses are ones that may be unique to you as a partner rather than needed for operational purposes.

This will give a more realistic financial picture and enhance the value of the practice. It is important to keep accurate detailed records as new partners may be interested in statistics about your practice.

These benchmarks may include revenue per full-time partner, number of patients seen and percentage of patients that are private pay, insurance, and Medicare. And if you already have your exit strategy in place, review it to make sure that it reflects up to date information and does not require revision.

Financial advisors including your CPA and attorney are an excellent resource for recommendations for your particular situation. A buy-sell agreement is an important key tool for your practices continuation and exit strategy. She can be reached at swade cacpas. Albert Reece, M. The institute is an umbrella organization that creates a multidisciplinary infrastructure to help advance basic science research discoveries into novel therapies to treat and prevent serious chronic conditions and improve human health.

Led by Co-directors Alan R. Shuldiner, M. Ajrawat, M. He completed a residency in general surgery and urology at the State University of New York at Buffalo and is board certified in Urology. Urologist Harry S. The award is achieved through a greater than 85 percent compliance with all core measures of stroke care over a month period.

Green Building Council. LEED, also known as Leadership in Energy and Environmental Design, is an internationally-recognized green building certification developed by the council in Gold is the second highest certification available, exceeded only by platinum. Send news and announcements for publication consideration with high res photo dpi to news mdphysicianmag. Nickens Award. The award honors individuals who have made outstanding contributions to promote justice in medical education and health care equality.

Saunders, a professor of medicine and head of the Section of Hypertension at the University of Maryland School of Medicine, has worked to achieve medical equality and eradicate health care disparities within AfricanAmerican communities for more than 50 years. An international expert on hypertension in African-Americans, Saunders has devoted his career to developing programs that reach patients in non-traditional settings like barber shops, all to educate them about the importance of cardiovascular health.

He was the first African-American resident in internal medicine at the University of Maryland in and the first African-American cardiologist in the state in Saunders also co-founded several organizations, including the Association of Black Cardiologists and the American Society of Hypertension. He is a clinical instructor in neurology at Johns Hopkins University Hospital, as well as clinical assistant professor in both neurology and psychiatry at the University of Maryland School of Medicine. Genut succeeds Howard Moses, M.

Surgeon General Regina M. Benjamin, M. Surgeon General, Regina M. Non-adherence is responsible for more than one-third of medicinethe number of Americans affected by one or related hospitalizations and nearly , more chronic conditions requiring medication deaths in the United States each year. Medgrows to a projected million by Clinical Features Maryland Physician focuses on the latest cancer developments. We talk with top Maryland specialists to get their take on the effectiveness of the latest treatments for prostate, breast and blood cancers.

When should you refer a patient to avoid subjecting him or her to unnecessary or unproven cardiac procedures? Maryland Physician interviewed three Maryland cardiac specialists to provide the latest information on newer techniques to manage patients with mitral valve damage, chronic total occlusions and atrial fibrillation A-Fib.

Massimiano specializes in mitral valve repairs. In addition to being more technically challenging and taking more OR time,. There are three possible MI techniques — robotic, direct vision, and thoracoscopic. The direct vision approach is used for the majority. Massimiano notes. As the surgeons in our practice have. As is true of many surgical procedures, high volumes and experience are important. Both the techniques and the instruments in valve repair procedures have progressed.

The MI incisions are only five to six centimeters in length, thanks to improvements in equipment and techniques. Catheters and cannulas can be inserted percutaneously using thinner, smaller, and more flexible devices. The average length of stay is three-and-a-half days versus five to six days for an open incision, but the real benefit to patients is their ability to resume work and most activities within a few weeks instead of months.

Massimiano urges referring physicians to refer patients early. The AHA guidelines provide excellent guidance for referring physicians. New Techniques Boost CTO Success Rates Angioplasty and stenting have become so successful in treating most coronary blockages that it can be frustrating to manage coronary chronic total occlusions CTO , which until recently had a far lower success rate than other percutaneous coronary interventions. CTOs involve complete blockages of coronary arteries for more than three months.

They are most common in the right coronary artery with the remainder evenly split between the left anterior descending LAD and circumflex arteries. These blockages consist of hard plaques made of dense, fibrous tissue and calcification at the proximal and distal ends. Patients often slowly develop small collateral vessels to restore limited blood flow, and may not recognize their symptoms because they slowly adapt to their limitations.

We then probe the occlusion from the back side, which typically is much softer and easier to cross. This approach is time consuming and entering into the true lumen is highly challenging.

Which approach to start with is case dependent, as every angiogram has specific nuances. Once we enter a softer area, we can make a new channel to put the stent into the true lumen.

Wang says. They can resume normal activities at the same rate as other angioplasty patients. Wang concludes. Kilical sees numerous patients with this common condition and understands that it can be frustrating to manage. In fact, ablation is less beneficial for the sickest patients; paroxysmal A-Fib patients benefit the most.

Kilical comments. The American Heart Association guidelines recommend continuing anti-coagulation based on your CHADS score an acronym of the five key risk factors for stroke following A-Fib - congestive heart failure, hypertension, age, diabetes and stroke or TIA history regardless of a successful ablation.

Catheter ablation is reserved for symptomatic patients to eliminate symptoms and anti-arrhythmic medications, but not to stop anticoagulation.

The risk of a hemorrhagic stroke was 0. As Having two or more factors warrants the use of an anti-coagulant, while a score of 0 indicates that no anticoagulants are required. The controversy arises when patients have a score of 1. Most EPs say that taking aspirin is treating the doctor, not the patient. Catheter ablation success rates have increased in recent years, thanks to a better understanding of the disease, new techniques and technology, and more experience.

Ablation used to involve a long, difficult procedure. However, with new catheters that can deliver circular lesions, improved 3-D mapping, and a growing arsenal of new tools, the procedure is faster, safer and more successful.

I prefer to perform ablation before A-Fib becomes permanent. A-Fib is progressive, with increased frequency and duration secondary to the inflammation and scarring in the myocardium. Paul Massimiano, M. John Wang, M. Call today and see whatt we can do for your practice. Maryland Physician spoke with leaders of both programs plus four participating Maryland physicians to learn about their. The American Academy of Pediatrics originated the PCMH concept in and made it policy by , when it established standards to improve the access, planning, management, coordination and tracking of healthcare services, with the primary care provider as the hub.

These promote using. The priority this program places on the primary care physician is long overdue. Niharika Khanna, M.

We announced the multi-payer program on April 14th. Fifty-three practices comprised of over primary care providers signed up.

Additional state support was designated to establish the Maryland Learning Collaborative and the external evaluation team. We conducted a series of webinars on each NCQA standard and the practices decided which data they needed to identify high-risk patients. We offer multi-media, skills development and training workshops to practices to support a team-based care management model where a variety of healthcare personnel can learn to perform the functions of embedded care management. Patient advocates drawn from our practices have guided us at every step.

Howard Haft, M. He is optimistic about the potential for the PCMH model to transform patient care. Ben Steffen. Before we started this, we relied on our patients to tell us when they were in a hospital or to return for follow-up appointments. Haft adds. Now, our staff gets a list of patients referred so that we can track their progress, with clinical information in that referral. It provides more integrated care.

It will. It provides better care. Haft agrees that care management is key. They focus. With the state model, we can integrate the care coordination into our existing workflow. Eaton describes some of the changes that PCMH has brought.

Notes Dr. The current program, according to Chet Burrell, president and CEO of CareFirst, has signed up about 2, physicians and nurse practitioners in Maryland, DC and Virginia, making it the largest in the country. The average panel size is 10 providers and about 3, members, in line with early predictions that this size would generate sufficient patient volumes to spread risk without being unwieldy. We supply all of those things.

George Lowe, M. The current model adds in a case management component for at-risk patients and promises to share in cost savings based on outcomes and patient satisfaction. Patricia Czapp, M.

The staff find it more rewarding, too — like the docs, they now get cookies and fruit baskets from grateful patients! More than 1, care plans were initiated in To better manage high-risk patients, CareFirst employs regional care coordinators, each of which oversees. Both PCMH models provide immediate increases in physician compensation and share in any savings at the end of the year. Burrell explains how the CareFirst shared savings works. The care managers, contracted through a vendor, are local nurses with practice management experience.

The physicians need a PC and The program is data-intensive, not anecdotal. Unlike some past models, there is no downside risk for physicians. We provide powerful rewards for providing more managed patient care. My gut is that about half of the panels will see shared savings. Health expenses would be debited against those credits. Steffen observes that access to data is one of the major challenges facing PCMHs, due in large part to restrictions in state law limiting what information can be shared.

Practices need to have data on patients that need treatment. Khanna concurs. Access to care is a second critical issue. Steffen notes. Despite the issues, all interviewees were optimistic about the potential of the PCMH model. Khanna concludes.

The policy handbook is clear: Employees are prohibited from using the internet to make disparaging comments about the company; offensive language about co-workers is forbidden; and posting pictures depicting the company in any way, including a logo or uniform, is not allowed.

Employees are warned that their internet use will be monitored and that they can be fired for violations. Given this, when two low level, administrative employees are caught having a Facebook discussion about the need to improve their supposedly horrible working conditions and, in doing so, describe their supervisor as a mentally-ill dirtbag, firing them would be legal and appropriate, right?

Well, no. Not anymore. Its mission is to protect the rights of private sector employees to join together to improve their wages and working conditions, with or without a union. The NLRB has regional offices nationwide where employees can file complaints, which also can be filed online. The NLRB has the right to investigate complaints and, if necessary, sue employers in administrative courts.

A single employee can also engage in concerted activity if she brings group complaints to the employer or tries to prepare for, or organize, group action.

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Baxter infus o.r	Both boys received fetal screening and had craefirst heart development. Notes Dr. We often have same day appointments and accept most insurance plans. Do you have a buy-sell agreement in place? Genut succeeds Howard Moses, Https://info.informaticknowledge.com/juniper-networks-installer/361-warren-county-ohio-humane-society.php.
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See Also : Medical Show details. Just Now Web CareFirst has a team of nurses and care coordinators available to help you better manage your daily health. We examined the association between participation in a patient …. The PCMH will broaden access to ….

Valley Health Center …. See Also : Health Care Show details. Residents receive assistance and coaching for a wide range of scholarly …. The focus is on you and your health. Eileen recently retired after working at Kaiser Permanente formerly Group Health Cooperative in Seattle for the past forty years.

First appointed and subsequently retained to the House of Representatives in , Eileen has dedicated her legislative career to achieving affordable, quality healthcare for all residents of Washington state. Eileen currently serves as chair of the House Health Care and Wellness committee. This position serves as a deputy to the State Medicaid Director. In her role, Ms.

Prior to her current position, Ms. In this position she was responsible for the administration of managed health care for physical, behavioral and dental health for both Medicaid and CHIP for the State of Utah.

Prior to joining the Department of Health in , Ms. Chacon served in this capacity for 12 of her 29 years with the Utah Department of Human Services.

Dean Rosen has played a leading role in developing and advancing health policy for more than 20 years. A partner at Mehlman Castagnetti, Dean joined the firm to direct its health care practice in September after five years as the chief health care advisor to Senate Majority Leader William H.

Frist R-TN. Dean has held senior positions in both the U. Senate and the House of Representatives, serving in the Congressional Leadership as well as on key health care committees. He also served in several senior positions with the Health Insurance Association of America. He has helped shepherd through Congress major legislation involving a variety of policy areas, including Medicaid and Medicare reform, FDA regulation, health insurance coverage and health care quality.

Throughout his career, he has forged strong working relationships with key decision-makers on both sides of the political aisle in Congress and within the broader health policy community. Chris Jennings is a decades-long health policy veteran of the White House, the Congress and the private sector. In his decade with the U. He also served in a major role for the U. Bipartisan Commission on Comprehensive Health Care. Jennings has advised eight Presidential campaigns, the , and Democratic Platform Drafting Committees, and multiple gubernatorial and Senate candidates.

Jennings Policy Strategies JPS is a nationally respected health care consulting firm committed to assisting foundations, purchasers, health systems, and aligned stakeholders develop policies to ensure higher quality, more affordable and sustainable health care.

Erika started her career managing a homeless shelter in the Mississippi Delta and has since served in a variety of capacities across health care and human services including positions at Duke University and the World Health Organization. Prior to working for the foundation, Chris spent six years as a senior health policy analyst for the U. Government Accountability Office, contributing to numerous reports for Congress on Medicaid, Medicare and private health insurance payment policy.

Dickerson has over 30 years of experience in the field of public health and strategic policy development. Her primary focus is to develop and implement state Medicaid policies in the areas of nursing and intermediate care facilities, home and community-based waivers, maternal and child health and developmental disabilities.

Dickerson also coordinates with the Centers for Medicare and Medicaid Services and interpret federal guidelines, draft legislative language and perform comparative analysis to determine the most appropriate delivery of services for individuals and families. Dickerson has extensive experience in administering health services programs through collaborative partnerships with state agencies, local health departments, managed care organizations, hospitals, pharmacies and community-based organizations.

In addition, she has been instrumental in creating non-traditional health education programs for under-served populations and has been nationally recognized for her statewide leadership in the implementation of efforts in high-risk communities.

Marie Ganim, Ph. In this role, she ensures the solvency of health insurers, protects consumers, encourages the fair treatment of providers, and works to improve health care quality, accessibility, and affordability. The Office of the Health Insurance Commissioner was created in to oversee both health insurance regulation and health policy for the state. Her previous career includes serving as a principal at the multinational law firm Dentons where she led the Health Policy and Health Insurance Exchange Teams, as an advisor to Massachusetts Governor Mitt Romney on health policy and federal programs, and as senior management for both the Salt Lake and Atlanta Olympic Games.

Jean is a Registered Nurse that has over 30 years in hospital, home care and hospice administration. She holds a masters of science degree in nursing as a clinical nurse specialist and masters degree in hospital administration. She is married and has four children and six grandchildren. Heather has over a decade of experience in human service specifically related to health care policy. She specializes in government affairs, public relations, coordinated project management and strategic planning.

He previously served as chief administrative officer and interim chief of staff to Gov. John Hickenlooper and has an extensive history of public service. Kevin brings a strong understanding of local, state, and federal government and stakeholder engagement to this role. For his time at Connect for Health Colorado, Kevin has been focused on improving the customer experience so they can focus on health insurance with tax credits implications. Kevin has held many senior leadership roles for the city and county of Denver.

He was elected to the Denver Board of Education in and Kevin graduated with a B. Kevin is known as a collaborative non-partisan problem solver for Colorado issues. Jennifer Sullivan, M.

Holcomb effective January 9, Sullivan is dedicated to building effective and efficient delivery of health care and social services to Hoosiers. She takes a public health approach to policy decisions and is committed to strategic alignment across government and the private sector to improve health outcomes and fill unmet social needs.

FSSA is a health care and social service delivery and integration agency. The mission of FSSA is To compassionately serve our diverse community of Hoosiers by dismantling long-standing, persistent inequity through deliberate human services system improvement. Theriot attended medical school at the University of Louisville UofL then went on to complete her Pediatric residency and a chief resident year before joining the faculty at UofL.

Theriot served as the director of the General Pediatrics Clinical Research Unit and prior to that as the medical director of the Children and Youth Project; a multidisciplinary primary care clinic serving the inner-city high-risk children of Louisville Kentucky. Theriot is a certified physician executive and is a professor of Pediatrics at UofL. In addition to her administrative duties with Medicaid, she continues to see patients weekly in clinic at UofL and teach pediatric residents.

Sudders has held leadership roles across the public and private sectors, including serving as the Massachusetts Commissioner of Mental Health, a non-profit CEO, and associate professor and program chair at Boston College School of Social Work, a top ten nationally-ranked program. She is the recipient of many civic, social work, and professional honors. Tim Peterson test Speaker. Tim has over 20 years of experience implementing state government systems, including end-to-end management of the entire software development lifecycle from contract negotiations and project initiation, through implementation, certification, and post-production operations.

Mark Greenberg Speaker. His work focuses on immigration issues affecting children and families and implications of immigration enforcement and policy for health and human services programs and agencies.

From , Mr. ACF includes the Office of Refugee Resettlement and a wide range of other programs assisting low-income and vulnerable children, families and communities. Previously, Mr. Marie Zimmerman Moderator. Additionally, Zimmerman served as the Health Care Administration policy director, deputy director of managed care and payment policy division and as the budget and legislative director. Thomas Novak Speaker. Thomas Novak is the Medicaid Interoperability lead in the Office of Policy at ONC where he supports the advancement of Medicaid interoperability in the drafting and review of federal regulations.

Medicaid Data for the Future. Virginia Dize Speaker. Tara Murphy Speaker. Prior to MassHealth, Tara served as the founding Administrative Director for the Kraft Center for Community Health Leadership at Partners HealthCare, a then-new entity focused on improving access to high quality healthcare in traditionally underserved communities by strengthening the workforce in community health centers.

She previously held leadership roles in global health, first at the Harvard T. She has also consulted at numerous community health centers and nonprofits. Tisha Holmes Speaker. She conducts interdisciplinary work on planning for hazards and risks in order to reduce physical and social vulnerabilities and seek ways to build resilience in vulnerable, marginalized communities.

Her research also emphasizes active community participation in research, education and decision-making processes to address the present and potential impact of climatological risks. She is also conducting research on adaptation approaches to sea level rise in Florida and developing work on climate resilience planning in the Caribbean.

Joe Bryant Speaker. Carney Delaware. Joe has been in his current position since Joe graduated with a B. House of Representatives. He was Rep. In addition, Joe has several years of experience as a professional mental health counselor. Wilmarie has represented the state before legislative and executive branches in strengthening advocacy systems.

Wilmarie has led teams in state studies and evaluations on elder abuse, financial exploitation, and guardianship issues impacting the aging population; Wilmarie has been a featured speaker at local, state and national forums covering topics from advocacy, protection, quality strategy, performance measures, and state funded programs.

It includes establishing sound quality components that include early implementation strategy, performance measures, performance improvement projects, long-term evaluation while collaborating with internal and external stakeholder engagement.

Wilmarie has served as a board member in national, state and local organizations influencing public policy, education, older adults, and the arts. Tom Curtis Speaker.

Kierra Barnett Speaker. Kierra S. Her dissertation research specifically explores John Henryism an active coping mechanism against stressors , socio-economic status, and health disparities among Blacks. Having joined the Kirwan Institute in , Kierra has collaborated with state, county and city public health departments, as well as non-for-profit organizations, to assess health outcomes, such as infant mortality, and make policy and practice-based recommendations to address the disparities.

After completing her doctoral degree, she intends to continue her scholarship to better understand health among Black populations across the socio-economic gradient. Chris Taylor Speaker. In his role, he facilitates change across the state system of government, creating more inclusive state agencies and promoting equity in state programs and services.

Aletha Maybank Speaker. Prior to this in , Dr. She also teaches medical and public health students on topics related to health inequities, public health leadership and management, physician advocacy, and community organizing health. Currently, Dr. She is a pediatrician and board certified in Preventive Medicine and Public Health. A Commitment to Advance Health Equity. Dee Jones Speaker. Dee Jones is the Executive Director of the North Carolina State Health Plan, which provides health care coverage to more than , teachers, state employees, retirees and their dependents.

Dee holds an M. Elisabeth Arenales Speaker. Elisabeth is recognized as a health policy expert and has a strong track record of protecting, preserving, and expanding access to health care, particularly for lower-income Coloradans.

She has helped to shepherd legislation and programs that increased coverage, reduced health access barriers and led to significant changes in the Colorado health landscape. Lisa Beauregard Speaker. She competed a Ph. Previously, Dr.

Jessica Rhoades Speaker. Jessica Rhoades is an accomplished health care policy and advocacy leader with broad expertise and experience in Medicaid, the Affordable Care Act, health insurance and payment and delivery system reform. She has served as health care policy advisor to two governors. Her work in the private sector includes working in public affairs for a national health care provider covering 14 states. Erica Phillips Speaker.

Highlights include the work she did with the Ohio Department of Health to define food deserts and the communities impacted by them. Ellie Hartman Speaker. Ellie Hartman, Ph. Chethan Bachireddy Speaker.

He is a physician, researcher, and public servant dedicated to improving health for vulnerable populations. Prior to coming to Virginia, he was a National Clinician Scholar at the University of Pennsylvania where his work focused on two areas: 1 improving health for populations with high rates of HIV infection, substance use disorders, mental illness, and justice involvement and 2 applying insights from behavioral economics and clinical trial design to test strategies and technologies to help form healthy habits.

He is excited to learn and collaborate to improve the health and well-being of the individuals, families, and communities who call Virginia home. Jeremy Vandehey Moderator. Jeremy Vandehey, J. Hospital Consolidation. Jaime King Speaker. Jaime S. King is the Bion M. Concentration on Law and Health Sciences. She is the Co-Founder and Executive Editor of The Source on Healthcare Price and Competition, a multi-disciplinary web-based resource about healthcare price and competition.

Professor King has testified before Congressional committees on health insurance mergers and price transparency and currently sits on the Board of the American Society of Law, Medicine, and Ethics. She holds a Ph. Carissa Dougherty Speaker. Carissa Dougherty, LCSW, has over 18 years experience providing direct clinical practice, program management, and policy work.

Dougherty previously managed an array of permanent and transitional supportive housing programs for persons with mental health and substance use issues. She has co-chaired the local homeless Continuum of Care and provided Mental Health First Aid training to hundreds of homeless service and housing providers.

She leads a team of program specialists and policy analysts responsible for stakeholder engagement, system coordination, and policy initiatives. Prior to this role, she served as a Senior Advisor with a focus on coordinating services to address the housing needs for persons with IDD and behavioral health disabilities, exploring the sustainable financing options for health and housing initiatives, and promoting policies and programs that support such endeavors.

Improving Health through Housing. Starla Ledbetter Speaker. With over 30 years of healthcare experience, Ms. Vanessa Avery Speaker. She manages all aspects of affirmative enforcement by the office, including multi-district cases involving antitrust and government program fraud, consumer protection, the opioid epidemic, the Affordable Care Act, immigration, the environment, privacy and data security, as well as cases pending locally.

She handled a broad variety of cases on behalf of the United States, its agencies and employees. She also spent over a decade in law firm practice focusing on business and financial litigation.

Terry Cothran Speaker. His team provides support to the Oklahoma Health Care Authority state Medicaid agency in managing the pharmacy benefits for our state Medicaid members. Sue Kvendru Speaker. Jami Snyder Speaker. Jackie Prokop Speaker. Greg Moody Moderator. Brett DeLange Speaker. Bob Russell Moderator. Andy Mullins Speaker.

Alice Lind Speaker. Craig Nale Speaker. Jackson, the President of the Maine Senate. Craig practiced law at a firm in Portland, Maine, for two years prior to joining the Maine Legislature in Stacey Schubert Speaker.

Stacey received her B. Shannon Bresaw Speaker. As Program Director, Ms. Through this initiative, Ms. Bresaw and her team work to empower employers to challenge stigma and provide supportive work environments for people in recovery and those impacted by substance use disorders.

At Granite United Way, Ms. Bresaw oversees public health strategies and initiatives and works to align these efforts with existing collaborations, partnerships, and Community Health Improvement Plans. In addition, Ms. Born and raised in NH, Ms. Bresaw received her Master of Social Work Degree in from the University of New Hampshire, with a concentration in community and administrative practice.

She has worked in the field of public health and substance use disorders since In her current role, Ms. Bresaw provides ongoing technical assistance and support to key sectors to ensure the use of best practice approaches in public health and prevention. Bresaw has significant experience in the development of strategic plans, logic models, evaluation plans, and work plans designed to impact crucial public health issues in our communities.

Sarah Finne Speaker. Sarah Finne, DMD, MPH brings over 30 years of experience from both private practice dentistry and public health supervision of a large school-based dental program in New Hampshire to her work in Dental Medicaid. Sarah Brummett Speaker. The Office is legislatively mandated as the state coordinating body for suicide prevention, intervention and postvention efforts.

The Office sets statewide priorities and works with state agencies and community organizations to develop and implement effective strategies, including a community grant program, means restriction education initiatives, the Zero Suicide initiative, education and awareness programs, emergency department and hospital outreach and education, the Colorado-National Collaborative, federal grant-funded initiatives, Mental Health First Aid, and a school grant program.

Brummett practiced family and appellate law in both Colorado Springs and the Denver Metro area. Sabrina Corlette Speaker. At CHIR she directs research on health insurance reform issues. Her areas of focus include state and federal regulation of private health insurance plans and markets and evolving insurance market rules. Prior to joining the Georgetown faculty, Ms. From to , Ms. Corlette worked as a professional staff member of the U. After leaving the Hill, Ms. Corlette is a member of the D.

Bar and received her J. She lives in Alexandria, Virginia with her husband and two daughters. How to Slice the Pie? Market Segmentation. Robin Wagner Speaker. Richard N. He works to expand publicly funded health coverage; protect patient autonomy, especially in reproductive and end-of-life care; and support safety-net health care providers.

Richard Gottfried Speaker. Regan Foust Speaker. She also comes with prior experience replicating effective youth development interventions and evaluating and improving child welfare and educational programs. Paul Precht Speaker. Prior to starting at CMS in , Mr.

Paige Duhamel Speaker. She began her work in the health insurance arena in law school with research on the impact of discriminatory health insurance benefit design on marginalized populations. In the four years that Ms.

Duhamel has been with OSI, her work has focused on regulatory and legislative policy development, including the Surprise Billing Protection Act, legislation to align New Mexico law with the Affordable Care Act, protections against unscrupulous purveyors of short term and limited benefits plans, and guarantees for network adequacy and prompt and transparent benefit utilization review.

Nicole Gastala Speaker. Her interests include treating whole families with a special focus on preventative health care, group visits, and medication-assisted treatment for opioid use disorder. Michael White Speaker. Michael White has worked in the field of substance use disorder for over 9 years with an additional 3 years working with children and families.

Michael specializes in substance use disorder program development between community agencies and judicial systems and has developed, implemented, and supported the integration of Medication Assisted Treatment into county and state correctional facilities located in Alaska, Arizona, Montana, North Dakota, Wisconsin, and Texas. At Community Medical Services Michael supervises a team that closely works with Superior Court Drug Court Programs along with coordinating care to and from county and state correctional facilities.

His experience also includes working within family courts, Department of Child Safety, and obtaining resources for pregnant women with substance use disorders by collaborating with community partners. Michael is a national presenter in the areas of Collective Impact as an effective tool for the continuum of care, pregnancy and opioid dependence, along with Opioid treatment within Criminal Justice systems. Meredith Ray-LaBatt Speaker.

For more than twenty years, Meredith has worked on behalf of children and their families, spending much of her career working to address the complex needs of children with mental health challenges who become involved with various other child-serving systems, including substance use, juvenile justice and child welfare. Megan worked on Capitol Hill for 13 years for both Rep.

Matthew Statman Speaker. Matt is a person in recovery from a substance use disorder who has spent his career helping those with substance use disorders initiate and sustain recovery. Mark Schulz Speaker. He brings together key individuals and groups that have the talents and resources needed to develop, foster, fund and implement new, integrated community services at the local level. Mark has served as an Ombudsman for Long-Term Care learning firsthand the complex reality our most vulnerable adults live with each day.

Before that role, he served with the US military in various leadership positions with responsibility for small and large-scale, multi-faceted teams and complex financial situations.

Grant Foundation. She has published over papers, editorials, intervention training manuals, and several book chapters, focused on improving health care for diverse racial and ethnic populations. In October , she was elected as a member of the National Academy of Medicine in acknowledgement of her scientific contributions to her field. Linette Scott Moderator.

Leann Johnson Speaker. Leann is the director of the Equity and Inclusion Division for the Oregon Health Authority, joining the agency in Leann has 25 years of leadership experience developing equity, diversity and inclusion programs.

Kevin Martin Speaker. He has 13 years of healthcare experience ranging from systems management to program integrity and mostly focusing on data analysis in various forms.

Recently he has been involved in several large payment reform efforts including, implementation of the Enhanced Ambulatory Patient Grouper methodology for outpatient hospitals and developing a per member per month payment model for FQHCs. Ken DeCerchio Speaker. Prior to joining the staff of Children and Family Futures, Mr. Katie Gudiksen Speaker. Katherine L. Gudiksen, Ph. Her work focuses on policies to address rising healthcare costs with an emphasis on state-level interventions to promote competition.

While at The Source, she developed the pharmaceutical page to track and analyze state legislation to address rising drug prices. She also holds an A. Kate McEvoy Speaker. This has streamlined and simplified the program for both members and providers, freed up resources for an extensive array of care delivery and value-based payment interventions, and enabled the program to reduce both per member, per month costs and overall spend. Kate is a graduate of Oberlin College with a B. Her background is in community-based services for older adults, and she is the author of Connecticut Elder Law, a treatise that is republished each year.

Karynlee Harrington Speaker. Both State agencies are responsible for promoting the transparency of health care costs and quality in the State of Maine.

MQF is responsible for improving health care quality in the state. Prior to her current role, Ms. She earned her B. Julia Wacloff Speaker. Julia works with ADHS leadership and management on a variety of public health functions as related to oral health and has been in her current position for ten years.

She was responsible for developing the first comprehensive state oral health plan for Arizona. She has over 20 years of experience in various public health settings providing needs assessment, policy development and quality assurance at local, state and national levels. Johnnie Chip Allen Speaker. In this position Mr. Allen is responsible for developing agency-wide goals, objectives and strategies to eliminate health disparities and promote health equity for all Ohio residents. Additionally, Mr.

Allen works in partnership with national public health organizations, state cabinet-level agencies and a variety of public health programs to target services to disenfranchised groups, measure program performance and assess outcomes. Allen has served in various public health capacities. Allen has implemented statewide social marketing activities to respond to chronic diseases; developed enterprise-wide program evaluation systems; and pioneered the use of market research analytic tools with GIS mapping capability to respond to health inequities.

John-Pierre Cardenas Speaker. Cardenas has played a critical role in the shaping of important health coverage legislation in Maryland including the Maryland Easy Enrollment Health Insurance Program.

Cardenas also manages agency relationships with state and federal legislators and regulatory industries; oversees the implementation and administration of the State Reinsurance Program; and provides end-to-end management and oversight of carrier relationships ranging from consumer enrollment to experience.

He has been with the Maryland Health Benefits Exchange since in a variety of roles before assuming his current position in Jodi Manz Speaker. As Assistant Secretary, Jodi supports the development of health and behavioral health policy in the Commonwealth. Jason Rachel Speaker. Jason Rachel, Ph. In this role, he is responsible for providing executive leadership in the management and implementation of both current and new integrated care programs.

Rachel directs and oversees all operations, policies, contract compliance and quality monitoring activities within the division to provide high quality, person-centered coordinated care services. Jane Wishner Speaker. An attorney with extensive experience as a litigator, researcher and advocate, Ms.

New Recipes to Control Rx Pricing. Jane Beyer Speaker. She served as legal counsel to the Washington State House of Representatives for twenty years, working on a broad range of health, behavioral health, long term care, human services and criminal justice issues.

James A. Clair Speaker. Jim provides executive consulting services to technology-enabled companies in the pharmacy services and SaaS space. Heidi Haley-Franklin Speaker. Heidi has over 20 years of experience working with individuals and families in private practice, group homes, long-term and home health care settings. Thomas in St.

Heather Sanborn Speaker. After serving one term as a Representative in the Maine House, Heather ran for the State Senate and is currently serving her first term, representing part of Portland and Westbrook, Maine. A former public school teacher and attorney, Heather now owns and runs Rising Tide Brewing Company with her husband, Nathan, in Portland.

Heather and her husband live in Portland with their teenage son. Heather Winfield-Smith Speaker. In her role as Section Supervisor, she coordinates the Hawaii Stop Flu at School Program, a school-located influenza vaccination program that conducts annual clinics in over participating schools, statewide. Hazel Alvarenga Speaker.

Gary Cohen Speaker. Gary Cohen has been a pioneer in the environmental health movement for thirty years. He was also instrumental in bringing together the NGOs and hospital systems that formed the Healthier Hospitals Initiative.

All three were created to transform the health care sector to be environmentally sustainable and serve as anchor institutions to support environmental health in their communities.

He has helped build coalitions and networks globally to address the environmental health impacts related to toxic chemical exposure and climate change. Cohen is a member of the International Advisory Board of the Sambhavna Clinic in Bhopal, India, which has been working for over 25 years to heal people affected by the Bhopal gas tragedy and to fight for environmental cleanup in Bhopal.

Erica Guimaraes Speaker. Erica Guimaraes is a program coordinator in the Office of Community Health Workers at the Massachusetts Department of Public Health, where she assists in promoting best practices for CHW integration into health care and public health teams. Ellyson Stout Speaker. Stout directs the Suicide Prevention Resource Center SPRC project at EDC, leading a team that provides resources and capacity building services to state and local leaders, health and behavioral health agencies and organizations, federal suicide prevention grantees, and national stakeholders involved in suicide prevention efforts across the country.

She has worked in the suicide prevention field for 12 years, with a focus on building state and tribal suicide prevention workforce and infrastructure capacity for strategic, comprehensive, evidence-informed suicide prevention programs. Stout serves as a subject matter expert on substance abuse and suicide prevention collaboration, strategic planning, accessing and using surveillance data for program planning and evaluation, and knowledge translation and dissemination.

She has presented widely at national and local conferences, as well as participating in federal and other national advisory groups, including a current national effort to develop recommendations for state suicide prevention infrastructure.

Stout holds a Masters of Science in Health Communication, and has worked with state and local audiences to build capacity in strategic and effective messaging and campaigns for behavior change. Doug Thomas Speaker. Doug has worked in the mental health and substance use disorder field for over 24 years in various capacities as a direct service provider and administrator. He has worked in both urban and rural settings and previously oversaw County services implementing evidence-based service delivery models; expanding prevention, treatment and recovery support services in rural Utah including work with tribal government.

Doug is passionate about prevention and early intervention and integrating prevention efforts into systems to produce lasting outcomes to reduce risk and increase the well-being of individuals, families, and communities. Dawn Lambert Moderator. Within that role, her focus is on person-centered strategy and innovation. A Little More Help Please? Improving Assisted Living. David Huang Speaker. Chan School of Public Health.

David Crall Speaker. After voters legalized medical marijuana in Oklahoma through ballot initiative, David was the lead Senate staffer on the bicameral Medical Marijuana Working Group, which held public meetings with experts from the marijuana industry, state agencies, law enforcement, the medical field, the Oklahoma business community and NCSL throughout the summer of to study how best to implement the new medical marijuana program.

David drafted the resulting Oklahoma Medical Marijuana and Patient Protection Act, which created a regulatory framework for the program, as well as various other pieces of legislation relating to medical marijuana. David Cassetty Speaker. David serves as the Deputy Commissioner of Insurance in Las Vegas, and oversees the consumer services and enforcement sections of the Division. David also has spent many years as an assistant attorney general, in Vermont and American Samoa, and started his law career in private practice in Florida, where he was board certified in appellate practice, mostly working on behalf of insurance companies.

Dave Richard Speaker. As the programs undergo transformation to even better fit the needs of state and its residents, he is committed to the fundamental goal of improving the health and well-being of all residents. Richard believes the right way to achieve success is to work closely with stakeholders in all aspects of Medicaid. Richard joined DHHS after leading The Arc of North Carolina, an advocacy and service organization for people with intellectual and developmental disabilities, as its Executive Director for 24 years.

Daphnne Brown Speaker. She provides support to families, advocates and service providers on family driven care, systems advocacy, and family empowerment. Daphnne provides training and technical assistance to family-run and provider agencies in preparation for the transformation to Medicaid Managed Care.

Daphnne has a B. Daniel Tsai Speaker. In his role, Tsai is responsible for ensuring a robust and sustainable MassHealth program that best meets the needs of members. That includes developing new policies, payment models, and operational processes that improve the way health care is delivered to 1.

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