Brent Boyd received his MBA\MPH from Tulane University and has over 20 years of experience in the California managed care market. Brent has served in executive IPA and MSO leadership roles overseeing risk contracting for medical groups, hospitals and local health plans as well as providing executive oversight to clinical integration and IPA\hospital partnerships. He currently resides in Visalia and is the incoming CEO for Key Medical Group and the Foundation for Medical Care of Tulare & Kings Counties.
A seasoned senior executive, C.R. Burke brings extensive experience in developing and administering large multispecialty medical groups and Independent Practice Associations (IPAs) within integrated delivery systems. Most recently he served at St. Joseph Health System (SJHS) as President and CEO of St. Joseph Heritage Healthcare (SJHH), a nonprofit medical practice foundation managing 2,000-plus physicians. During his tenure, the organization gained statewide and national recognition for quality, performance improvement, technology adoption, contracting models, and patient outcomes.
Dr. Kenneth Cohen is an experienced physician leader, practicing internist, and researcher who has attained national recognition for clinical research, internal medicine, and health care quality improvement. He has successfully developed and reported numerous clinical quality studies in primary care, including tobacco cessation, osteoporosis, asthma, diabetes, hypertension, and ischemic vascular disease. Dr. Cohen has served as principal investigator of numerous clinical research trials, in areas including COPD, diabetes, hypertension, and cardiovascular disease. He was one of the founding physicians of New West Physicians, which is the largest primary care group practice in Colorado. He has served as Chief Medical Officer since 1995. Dr. Cohen has received awards of recognition and distinction for teaching, including the Lutheran Medical Center Physician of the Year award in 2011. Under his stewardship New West Physicians was awarded the AMGA Acclaim award in 2015. He is a Clinical Associate Professor of Medicine and Pharmacy at the University of Colorado School of Medicine. Dr. Cohen holds degrees from Dickinson College and Hahnemann University. He is a Fellow of the American College of Physicians.
Don Crane is the President and CEO of CAPG, a national professional association composed of physician groups dedicated to coordinated, accountable care. It is the nation’s largest trade association that explicitly promotes capitation as the payment model for its members, all of whom accept various forms of risk-based capitation or other population-based payment. These groups are in the forefront of national healthcare reform and represent the care model and payment methodologies adopted by federal legislation for the entire nation. Mr. Crane joined CAPG in 2001 and has served as President and CEO since that time. During his tenure CAPG has expanded from being a division of a regional hospital trade association consisting of 40 member groups to a national professional association consisting of more than 250 physician organizations. CAPG now has members with practices in 45 states and has become a leading voice in advocacy on both state and federal levels. With headquarters in Los Angeles, California, CAPG maintains advocacy offices in Sacramento, California, and Washington, DC. CAPG’s mission is to provide advocacy and education for accountable physician groups, and to lead the coordinated care movement across the nation. In that quest CAPG has embarked on an extensive educational effort to spread and scale the experience of its members in the delivery of risk-based coordinated care. This work involves tapping the acumen of CAPG members as faculty in the many educational programs the association is offering, including CAPG conferences in California and Washington, D.C., and regional meetings in multiple locations around the country. A seasoned healthcare attorney, Mr. Crane has served as corporate counsel for several major integrated health systems. Mr. Crane speaks regularly on healthcare issues to a wide variety of physician groups, hospitals, and other professional meetings. He is a frequent guest lecturer on healthcare management issues to graduate students at major universities. Mr. Crane serves on the Board of Directors of the National Coalition on Health Care. He is also the Editor-in-Chief of CAPG Health, a magazine that reports on business trends, legislation, andindustry initiatives impacting coordinated care. In 2016 Mr. Crane received the prestigious Mathies Award for Vision and Excellence in Healthcare Leadership. Mr. Crane received his B.A. from the University of California at Berkeley and his J.D. from Loyola University of Los Angeles.
A member of the CAPG Consulting Group, Cummings utilizes her extensive experience in IPA administration, health insurance governance and administration, public health, hospital administration, and management consulting in support of clients. Cummings is a frequent speaker at local, regional and national health care conferences. Cummings’ current consulting interests focus on IPA administration, population health management, and supporting aligned medical provider communities to achieve success in the triple aim objectives of health care reform as provider reimbursement transitions from volume to value.
"Larry deGhetaldi, M.D. is president of the Palo Alto Medical Foundation Santa Cruz (PAMF Santa Cruz). PAMF Santa Cruz coordinates with Sutter Maternity & Surgery Center to provide integrated health care for 130,000 Santa Cruz County residents. Dr. deGhetaldi is a board-certified family medicine physician who has served in a number of leadership positions within the Santa Cruz Medical Clinic since he began practicing in 1984. He represented the clinic in its affiliation negotiations with Sutter Health and additionally chaired the Clinic Management Board. Dr. deGhetaldi has served on several boards of directors including the Palo Alto Medical Foundation, the California Medical Association, Sutter Maternity & Surgery Center, and the Central California Alliance for Health. He was recently appointed to the California Financial Solvency Standards Board (FSSB) whose task is to address the implications of federal health care reform and how it will affect the California health care landscape. He is also a member of the Integrated Healthcare Association’s (IHA) Pay for Performance governing committee. And he chairs the Sutter Medical Network’s Quality Committee which focuses on advancing the ambulatory quality of care for 3.2 million Sutter Health patients. Dr. deGhetaldi and his wife have six children between them. "
For more than a decade, Amar Desai, MD, MPH has led medical groups and integrated health systems that deliver distinctive clinical quality, reduce costs, and transform the patient experience. Currently,Dr. Desai serves as President of Health Care Partners' California Coastal Region. He oversees the region's group and IPA operations, as well as national clinician recruitment efforts for DaVita Medical Group. Previously, he served as Chief Executive Officer of USC Care and Ambulatory Care Services where he led transformative growth and helped position Keck Medicine as the preferred regional destination and partner for complex tertiary and quaternary care. From 2010 to 2014, Dr. Desai served as an executive at DaVita, initially leading the corporate strategy team to identify expansion initiatives outside of DaVita's core U.S. kidney care business. These efforts contributed to the decision to expand dialysis operations internationally and to the diversification into primary care including the acquisition of HealthCare Partners and launch of Paladina Health, where he served as Chief Medical Officer from 2011 to 2014.
"As CEO of Sharp Community Medical Group, Paul Durr leads a team of 260 employees who are dedicated to supporting our 860 primary and specialty care physicians. Our independent physicians practice in more than 350 practice locations throughout San Diego, from as far North as Oceanside and Temecula, East to Alpine, and South to Coronado and Imperial Beach. Our patients have access to 20 urgent cares and 11 local hospitals, including all Sharp HealthCare, Palomar Health and Rady Children’s Hospitals. Each year we touch more than 350,000 lives, representing 10% of San Diego County’s population. Most recently, Paul served as Vice President of Physician Network Development at Sharp HealthCare, focused on the launch of Sharp Care Physicians, Inc., a new network of Sharp-affiliated physicians in San Diego County. Prior to joining SCMG, Paul spent three years with Ernst and Young and in 1991 began working at Sharp HealthCare. In 2007, Paul Durr was named “CFO of the Year” by the San Diego Business Journal and Robert Half. "
John Edelston is president and chief executive officer of HealthPro Associates, a health care consulting firm focusing on delivery systems and managed care. His primary area of specialization is in the interrelationships between the marketplace and health systems and health plans. HealthPro provides a wide range of consulting services to traditional physician partnerships and medical groups as well as IPAs, Faculty Medical Groups, Medical Foundations, FQHCs, and ACOs, and integrated delivery systems. Mr. Edelston’s clients have included large Medical Groups such as the Cigna Medical Group, Stanford University-Associates, Hoag Hospital Presbyterian, Huntington Medical Foundation, Santé Medical Group, and Providence Health & Services. He has formed and developed more than 200 physician organizations, including CareMore Medical Group/Health Plan in the early 1990s, and helped in its sale to private equity in 2006. Mr. Edelston served as a Senior Advisor to Secretary Tommy Thompson’s Representative for Region IX, United States DHHS. He is also one of the few industry experts who has also served (12 years) as an elected official.
\"Dr. Farber graduated Manga Cum Laude from Tufts University with a Bachelor of Arts Degree in Biopsychology. He received his medical degree with AOA honors from the Albert Einstein College of Medicine of Yeshiva University and then completed a residency in Internal Medicine at New York Presbyterian Hospital, Columbia Campus followed by a fellowship in Geriatric Medicine at the Icahn School of Medicine at Mount Sinai. He is also a graduate of the Isenberg School of Management at University of Massachusetts Amherst, with a Master of Business Administration, Beta Gamma Sigma Honor Society. He is board-certified in both Internal Medicine and Geriatric Medicine and a Fellow of the American College of Physicians. Dr. Farber is Senior Vice President and Chief Medical Officer for Population Health with responsibility for leading quality, utilization, clinical integration, physician engagement, care management, clinical programs, and practice transformation efforts across the Health System. He also serves as the Chief Executive Officer of Mount Sinai Care, LLC, the Medicare Shared Savings Program Accountable Care Organization of the Mount Sinai Health System, with over 40,000 aligned Medicare beneficiaries.\"
Scott Farr joined Pediatric Associates in 2015 as Chief Operating Officer. Mr. Farr came to Pediatric Associates (PA) with over twenty years of diverse leadership, operations, strategy and development experience with physician organizations, children’s hospitals, health systems, academic medical centers, healthcare start-ups and payer organizations. Mr. Farr continues his career leading Pediatric Associates’ strategic growth – geographic and specialty expansion along with developing and managing PA’s population health initiatives. Under Farr’s leadership, Pediatric Associates has grown to be recognized as the national leader in pediatric population management. With his breadth of experience and expertise, Mr. Farr helps guide both short and long-term strategy to position Pediatric Associates for continued success.
With 25 years of executive experience in the medical group industry, Bill Gil is committed to clinical excellence through shared records and expert-to-expert collaboration. Most recently, he served as Vice President and Chief Executive Officer, Providence Southern California Medical Foundations, leading the Facey Medical Foundation and Providence Medical Institute. Previously, he was CEO of the nonprofit Facey Medical Foundation, which manages a 200-physician medical group and became affiliated with Providence in 2012. Bill is the former CEO of Facey Medical Foundation, a nonprofit medical foundation that manages Facey Medical Group, a 160-physician medical group. Providence and Facey formed an affiliation in 2012. With his extensive experience and his leadership skills, Bill is focused on growing both physician foundations while enhancing a commitment to clinical excellence through shared records and expert-to-expert collaboration. He comes to Providence with more than 20 years experience in senior management in the medical group industry. Bill holds an MBA from Pepperdine University. He has published several articles on managed health care. Bill also teaches at the University of Southern California (USC), in the Master’s Program. " He has also served as President and Chief Executive Officer of Facey Medical Foundation, a non-profit medical foundation that manages Facey Medical Group, a 200 physician medical group with 200,000 patients, 100,000 of which are prepaid enrolled members. Bill is an experienced health care executive. His background includes senior executive positions at Pacific Physician Services, the first publicly traded PPM and served as CEO of a start-up Management Services Organization ("MSO") of 16 hospitals in Florida. He also served as CEO of CareFirst, an HMO based in Los Angeles. He has over 30 years experience in senior management in the medical group industry. Bill holds an MBA from Pepperdine University. He has written several published articles on health care, especially on managed care. He has been a featured speaker at numerous professional conferences, addressing managed care and managing capitation, pharmacy risk, mergers and acquisitions, contracting, physician governance and compensation, and the changes in today's environment. Mr. Gil also teaches at the University of Southern California ("USC"), in their Masters Program.
John Gorman is Founder and Executive Chairman at Gorman Health Group (GHG). In this role, he has led the development and launch of several entrepreneurial ventures in both software and business process outsourcing in government health programs. Johns work focuses on government health programs strategy, cultural transformation within health care companies, governance, and turnaround of distressed health plans. John brings GHG clients more than 25 years of experience in government-sponsored health program strategy, compliance and operations. Prior to founding his own company in 1996, John served as Assistant to the Director of Health Care Financing Administrations (HCFA) Office of Managed Care, where he provided day-to-day management, and served as the external liaison for the Medicare and Medicaid managed care programs.
Kimberly D. Gregory, MD, MPH is Vice Chair of Women\'s Healthcare Quality and Performance Improvement, Department Obstetrics & Gynecology at Cedars-Sinai Medical Center. She is Division Director, and Fellowship Director for Maternal Fetal Medicine. She maintains an active clinical practice in high risk obstetrics and she is a Professor at Cedars Sinai Medical Center with a joint appointment at the David Geffen School of Medicine at UCLA and the UCLA Fielding School of Public Health. Her research interests include developing maternal quality indicators and patient reported outcome measures for childbirth, patient safety, obstetrical healthcare utilization, appropriate cesarean section rates, complications of labor and delivery, and maternal morbidity and mortality.
"As Chief Financial Officer for Carilion Clinic, Don guides his work by three primary principles: 1. All of Carilion Clinic’s resources (money) are actually our patients’ resources (money) 2. Carilion Clinic must achieve adequate, yet appropriate financial success to ensure long-term sustainability of access to high quality, affordable health care for our communities 3. Most importantly, never forget that it is people who are the most valuable resource that Carilion Clinic offers to our patients and communities; they hold the key to success Carilion Clinic exists to improve the health of the communities it serves. Don’s passion for his work and the mission, values, and goals of his organization is rooted in his life-long residence in the region. Carilion Clinic’s success results in enhancement of the health and overall quality of life for friends, neighbors, and for five generations of both he and his wife’s family who still live in the communities we serve. "
Scott D. Hayworth, MD, FACOG Dr. Hayworth has been President and Chief Executive Officer of CareMount Medical, PC(formerly Mount Kisco Medical Group, PC), one of the largest multispecialty medical groups in New York, for more than 19 years, having started in practice there in 1988. Dr. Hayworth has overseen a more than tenfold expansion in the size of CareMount, from 40 physicians to 450, and he has earned a national reputation as an authority on practice administration; multispecialty group management; and adaptation to the rapidly changing environment in health care, including the transition to value.
Under Dr. Hayworth’s leadership, CareMount has grown from a handful of locations to 43 sites throughout the Hudson Valley, expanding and transforming staff, services, facilities, and practice infrastructure with the goal of offering a seamlessly integrated patient experience of the highest quality. Hehas guided the establishment of relationships between CareMount and diverse partners and institutions, including affiliations with Massachusetts General Hospital, Mount Sinai Hospital, Memorial Sloan-Kettering Cancer Center, and seven regional hospitals.
CareMount was one of the first Accountable Care Organizations in the nation, and it has been an NCQA Level III Patient-Centered Medical Home for many years. CareMount has innovated in electronic health information for almost 20 years.
Dr. Hayworth is an associate dean and clinical assistant professor at the Icahn School of Medicine at Mount Sinai and a consultant to the Vincent Department of Obstetrics and Gynecology at Massachusetts General Hospital. He is past chairman of the board of the American Medical Group Association and past national treasurer and District II chairman for the American Congress of Obstetricians and Gynecologists.
Dr. Hayworth chairs the advisory board for IKS Healthand the board of directors of the Ambulatory Surgery Center of Westchester. He is the president of the board of directors of Bedford Physicians Risk Retention Group. He serves on national advisory boards for Aetna, Anthem, and MedPro. Dr. Hayworth is a senior advisor to Arsenal Capital Partners, an advisor to WIRB-Copernicus, and an executive advisor to Counsyl, Inc. He sits on the board of directors of TractManager Medical Holdings and he is a past board member of Brighton Health Partners; Counsyl, Inc.; the Northern Westchester Hospital Foundation; and Community Mutual Savings Bank.
Dr. Hayworth has served as a consulting editor for Contemporary OB/GYN.
Dr. Hayworth has been named to many "Best Doctor" lists in successive years, including those in New York and Westchester magazines, Best Doctors in America, and America's Best Obstetricians and Gynecologists. He received the Westchester County Doctors of Distinction Lifetime Achievement Award in 2015. The Visiting Nurse Association of the Hudson Valley has honored him twice, in 2005 with their Award of Merit and in 2015 with the Ellen Wood Health Care Award. He was given the “Good Scout” Award by the Boy Scouts of America Westchester-Putnam Council in 2013. Dr. Hayworth was named Business Person of the Year by the Yorktown Chamber of Commerce in 2013. In 2002 he was given the District Service Award by the American College of Obstetricians and Gynecologists.
Dr. Hayworth received his A.B. in Biology from Princeton and his M.D. from Cornell University Medical College. He and his wife, former Congresswoman Dr. Nan Hayworth, live in Bedford and have two adult children, Will and Jack.
As SVP and Chief Executive Officer of Sharp Rees-Stealy Medical Centers, Stacey Hrountas leads a staff of over 2,500 employees dedicated to the business systems for more than 500 primary care and specialty physicians. Her team serves more than 400,000 patients in 22 medical office sites throughout San Diego County. Stacey has over 30 years experience in the health care industry. She joined Sharp in 1994 and has held several system-wide leadership positions including Vice President, Managed Care Contracting and Finance for the entire Sharp HealthCare system and affiliated medical groups. Prior to coming to Sharp, Stacey worked with Aetna Health Plans of San Diego, Mercy Physicians Medical Group, MetLife HealthCare Network, Travelers Health Network and Community Care Network.
Dr. John Jenrette is the Executive Vice President at the Cedars-Sinai Medical Network. The Cedars-Sinai Medical Network includes more than 1,000 physicians and allied health professionals, 8 HMO contracts, and 1,500 employees. The Medical Network provides care to over 140,000 members.Dr. Jenrette also serves on the Board of Directors for CAPG (The Voice of Accountable Physician Groups) and the Board for Premera Blue, a Blue Cross plan in Washington, Oregon and Alaska. He brings over thirty years of experience in healthcare delivery and management that ranges from California to the Midwest.
"Dr. Vinod, an interventional cardiologist by training, was the founder, President and CEO of AppleCare Medical Group for more than 20 years. He is also the founder of Episource, LLC, a healthcare technology company focused in the health care industry with expertise in risk adjustment coding and analytics. Dr. Vinod currently serves as the Chairman of the Board for Episource. Under Dr. Vinod’s leadership, AppleCare Medical Group grew from 500 members in 1996 to over 100,000 in 2016 with over 400 PCPs and 450 specialists under contract. It further expanded its operation to include a management services organization, a hospitalist group and an insurance agency. The management services organization maintained sophisticated information technology, claims processing and clinical care coordination with more than 140 employees. The hospitalist group had both a “staff model” primary care focus and hospitalists managing the inpatient care for all in-network admissions. AppleCare Insurance Services was a fullservice agency focused on the Medicare Advantage market. Dr. Vinod acquired IPA’s and physician practices during his tenure and recently sold to United HealthCare."
Scott Joslyn is the Senior Vice President and CIO for MemorialCare, a $2.3 billion Southern California IDN with 1,400 inpatient beds, 2,500 affiliated and employed physicians, and approximately 11,000 employees. Scott also oversees clinical research, and is a board member of Summation Health Ventures. Scott holds a Doctor of Pharmacy Degree from the University of the Pacific, and an MBA from UCLA. He is an active and long-standing member of CHIME, HIMSS, and other industry groups.
David is the CEO of Hill Physicians and PriMed, the management services organization serving Hill. David served as the Chief Operating Officer of Hill Physicians for two years before taking the CEO role. Prior to joining PriMed and Hill Physicians, David served for fourteen years as an executive of Blue Shield of California, a not-for-profit health plan with more than 3 million members. His most recent position at Blue Shield was senior vice president large group and specialty benefits where he oversaw $2 billion in revenues for the large group employer, specialty benefits and stop loss insurance markets. His career also has included serving as president of Vivra Women's Health, a physician network and practice management company, and as a manager for Bain & Company, a global strategy consulting firm.David grew up in England and received his MA in chemistry from the University of Oxford and his MBA from The Wharton School at the University of Pennsylvania.
John M. Kirk recently retired from a 16-year term as the founding CEO of Pioneer Medical Group, a multispecialty medical group in the Los Angeles area. He also served as CEO of Eagle Business Performance Services, a medical management company organized as a joint venture with the McKesson Corporation. He was a member of CAPG’s Board of Directors for over ten years, most recently serving as the Vice-Chair of its Public Policy Committee. His prior experience includes service as CEO of a four-hospital system in New Mexico, COO/CEO responsibilities in medical group management companies in California and Texas, as the principal of a consulting firm, and in the private practice of law. Kirk is a decorated veteran of the Vietnam War. He holds an AB from the Johns Hopkins University and a JD (cum laude) from the University of New Mexico.
Diane Laird is the founding CEO for Greater Newport Physicians, a high performing Independent Practice Association which was established in 1985. With nearly 1,000 contracted physicians, GNP serves the Orange County and greater Long Beach marketplace. In 2012, GNP affiliated with MemorialCare Health System, a not-for-profit integrated delivery system with six hospitals, 12,000 employees, 3,000 affiliated physicians and more than 200 care sites in Orange and Los Angeles counties and she accepted the role of Chief Strategy Officer for the health system in 2014. Laird holds a Bachelor’s Degree in Biology from University of California, Irvine and a Master’s Degree in Healthcare Administration from UCLA and completed the California Health Leadership College Leadership Series in 2005. She is an active board member of CAPG which represents more than 150 medical groups, including 59,000 physicians who provide care to 13 million residents. In addition, she serves on the Board of Vivity with the other Joint Venture partners.
"Mary currently is the Vice President of Contracts and Managed Care Finance for Sharp HealthCare. She negotiates contracts on behalf of the four Sharp hospitals, three specialty hospitals and the affiliated medical groups; Sharp Rees-Stealy Medical Group, Sharp Community Medical Group and the Sharp HealthCare Foundation physicians; covering approximately three hundred and twenty five thousand (325,000) capitated managed care lives. She is also responsible for finance matters related to the capitated population. Most recently she has been focusing on encounter receipts and submission timeliness and accuracy. She has been with Sharp Healthcare for over twenty years. Personally, Mary is married with three beautiful daughters. She spends her free time with her two golden retrievers Taxi and Trolley. She is an avid sports fan and long standing season ticket holder for San Diego State Men’s Basketball. Go Aztecs!"
Dave joined Providence in 2000 and brings more than 30 years of experience in healthcare. Dave currently leads the three Medical Group Foundations operated by Providence in the Los Angeles market: Facey Medical Foundation, Providence Medical Institute, and the Saint John’s Medical Foundation. Prior to his current role, Dave was responsible for mergers, acquisitions, and integration in the Los Angeles market which included the acquisition and integration of Saint John’s Health Center, the John Wayne Cancer Institute, and most recently the partnership between Providence Health & Services and St. Joseph Hoag Health. Dave has served as Chief Financial Officer of the California Region, the Regional Hospital Group, the Valley Service area, and the Northwest Washington Service Area. Before being called to Providence, Dave worked in various financial roles for Kapi`olani Health in Honolulu, and for American Medical International in Southern California. He received his BS in Business Administration from the University of Southern California. Dave and his partner of 16 years live in Los Angeles.
"Melanie Matthews is the CEO of Physicians of Southwest Washington, where she brings with her a successful 20-year career as a leader and innovator in various aspects of health care, including financial management, operations, human resources, system development and product marketing in health care services. Most recently she served for three years as vice president of operations for Prestige Care, Inc., where she was responsible for regulatory and financial operations and outcomes for 38 skilled nursing facilities and two Medicare home health agencies in a four-state northwest region. Among Matthew’s other accomplishments, she serves as the chair of the Washington Health Care Association, and was selected by the American Health Care Association as a “National Political Ambassador” in 2013, as well as being named a national “Future Leader” in 2012. "
Mara McDermott serves as the Vice President of Federal Affairs for CAPG, heading up the association’s federal legislative and regulatory activities in Washington, DC. Mara works on behalf of CAPG member organizations to advance policies that promote coordinated care. This role includes advocacy and education efforts with members of Congress and their staffs, the Administration, and other health policy stakeholders. Prior to joining CAPG, Mara was Counsel in the health industry practice at Akin Gump Strauss Hauer & Feld. In this role, she focused on a variety of issues affecting health industry clients, with a particular emphasis on health policy and regulatory issues facing physician organizations, hospitals, pharmaceutical companies, and academic medical institutions. Mara received her JD with high honors from George Washington University School of Law and her MPH from George Washington University. She received her BA from the University of California, Davis.
Dr. Laura McGeorge is the medical director for St. Luke's Health Partners' NG ACO (Next Generation Accountable Care Organization). The ACO is responsible for meeting the Triple Aim (Better Care, Better Health, and Lower Costs) for traditional Medicare patients. St. Luke's Health Partners network is composed of both employed and independent physicians and is committed to improving the outcomes and the cost of care for Idahoans. Dr. McGeorge has been a practicing internist with St. Luke's Internal Medicine for over 20 years. At St. Luke's Health System, she is the Division Medical Director for Medicine and Specialties. This position includes collaborative oversight of Internal Medicine as well as many medical subspecialties. In this role, she has chaired the redesign for primary care compensation.
As the Senior Vice President and CEO of Sharp Rees Stealy Medical Centers, for 18 years, Donna J. Mills led a staff of more than 2,000 employees supporting the 500 physician multi-specialty medical group practice. Sharp Rees-Stealy is nationally known for superior clinical practices and is part of Sharp HealthCare, San Diego’s most comprehensive health-care delivery system. With a fully integrated network of medical services, including four acute care hospitals, three specialty hospitals, a health plan, and many ancillary support entities, Donna was influential in developing Sharp Rees-Stealy as an early pioneer in risk bearing contracts & delivery networks. For over 35years, this medical group has been incentivized through health plan capitated, delegated risk bearing contracts to design high quality and low cost models of care. Donna’s skill in leading sound legal, financial & business relationships as well as strong provider support and accurate data surveillance tools, has contributed to Sharp Rees-Stealy’s many quality of care and business acumen accolades.
Robert E. Moffit is a senior fellow in The Heritage Foundation's Center for Health Policy Studies. Robert Moffit long has specialized in health care and entitlement programs, especially Medicare. He brings to the reform effort his government experience as a senior official of the U.S. Department of Health and Human Services (HHS) and the Office of Personnel Management (OPM) during the Reagan administration. In 2010, Moffit made Modern Healthcare magazine's list of “The 100 Most Powerful People” in health care. He has published in numerous professional and specialty journals, among them Health Affairs, Health Systems Review, Harvard Health Policy Review, Inquiry, Journal of Law, Medicine and Ethics, National Affairs, New England Journal of Medicine, Postgraduate Medicine, and Journal of Medicine and Philosophy. Moffit holds both a master's degree and a doctorate in political science from the University of Arizona. He received his bachelor's degree in political science from LaSalle University in Philadelphia. His essays on political science have appeared in The Catholic Historical Review, Modern Age and The Political Science Reviewer. Dr. Moffit currently serves on the Maryland Health Care Commission as an appointee of Gov. Larry Hogan. He is also a member of the advisory board of the Buckley School of Public Speaking in Camden, South Carolina. Recognition for his work includes public service awards from diverse organizations such as the American College of Eye Surgery, the International Hyperbaric Medical Association, and the National Hispanic Family Against Drug Abuse. Dr. Moffit is married, and lives with his wife, Barbara, in Severna Park, Maryland.
Dr. J. Mario Molina is President and CEO of Molina Healthcare, Inc., one of the leading organizations providing quality health care for low-income individuals and families. Founded in 1980 by his late father Dr. C. David Molina, Molina Healthcare is a FORTUNE 500 company that currently arranges for the delivery of health care services or offers health information management solutions about 8 million individuals and families who receive their care through Medicaid, Medicare and other government -funded programs in 28 states, the District of Columbia, Puerto Rico and the U.S. Virgin Islands. Dr. Molina began sweeping floors, stocking shelves and filing medical records along with his siblings at his father’s clinic in Long Beach while still in college. He graduated from California State University, Long Beach with a degree in chemistry and was elected to membership in Phi Beta Kappa. He received his medical degree from the Keck School of Medicine of USC in 1984, and was elected to membership in Alpha Omega Alpha. He performed his residency in Internal Medicine at the Johns Hopkins Hospital. He spent the following four years at the University of California, San Diego and the San Diego Veterans Affairs Medical Center as a fellow in Endocrinology and Metabolism. His is certified by the American Board of Internal Medicine in Internal Medicine, as well as Endocrinology and Metabolism. After his fellowship, Molina was appointed assistant professor of medicine at USC. He later received a certificate in management from the Anderson School of Business at UCLA and an honorary doctorate from Claremont Graduate University. In 1991, Molina joined the family firm as Medical Director and then was elected Chairman of the Board in 1996. Molina has received the Ernst & Young Greater Los Angeles Entrepreneur of the Year Award, was inducted into the Long Beach Community College Hall of Fame and was featured in Time Magazine as one of the 25 most influential Hispanics in America in 2005. In 2016, Dr. Molina was ranked #32 on Modern Healthcare’s list of 50 most influential physician executives and leaders and named Businessman of the Year by the United States Hispanic Chamber of Commerce. He collects books on the history of medicine and is a member of the Grolier Club, Zamorano and the American Osler Society. He serves on the boards of Johns Hopkins Medicine, the Aquarium of the Pacific, Homeboy Industries and is an Overseer of the Huntington Library.
Ian is an internationally known author, consultant, and futurist specializing in long-term forecasting and planning with particular emphasis on health care and the changing business environment. He combines research and consulting skills with an incisive Scottish wit to help public and private organizations plan their longer-term future. Ian has written, lectured, and consulted on a wide variety of forecast¬ing, strategy, and health care topics for government, industry, and a variety of nonprofit organizations in North America, Europe, the Middle-East and Asia. He has spoken to a range of audiences from the boards of Fortune 100 companies to the Chinese Academy of Social Sciences in Beijing. Ian has worked with more than 100 Fortune 500 companies in health care, manufacturing, information technology, and financial services. Recent client sponsors include GE, Kaiser Permanente and the Mayo Clinic. He is a frequent commentator on the future for television, radio, and the print media. Ian is the author of Leading Change in Healthcare: Building a Viable System for Today and Tomorrow (AHA Press, June 2011) and Healthcare in the New Millennium: Vision, Values and Leadership (Jossey-Bass, 2002). His previous book: The Second Curve - Managing The Velocity of Change (Ballantine, 1996) was a New York Times Business Bestseller and Businessweek Bestseller. Ian has co-authored several other books and chapters, including Future Tense: The Business Realities of the Next Ten Years (William Morrow, 1994) and Looking Ahead at American Health Care (McGraw-Hill, 1988). He also has co-authored numerous journal articles for publications such as Chief Executive, Encyclopaedia Britannica, Across the Board, The British Medical Journal, New England Journal of Medicine, and Health Affairs. Ian is President Emeritus of the Institute for the Future (IFTF). Ian is a founding partner in Strategic Health Perspectives a joint venture between Harris Interactive and the Harvard School of Public Health’s Department of Health Policy and Management. From 1996-1999, Ian was retained by Accenture, (formerly Andersen Consulting), as Chairman of the Health Futures Forum. In that capacity, Ian chaired a number of international forums on the future of healthcare. Before coming to IFTF in 1985, Ian spent seven years in British Columbia, Canada, in a variety of research, teaching, and consulting positions. He holds an interdisciplinary Ph.D. in urban stud¬ies from the University of British Columbia; an M.A. in geography from the University of Edinburgh, Scotland, and a graduate degree in urban planning from the University of Newcastle-upon-Tyne, England). He is a past director and chair of the California Health Care Foundation; a director of the new Martin Luther King Hospital in Los Angeles; a past director of the Health Research and Education Trust (HRET), the research and education arm of the American Hospital Association; and a past director of the Center for Healthcare Design. Ian currently serves on the Advisory Council of the Council of Accountable Physician Practices (an affiliate of the American Medical Group Association). Ian also served as a member of the Stakeholders Advisory Committee of the Program on Health System Improvement at Harvard University.
James (Jim) Osborne, MD, is the Director of Contracting and Quality Improvement for Eagle Physicians and Associates, PA, in Greensboro, NC, a predominantly primary care multispecialty clinic, as well as the Population Health Medical Director for Triad HealthCare Network (THN). He was a practicing internist with Eagle for 29 years. During that time he served for many years as Treasurer and a Board Member of Eagle. He was also the site managing physician for his Internal Medicine site for over 20 years. At the present time, he is a board certified sleep specialist in Eagle. In conjunction with Cone Health, he helped start Greensboro HealthCare Network, a joint venture that successfully operated an at risk contract with Blue Medicare for over ten years. Subsequently, he, along with two other physicians, was instrumental in starting the efforts that resulted in the development of Triad HealthCare Network, a successful accountable care organization aligned with Cone Health. He chaired the Steering Committee and currently chairs the Operating Committee of THN. He is also the Medical Director for Advanced Home Care, a large multistate home health and DME company.
Steve O'Dell joined Prospect Medical Holdings, Inc. in December, 2012 and is now President of Coordinated Regional Care. Steve is responsible for aligning our hospitals, medical groups and individual practice associations (IPAs) and outpatient facilities and clinics to achieve the lowest cost with the highest demonstrated quality in each of our current and new regional markets. He is responsible for working with our market business unit leaders to contract with health plan strategic partners to increase our managed care market share and to assume and manage value-based, global financial risk for both current and new patient populations to improve quality, patient experience and financial results.
Mai is responsible for developing and refining Anthem’s provider payment models that reduce the cost of care while rewarding improvements in quality and access. Additionally, she is focused on developing new products and networks built on a foundation of value-based care, and overseeing Anthem’s Enhanced Personal Health Care initiative, a program that focuses on patient-centered care and reimburses doctors for value-based, rather than volume-based, performance. Prior to joining Anthem in 2017, Mai was a founding official at the Center for Medicare & Medicaid Innovation (CMMI), where she served as Chief Innovation Officer and was responsible for implementation of the alternative payment model provisions of the Medicare Access and CHIP Reauthorization Act (MACRA) and other multi-organizational initiatives for the Center. A general internist, Mai has published extensively on payment policy issues including care fragmentation and coordination, and also practiced for several years at safety net clinics in the Washington D.C. area.
"Anne is a Principal in Deloitte Advisory’s Life Sciences and Health Care practice based in Washington, DC. She has over twenty-seven years of health care policy experience in a broad range of legislative and regulatory issues. Anne serves as a strategic business advisor to numerous health care stakeholders - including providers, payers, employers, life sciences companies, and investors - to help them navigate the complex health care regulatory environment and how it will impact their organizations. Prior to her career in professional services, Anne served in the George W. Bush Administration as a Special Assistant to the President and the Chief Health Policy Advisor to the President for the Domestic Policy Council and as the Executive Director of the 2004 Republican National Platform Committee. Earlier in her career, Anne worked on Capitol Hill in the United States Senate for Senators Nancy Kassebaum and Bill Frist, M.D. and was instrumental in the drafting and passage of HIPAA and other insurance and public health laws. She spent nearly five years at the National Institutes of Health in a variety of health policy and legislative roles. "
Dr. Porter joined Deaconess Hospital in 2000 as an adult and pediatric hospitalist & was appointed Vice President of Medical Affairs in 2002. He became Vice President of Quality & Innovation and Chief Medical Officer for Deaconess Health System in 2006 and Senior Executive Vice President of the Physician Enterprise in 2013. Today he serves as Executive Vice President and Chief Physician Executive for Deaconess Health System, Chief Administrative Officer for Deaconess Clinic and Chairman of OneCare, Deaconess’ clinically integrated network. Administratively he is responsible for Deaconess’ 400+ employed providers, GME programs, quality improvement, CMS and commercial ACO’s, Information Services and Clinical Informatics. Dr. Porter serves on the boards of The Women’s Hospital, The Heart Hospital, HealthSouth Deaconess Rehabilitation Hospital, The Deaconess Clinic, Deaconess Care Integration Next Generation CMS ACO and Ferrell Hospital.
Dr. Thomas E. Price was sworn in as the 23rd Secretary of Health and Human Services (HHS) on February 10, 2017. He brings to the Department a lifetime of service and a dedication to advancing the quality of health care in America – both as a physician and policymaker. His first calling was to care for patients as an orthopaedic surgeon. Dr. Price received his Bachelor and Doctor of Medicine degrees from the University of Michigan and completed his Orthopaedic Surgery residency at Emory University. After his training and residency, Dr. Price – a third generation physician following in the footsteps of his father and grandfather – began a solo medical practice in Atlanta, Georgia, which would eventually grow to be one of the largest, non-academic orthopaedic practices in the country. During his 20 years as a practicing physician, he also served as Medical Director of the Orthopedic Clinic at Grady Memorial Hospital as well as an Assistant Professor at Emory University School of Medicine. As with many physicians and health care providers, Dr. Price’s experience caring for patients also gave him a unique perspective about the impact of public policy on the practice of medicine. Eager to broaden the impact he could have on improving access to quality health care, Dr. Price ran for public office and was elected to four terms in the Georgia State Senate – during which time he was chosen by his colleagues to serve as Senate Minority Whip and later as the first Republican Senate Majority Leader in the history of Georgia. Most recently, Dr. Price served as the U.S. Representative for Georgia’s 6th Congressional District. He held this office from 2005-2017 and earned a reputation amongst his colleagues for being a tireless problem solver and the go-to expert on health care matters. During his congressional career, Dr. Price served in various leadership roles including, Chairman of the House Budget Committee, Chairman of the House Republican Policy Committee, and Chairman of the Republican Study Committee. Committed to advancing positive solutions under principled leadership, Dr. Price remains a fierce advocate for a patient-centered health care system that adheres to six key principles: affordability, accessibility, quality, choices, innovation, and responsiveness. As Secretary, Dr. Price remains committed to these principles, administering a wide array of services, supporting life-saving research, and protecting and serving all Americans. Additionally, he recognizes the Department must be efficient, effective and accountable, as well as willing to partner with those in our communities who are already doing remarkable work. Under his leadership, HHS strives to preserve the promises that society has made to the American people. Dr. Price and his wife, Betty, have lived in the Metro-Atlanta area for nearly 40 years. They have one adult son.
Harshith Ramesh is President at Episource and is primarily responsible for global operations, product development, and strategic initiatives. He has overseen the growth at Episource into a leading Risk Adjustment services provider, with 2,000 employees globally, servicing clients such at Aetna, Optum, and Molina. Prior to joining Episource, Harshith worked for a range of global institutions, including Moelis & Co., Bain & Co., Copal Partners, AOL and and Bear Stearns. Harshith earned his Bachelors at Tulane University, and an MBA from the Wharton School.
As CEO and Chief Medical Officer of Sansum Clinic, Kurt N. Ransohoff, MD, FACP oversees the largest outpatient healthcare delivery system in Santa Barbara County and one of the country's oldest and largest medical foundations.Dr. Ransohoff joined Sansum Clinic in 1992. Board certified in internal medicine, Dr. Ransohoff earned a Bachelor of Arts degree in English and Biochemistry from Bowdoin College in Brunswick, Maine and a medical degree from UCLA School of Medicine. He was Assistant Clinical Professor of Medicine at the UCLA School of Medicine from 1989-1992, and Chief Resident and Clinical Instructor from 1988-1989. Dr. Ransohoff was Chairman of Sansum Clinic's Internal Medicine Department from 1992-1994, and Assistant Medical Director from 1994-1997. He has been Medical Director since 1997, President since 1998, and CEO since 2002. Dr. Ransohoff was recognized as the Santa Barbara County Medical Association's Physician of the Year for 2014. He has been recognized as Teacher of the Year by Santa Barbara Cottage Hospital and as Healthcare Grand Champion by the Pacific Coast Business Times. Most recently, under Dr. Ransohoffs leadership, Sansum Clinic has earned numerous accolades for high clinical quality measures, including awards from the Integrated Healthcare Association's Pay for Performance Program and the Department of Managed Health Cares Right Care Initiative. Dr. Ransohoff serves on the boards of the California Association of Physician Groups (CAPG) and CenCal Health.
Dr. Dick Salmon is responsible for the clinical development of Cigna's commercial accountable care programs known as Collaborative Accountable care, now involving over 150 organizations serving over 1.5M Cigna customers. He administers Cigna's quality program, accreditation and prevention initiatives; and additionally holds responsibility for Cigna's evaluations of physician and hospital cost and quality, which are used to help consumers make informed decisions about where to seek care and to construct value based network products.
Mr. Severs is the former past President and CEO of GEMCare Mercy Memorial Health System located in Bakersfield, CA. He was with GEMCare for 23 years and managed a large IPA, with over 300 physicians, and a management company (Managed Care Systems) that supported the IPA and had a TPA division for self -funded employers. Additionally, for eight years he oversaw the performance of GEMCare Health Plan, a provider sponsored health plan, having both Commercial and Medicare Advantage licenses in Kern and San Luis Obispo counties. Mr. Severs is also a past Chairman of the CAPG Board of Directors. Today, he is a member of the CAPG Consulting Group and resides in Arroyo Grande, CA.
A graduate of the Chicago Medical School, Peter J. Shulman M.D., completed his Pediatric Internship and Residency at Long Island Jewish Hillside Medical Center in New York. Dr. Shulman served as the Chief of the Pediatric Department at Plantation General Hospital from 1984 through 1989. His leadership and communication skills were recognized early on and he earned an appointment to Pediatric Associates’ Executive Committee; the group’s first governing body. In 1998, Dr. Shulman completed an MBA degree in Healthcare Administration from the University of Miami. That same year, he was named the Chief Medical Officer for Pediatric Associates, a role in which he served until 2010, when he was elected by the Board to assume the role of Chief Executive Officer. Under his leadership, Pediatric Associates has continued to thrive and today is recognized as one of the premier pediatric practices in the United States. Dr. Shulman’s many years as a practicing pediatrician, his management style, and his vision for Pediatric Associates, makes him ideally suited to navigate the organization through the complex changes of today’s healthcare environment.
Dr. Skootsky is currently Chief Medical Officer (CMO) of the UCLA Faculty Practice Group and Medical Group, and Professor of Medicine at the David Geffen School of Medicine at UCLA. He attended the University of California at Berkeley, the Albert Einstein College of Medicine, and completed a program in Health Care Management at the UCLA Anderson School of Management. As CMO, leads UCLA’s efforts in response to the Affordable Care Act including Medicare Shared Savings Plan, and commercial PPO and HMO ACOs. For UCLA Medical Group he has led the clinical, quality, and improvement management for risk contracts, as well as relationships with Affiliates. Dr. Skootsky has lead the development of an integrated approach to care coordination that spans advanced primary care and related services such as integrated behavioral health, and advanced care planning. A current initiative is adapting the UCLA care coordination model for specialty-based care. Dr. Skootsky serves on the governing board of CAPG.
Adam Solomon, MD, MMM, FACP is the Chief Medical Officer of the MemorialCare Medical Foundation, providing clinical oversight for both the MemorialCare Medical Group and Greater Newport Physicians Independent Practice Association. After receiving his Medical Degree from the University of Maryland, Dr. Solomon went on to complete his residency in Internal Medicine at the University of Utah in Salt Lake. Subsequently, he joined The Doctors’ Clinic, a well-respected Oregon medical group with roots dating back to 1903. During his 14 years of clinical practice, Dr. Solomon served as Managing Partner of the group for 10 years, directing their growth in size along with their reputation for quality. He also became intimately involved with Mid-Valley IPA (now the WVP Health Authority) where he served as a board member and held several offices including president. Beyond providing direct clinical services to patients, Dr. Solomon also became more involved in the greater community by serving as President of the Physician’s Choice Foundation, a non-profit dedicated to facilitating communication and cooperation between medical providers and community resources to improve the health of the population. Simultaneously, he served on DOC PAC, a Political Action Committee that worked to improve legislators’ understanding of how Oregon Laws impacted the health of its citizens.
Dr. Cassidy Tsay is currently the Vice President of Business Development for CAPG. She received her BS from UCLA; MD from Albert Einstein College of Medicine; and completed her internship and residency at UCI. She practiced as a PCP at Bristol Park Medical Group and later as both a PCP and hospitalist at Kaiser Permanente in Orange County. After receiving her MBA, Dr. Tsay transitioned to the administrative side as the Associate Medical Director and later Medical Director at Greater Newport Physicians IPA. There, she executed strategies and tactics to improve the coordination of care throughout the continuum- providing the right care for the right patient at the right time. Just name a few, they developed a Transition Clinic, Diabetes Center, and an Outpatient Palliative Care. Prior to joining CAPG, Dr. Tsay was a Regional Medical Director for Blue Shield of CA.
Dr. Bart Wald is the President of PA Healthcare Leadership Consultants and the Medical Director of the California Quality Collaborative. Bart was CEO of the Physician Associates Medical Group and after its merger, Medical Director for Healthcare Partners Medical Group. He has previously served as Physician Chief Executive of Providence Health California, Medical Director for Health Net, and VPMA for Children’s Hospital Los Angeles. Bart has served as Chairman of the board of CAPG and the IHA’s Pay for Performance Governance Committee.
Wendy began her career at Aetna as a founding team member in business development for Aetna’s Accountable Care Solutions, launching strategy for value based contracts with providers through development of ACOs. As the market president of the west region, Wendy is responsible for leading work with provider organizations to design and build new reform models of care that deliver more value with a focus on improving quality, cost position, and patient outcomes. In addition, she implements and manages active Aetna Whole Health products in Southern California. Prior to her current role, Wendy led Sg2 business development and client support in the Western Region. During her tenure in sales efforts, the company grew from $5 million to $50 million in annual revenues. Wendy worked with healthcare organizations as they strategically navigated emerging technologies, clinical advances and market trends that impacted program development, new facility options and capital investments. Wendy previously consulted, managed, and worked for healthcare systems in hospital-wide operations improvement initiatives, strategic and marketing plans, product line management, home care/post acute positioning, and diversified business development activities. In the physician arena, Wendy worked to create and build the multispecialty physician clinic business at Caremark International to 1,200 health providers and $1 billion in revenues. Also at Caremark, Wendy assessed acquisition opportunities and facilitated new business initiatives for alternate-site health care that included specialty pharmaceutical products and distribution, disease management, insured/risk programs, physical therapy and infusion.
Frank Williams serves as Chief Executive Officer of Evolent Health. Evolent works with leading health systems to achieve superior clinical and financial results through value-based care transformation. The company employs over 2,000 professionals across its corporate and client locations in more than 25 markets nationwide. Initially backed by capital, asset and intellectual property contributions from UPMC Health Plan and The Advisory Board Company, Evolent completed an initial public offering in June of 2015 and acquired Valence Health in 2016. Prior to Evolent, Frank served as chief executive officer and chairman of The Advisory Board Company, a global research, technology, and consulting firm that serves over 4,100 leading organizations across health care and higher education. Frank previously served as the president of MedAmerica OnCall, the president of Vivra Orthopedics and as a Consultant for Bain & Co. Frank currently sits on the boards of Peer Health Exchange and Head-Royce School. A native Californian, Frank received a BA with High Honors in Political Economies of Industrial Societies from the University of California, Berkeley and an MBA from Harvard Business School.
Dr. Keith Wilson did his undergraduate studies at the University of Southern California, majoring in Chemistry and Chemical Engineering. In 1974, after his junior year, Dr. Wilson accepted early admission into Howard University College of Medicine. He received his M.D. from Howard University College of Medicine in Washington, DC in 1981, where he also completed his internship. He concluded his Residency in Obstetrics and Gynecology at King-Drew Medical Center in Los Angeles in 1985. Certified by the American Board of Obstetrics and Gynecology, Dr. Wilson has been an OB/GYN Surgeon since 1985. He served as President and Chairman of the Board of Talbert Medical Group in 1996. He led the physician buyout from MedPartners in 1999 and served as President, CEO and Chairman of the Board from 1999 to 2010, when Talbert Medical Group was acquired by Healthcare Partners. After the acquisition of Talbert Medical Group, Dr. Wilson served as Regional Medical Director from 2010 – 2013 and managed the full risk professional and facility costs for 180,000 lives under all lines of business. From 2013 – 2014, Dr. Wilson served as President of Molina Medical Group. From 2014 to present, Dr. Wilson has served as the Chief Medical Officer of Molina Healthcare, Inc.