ACO ADLS: Biographies

A series of three Accelerated Development Learning Sessions were held in select cities around the country in Minneapolis, MN, San Francisco, CA, and Baltimore, MD.

San Francisco, California

Steven J. Bernstein, MD, MPH, University of Michigan and VA Ann Arbor Healthcare System. Professor, Department of Internal Medicine; Research Scientist, Department of Health Management and Policy; Director, Quality Management Program; and Research Scientist at the Ann Arbor VA Center of Excellence

Dr. Bernstein is a professor in the Department of Internal Medicine, Division of General Medicine, and a research scientist in the Department of Health Management and Policy, School of Public Health, at the University of Michigan in Ann Arbor. He is also an attending physician in the Department of Medicine at the Ann Arbor Veterans Affairs (VA) Medical Center and a research scientist at the VA Center for Clinical Practice Management and provides support for the VA's Quality Enhancement Research Initiative for Diabetes, which are both based at the Ann Arbor VA Health Services Research and Development Center of Excellence. After earning his medical degree from the University of Rochester in Rochester, New York, he completed a residency in internal medicine at the University of Pittsburgh School of Medicine. Subsequently, he continued his training at the University of California, Los Angeles School of Medicine, where he was a Robert Wood Johnson Clinical Scholar Fellow and received his master of public health degree. For his senior postdoctoral training, Dr. Bernstein served as a visiting professor in health services research at Carlos III Health Institute in Madrid, Spain. At the University of Michigan Health System (UMHS), Dr. Bernstein is the Director of the Quality Management Program, where he is responsible for measuring institutional compliance with outpatient quality standards, developing chronic disease registries, measuring and improving pharmaceutical prescribing, and improving the quality of outpatient care. He also is the director of the UMHS' participation in the Physician Group Incentive Program, sponsored by Blue Cross Blue Shield of Michigan (BCBSM), and director of quality improvement for the Physician Group Practice Transition Demonstration Project, sponsored by the Centers for Medicare and Medicaid Services. In addition to this work, he is the chair of the Data Use and Publications Committee of the BCBSM-sponsored Michigan Hospital Medicine Safety Consortium, a group of 16 hospitals working together to improve the quality of care received by hospitalized medicine patients. He uses these positions to further his research interests in developing programs to improve the quality and cost-effectiveness of medical care. This work has been recognized by the Michigan Association of Health Plans, which selected it for the Pinnacle Award for Innovations in Diabetes Care (2006), as well as by the U.S. Environmental Protection Agency, which awarded the program the National Environmental Leadership Award in Asthma Management (2008). On a statewide level, he is the Chair of the Michigan Medicaid Drug Utilization Review Board.

Tom Bodenheimer, MD, Professor of Family and Community Medicine, University of California, San Francisco expand

Thomas Bodenheimer is a general internist who received his medical degree at Harvard and completed his residency at the University of California at San Francisco (UCSF). He spent 32 years in primary care practice in San Francisco's Mission District and is currently professor of family and community medicine at UCSF. He is co-author of the books Improving Primary Care: Strategies and Tools for a Better Practice (McGraw-Hill, 2006), and the health policy textbook Understanding Health Policy, 5th edition (McGraw-Hill, 2008). He has written numerous health policy articles in the New England Journal of Medicine, JAMA, and the Annals of Internal Medicine.

Nancy Boerner, MD, MBA, Chief Medical Officer, Monarch HealthCare

Dr. Boerner is the chief medical officer for Monarch HealthCare and has 22 years of health care experience in an array of settings: primary care medical group, hospital, self-insured employee health plan, and independent practice association. Board certified in internal medicine, she was in private practice in Laguna Beach, California, for 18 years. Her past administrative experience includes the hospital realm, where she was chief of staff, hospitalist medical director, and vice president of medical affairs. Before assuming her role as chief medical officer, she served as senior medical director for inpatient services at Monarch Healthcare. Dr. Boerner obtained her medical degree at Johns Hopkins School of Medicine and completed her residency training at the University of California (UC) at San Diego. She completed her masters of business administration through the UC Irvine Healthcare MBA program and is a fellow of the American Institute for Healthcare Quality.

Jay Crosson, MD, Director of Public Policy, The Permanente Medical Group

Dr. Crosson is the director of public policy for the Permanente Medical Group. Previously, he was the founding executive director of The Permanente Federation, which is the national organization of the Permanente Medical Groups, the physician component of Kaiser Permanente. From 1997 to 2007, Dr. Crosson served as the executive director of the Federation and co-chair, with the CEO of Kaiser Foundation Health Plan and Hospitals, of the Kaiser Permanente Program Group, the Kaiser Permanente joint coordinating body. He also currently serves as a senior fellow in the Kaiser Permanente Institute for Health Policy. Dr. Crosson is past chair of the Governing Board of the American Medical Group Association (AMGA). In 2002, he founded and now chairs the Council of Accountable Physician Practices (CAPP), an AMGA affiliate. CAPP, an alliance of 34 of the nation's largest multi-specialty group practices, promotes delivery system improvement in the United States. Dr. Crosson also recently served for 9 years on the California Medical Association Board of Trustees and for 6 years (2004-2010) on the Congressional Medicare Payment Advisory Commission (MedPAC). He was appointed vice-chairman of MedPAC for 2009-2010. He is a graduate of the Kaiser Permanente Executive Program at Stanford Business School. Dr. Crosson received an undergraduate degree in political science and, in 1970, a medical degree from Georgetown University. He completed a residency in pediatrics at the New England Medical Center Hospitals and a fellowship in infectious diseases at the Johns Hopkins University Medical School. He is certified by the American Board of Pediatrics. He served as a physician in the U.S. Navy at the Bethesda National Naval Medical Center from 1973 to 1975.

Patrick Gordon, MPA, Executive Director, Colorado Beacon Consortium

Mr. Gordon is the executive director of the Colorado Beacon Consortium, a demonstration of the power of data to drive improvement in community health care systems that is funded by the U.S. Department of Health and Human Services and the Office of the National Coordinator for Health Information Technology. Mr. Gordon is also the president of the Pinon Institute, a center for thought, leadership, and culture change within long-term care. In his capacity as the director of government programs for Rocky Mountain Health Plans (RMHP), he is also leading the implementation of the Medicaid Accountable Care Collaborative project in western Colorado. Within RMHP, Patrick is accountable for the operations, financing, and community responsiveness of the Medicaid, Child Health Plan Plus (CHP+), and Medigap programs supported by RMHP. He has led and implemented several strategic projects for RMHP and its stakeholders in western Colorado, including the design and implementation of a financial incentive arrangement with the state of Colorado and participating physicians to achieve Triple Aim objectives, the implementation of a Medicare Part D prescription drug program and targeted coverage arrangements for dually eligible beneficiaries, development of Medicare supplemental insurance offerings, and Medicare service area expansions throughout Colorado and Wyoming. Before joining RMHP, he held various positions within the Colorado Department of Health Care Policy & Financing related to Medicaid, CHP+, and nursing facilities policy development and payment methods. Mr. Gordon received his master of public administration degree in health policy and economics from the University of Colorado and has been certified by America's Health Insurance Plans Executive Leadership Program.

Steve Jacobson, MD, Associate Medical Director of Care Coordination, The Everett Clinic

Dr. Jacobson is a practicing family physician and associate medical director of care coordination at The Everett Clinic, which serves more than 295,000 patients in Snohomish County in Washington state. He joined the clinic in 1993. Dr. Jacobson heads the clinic's care coordination team to ensure that care is patient centered, team oriented and outcomes focused. He is also a Lean Fellow and oversees management practices that add value to patient care and achieve a safe, high-quality, and high-performing health care delivery system. Dr. Jacobson was elected by his physician peers to The Everett Clinic Board of Directors in 1999 and continues to serve as a board member. He is also a board member of the Sentinel Assurance Risk Retention Group and has been a member of the American Academy of Family Physicians since 1990. Board certified in family practice, he received his medical degree from the University of Washington, where he also served as family medicine chief resident and completed a faculty development fellowship. In 2010 he graduated from the Intermountain Health Care Advanced Training Program in Quality.

Dave Knutson, MS, Office of the Assistant Secretary for Planning and Evaluation, Department of Health and Human Services

Mr. Knutson recently joined the U.S. Department of Health and Human Services as a senior analyst in the Health Financing Policy Division of the Office of the Assistant Secretary for Planning and Evaluation. His prior positions include senior research fellow at the University of Minnesota's Division of Health Policy and Management, where his duties included research, teaching, and the development of the Center for Care Organization Research and Development. He has also been director of health systems studies at the Park Nicollet Institute, director of provider contracting for two HMOs, director of emergency medical services, director of long-term care regional planning, and executive director of hospital and community-based mental health programs. Mr. Knutson conducts research and development projects related to risk adjustment, performance-based purchasing, insurance markets, and organizational issues associated with chronic illness management. He has served on the on the Society of Actuaries Risk Adjustment Project Oversight Group. From 2002 to 2006, he served on the Centers for Medicare and Medicaid Services (CMS) National Advisory Panel on Medicare Education. Since 2006, he has served on the Efficiency Measurement Advisory Panel and as a consultant for the National Committee on Quality Assurance. He led Minnesota's technical expert panel on provider performance e-reporting using the state's all-payer claims database. Most recently, he served on the Minnesota State Health Insurance Exchange Workgroup. He has written many research articles, technical and policy reports, and book chapters in the areas of health care financing, provider payment, risk adjustment, managed care, and chronic illness care. His projects have been funded by the Robert Wood Johnson Foundation (RWJ), RWJ Program for Changes in Healthcare Financing and Organization, the Society of Actuaries, CMS, the Agency for Healthcare Research and Quality, state Medicaid programs, the Center for Health Care Strategies, and the health care systems of the United Kingdom, Sweden, and Germany. Mr. Knutson has a bachelor's degree in biology and a master's degree in health economics.

Marc Lassaux, BS, Technical Director, Beacon Project, Quality Health Network

Mr. Lassaux is the technical director for the Colorado Beacon Consortium and is a co-chair for the Beacon Community of Practice for Health Information Technology and Meaningful Use under the Office of the National Coordinator for HIT. He has 10 years of consulting and management experience with robust relational database systems and applications. In 2006, Mr. Lassaux joined Quality Health Network (QHN), a nationally recognized leader in Health Information Exchange and a member of the Colorado Beacon Consortium. His roles at QHN include systems architecture, design, and implementation: project management; privacy and security; and direction of technical operations. Mr. Lassaux has a bachelor of science degree in computer management science and information systems from the Metropolitan State College of Denver.

Peter Lee, JD, Deputy Director, CMS Innovation Center

Mr. Lee is the deputy director for policy and programs at the Innovation Center in Washington, DC. Most recently he was director of delivery system reform at the U.S. Department of Health and Human Service's Office of Health Reform, where he supported the implementation of the elements of the Affordable Care Act that seek to foster the delivery of higher quality, more affordable health care. Before joining the Office of Health Reform, Mr. Lee served as CEO and then executive director for national health policy of the Pacific Business Group on Health, one of the leading coalitions of private and public health care purchasers in the nation. Before that, he was the executive director of the Center for Health Care Rights, a consumer advocacy organization based in Los Angeles. In the 1980s, he worked on health care issues in Washington, DC, where he was the director of programs for the National AIDS Network. He received his law degree from the University of Southern California and his undergraduate degree from the University of California at Berkeley.

Matthew Mazdyasni, MS, Executive Vice President and Chief Financial Officer, HealthCare Partners

Mr. Mazdyasni is executive vice president and chief financial officer of the HealthCare Partners Medical Group. A member of the senior executive team, Mr. Mazdyasni has significantly contributed to the company's financial stability through his strategic leadership and oversight of contracts and relationships with health insurance HMOs, PPOs, and other contracted providers. Mr. Mazdyasni leads the business office and the departments of administrative services, decision support, facilities, finance, integrated managed care systems, and provider and hospital contracting. In addition to daily oversight of these departments and staff, in collaboration with other senior executive team members and department directors Mr. Mazdyasni oversees contracting analysis, planning, and execution with all payers and payer contract negotiations. Mr. Mazdyasni holds a master's of science degree in accounting from the University of Kentucky. Before joining HealthCare Partners in 1982, he worked for national and local public accounting firms. He is an active member of the Statistical, Product Certification, and Workers' Compensation committees with the American Medical Group Association. Mr. Mazdyasni is also active on legislative committees and has distinguished himself as a mentor in health administration leadership. In 2000-2001 he was named Preceptor of the Year by the University of Southern California's Master of Health Administration program.

Scott Sarran, MD, MM, Vice President and Chief Medical Officer, BlueCross BlueShield of Illinois

Dr. Sarran is the vice president and chief medical officer at Blue Cross Blue Shield of Illinois (BCBSIL). A seasoned physician executive with expertise in group practice leadership and all aspects of managed care, Dr. Sarran is responsible for providing overall medical leadership; managing and setting strategy for medical management, utilization, and case and disease management; and developing medical policy. Before joining BCBSIL, Dr. Sarran worked at Fidelis Senior Care, where he served as chief medical officer. While there, he was responsible for all medical policy and medical management functions, including utilization, quality, case and disease management; credentialing; pharmacy; and Healthcare Effectiveness Data and Information Set (HEDIS) reporting. Before joining Fidelis in 2006, Dr. Sarran held numerous health industry positions in the Chicago area, including vice president of medical management for Advocate Health Centers; vice president and medical director for the University of Chicago Health System; vice president of clinical quality improvement for Advocate Health Care; and several positions at Lutheran General Health Systems. Dr. Sarran received a bachelor of science degree from Northwestern University in Evanston, Illinois, in 1977; his medical doctorate from Northwestern University Medical School in 1979; and a master's degree in management from Evanston's J. L. Kellogg Graduate School of Management in 1992. He completed his family practice residency at Lutheran General Hospital in 1982, serving as chief resident from 1981 to 1982. In addition, Dr. Sarran has held academic appointments at the University of Chicago Pritzker School of Medicine and the University of Illinois at Chicago College of Medicine. A diplomate of the American Board of Family Practice, Dr. Sarran is an avid runner and a six-time Ironman triathlon finisher.

Julie Schilz, BSN, MBA, Director, Community Collaboratives & Practice Transformation, Colorado Beacon Consortium

Center for Multi-Stakeholder Demonstrations and a board member for ClinicNet, a nonprofit organization that serves as a centralized voice for community-funded safety net clinics. Her experience collaborating with communities, health care organizations, and industry stakeholders drives her expertise in care coordination, quality office system redesign programs, reimbursement programs, and critical knowledge of patient-centered medical homes and accountable care organizations. Ms. Schilz is also the director of community collaboratives and transformation programs at the Colorado Beacon Consortium, one of 17 organizations funded as a Beacon Community by the Office of the National Coordinator for Health Information Technology. She received her clinical training as a registered nurse at the University of Nebraska Medical Center in Omaha, Nebraska and her business degree from Regis University in Denver, Colorado.

Mark Shields, MD, MBA, Vice President, Advocate Health Care

Dr. Shields is the senior medical director for Advocate Physician Partners and vice president of medical management for Advocate Health Care. In this role, he oversees all clinical functions related to 3,800 physicians aligned with the eight Advocate hospitals. He has more than 25 years' experience in management roles with medical groups, insurance companies, hospitals, and integrated delivery systems. Before joining Advocate Physician Partners, Dr. Shields was at various times the chief medical officer for Kaleida Health in New York, chief medical officer at Dreyer Medical Clinic, consulting medical director of HMO Illinois, and president and co-founder of a primary care group. In addition to his impressive medical background, Dr. Shields has extensive experience in operations, strategic planning, market analysis, and finance. He has served on the boards of directors of the Alliance of Independent Academic Medical Centers and the Medical Group Management Association and on the Committee on Health Professions of the American Hospital Association. He is board certified in internal medicine, a fellow of the American College of Physicians, and a graduate of Harvard Medical School and the University of Chicago Business School.

Greger Vigen, MBA, Independent Actuary

Mr. Vigen is an actuary who has worked with both lightly managed and highly managed programs. He was a leading health actuary for employers for Mercer for 23 years before starting his own consulting firm. At Mercer, he was the actuarial consultant for many major clients and purchasing coalitions, including the California Public Employees Retirement System. He also created and developed the California health care strategy and several major new California products, including the first high-performing HMO network and the first high-performing PPO network to jumbo clients. He recently worked on an 80,000-member accountable care organization project with four major California physician organizations and carriers, as well as other projects across the country. Mr. Vigen co-wrote two Society of Actuaries papers: "Measurement of Healthcare Quality and Efficiency: Resources for Healthcare Professionals," which has just been updated, and "Opportunities During Transformation: Moving To Health Care 2.0." Previously, he chaired Mercer's overall actuarial committee and various other subcommittees (including those for data analysis, plan design modeler, high-performing networks, and consumer-directed programs). He has been substantially engaged in the California health industry over many years. He was on the board of directors for the Physician Associates, a multispecialty medical group. Also, he was liaison to medical groups, carriers, the California Department of Managed Health Care, and the California Association of Physician Groups. Mr. Vigen received a master's degree in business administration from the University of California, Los Angeles, in 1977 after doing his undergraduate work at the University of Southern California.

Jay Want, MD, Principal, Want Health Care, LLC (Former President and CEO, Physician Health Partners, LLC)

Dr. Want is the owner and principal of Want Healthcare, LLC. He is also currently chairman of the board of the nonprofit Center for Improving Value in Health Care (CIVHC) in Colorado, a public-private partnership working to catalyze health care reform in the state. CIVHC is currently working in partnership with multiple stakeholders, including representatives of businesses and consumers, to develop a 5-year plan to implement payment and delivery system reform. Dr. Want serves on the board of the nonprofit Rocky Mountain Health Plans and on the Health Care Committee of the Rose Community Foundation. For 8 years Dr. Want was president and chief executive officer of Physician Health Partners, LLC, a management services organization serving more than 60,000 covered people in Colorado and supporting nearly 300 primary care physicians in providing high quality, cost-effective care. He has served on task forces for the Colorado Division of Insurance, the Colorado Trust, the Colorado Hospital Association, and the Governor's Blue Ribbon Commission on Health Care Reform; he has also been a fellow of the Colorado Health Foundation. He also serves as chairman of the Northwest Denver Care Transitions Steering Committee, a program that successfully lowered re-admissions by 10% while improving care for Medicare beneficiaries over a 2-year period. He is a member of Leading for Health, a group dedicated to catalyzing health care reform through systems thinking and leadership development. In 2009, Dr. Want assisted Senator Michael Bennet in drafting the Care Transitions Act, ultimately included in the Accountable Care Act under Section 3026. He has spoken nationally at the Brandeis Health Industry Forum, the Integrated Healthcare Association, and AcademyHealth. He is the 2010 recipient of the John K. Iglehart award for leadership in health care from the Colorado Health Foundation. Dr. Want, who is board-certified in internal medicine, was a primary care internist in private practice for 10 years. This experience gives him a unique understanding of the challenges that health care reform poses for practicing physicians. He passionately believes that the current system is broken and that physicians can and should lead the transformation to a more effective, efficient, and humane system for providers and patients alike. Dr. Want received his internal medicine training at the University of Colorado Health Sciences Center and his medical degree from Northwestern University. He is a member of the Alpha Omega Alpha medical honor society. He grew up outside of Fort Wayne, Indiana, and graduated from Wabash College in Crawfordsville, Indiana, a very long time ago.

Jennifer Wilson Norton, MBA, Associate Administrator of Care Coordination, The Everett Clinic

Ms. Wilson Norton is the associated administrator of coordinated care, overseeing the care management and clinical pharmacy programs, at The Everett Clinic. She has taken a leadership role in the development, implementation, and successful outcomes of the Boeing Intensive Outpatient Care Program project, which was used as a launching pad for the clinic's care management approach in primary care. Ms. Wilson Norton is an associate professor of pharmacy at the University of Washington School of Pharmacy, where she instructs pharmacy students and collaborates with researchers in the areas of medication safety and the use of technology. She is also a member of the Academy of Managed Care Pharmacy, American Society of Health Systems Pharmacists, and a regional member of the Pharmacy and Therapeutics Committee. Before joining The Everett Clinic in 1998, Ms. Wilson Norton was a clinical pharmacist at Overlake Hospital Medical Center in Bellevue, Washington. She earned her bachelor of science degree in pharmacy at the University of Washington and completed her pharmacy practice residency at Overlake Hospital Medical Center. She also received a masters in business administration from Seattle University.

Baltimore, Maryland

Richard Baron, MD, MACP, Group Director, Seamless Care, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services

Dr. Baron is the group director of the Seamless Care Models Group in the Center for Medicare and Medicaid Innovation, a component of the Centers for Medicare and Medicaid Services. Before joining the Innovation Center, Dr. Baron practiced internal medicine in Philadelphia at Greenhouse Internists, which in August 2008 received the highest possible accreditation rating from the National Committee for Quality Assurance. Greenhouse was a pioneer in the comprehensive adoption of electronic health records in a small medical practice and currently is participating in a patient-centered medical home pilot project. From 1988 to 1996, Dr. Baron served as chief medical officer and senior vice president for medical affairs of Health Partners, a not-for-profit Medicaid HMO set up by four teaching hospitals in Philadelphia. He was a principal architect of the Best Clinical and Administrative Practices program, collaborating with physicians in Medicaid health plans across the country to improve the quality of care for their beneficiaries. This program eventually expanded to include plans serving more than half of the Medicaid managed care population in the United States. Dr. Baron is a past chair of the American Board of Internal Medicine's Board of Directors, a current trustee of the ABIM Foundation, and a former member of the National Committee for Quality Assurance Standards and the Board of Directors of the National Quality Forum, serving on their Health Information Technology Advisory Committee. The American College of Physicians gave him the Pennsylvania Laureate Award and recognized him as a Master of the College; in 2010 he was named "Practitioner of the Year" by the Philadelphia County Medical Society. Dr. Baron earned his medical degree from Yale University and his undergraduate degree in English from Harvard University.

Amy Berman, BS, RN, Senior Program Officer, The John A. Hartford Foundation

Don Berwick, MD, MPP, Administrator, Centers for Medicare and Medicaid Services

A. John Blair, III, MD, CEO, MedAllies, Inc.

Dr. Blair is a health care and technology executive with broad experience across the health care industry including clinical practice, hospital planning and governance, revenue cycle management, managed care, public health, and health care informatics. Dr. Blair is the CEO of MedAllies, a health information service provider company, established in 2001 and based in Fishkill, New York. MedAllies facilitates physician adoption of health information technology and integrates the health care community to facilitate care coordination, patient-provider communication, public health, and quality reporting. MedAllies built and operates the Hudson Valley Community Health Integration Platform (CHIP), which connects health care stakeholders throughout New York's Hudson Valley. The Hudson Valley CHIP operates under the direction of the Taconic Health Information Network and Community (THINC), one of the nation's leading regional health organizations and a Regional Extension Center agent for the Hudson Valley. Dr. Blair currently serves on the Privacy and Security Workgroup and the Nationwide Health Information Network (NHIN) Workgroup of the Policy Committee of the Office of the National Coordinator for Health Information Technology. He is a member of the National Committee on Quality Assurance's Committee on Performance Measurement and serves on the Health Information Technology Advisory Committee for the National Quality Forum. Dr. Blair is a board-certified general surgeon who spent 15 years in academic medicine and private practice before becoming president of the Taconic Independent Practice Association. He received his medical degree from Rush Medical School in Chicago and completed his surgical training at the University of Texas Medical Center in Dallas. He performed a gastrointestinal fellowship at the Middlesex Hospital in London, England.

Jonathan Blum, MA, Deputy Administrator, Director, Center for Medicare, Centers for Medicare & Medicaid Services

Jonathan Blum, Deputy Administrator and Director for the Center of Medicare at the Centers for Medicare and Medicaid Services, is responsible for overseeing the regulation and payment of Medicare fee-for service providers, privately-administered Medicare health plans, and the Medicare prescription drug program. The benefits pay for health care for approximately 45 million elderly and disabled Americans, with an annual budget in the hundreds of billions of dollars. Over the course of his career, Jonathan has become expert in the gamut of CMS programs. He served as an advisor to Senate Finance Committee members and its current chairman, Sen. Max Baucus, where he worked on prescription drug and Medicare Advantage policies during the development of the Medicare Modernization Act. He focused on Medicare as a program analyst at the White House Office of Management and Budget. Prior to joining CMS, Jonathan was a Vice President at Avalere Health, overseeing its Medicaid and Long-Term Care Practice. Most recently, Jonathan served as a health policy advisor to the Obama-Biden Transition Team. He holds a Master's degree from the Kennedy School of Government and a BA from the University of Pennsylvania.

Nancy Boerner, MD, MBA, Chief Medical Officer, Monarch HealthCare

David Eitrheim, MD, Mayo Clinic Health System

Rob Parke, MBA, ASA, Principal and Consulting Actuary, Milliman Inc.

At Milliman, Mr. Parke provides actuarial and consulting services to a broad range of clients, including Blue Cross/Blue Shield Plans, HMOs, commercial insurers, government agencies, and health care providers and vendors. His work includes rate development and review; provider contract review and benchmarking; reserve certification; capitation; pay for performance and other incentive plan development; review and assessment of predictive models and disease management programs; Medicare risk feasibility studies; HMO and preferred health service provider start-ups; HMO due diligence; health care provider education; and development of risk sharing and reimbursement arrangements for physician groups, physician-hospital organizations, and other integrated delivery systems. Before joining Milliman, Mr. Parke worked at Tillinghast, a Towers Perrin company. In addition, he has worked extensively in health insurance in the United Kingdom and South Africa.

Paula Phillippe, MA, Chief HR Officer, Fairview Health Services

Craig E. Samitt, MD, MBA, President and CEO, Dean Clinic

As president and CEO of Dean Health System since 2006, Dr. Samitt leads one of the largest integrated delivery systems in the Midwest and oversees more than 500 doctors; 3,000 staff; 60 facilities, retail, and ancillary services; a 300,000-member health plan, and a pharmacy benefit management company. Under Dr. Samitt's leadership, Dean has achieved a rapid transformation of its operational and strategic performance and through delivery of better care at a lower cost has become one of the nation's leading examples of a high-performing accountable care organization (ACO). Dr. Samitt has served for more than 15 years in senior leadership roles in major health care systems. He began his career at Harvard Community Health Plan (HCHP), where he served as chairman of medicine and executive director of HCHP's flagship site. Dr. Samitt subsequently served on the turnaround team of Harvard Pilgrim Health Care as senior vice president of marketing, sales, customer service, and product development and management. From 2002 through 2006, Dr. Samitt was chief operating officer at Fallon Clinic, a leading multispecialty group practice in New England. Dr. Samitt is widely known within the health care community and lectures extensively about accountable care, health care turnaround management, physician engagement and leadership, payment reform, and the future of health care. He serves as a coach and consultant for medical groups, hospitals, and health plans seeking to transform their organizational performance, and he currently serves as the chair of the Group Practice Improvement Network (GPIN) ACO Collaborative, chair emeritus of GPIN, and co-chair of the Patient Centered Primary Care Collaborative (PCPCC) Center for Accountable Care. Dr. Samitt graduated Phi Beta Kappa with a degree in biology from Tufts University, received his medical degree from Columbia University College of Physicians & Surgeons, completed his clinical training at Harvard's Brigham and Women's Hospital, and earned his master's degree in business administration from the Wharton School. He has been designated as both an Ernst & Young Entrepreneur of the Year Finalist as well as a finalist for Modern Healthcare's Top 100 Most Powerful People in Healthcare.

H. Scott Sarran, MD, MM, Chief Medical Officer, Blue Cross Blue Shield Illinois

Barbara Spivak, MD, President, Mount Auburn Cambridge Independent Practice Association

Dr. Spivak is an internist practicing in Watertown, Massachusetts, at Mount Auburn Medical Associates. Since 1997 she has also been president and chairperson of the board of the Mount Auburn Cambridge Independent Practice Association (MACIPA). In 2011 she was appointed to the American Medical Association's National Committee on Delivery System Reform. She is a board member of the Mass Health Quality Partners. Dr. Spivak has spoken to many groups regarding payment and legislative reform at the state and federal levels. Dr. Spivak is the champion and leader of MACIPA's electronic health record (EHR) project. As of March 2011, MACIPA's EHRs are being used by 191 physicians and 724 total users, including administrative staff, hospital residents, nurse practitioners, and physician assistants. MACIPA has a unique approach to implementation, training, and support for the EHR and is viewed as a model of how a physician organization can manage the many aspects of this project. Dr. Spivak graduated from Tufts University School of Medicine and completed her residency at St. Elizabeth's Hospital. She is a clinical instructor in the Department of Medicine at Harvard Medical School.

Susan Stuard, MBA, Executive Director, Taconic Health Information Network and Community (THINC)

Ms. Stuard is executive director of the Taconic Health Information Network and Community (THINC), a not-for-profit convening organization that establishes research-based criteria to enhance health care quality and value in the Hudson Valley of New York. The organization uses its active leadership board and market leverage to advance accountable, patient-centered delivery models. Ms. Stuard works with a multi-stakeholder board, research teams, and more than 60 community leaders to champion and implement a pay-for-performance program, quality improvement, and health system transformation. THINC also sponsors the Hudson Valley Health Information Exchange and an electronic health record adoption program, the patient-centered medical home program, and the community pay-for-performance program. Ms. Stuard serves as the primary liaison with THINC's constituent organizations, its board of directors, and its committees. The organization is actively engaged in evaluation of physician and consumer attitudes and opinions of the patient-centered medical home and health information technology. Ms. Stuard is an expert voice serving on the National Committee for Quality Assurance's Accountable Care Organization (ACO) Task Force, which is working to develop a consensus for ACOs' qualifying and monitoring criteria.

Barbara Walters, MD, MBA, Senior Medical Director, Dartmouth-Hitchcock Medical Center/span>

Dr. Barbara Walters, senior medical director for Dartmouth-Hitchcock, is responsible for management of ambulatory practice operations in 15 locations employing 1,200 staff and 300 providers to support 1,000,000 visits per year. In addition, she is responsible for commercial payer contracting for the Dartmouth-Hitchcock system and is the principal investigator for the Centers for Medicare and Medicaid Services' Physician Group Practice Demonstration Project, the transition demonstration, and Dartmouth-Hitchcock's accountable care organization commercial insurer medical performance. She oversees measurement, data support, education, training and clinical information systems in support of these initiatives. Board certified in psychiatry and neurology, Dr. Walters came to Dartmouth-Hitchcock in 1998 from the Carolina Permanente Medical Group in Chapel Hill, North Carolina, with extensive experience in group practice and managed care. She earned her medical degree from Michigan State University and completed her internship in family practice at Lansing General Hospital in Lansing, Michigan and her psychiatric residency at the University of North Carolina at Chapel Hill. Dr. Walters received her master's of business administration degree from Duke University in 1998.

Jay Want, MD, Principal, Want Health Care, LLC (Former President and CEO, Physician Health Partners, LLC)

Karen Van Wagner, PhD, Executive Director, North Texas Specialty Physicians

Since 1997, Dr. Van Wagner has successfully directed and managed North Texas Specialty Physicians (NTSP) from a start-up independent physicians association to a major organization of more than 600 physicians that has managed care contracts with all major payers, including 23,000 risk lives"”both commercial HMOs and Medicare. Dr. Van Wagner sits on the board of NTSP's two subsidiaries, Care N' Care Insurance Company, Inc., and Sandlot, LLC. She is also a member of the Tarrant County (Texas) Hospital District Board of Managers. Before her tenure at NTSP, Dr. Van Wagner spent 16 years at Harris Methodist Health Systems in Texas, culminating in a senior vice president position. She also was senior vice president of network operations for Harris Health Plan. Before that, she was the director of planning and marketing for Los Angeles Children's Hospital in Los Angeles, CA. Dr. Van Wagner has earned bachelor's, master's, and doctoral degrees from Western Michigan University.

Greger Vigen, MBA, Independent Actuary

Minneapolis, Minnesota

Richard Baron, MD, MACP, Group Director, Seamless Care, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services

John M. Bertko, FSA, MAAA, Director of Special Initiatives and Pricing in the Center for Consumer Information and Insurance Oversight, Centers for Medicare & Medicaid Services (CMS)

Mr. Bertko is the director of special initiatives and pricing in the Center for Consumer Information and Insurance Oversight at the Centers for Medicare and Medicaid Services. He serves as a senior actuarial advisor on various private insurance initiatives, including risk adjustment, insurance programs, and insurance oversight activities. He formerly was a senior fellow at the LMI Center for Health Reform, adjunct staff at RAND, a visiting scholar at the Brookings Institution, a visiting scholar at the Center for Health Policy at Stanford, and the retired chief actuary of Humana Inc., where he managed the corporate actuarial group and directed work by actuarial staff for Humana's major business units, including developing Part D, Medicare Advantage, and consumer-driven health care products. Mr. Bertko has extensive experience with risk adjustment and has served in several public policy advisory roles. He served on the panel of health advisors for the Congressional Budget Office and completed a 6-year term on the Medicare Payment Advisory Commission. He served the American Academy of Actuaries as a board member from 1994 to 1996 and as vice president for the health practice council from 1995 to 1996. He is a Fellow of the Society of Actuaries and a member of the American Academy of Actuaries. Mr. Bertko earned a bachelor's degree in mathematics from Case Western Reserve University.

Steven J. Bernstein, MD, MPH, University of Michigan and VA Ann Arbor Healthcare System. Professor, Department of Internal Medicine; Research Scientist, Department of Health Management and Policy; Director, Quality Management Program; and Research Scientist at the Ann Arbor VA Center of Excellence

Dr. Bernstein is a professor in the Department of Internal Medicine, Division of General Medicine, and a research scientist in the Department of Health Management and Policy, School of Public Health, at the University of Michigan in Ann Arbor. He is also an attending physician in the Department of Medicine at the Ann Arbor Veterans Affairs (VA) Medical Center and a research scientist at the VA Center for Clinical Practice Management and provides support for the VA's Quality Enhancement Research Initiative for Diabetes, which are both based at the Ann Arbor VA Health Services Research and Development Center of Excellence. After earning his medical degree from the University of Rochester in Rochester, New York, he completed a residency in internal medicine at the University of Pittsburgh School of Medicine. Subsequently, he continued his training at the University of California, Los Angeles School of Medicine, where he was a Robert Wood Johnson Clinical Scholar Fellow and received his master of public health degree. For his senior postdoctoral training, Dr. Bernstein served as a visiting professor in health services research at Carlos III Health Institute in Madrid, Spain. At the University of Michigan Health System (UMHS), Dr. Bernstein is the Director of the Quality Management Program, where he is responsible for measuring institutional compliance with outpatient quality standards, developing chronic disease registries, measuring and improving pharmaceutical prescribing, and improving the quality of outpatient care. He also is the Director of the UMHS' participation in the Physician Group Incentive Program, sponsored by Blue Cross Blue Shield of Michigan (BCBSM), and Director of Quality Improvement for the Physician Group Practice Transition Demonstration Project, sponsored by the Centers for Medicare and Medicaid Services. In addition to this work, he is the Chair of the Data Use and Publications Committee of the BCBSM-sponsored Michigan Hospital Medicine Safety Consortium, a group of 16 hospitals working together to improve the quality of care received by hospitalized medicine patients. He uses these positions to further his research interests in developing programs to improve the quality and cost-effectiveness of medical care. This work has been recognized by the Michigan Association of Health Plans, which selected it for the Pinnacle Award for Innovations in Diabetes Care (2006), as well as by the U.S. Environmental Protection Agency (EPA), which awarded the program the National Environmental Leadership Award in Asthma Management (2008). On a statewide level, he is the Chair of the Michigan Medicaid Drug Utilization Review Board.

A. John Blair, III, MD, CEO, MedAllies, Inc.

Jonathan Blum, MA, Deputy Administrator, Director, Center for Medicare, Centers for Medicare & Medicaid Services

William Chin, MD, Healthcare Partners

Bill Chin is the Executive Medical Director for HealthCare Partners(HCP), LLC, where he is accountable for the clinical outcomes and the costs attached to these outcomes. HealthCare Partners has 50 sites in Los Angeles and Orange County with over 600 employed physicians. HCP cares for about 500,000 globally capitated commercial patients and 150,000 Medicare Advantage patients with over 55% of the membership in an IPA for California. We also care for about 25,000 Medi Caid patients. HealthCare Partners, LLC also has sites in Las Vegas through the Summit Medical Group and in Tampa, Florida through JSA Medical Group and cares for approximately 70,000 medicare advantage patients in both the group and IPA setting. HealthCare Partners is one of five pilot sites working with the Dartmouth/Brookings ACO project. HCP is working with Monarch Medical Group and Anthem in the California ACO for PPO patients. Bill attended Rensselaer Polytechnic Institute, graduated from the University of Buffalo Medical School, and is board certified in internal medicine and rheumatology.

Mark Eustis, MHA, CEO, Fairview Health Services

Mr. Eustis is President and CEO of Fairview Health Services, an integrated academic health network based in Minneapolis, Minnesota. In partnership with the University of Minnesota, Fairview's 22,000 employees and 2,500 aligned physicians are committed to delivering greater value"”exceptional patient care and experience at a lower total cost of care"”to the communities they serve. In 2010, Fairview was named one of the 10 top health systems in the country, according to the Thomson Reuters 100 Top Hospitals: Health System Quality/Efficiency Benchmarks study. Mr. Eustis currently serves on the Board of Regents for Augsburg College and on boards of the Minnesota Hospital Association, Northern Star Council of the Boy Scouts of America, Premier's AEIX Insurance Group, Minnesota Medical Foundation, Faith in the City, and Project Itasca. He also is a member of the Minnesota Department of Health's Healthcare Reform Council. For 2011, Mr. Eustis is serving as the American Heart Association's Twin Cities Heart Walk Chair and is past Chair of the American Cancer Society's CEOs Against Cancer and the March of Dimes' Minnesota March for Babies campaign.

Keith Hepp, CPA, CFO and VP Business Development, HealthBridge

Mr. Hepp is CEO of HealthBridge, a health information exchange (HIE) in Cincinnati, Ohio, that serves the southwest Ohio, northern Kentucky, and southeast Indiana regions. HealthBridge provides exchange services for 50 hospitals, numerous laboratories, nursing homes, and plans billing companies. Mr. Hepp graduated with a bachelor's degree in accounting from Xavier University and qualified as a certified public accountant while working in the Cincinnati branch of Arthur Andersen. HealthBridge operates a community-wide clinical messaging application that delivers more than 3.2 million clinical results each month to over 6,500 physicians. HealthBridge feeds 30 different electronic health records (EHRs) and provides a community-based EHR as well; 97% of all results in the region are electronic. HealthBridge has also implemented a community-wide ambulatory order entry system, ePrescription, registries, and administrative services. HealthBridge provides technology and services to other independent HIEs, including CCHIE in central Ohio, GDAHIN in Dayton, and Health LINC in Bloomington, Indiana.

Shashank Kalokhe, PhD, MBA, Associate Administrator for Value Based Contracting & Coordinated Care, Everett Clinic

Shashank Kalokhe is the associate administrator for value-based contracting and coordinated care at The Everett Clinic. During the past 15 years at the clinic, Dr. Kalokhe has directed the clinic's payer and health plan contracting strategies. He directs the clinic's alignment of relationships with external providers and facilities and payers to enhance and foster accountability for value (quality, cost and patient experience). Dr. Kalokhe co-chairs the care coordination committee and manages support for the clinic's clinical infrastructure related to care coordination. He plays a vital role in expanding lessons learned from the 5-year Medicare Physician Group Practice demonstration project and other value-based initiatives like evidence-based diagnostic imaging and behavioral health integration. Dr. Kalokhe has almost 20 years of experience in health care administration, including managed care, and holds a doctorate degree in biophysics and a master's degree in health care management from Boston University.

Paul M. Katz, MBA, CEO, Intelligent Healthcare, LLC expand

Mr. Katz is founder and CEO of Intelligent Healthcare, a health care technology firm. Since 1990, Intelligent Healthcare has provided innovative, Web-based solutions for health care information management and clinical integration. Modeled as an application service provider, the company offers clients Web-based, targeted, complete, and easily accessible information that enables physicians, medical groups, independent physicians associations, physician-hospital organizations, and clinically integrated organizations to improve quality and achieve greater efficiency. Mr. Katz earned a bachelor's degree in mechanical engineering from the University of California, San Diego and a master's degree in business administration from Boston University. He recently wrote "Information and Analytical Resources to Achieve Improved Quality and Lower Cost of Care," a chapter for the Brookings Dartmouth Accountable Care Organization Learning Network.

David E. Kelleher, MS, President and founder, HealthCare Options Inc.

Mr. Kelleher holds a Master of Science in Economics and has managed health care organizations since 1972. He was one of the founders of the first prepaid group practice in Indiana and served as its executive vice president from 1973 to 1986. He then founded HealthCare Options (HOI) and is its president. Since 1986, HOI has developed and managed health care organizations and provided consulting services to health plans, medical groups, hospitals, academic medical centers, and employers in 38 states. HOI manages the Employers Forum of Indiana, one of the founders of Quality Health First of Indiana. Mr. Kelleher is the executive director of the Forum. Quality Health First is a community-wide, multipayer, quality reporting and pay-for-performance program developed and managed by the Indiana Health Information Exchange. Mr. Kelleher is also the program manager of the Central Indiana Beacon Collaborative.

David Knutson, MS, Senior Analyst, Health Policy, Assistant Secretary for Planning and Evaluation, Department of Health and Human Services

Mr. Knutson recently joined the U.S. Department of Health and Human Services as a senior analyst in the Health Financing Policy Division of the Office of the Assistant Secretary for Planning and Evaluation. His prior positions include senior research fellow at the University of Minnesota"s Division of Health Policy and Management, where his duties included research, teaching, and the development of the Center for Care Organization Research and Development. He has also been director of Health Systems Studies at the Park Nicollet Institute, director of provider contracting for two HMOs, director of emergency medical services, director of long-term care regional planning, and executive director of hospital and community-based mental health programs. Mr. Knutson conducts research and development projects related to risk adjustment, performance-based purchasing, insurance markets, and organizational issues associated with chronic illness management. He has served on the on the Society of Actuaries Risk Adjustment Project Oversight Group. From 2002 to 2006, he served on the Centers for Medicare and Medicaid Services (CMS) National Advisory Panel on Medicare Education. Since 2006, he has served on the Efficiency Measurement Advisory Panel and as a consultant for the National Committee on Quality Assurance. He led Minnesota's Technical Expert Panel on provider performance e-reporting using the state's all-payer claims database. Most recently, he served on the Minnesota State Health Insurance Exchange Workgroup. He has written many research articles, technical and policy reports, and book chapters in the areas of health care financing, provider payment, risk adjustment, managed care, and chronic illness care. His projects have been funded by the Robert Wood Johnson Foundation (RWJ), RWJ Program for Changes in Healthcare Financing and Organization, the Society of Actuaries, CMS, the Agency for HealthCare Research and Quality, state Medicaid programs, the Center for Health Care Strategies, and the health care systems of the United Kingdom, Sweden, and Germany. Mr. Knutson has a bachelor's degree in biology and a master's degree in health economics.

Glenn A. Loomis, MD, President and CEO, St. Elizabeth Physicians

Since September 2010, Dr. Loomis has served as president and CEO of St. Elizabeth Physicians, a group of more than 175 physicians in the northern Kentucky area of the Cincinnati metropolitan statistical area. St. Elizabeth Physicians is a wholly owned subsidiary of St. Elizabeth Healthcare, a five-hospital, $900-million organization. St. Elizabeth Physicians operates in more than 40 locations with over 1,000 employees and 200 total providers. The group has grown to its current size from 60 physicians in the past 3 years, and Dr. Loomis has been responsible for unifying a physician group made up of the numerous smaller practices that have been acquired as well as for the ongoing transformation from a predominately primary care group to a truly integrated multispecialty group. He is responsible for all activities within St. Elizabeth Physicians and, as a member of the senior leadership of the health system, for all physician integration efforts within St. Elizabeth Healthcare. Dr. Loomis previously served as president of St. Francis Medical Group in Indianapolis, Indiana, and of Sparrow Medical Group in Lansing, Michigan. Before taking up administration, Dr. Loomis served in the U.S. Air Force and in civilian life as residency faculty and as a residency director in family medicine. Board certified in family medicine, Dr. Loomis has practiced medicine since 1995 and has served on the faculties of three different medical schools. He attended Ohio State University for his undergraduate training in psychology and biology and graduated from Ohio State's College of Medicine in 1988. He completed a residency in family medicine at Community Hospitals of Indianapolis in 1995. He has also completed the University of North Carolina at Chapel Hill Faculty Development Fellowship in Family Medicine in 2001, the U.S. Department of Health and Human Services Primary Health Care Policy Fellowship in 2004, and the National Institute for Program Director Development Fellowship in 2004. He obtained his MS in healthcare management from the University of Texas at Dallas in 2007. Dr. Loomis has received numerous leadership, teaching, and community service awards. He currently serves on the Board of HealthBridge, a Cincinnati-area health information exchange, and chairs its technology committee. He previously served on committees for the Indiana Health Information Exchange and Quality Health First and participates in medical politics at the state level, through the American Academy of Family Physicians, and as a member of the American Medical Association's Council on Long Range Planning and Development. Dr. Loomis is passionate about ensuring that everyone receives the highest quality care. Married for more than 18 years, Dr. Loomis has three teenage daughters. He is an avid Ohio State and Cincinnati Reds fan.

Matthew Mazdyasni, MS, Healthcare Partners

Mr. Mazdyasni is executive vice president and chief financial officer of the HealthCare Partners Medical Group. A member of the senior executive team, Mr. Mazdyasni has significantly contributed to the company's financial stability through his strategic leadership and oversight of contracts and relationships with health insurance HMOs, PPOs, and other contracted providers. Mr. Mazdyasni leads the business office and the departments of administrative services, decision support, facilities, finance, integrated managed care systems, and provider and hospital contracting. In addition to daily oversight of these departments and staff, in collaboration with other senior executive team members and department directors in collaboration with other senior executive team members and department directors Mr. Mazdyasni oversees contracting analysis, planning, and execution with all payers and payer contract negotiations. Mr. Mazdyasni holds a master's of science degree in accounting from the University of Kentucky. Before joining HealthCare Partners in 1982, he worked for national and local public accounting firms. He is an active member of the Statistical, Product Certification, and Workers' Compensation committees with the American Medical Group Association. Mr. Mazdyasni is also active on legislative committees and has distinguished himself as a mentor in health administration leadership. In 2000-2001 he was named Preceptor of the Year by the University of Southern California's Master of Health Administration program.

David Moen, MD, President, Fairview Physician Associates

Dr. Moen is president of Fairview Physician Associates (FPA) in Minneapolis, Minnesota. FPA is a provider network of more than 1,300 members that is affiliated with Fairview Health Services, an integrated health system of more than 22,000 employees and 2,500 aligned physicians. Together, Fairview and FPA are transforming health care for the communities they serve. Their goal is to increase quality of care and patient satisfaction while decreasing the total cost of care. As president of FPA, Dr. Moen is leading the development of Fairview Health Network, an integrated, multispecialty provider network built on the belief that providers are in the best position to transform care. Network providers who consistently deliver greater value will increase their revenues by sharing in the savings created. Dr. Moen provides strategic and visionary leadership to create a common operating framework, innovative care delivery models, and resources so network members are equipped to accept and manage risk. Before his provider network and care model innovation positions, Dr. Moen led emergency services in two Fairview hospital locations that serve more than 60,000 patients annually. Under his medical direction, both locations received the Premier National Quality Award for exemplary performance in care of patients with heart attack and congestive heart failure. Dr. Moen has held various leadership roles, including medical lead for Fairview in partnership with Target Corporation, chief of medical staff for Fairview Lakes Regional Medical Center, member of the executive committee of the Fairview Lakes Health Services boards of directors, member of the board of directors for Lakes Region Ambulance Service, and board member for the Minnesota College of Emergency Physicians. In addition to his work at FPA, Dr. Moen serves as the chief medical officer of NetClinic, a Web-based program that serves as an interactive personal health portal to allow virtual care delivery involving patients and clinicians. Dr. Moen earned his medical degree from the University of Wisconsin and completed his residency training in family medicine at the University of Minnesota. He continues to serve as an associate clinical instructor in the Department of Family Medicine at the University of Minnesota and as the clinical instructor for the Augsburg College Physician's Assistant Program.

Peggy Naas, MD, RN, Vice President, Physician Strategies, VHA

Dr. Naas is vice president and leader of physician strategies for VHA Inc., where she assists members to create and implement hospital-physician relationship strategies. She facilitates VHA's new models of payment and shared savings networks and the 2011 VHA CEO teleconference series on new care delivery models, Health Systems and Physicians: New Models of Payment and Care Delivery. She also organized and facilitated this series in 2009 (Health System Sponsored Physician Employment: Keys to Success) and 2010 (Physicians and Health Systems: New Models for Alignment When Employment is Not the Complete Solution). Dr. Naas serves as executive champion for the VHA Chief Medical Officer Affinity Group and subject matter expert for the Orthopedic Service Line and the Cardiovascular Service Line Networks. In addition, she consults on surgeon engagement and supply chain initiatives in orthopedic surgery. Dr. Naas joined VHA in January 2007, initially as vice president of clinical supply chain solutions and physician preference management solutions. In that role, she directed a team of clinicians and supply chain experts who helped VHA member hospitals manage their orthopedic, cardiac, vascular, and spine service lines, focusing on cost and usage of associated implants, devices, and pharmaceuticals. A board-certified orthopedic surgeon, Dr. Naas previously practiced at Allina Hospitals and Clinics in Minneapolis, Minnesota. She provided leadership as part of the clinical leadership team, the system's IHI 100,000 Lives surgical site infections initiative, and the supply chain orthopedic implant initiative. Dr. Naas earned her bachelor of science degree in nursing and her medical degree from the University of Minnesota School of Nursing and Medical School, respectively. She completed her general surgery internship at Hennepin County Medical Center and her orthopedic residency at the University of Minnesota. She also received an MBA from the University of St. Thomas in St. Paul, Minnesota. Dr. Naas is a Fellow of the American Academy of Orthopaedic Surgeons and a member of the American College of Physician Executives. She has served on the board of directors for the American Medical Group Association, as the national president of the Ruth Jackson Orthopaedic Society (national society of women orthopedic surgeons), and as chairman of the board and interim CEO of her multispecialty clinical practice group.

Rob Parke, MBA, ASA, Principal and Consulting Actuary, Milliman Inc.

James T. Rogers, MD, FACP, Physician, Department Chairman, St. John's Health System

Dr. Rogers is in a large group practice setting, practicing internal medicine with St. John's Health System in Springfield, Missouri. He is the department chair for primary care of St. John's Clinic and the medical director for the physician group practice demonstration project with the Centers for Medicare and Medicaid Services. Dr. Rogers has been involved in medical advocacy through many aspects of local, regional, and national level. A member of the American Medical Association and the American College of Physicians, he has served on the board of directors for the American Health Quality Association and holds certification in quality assurance. He has served as the president of the medical staff for St. John's hospital and is chairman for Primaris, the quality improvement organization for Missouri.

Lee B. Sacks, MD, Executive Vice President, Chief Medical Officer, Advocate Health Care; Chief Executive Officer, Advocate Physician Partners

As executive vice president and chief medical officer of Advocate Health Care since 1997, Dr. Sacks is responsible for health outcomes, information systems, research and medical education, clinical laboratory services, and the eICU® Core Program. He also is the CEO of Advocate Physician Partners, a position to which he was appointed in 1995. Advocate Physician Partners is the umbrella organization over the eight Advocate PHOs and the medical groups that determine Advocate's managed care strategy, negotiate the managed care contracts, and enhance medical management.

Dr. Sacks practiced family medicine in a three-person practice from 1980 to 1992, when it became affiliated with Lutheran General Medical Group. He has had management roles since 1990, serving as medical director, vice president of Lutheran General Health Plan (PHO), and vice president of primary care development for Lutheran General HealthSystem before the merger that created Advocate in 1995. Dr. Sacks received a bachelor's degree in chemical engineering from the University of Pennsylvania and a medical degree from the University of Illinois, Chicago, in 1977. He completed a family practice residency at Lutheran General Hospital in Park Ridge, Illinois, serving as chief resident. In 1988-1989 he served as president of the Illinois Academy of Family Physicians, and he was on the Commission of Health Care Services of the American Academy of Family Physicians from 1994 to 2000. He speaks frequently on managed care, clinical integration, and hospital system-physician issues. He currently serves on the Metro Chicago board of the American Heart Association, is a trustee of Institute of Medicine Chicago. and is board chairman of the Institute for Clinical Quality and Value. Dr. Sacks is the recent recipient of the IOMC/CQPS Otho S. A. Sprague Memorial Institute Recognition Award in Patient Safety.

Craig E. Samitt, MD, MBA, President and CEO, Dean Clinic

H. Scott Sarran, MD, MM, Chief Medical Officer, Blue Cross Blue Shield Illinois

Dr. Sarran is Blue Cross and Blue Shield of Illinois' (BCBSIL) vice president and chief medical officer. A seasoned physician executive with expertise in group practice leadership and all aspects of managed care, Dr. Sarran is responsible for providing overall medical leadership; managing and setting strategy for medical management, utilization, and case and disease management; and developing medical policy. Before joining BCBSIL, Dr. Sarran worked at Fidelis Senior Care, where he served as chief medical officer. While there, he was responsible for all medical policy and medical management functions, including utilization, quality, case and disease management; credentialing; pharmacy; and Healthcare Effectiveness Data and Information Set (HEDIS) reporting. Before joining Fidelis in 2006, Dr. Sarran held numerous health industry positions in the Chicago area, including vice president of medical management for Advocate Health Centers; vice president and medical director for the University of Chicago Health System; vice president of clinical quality improvement for Advocate Health Care; and several positions at Lutheran General Health Systems. Dr. Sarran received a bachelor of science degree from Northwestern University in Evanston, Illinois, in 1977; his medical doctorate from Northwestern University Medical School in 1979; and a master's degree in management from Evanston's J. L. Kellogg Graduate School of Management in 1992. He completed his family practice residency at Lutheran General Hospital in 1982, serving as chief resident from 1981 to 1982. In addition, Dr. Sarran has held academic appointments at the University of Chicago Pritzker School of Medicine and the University of Illinois at Chicago College of Medicine. Dr. Sarran is a diplomate of the American Board of Family Practice. Dr. Sarran is an avid runner and a six-time Ironman triathlon finisher.

Jeff Schiff, MD, MBA, Medical Director, State of Minnesota Public Programs

Dr. Schiff is a practicing pediatric emergency medicine physician and the medical director for Minnesota Health Care Programs at the Minnesota Department of Human Services. This includes Minnesota's Medicaid and its State Children's Health Insurance Program (SCHIP), MinnesotaCare; he is also the division director for the Health Services Medical Management Division. Dr. Schiff has served as medical director since June 2006. His work focuses on the use of evidence to develop benefit policy and on the advancement of improved care delivery models such as medical homes. He has been involved in delivery system reform since 2003, when he was one of the principal organizers of Minnesota's pediatric medical home learning collaborative. That collaborative for children and youth with special health care needs became the impetus for 2007, 2008, and 2010 state legislation to create Minnesota's health care home (patient-centered medical home model) and health care delivery system (accountable care organization model) demonstration programs. Dr. Schiff is committed to engaging patients and families in the redesign of the health care system. Dr. Schiff has recently served as the co-chair of the Agency for Healthcare Research and Quality (AHRQ) National Advisory Council Subcommittee on Children's Healthcare Quality Measures for Medicaid and CHIP Programs. This subcommittee is charged with the identification of the initial core set of children's health care quality measures for voluntary use by Medicaid and CHIP programs across the country. He has served on the National Committee for Quality Assurance Patient-Centered Medical Home standards revision advisory committee, which participated in developing the revised standards just released in 2010.

Christine A. Sinsky, MD, FACP, Medical Associates Clinic and Health Plans

Dr. Sinsky is a general internist at Medical Associates Clinic and Health Plans in Dubuque, Iowa. She is board certified in internal medicine. She serves on the physician advisory panel for the National Committee for Quality Assurance (NCQA) physician recognition programs, is a member of the Society of General Internal Medicine's Patient-Centered Medical Home (PCMH) working group, and is a consultant for the John D. Stoeckle Center for Primary Care Innovation at the Massachusetts General Hospital. Her practice has been a level 3 patient centered medical home since 2008. She is also a member of the American Board of Internal Medicine Board of Directors and the Institute of Medicine's Committee on Patient Safety and Health Information Technology. A frequent invited lecturer on practice innovation, redesign, and the PCMH, Dr. Sinsky has presented to groups including the American College of Physicians, the Institute for Healthcare Improvement, and the Patient Centered Primary Care Collaborative, as well as to private and academic medical centers. Dr. Sinsky received her bachelor's and medical degrees from the University of Wisconsin and completed her postgraduate residency at Gundersen Medical Foundation/La Crosse Lutheran Hospital, in LaCrosse, Wisconsin, where she served as chief medical resident.

Barbara Spivak, MD, President, Mount Auburn Cambridge Independent Practice Association

Susan Stuard, MBA, Executive Director, Taconic Health Information Network and Community (THINC)

Karen Van Wagner, PhD, Executive Director, North Texas Specialty Physicians

Greger Vigen, MBA, Independent Actuary

Mr. Vigen is an actuary who has worked with both lightly managed and highly managed programs during his career. He was a leading health actuary for employers for Mercer for 23 years before starting his own consulting firm. At Mercer, he was the actuarial consultant for many major clients and purchasing coalitions, including the California Public Employees Retirement System. He also created and developed the California health care strategy and several major new California products, including the first high-performing HMO network and the first high-performing PPO network to jumbo clients. He recently worked on an 80,000-member accountable care organization project with four major California physician organizations and carriers, as well as other projects across the country. Mr. Vigen co-wrote two Society of Actuaries papers: "Measurement of Healthcare Quality and Efficiency: Resources for Healthcare Professionals," which has just been updated, and "Opportunities During Transformation: Moving To Health Care 2.0." Previously, he chaired Mercer's overall actuarial committee and various other subcommittees (including those for data analysis, plan design modeler, high-performing networks, and consumer-directed programs). He has been substantially engaged in the California health industry over many years. He was on the board of directors for the Physician Associates, a multispecialty medical group. Also, he was liaison to medical groups, carriers, the Department of Managed HealthCare, and the California Association of Physician Groups. Mr. Vigen received a master's degree in business administration from UCLA in 1977 after doing his undergraduate work at the University of Southern California.

Barbara Walters, MD, MBA, Senior Medical Director, Dartmouth-Hitchcock Medical Center

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