APG Colloquium 2019
Kirsten Anderson is the Chief Medical Officer at the Value Care Alliance where she leads efforts across statewide VCA member health systems to advance new models of care in risk-based contracts. She oversees the quality of care and total cost of care for an alliance of four health systems with six hospitals and 1800 physicians. During her tenure at the VCA, shared savings were achieved in all contracts with an accompanying improvement in quality. Previously, as Chief Medical Officer for Accountable Care Solutions at Aetna, she led the clinical design of novel payment and service delivery models.
Kirsten has led the development of alternative payment models in accountable and managed care and helped launch the clinical focus for Accountable Care Solutions at Aetna. She was instrumental in the development of Aetna Oncology Solutions, a new payment and support structure for oncologists. Through the VCA, she directs grants creating new models for integrating Community Health Workers into clinical teams and for establishing relationships with Community Based Organizations. She has also done work in standardizing care management functions.
Kirsten is a guest lecturer at Yale New Haven Hospital on accountable care and non-clinical careers in medicine. She completed an MPH at the Columbia School of Public Health in epidemiology and is comfortable using data analytics to provide strategic direction to projects. Kirsten provides board-level direction to a nonprofit charitable medical clinic that provides care to the uninsured.
Kirsten did an internal medicine residency at Yale-New Haven Hospital, and is Board Certified in internal medicine. She concurrently earned her MD and MPH in epidemiology from Columbia University College of Physicians and Surgeons and Columbia School of Public Health. She graduated with Honors from Harvard College.
Tim is Chairman of the Board and Chief Executive Officer for VillageMD. In this role, Tim evangelizes the vision of a primary care-led healthcare delivery system that brings superior clinical results to communities across America.
Prior to VillageMD, Tim has held numerous senior executive positions across health plan and provider organizations, always focused on solutions that enable healthcare providers to bring value to the market through accountable care and population management. Tim obtained degrees from both Cornell University and Michigan State University, and now resides in Chicago, Illinois.
George Beauregard, DO currently serves as the Senior Vice President, Value-Based Care and Chief Physician Executive, CHS Physician Partners at Catholic Health Services of Long Island (CHSLI). In that role, he leads efforts towards CHSLI’s ambitions of transitioning to a value-based care delivery model. For over 20 years, in multiple markets, he has been involved in building and leading large risk-bearing physician networks and integrated delivery systems that have realized success in commercial and governmental value-based care models.
Ms. Boynton leads the development and implementation of strategies to support alternative payment models for UC Davis Health, leading the development and implementation of a comprehensive payer and employer integration strategy. In addition, she leads population health management strategies, utilization management, and ambulatory care management services, including intensive case management, patient care management, and patient education.
She served as Deputy Executive Officer of Benefit Programs, Policy and Planning for the California Public Employees’ Retirement System, providing executive leadership for the health benefit program, including health plan benefit design and development, and health plan negotiations. She served as Undersecretary at the California Health and Human Services Agency and was Governor Arnold Schwarzenegger’s Chief Deputy Cabinet Secretary.
Her experience includes almost twenty years as a management consultant in the private sector, including employment with IBM and PricewaterhouseCoopers, and owning her own management consulting business.
Aneesh Chopra is the President of CareJourney, a Hunch Analytics company that provides actionable, clinically-relevant analytics services to population health organizations. He served as the first U.S. Chief Technology Officer under Aneesh Chopra is the President of CareJourney, a Hunch Analytics company that provides actionable, clinically-relevant analytics services to population health organizations. He served as the first U.S. Chief Technology Officer under President Obama (’09-’12) and in 2014, authored, "Innovative State: How New Technologies can Transform Government.” He joined the Board of the Health Care Cost Institute in 2017, earned his MPP from Harvard Kennedy School and BA from The Johns Hopkins University.
Dr. Chrisman joined the Vancouver Clinic in 2007 as a Family Medicine and Sports Medicine physician. In 2009 he became an inaugural member of TVC’s executive committee and took on the role of Dept. Chair of the Urgent Care and Sports Medicine departments. In 2010 he was selected to serve as an assistant medical director for personnel and by 2012 this role grew to a medical directorship of primary care.
Dr. Chrisman served as the Primary Care medical director for the Vancouver Clinic until late 2015 when he accepted the role of Medical Director of Care Transformation to focus on TVC’s efforts to improve population health. He serves in this role today. During his time as Primary Care medical director he led a revolution in primary care access taking TVC from an average time to appointment of weeks, to one of hours.
Dr. Kenneth Cohen is an experienced physician leader, practicing internist, and researcher who has attained national recognition for healthcare 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. He was one of the founding physicians of New West Physicians, which is the largest primary care group practice in Colorado and now part of OptumCare. 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 and the Million Hearts Hypertension Champion Award in 2017. 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 and a member of the Phi Beta Kappa and Alpha Omega Alpha honor societies.
Marion is currently the Senior Medical Advisor in the Office of the Administrator at the Centers for Medicare & Medicaid Services in Washington, DC. In this cross-cutting role within the agency, she works on policy creation, quality, and promoting transformation with value based care. Marion also is involved in developing value-based payment and service delivery models in the Center for Medicare and Medicaid Innovation Center, with special emphasis on longitudinal care for chronic conditions that often are treated with surgery.
Prior to joining CMS, she held senior leadership roles at several large medical centers. Marion has previously served as the Chair of the Indiana University Health Physician Board and was on the medical group’s Quality Committee. She has been a physician executive (Physician Executive of Surgical Services and Vice President of Finance) in two large medical groups. She has also been the Chair of two surgical departments and was Surgeon-in-Chief at a medical center.
Marion is a head and neck surgeon with microvascular training. Her residency training was at Johns Hopkins Hospital. Her MBA is from the Duke University Fuqua Business School with a Concentration in Healthcare Management.
Don Crane is President and CEO of America’s Physician Group, the nation's only professional association exclusively representing capitated, coordinated care organizations, and is a leading voice promoting the interests of physicians practicing accountable care across the nation. APG consists of approximately 200 multi-specialty medical groups and IPAs that provide medical care to over 16 million patients across 40 states, the District of Columbia and Puerto Rico.
Mr. Crane is in the forefront of national public policy advocacy on behalf of accountable care organizations across the country as they make the journey from volume to value and move into risk-based alternative payment models. He is the lead producer and moderator of APG's nationally acclaimed healthcare conferences.
A seasoned healthcare attorney, Mr. Crane practiced healthcare law for over 30 years and served as corporate counsel for several major integrated health systems. Mr. Crane speaks regularly on healthcare issues to a wide variety of physician groups, hospital boards, and academic meetings. He has been a guest lecturer on healthcare management issues to graduate students at major California universities.
Mariella Cummings is the President of Results Incorporated, a management consulting company, through which company she served for sixteen years as the Chief Executive Officer of Physicians of Southwest Washington (PSW), an Olympia based independent physicians’ association. She resigned as CEO in March 2016 to pursue consulting opportunities with other businesses including medical groups interested in prospering through the transition to value based reimbursement and the attendant health delivery challenges and opportunities consistent with the Triple Aim. She serves as an APG Consultant. Her primary health related consulting interests include transforming health delivery, strategic planning, organizational assessments, IPA management, capitation, delegation, value based contracting, provider contracting and provider communications.
Cummings has significant health plan experience having served as a VP for claims for a Midwest commercial health plan as the Insurance Commissioner appointed consumer advocate to the board of the WA high risk health pool plan. She was the initial CEO and later Chair of the Board of Directors of SoundPath Health, a Medicare Advantage health plan founded by PSW with two additional physician groups. For eighteen years Cummings also served as a member and Board Chair for the Western Institutional Review Board. A former hospital CEO, Cummings administrative experience also includes public health administration, serving as the Director of Infectious Disease and Reproductive Health for the Washington Department of Health, in which capacity she managed all the HIV/AIDS prevention, surveillance and care services programs.
As President of Results Incorporated Cummings has provided consulting services to both federal and state government agencies, to non-profit organizations, and to private companies. Activities have included strategic planning, organizational assessments, team development, retreat facilitation, and coaching.
Cummings recently served as Board Member and Treasurer of South Sound Senior Services and currently serves the Youth Protection Officer for West Olympia Rotary. She recently completed terms as Board Chair of the Thurston County Chamber of Commerce and a County Commissioner appointed member of board of the Pacific Mountain Workforce Development Council. Cummings formerly served as Co-chair of the Northwest Regional APG membership group. She is a frequent speaker at national health care conferences. Cummings has a BS in Nursing from the University of Washington and a Master of Science degree from the University of Arizona. She has three adult children and five grandchildren. She resides in Olympia, WA.
Amy Jensen Cunniffe is an experienced Washington health care leader with many years of experience with top-tier government affairs organizations. Prior to co-founding SplitOak Strategies LLC, she served as Principal at Washington Council EY. Prior to that, she was GE Healthcare’s Leader for the Government Relations team, building a world-class organization with a proven track record. She also served as the top lobbyist at the medical device trade association, AdvaMed. Cunniffe also served as Director at Quinn Gillespie and Associates, where she led the health care practice.
For two years, Cunniffe served as Special Assistant to the President for Legislative Affairs for President George W. Bush, charged with maintaining strong relationships with bipartisan members of Congress and driving the White House legislative agenda. At the White House, Cunniffe played a critical role in crafting and passing the Medicare Part D drug benefit legislation. Earlier in her career, she worked as an Assistant to the Speaker of the House of Representatives for Policy, among other responsibilities in the House Republican leadership. In Congress, Cunniffe helped build the Medicare Advantage program, reform and modernize the FDA and ensure passage of the Balanced Budget Act (BBA) along with two subsequent pieces of legislation to fine-tune the BBA. Cunniffe received a B.A. in Political Science from Truman State University.
Dr. Gaurov Dayal is ChenMed President, New Markets and Chief Growth Officer. Responsible for ChenMed’s national expansion, Gaurov oversees new market operations, and has wide-ranging experience in population health, physician group, health plan and hospital operations.
Prior to joining ChenMed, Gaurov was a Senior Vice President at Lumeris, where he created and implemented operational solutions for large health care systems and provider groups transitioning to value-based care delivery.
Earlier, at SSM Health Care, a large multi-state Integrated Delivery system, Gaurov served as Chief Medical Officer, Interim CEO for SSM Wisconsin Hospitals and President of Health Care Delivery, Finance and Integration. At SSM, he led the transformation from traditional volume-based provider to value-based system, including successful acquisition and integration of Dean Clinic and Dean Health plan- the largest HMO in Southern Wisconsin.
Prior to SSM, Gaurov served as the first Chief Medical Officer for Adventist Health Care and President of the Adventist Medical Group, was founder of a hospitalist group and a strategy consultant for McKinsey and Co.
He holds a bachelor’s degree from Johns Hopkins University; earned a doctor of medicine degree from Northwestern University; and did residency training in pediatrics at Washington University in St. Louis.
Sasha Dhall currently serves as the Vice President, Risk Performance and Growth at AppleCare Medical Group in Los Angeles. She oversees AppleCare's risk arrangements, staff-model clinics and health policy strategy. Additionally, she is responsible for membership growth and retention, with an emphasis on member experience. Sasha has a Master's in Public Health from the Mailman School of Public Health at Columbia University and BS from the University of California at Berkeley.
Jean Drouin, MD, is the founder and CEO of Clarify Health Solutions, which enables health systems, payers, and life sciences organizations to deliver more satisfying and efficient care through advanced analytics, machine learning, and digital care optimization solutions. Prior to Clarify, Jean was a Senior Partner at McKinsey & Company, where his roles included leading the global Healthcare IT and Digital Practice, setting up the UK and Australian Healthcare Practices, and serving as the founding Head of McKinsey Advanced Healthcare Analytics (MAHA). He also served as Head of Strategy for NHS London, which oversaw London’s $15B hospital and primary care system. In these roles, he served over 20 countries and 100 health systems and payers on engagements that generated over $1B in efficiency and quality improvements.
Jean is passionate about transforming healthcare delivery across the continuum of care. He has written and spoken extensively on value-based care, population health, new payment models and the role of big data and analytics in delivering better outcomes. Jean holds MD and MBA degrees from Stanford and an AB in Molecular Biology from Princeton. He is the former Vice Chair of Lester B. Pearson United World College of the Pacific.
Michelle DuFresne is Summit’s Director of Risk Adjustment. In her role, she is responsible for the creation, training and implementation of all Risk Adjustment operations. In support of value-based contracts with CMMI, Medicare Advantage, commercial health plans and Medicaid managed care, she leads the Risk Adjustment department with great success.
Michelle works closely with Provider Engagement Teams, analytics and Executive leadership. Before joining Summit, Michelle lived in Michigan working in Risk Adjustment for a large hospital system that owned their own Healthcare company. Michelle has a bachelor’s degree in health science, hands on healthcare experience as well as several coding and documentation certifications with AHIMA and AAPC.
Sarah Kuehl Egge is a widely respected policy thought leader with extensive policy and legislative experience in a wide range of federal legislative and regulatory issues. Prior to co-founding SplitOak Strategies LLC, she built a strong client practice at Washington Council EY where she consistently delivered results for her clients and the firm.
Prior to EY, Egge was the lead health and entitlements analyst at the Senate Budget Committee. During her twelve years at the Committee, she worked extensively on key legislation including the Affordable Care Act, the Budget Control Act, the Statutory Pay-As-You-Go Act and the Deficit Reduction Act. She was also a key advisor to Chairman Kent Conrad (D-ND) during his participation in the Bowles-Simpson Commission on Fiscal Responsibility and Gang of Six budget negotiations. During her Senate tenure,
Egge was selected by Co-Chairman Patty Murray (D-WA) to serve as the Deputy Staff Director of the Joint Select Committee on Deficit Reduction (aka, the “Supercommittee”). Earlier in her career, Egge was a legislative aide to Sen. Bob Kerrey (D-NE). Sarah received a B.A. from the University of Denver and a Masters Degree in Public Policy from the Kennedy School of Government at Harvard.
Briar Ertz-Berger, MD, MPH, is an emergency medicine physician and the Director of Special Populations for Northwest Permanente. Dr. Ertz-Berger’s work focuses on eliminating health inequities and the effects of unmitigated socio-economic struggles. Her passion for this work started with serving patients in the Bronx during medical school and continued at OHSU during her residency and subsequent research fellowship where she studied the impact of Medicaid cuts on emergency room utilization.
Now at Kaiser Permanente Northwest (KPNW), Dr. Ertz-Berger is leading work to improve health outcomes for KPNW members and the surrounding community through a robust Social Health program, which includes the development an Oregon-wide integrated health and social care network.
Ryan is the Chief Strategy Officer for Brown & Toland Physicians. In this role, he is responsible for Brown & Toland’s growth agenda, business development, practice model evolution, network development & engagement, and marketing/communications. Prior to this role, Ryan was the Vice President of Acquisition Management & Development for OptumCare, heling to lead the integration of new businesses within OptumCare and bringing together Optum’s capabilities to address market needs. He focused particularly on improving the experience of providers across the country through innovative programs and tiered governance.
Ryan has over 20 years of experience focused in the healthcare and financial services industries. Prior to joining Optum, Ryan served as the Chief Human Resources Officer at St. Joseph Health and also held positions focused on growing the medical group, physician networks, and clinical workforce across the health system. Earlier in his career, Ryan served in both consulting and internal roles that included management of large Business Process Outsourcing (BPO) contracts for key domestic and international clients.
Throughout his career, Ryan has been responsible for leading large-scale transformation, with an emphasis on re-shaping workforce capabilities to deliver greater value. His focus more recently has been on helping physician-led organizations address the reimbursement, clinical, and population health opportunities that are driving change across the healthcare industry.
He has an M.A. in Organizational Psychology and is a member of various Healthcare Industry Associations and Not-for-Profit Boards.
He lives in San Clemente, California and is active in the community as a coach and board member.
Rushika Fernandopulle is a practicing physician and co-founder and CEO of Iora Health, a venture backed, national de-novo primary care group based in Boston. He was the first Executive Director of the Harvard Interfaculty Program for Health Systems Improvement, and Managing Director of the Clinical Initiatives Center at the Advisory Board Company.
He is a member of the Albert Schweitzer, Ashoka, Aspen, and Salzburg Global Fellowships, and is co-author or editor of several publications including Health Care Policy, a textbook for physicians and medical students, and Uninsured in America: Life and Death in the Land of Opportunity. He serves on the staff at the Massachusetts General Hospital, on the faculty of Harvard Medical School, and on the boards of Families USA and the Schwartz Center for Compassionate Care. He earned his A.B., M.D., and M.P.P. (Masters in Public Policy) from Harvard University, and completed his clinical training at the University of Pennsylvania and the Massachusetts General Hospital.
Jose F. Figueroa, MD, MPH is an Assistant Professor of Medicine at Harvard Medical School (HMS), Associate Physician at the Brigham and Women’s Hospital (BWH), and a Burke Fellow at the Harvard Global Health Institute. He received his medical degree from Harvard Medical School and his MPH from the Harvard T.H. Chan School of Public Health with a concentration in health policy. He completed his residency in Internal Medicine at BWH, where he now works as an Internist and serves as the Director of the BWH Residency Management & Leadership Program.
Recently, Dr. Figueroa was a member of the national planning committee of the National Academy of Medicine’s series titled Effective Care for High-Need Patients. He is also on the Advisory Board for the Institute of Healthcare Improvement Better Care Playbook and on the research advisory board of the Betsy Lehman Center for Patient Safety. His research interests focus on understanding how to improve care for complex, high-cost, and vulnerable populations. His work has been supported by several grants from the National Institutes of Health, the Commonwealth Fund, the Peterson Center on Healthcare, and the Robert Wood Johnson Foundation.
Northwest Permanente administrative staff member Nicole Friedman is zealous about her work — and that zeal is paying off, for all of Kaiser Permanente Northwest and beyond.
In early June, Kaiser Permanente announced that it would embark on a groundbreaking initiative to connect our patients to the social services they need. Called Thrive Local, the program builds on Nicole’s work to make social needs screening a routine part of delivering quality patient care.
Thrive Local will be the first program of its kind to address social needs at scale, with a robust searchable directory of community organizations and public agencies embedded directly in Health Connect. Clinicians not only will be able to make referrals but also receive information about our patients from those organizations in a closed-loop referral process.
And in part because of Nicole’s work alongside Briar Ertz-Berger, MD, NWP Assistant Director of Operations: Special Populations, KPNW will be the first region to deploy Thrive Local. This work has been Nicole’s focus since she joined the company in early 2018, and now she serves as the operational lead for Thrive Local. In this role, Nicole is accountable for an enterprise shared strategy and solution across Kaiser Permanente to address social and non-medical needs. She divides her time between Northwest Permanente and KP’s program office.
Broadly speaking, as the regional administrator for continuum, complex, and community care, Nicole is responsible for execution and oversight of programs that address complex medical, behavioral and social needs to improve health outcomes and reduce cost of care for vulnerable populations. Prior to her current role, Nicole worked for KPNW, where she was responsible for developing and spreading a patient navigator program. In designing the program for the Northwest Region, Nicole became the first navigator at Kaiser Permanente. She serves on the steering committee for Social Needs Network for Evaluation and Translation (SONNET) and serves on the National Quality Forum, Person and Family Centered Care Committee.
Nicole earned a bachelor’s degree from the University of Oregon in anthropology and Portuguese, and a master’s in Applied Medical Anthropology. Formerly, she had a joint appointment with the Kaiser Permanente Center for Health Research as a clinical investigator, focusing on interventions that address socio-economic barriers to care and reduce health disparities. She received the KPNW Faces of Change award for eliminating social barriers to care. Nicole thrives by running, cross-fit, hiking, and cooking. She also loves spending time with her two dogs, Goose and Goblin, and her husband.
Derinda Cramer Frye is the Director of Clinical Operations for IntegraNet Health. With over 20 years’ experience as a registered nurse, she earned her BSN from the University of Texas at Arlington in 2017 and is currently seeking a Master’s Degree in Nursing from Lamar University. She began her nursing career in ICU and eventually transitioned to the Emergency Room. While working for a Rural Critical Access Hospital, she was recognized for her clinical experience and leadership qualities and was promoted to various levels of nursing management, including Director of Nurses.
Derinda joined the IntegraNet Health team in November 2011. During her tenure with IntegraNet Health, she has successfully led the nursing department in projects that include: Complex Case Management Delegation, Utilization Management Delegation, ACO Quality Reporting, and program initiatives centered around patient engagement. Derinda has also had the privilege of representing IntegraNet Health and Physicians ACO at two National Association of ACOs conferences as a guest speaker detailing the company’s experience with successful quality reporting.
Ana Gupte has over 20 years of healthcare experience across sell-side equity research, management consulting, corporate strategy & business development. She brings a thought leading 360-degree perspective on US healthcare spanning Managed Care, Healthcare Facilities, Pharmacy Benefits Managers (PBMs), Chain Drug Stores and the Supply Chain and Emerging Healthcare Technology Ana is a well-recognized equity research analyst in Healthcare Services, both on fundamental thought leadership, and the dynamic policy environment through the passage of ObamaCare, privatization of Medicare to Medicare Advantage, Part D, Managed Medicaid, and drug pricing reform.
Most recently her career spans 12 years of experience as a leading Wall Street sell side equity research analyst. From 2013-2019, she covered 20+stocks across Managed Care, PBMs, Chain Drug stores, Healthcare Facilities, Emerging Healthcare Technology and Healthcare policy for the Equity Research Firm and Investment Bank of SVB Leerink. Previously, she spent close to 6 years as Vice President and Senior Research Analyst, Managed Care at Sanford C. Bernstein.
Prior to her Wall Street career, Ana Gupte served as Managing Director, Enterprise Strategy & BD for Aetna. She led the organization’s Technology enabled Total Cost of Care strategy, and the 50-65 Early Retiree insurance initiative which culminated in the under-65 AARP relationship, in close partnership with the CEO and C-suite. From 2001-2005, Dr. Gupte was Executive Director and Head of Worldwide Drug Development Strategy at Pfizer, where she led a team to maximize the speed, cost and productivity of Pfizer’s Drug Development efforts across multiple therapeutic areas.
Prior to her Corporate strategy experience, Ana was a healthcare strategy consultant from 1998-2001 at the management consulting firm McKinsey & Company, where she conducted senior leadership engagements in the Pharmaceutical & Medical Devices industry. Her work spanned deal due diligence for the OTC division of a major pharmaceutical conglomerate, product launch for a new therapeutic class of anti-hypertensive, merger integration for two large pharmaceutical companies and improved managed care access for the U.S. diabetes franchise of a multi-national.
Ana Gupte was recognized as a Top 3 Analyst in the Institutional Investor 2011 and 2012 All America Research Team and Runner-Up in the 2010 Survey. In the 2016 All-America Research Team rankings, she achieved a Runner-Up ranking in Health Care Facilities & Managed Care. She was also named the Top Stock Picker in Healthcare Providers and Services for FT Thomson StarMine for 2012.
Ana is a frequent contributor to CNBC, Bloomberg TV and is widely quoted in print media including WSJ, Barron’s, Forbes, and the NY Times. She has been a keynote speaker and panelist in multiple nationally recognized healthcare industry and policy conferences including HLTH, Wall Street Comes to Washington, the National Association of State Health Policy (NASHP), and as speaker to public and not-for-profit industry Boards. Ana serves as a guest lecturer for the Healthcare MBA class at the Wharton Business School.
Ana earned a B.S in Chemical Engineering from the Bombay University, M.S. in Biochemical Engineering and Ph.D. in Biomedical Engineering from Pennsylvania State University. She has graduated from the two-year Executive Management program at the Wharton Business School.
Tim Ho is Regional Assistant Medical Director for Quality and Complete Care at Kaiser Permanente, Southern California. The vision of Complete Care is to support care that is safe, effective, efficient, equitable, timely and patient-centered for the people and communities that Kaiser Permanente serves in Southern California. Complete Care accomplishes this by utilizing a wide span of impact within the framework of a matrix or networked organization. Examples of areas that Complete Care impact are: performance reporting, chronic disease management, and clinical decision support.
Tim graduated with his medical degree from Loma Linda University, School of Medicine in 1992 and has been with Kaiser Permanente since 1997 as a family physician. He earned his Masters in Public Health from the University of California, Berkeley in 2014.
Jennifer is the Vice President of Primary Care and Population Health for Wake Forest Baptist Health focused on operational and financial performance in value-based arrangements, engagement with community partners, and serving as a liaison with Public Health Sciences to lead and support the journey to high value care.
Previous to joining Wake Forest Jennifer was responsible for leading the University of Vermont (UVM) Health Network’s transformation to value through improving quality and lowering costs. In this role she implemented an interdisciplinary collaborative leadership model for quality in partnership with the CMO, CNO and Chief Experience Officer to support quality accountability and improvement at the patient care unit level, launched a Transitions of Care and Care Management initiative to align the Network’s population health and performance goals under Vermont’s All Payer CMS Waiver; and led the development of an integrated network-wide quality and population health strategy to support full transformation into a shared service.
With 20+ years as an experienced healthcare leader in both payer and provider environments, Jennifer’s role is to understand and connect the healthcare continuum, data and operations which includes the development of organizational capabilities needed to implement and sustain population health management along with community engagement to minimize care fragmentation and reduce costs.
Jennifer earned a Master's in Planning from Florida State University with an emphasis in Health Policy and a Master’s Certificate of Population Health at Thomas Jefferson University.
Amy Nguyen Howell, MD, is a board-certified family practice physician. She currently oversees all clinical programs at APG and supports advocacy work in Sacramento and Washington, DC. Additionally, she contributes to the Steering Committee on the Core Quality Measurement Collaborative; Healthcare Payment and Learning Action Network Population-Based Payment Work Group; and Clinical Programs Committee at NCQA.
Leigh Hutchins is the Chief Executive Officer of NAMM California and PrimeCare Medical Network, Inc. (PMNI), affiliate organizations partnering with physicians to provide better quality and more affordable care to the residents they serve in Southern California. She also serves as the Chief Operating Officer for OptumCare’s Pacific West Region.
NAMM and PMNI coordinate care to over 400,000 members in Riverside, San Bernardino, and San Diego counties through 18 Independent Practice Associations (IPAs) comprised of over 700 contracted Primary Care Physicians. NAMM and PMNI partner with all of the major HMO carriers in Southern California for both commercial and Medicare lines of business and with several regional medi-cal payors. PMNI and NAMM have been recognized as being a Favorite Medical Group and Top Workplace in the region.
Ms. Hutchins has over 25 years of progressively responsible health care management experience. She joined NAMM in 1993 and has held various positions with NAMM/PMNI in the areas of payor and provider contracting, network development, transactional services and IPA operations. Prior to joining NAMM, Ms. Hutchins worked for FHP HealthCare in both staff model and IPA operations. Her commitment to promoting the wellbeing of her communities has led to her active participation in charitable organizations such as the American Heart Association, the Juvenile Diabetes Research Foundation and the American Cancer Society. Ms. Hutchins is a Board member for APG, a trade association for America’s Physician Groups. She also sits on the Integrated Healthcare Association’s Technical Payment Committee in support of the Pay for Performance Program.
Ms. Hutchins received her B.A. degree with honors in Pharmacology from the University of California, Santa Barbara and her M.B.A. from the Anderson Graduate School of Management at the University of California, Los Angeles.
Ron is the CEO of agilon health, a platform that empowers physicians with the operating model, technology, solutions and capital required to transition from fee-for-service to integrated payment and delivery. Through agilon health’s innovative physician-first partnership model, primary care physicians can lead the transformation of their local markets through value-based care, expand their long-term growth opportunity, share best practices with like-minded physicians, and recapture the joy of practicing medicine. Since its inception, more than 1,800 primary care physicians, including numerous thought-leading independent physician organizations have partnered through the agilon health platform to redesign the system of care for more than 300,000 patients.
Prior to joining agilon health in January 2017, Ron was the CEO of Fresenius Medical Care North America, the leading provider of products, pharmaceuticals and services to the renal community. In that capacity, he led FMCNA’s growth from $9 billion to $13 billion in revenue and its strategic shift from fee for service dialysis care to population health management for the renal disease population
His health care experience spans 25 years and includes experience in home infusion services, laboratory and diagnostic services, pharmacy services, physician practice management, government health plans, specialty ambulatory surgery and pharma and medtech sales and manufacturing, as well as dialysis services. Ron is a graduate of Albion College and the Yale Law School.
Dr. Kuritsky is the Medical Director for Population Health at Sharp Community Medical Group (SCMG), an independent physician association in San Diego. In that role, he is accountable for advancing medical group performance excellence and improving the health of the population. Additionally, he is responsible for supervision of medical management activities, and provides direction and implementation of efforts that improve effectiveness and efficiency of clinical programs. Dr. Kuritsky also oversees the Practice Transformation and Performance Improvement efforts at SCMG’s independent practices, which are based on Patient Centered Medical Home principles.
The SCMG network includes roughly 200 primary care physicians and about 600 specialists who currently provide care to nearly 130,000 patients. SCMG’s physicians have access to 10 managed care health plans and offer patients comprehensive healthcare through an extensive physician, ancillary and hospital referral base.
Dr. Kuritsky is also involved in multiple quality improvement efforts within the medical group, including the work connected with SCMG’s Vision 2020 quality initiative and the Primary Care Performance Program. Additionally, he is involved in the effort to improve SCMG physicians’ documentation and coding skills, including the development of educational seminars. Dr. Kuritsky chairs SCMG’s Urgent Care Operations meetings, serves as the medical director of the Oral Anticoagulation Program and has been involved with the EHR implementation team for the Allscripts EHR and has now been assisting with SCMG’s transition to the Cerner Ambulatory EHR.
Dr. Kuritsky holds a Bachelor’s Degree in Biology from Boston University. He completed post-graduate work at Columbia University and did Biochemistry research at NYU Medical Center before attending the New York Institute of Technology College of Osteopathic Medicine. He completed an Internal Medicine residency at Einstein Medical Center in Philadelphia and is board certified by the American Board of Internal Medicine. He was in clinical practice for 22 years at Grossmont Medical Clinic in La Mesa, California, having been a founding member of the group, when it was formed in 1992.
Pauline Lapin is the Director for the Seamless Care Models Group (SCMG) in the Center for Medicare and Medicaid Innovation at the Centers for Medicare & Medicaid Services (CMS). Pauline oversees and provides guidance in the development and implementation of innovative payment and delivery models related to advanced primary care and accountable care organizations, namely the Comprehensive Primary Care Plus, Next Generation ACO, and the Comprehensive ESRD Care models, as well as the recently announced Primary Care First, Direct Contracting, and Kidney Care Choices initiatives.
Her group also manages health plan innovation models in Medicare Parts C and D, including the Medicare Advantage Value-Based Insurance Design, Enhanced Medication Therapy Management, and Part D Modernization models. Pauline has been in federal service at CMS for over 25 years, previously serving as Deputy Director of SCMG, and as a Division Director in the Office of Research, Development and Information, where she oversaw the design and implementation of a variety of demonstrations, including those related to medical home/advanced primary care practice and prevention. She holds a Master of Health Science degree from the Bloomberg School of Public Health and is a PhD dropout.
Donna Littlepage is a Senior Vice President of Accountable Care Strategies at Carilion Clinic. She is heavily involved in Carilion’s work with Value Based Care and transformation of the healthcare payment system. In her roles with Carilion Clinic over the past thirty years, she has had financial responsibility for hospitals, the physician group, health plans, transportation services, retail pharmacy and revenue cycle. She was also the Founding Chief Financial Officer of the Virginia Tech Carilion School of Medicine until its integration last year into Virginia Tech.
In addition, she is a Fellow in the Healthcare Financial Management Association as well as a former member of their National Advisory Council. She earned her Master’s Degree in Business Administration from Virginia Tech and is a Certified Public Accountant. She is the recipient of the HFMA Medal of Honor Award, the 2013 DePaul Women of Achievement award and the 2014 Influential Women of Virginia award presented by Virginia Lawyers Weekly. She serves on the board of several not-for-profit healthcare organizations in and around Roanoke, Virginia
Calum MacRae, MD, PhD, is the Vice Chair for Translational Innovation in the Department of Medicine at Brigham and Women’s Hospital in Boston, an Associate Professor of Medicine at Harvard Medical School, a Principal Faculty Member at the Harvard Stem Cell Institute, and an Associate Member at the Broad Institute of Harvard and MIT. He was previously Chief of the Cardiovascular Medicine Division at Brigham and Women’s Hospital and Cardiology Fellowship Program Director at Massachusetts General Hospital.
Dr. MacRae works on the human genetics of disease, developmental contributions to health and disease, and on novel approaches to drug discovery He has a longstanding interest in the incorporation of genomics and novel large-scale datasets into clinical practice, systematic approaches to the discovery of new translatable digital biomarkers, and the role of disruptive innovation in refashioning the translational interface.
Allison Oelschlaeger is the Chief Data Officer and Director of the Office of Enterprise Data & Analytics (OEDA) at the Centers for Medicare and Medicaid Services (CMS). In this role, Allison focuses on transforming the American healthcare system through connecting people to data and analytics.
Allison oversees the systems and policies for sharing CMS data with health system stakeholders such as beneficiaries, researchers, and providers. She coordinates and directs the public release of CMS data and information products. Allison also manages the development of advanced analytics using CMS data that help inform policy decisions and evaluate programs.
Before joining CMS, Allison worked at the Lewin Group where she specialized in program evaluation and data analysis. She is a graduate of Georgetown University.
John Pilotte is the Director of the Performance-based Payment Policy Group (P3) in the Center for Medicare at the Centers for Medicare & Medicaid Services. John manages policy development and operations for the Medicare Shared Savings Program, Medicare’s national Accountable Care Organization program with 500+ ACOs accountable for over 10.9 million Medicare beneficiaries. John also managed the development and implementation of Medicare’s Physician Value Modifier, the predecessor to the current Merit based Incentive Program, as well as resource use measures for physicians, hospitals and post-acute settings.
Prior to P3, John served as the Director of the Division of Payment Policy Demonstrations in the predecessor of the Center for Medicare and Medicaid Innovation where he managed the development and implementation of the Physician Group Practice Demonstrations and care coordination demonstrations. Prior to joining CMS, John was a senior health care consultant for PricewaterhouseCoopers and part of the government relations team at the National Association of Children’s Hospitals. John has a Masters in Health Policy and Management from the Johns Hopkins University and a Bachelors of Science from Indiana University’s School of Public and Environmental Affairs.
Dr. Donald Rebhun is the Regional Medical Director of HealthCare Partners Medical Group and Affiliated Physicians. He is recognized for his work in areas of coordinated care and quality outcomes. He is active in areas of strategic development and is involved with physician and patient education programs, works in areas of legislation and advocacy, and maintains a part-time clinical practice.
Dr. Rebhun is a passionate champion of information technology for patient safety, collaborative treatment decisions, and evidence-based best practices.
He received his Bachelor of Science, Master of Science in Public Health, and Medical Degree from UCLA. He is board certified in Internal Medicine.
Dr. Rebhun is a former Board Member and past Chairman of the Integrated Healthcare Association (IHA) and is presently Co-Chair of the Quality and Performance Committee and Board Member for America’s Physician Groups (APG). He has served as a speaker at numerous professional conferences throughout the country and has authored many articles included in prestigious medical publications.
Sabra Rosener currently serves as Vice President, Government and External Affairs for UnityPoint Health, one of the nation's largest nonprofit-nondenominational health systems, leading the organization’s government strategies, public policy and regulatory affairs, and external and community engagement. She has been with UnityPoint Health (UPH) since 2003 where she started as an attorney.
Under Rosener’s leadership, UnityPoint Health has become nationally recognized as a leader in Medicare provider payment reform and total cost of care initiatives through contribution in the development of the Pioneer ACO program, the Next Generation ACO program, Iowa’s Medicaid ACO programming, and most currently, the development of an MA PLUS program being pursued with the current Administration at HHS/CMMI and risk-based Medicaid managed care strategies in the State of Iowa.
Prior to her appointment with UnityPoint Health, Sabra held positions at Wellmark Blue Cross Blue Shield, Ruan Transportation and the Iowa Court of Appeals. She also has served as an adjunct professor at Drake University Law School.
Sabra received her Bachelors of Arts degree from the University of Northern Iowa in Cedar Falls, Iowa and her J.D., with honors, from Drake University Law School. She currently serves on the Iowa Business Council and the National Advisory Council for The Robert D. and Billie Ray Center.
Valinda Rutledge is currently the Senior Vice President of Federal Affairs at America’s Physician Groups. She is responsible for analyzing and advocating for APG’s positions on government initiatives such as bundled payments, Medicare advantage, Medicaid pilots, Dual Eligible, PCMH, and ACOs.
She previously worked as a member of the leadership team (Senior Advisor and Group Director) at the Center for Medicare and Medicaid Services Innovation (CMMI) where she helped build the Innovation Center from its startup phase and managed the design and launch of several of the Center’s models. In particular, she led the development and rollout of the Bundled Payment for Care Improvement Initiative, Strong Start and other national programs related to care transformation.
Before joining CMS, Ms. Rutledge served as the Chief Executive Officer of several systems including Bon Secours, SSM Health, and CaroMont Health in Gastonia, North Carolina where she led the development of a 210-day bundled knee payment arrangement between CaroMont Health and North Carolina’s largest health insurer, Blue Cross and Blue Shield of North Carolina.
Ms. Rutledge received the 2013 Becker’s Healthcare Leadership Award, which is given to the top 30 individuals in the nation who demonstrate leadership and impact to the industry on a national level. She currently serves on several National Scientific Advisory Boards including NaviHealth and as a Subject Matter Expert for Sg2 (part of Vizient) where she is responsible for assisting in the development of Sg2’s national thought leadership regarding payment transformation.
Ms. Rutledge holds two advanced degrees: a Master of Business Administration degree from Butler University in Indianapolis and a Master of Science degree in nursing from Wayne State University in Detroit. She is frequently sought as a national speaker in the area of payment, clinical innovation, and population health.
Allyson Y. Schwartz, a former member of the U.S. House of Representatives from Pennsylvania who served from 2005-2015, is a nationally recognized leader on healthcare issues. Throughout her professional life she has worked on issues such as affordability, primary care, coordinated care, and increased access to coverage.
Having worked as a health service executive, Schwartz was elected to the Pennsylvania State Senate in 1990, serving 14 years until her election to Congress. In the state Senate, Schwartz was the driving force behind Pennsylvania’s CHIP program, which was a model for the federal CHIP program five years later.
In Congress, Schwartz was appointed to the powerful Ways and Means committee in her second term and served as a senior member of the Budget Committee. In both capacities, Schwartz was a strong advocate for Medicare. She was the leader in Congress on physician payment reform to encourage value over volume, supported research, innovation, and use of technology to improve quality, efficiency, and contain costs.
Schwartz was instrumental in the passage of landmark health reform legislation, authoring key provisions such as the ban on pre-existing condition exclusions for children and increased access to primary care.
Schwartz serves on the Executive Advisory Board of the Leonard Davis Institute of Health Economics of the University of Pennsylvania, as well as being a member of the Advisory Board, University of Pennsylvania Wharton School “Penn Wharton Budget Model”. Schwartz is a member of the National Hospice and Palliative Care Advisory Board, participates in an advisory group to Avalere Health’s Patient-Perspective Value Framework and serves as a member of RAND’s Technical Expert Panel on the Medicare Advantage Stars Rating System, She is on the Board of Trustees, Einstein Health, Philadelphia and served as Co-Chair of the Health and Housing for Seniors Task Force of the Bipartisan Policy Center, where she also frequently participates in roundtable discussions on the future of Medicare.
Schwartz earned a B.A. from Simmons College, and a Master of Social Service from Bryn Mawr College. She is married, has two grown sons, two daughters-in-law, and a 6-year-old granddaughter.
Tom Scully is a General Partner with Welsh, Carson, Anderson & Stowe, a private equity firm in New York, which is the most active US PE investor in healthcare. Tom joined the firm in 2004.
Mr. Scully was the Administrator of the Centers for Medicare & Medicaid Services (CMS), from 2001 to 2004. CMS administers Medicare, Medicaid, SCHIP, and is the largest agency in the U.S. Government, controlling more than $1.4 trillion a year.
At CMS, Mr. Scully had an instrumental role in designing and passing Medicare Part D and Medicare Advantage legislation. He initiated the first public reporting and disclosure for comparative quality among hospitals, nursing homes, home health agencies and dialysis centers.
Before joining CMS, Tom served as President and CEO of the Federation of American Hospitals from 1995 to 2001. The FAH represents 1500 privately owned hospitals.
Mr. Scully was a Senior Counsel with Alston & Bird 2004 - 2017; Deputy Assistant to the President and Counselor to the Director OMB, 1992-93; and an Associate Director of OMB, 1989-92. Tom worked on the Bush for President campaign in 1988; practiced law with Akin Gump from 1985-1988; Patton Boggs, LLP 1993-95 and served with US Senator Slade Gorton (WA), 1980-1985.
John advises healthcare and life sciences companies on M&A, licensing and financial strategy. He also speaks frequently on topics in healthcare valuation, deal term benchmarking, and exit strategy.
WaveEdge Capital is a healthcare investment bank advising companies across the healthcare space. Prior to forming WaveEdge, John was a Managing Director at Woodside Capital Partners, a boutique investment bank and co-led the Healthcare Group. For the prior 12 years, he advised both Fortune 100 and VC-backed healthcare companies on transaction strategy and valuation at Strategic Decisions Group (SDG), a global management consulting firm, and Keelin Reeds Partners, a life sciences and healthcare management consulting firm, where he was a Principal. Prior to consulting, John was an attorney with Weil, Gotshal and Manges LLP where he focused on M&A and corporate finance.
John holds a JD from Stanford Law School and a BA from Brown University.
Mr. Slaggert is the CEO of Children First Medical Group, a pediatric only multi- specialty IPA with 600 physicians caring for nearly 50,000 children through the California Medi-Cal managed care program. His expertise over 25 years includes health system strategic planning, physician compensation redesign, medical group operations, Clinically Integrated Network (CIN) and ACO development, health system business growth, physician leadership development and population health management. Jim holds a BS degree in Biomedical Photographic Communications from Rochester Institute of Technology and earned his MBA from the University of Cincinnati.
Previous positions include CEO, Medical Group Foundations at Providence Health and Services in Southern California and National Vice President of physician services at Catholic Health Initiatives, now part of CommonSpirit Health. Other roles in the Bay Area of Northern California included 13 years as the CEO of Alta Bates Medical Group.
Jim has also served on the APG Board of Directors and Executive Committee. Jim is an avid hockey fan and occasionally still gets on the ice for a spirited game.
Sam Starbuck is AVP of Privia Quality Network at Privia Health. He oversees the organization’s shift to value-based care programs such as the Maryland Primary Care Program, and the evaluation of Pathways to Success, Primary Care First and Direct Contracting initiatives. In addition, Sam leads the operations of the Mid-Atlantic population health teams on behalf of Privia Medical Group providers.
Prior to joining Privia, Sam served as the Director of Strategic Operations and Integrative Care at Vicinitas Cancer Care and completed a two-year management fellowship with Cancer Treatment Centers of America, where he was responsible for a wide range of strategic and operational initiatives. Sam earned Bachelor’s degrees in English and Economics from Wabash College.
William Torkildsen, MD is an internal medicine, cardiovascular disease specialist in Port Isabel, TX. He has been a practicing physician for 45 years and is Board Chairman of Valley Organized Physicians IPA, an independent physician association made up of more than 80 primary care physicians in the Rio Grande Valley area in South Texas.
Dr..Torkildsen graduated from UT Health San Antonio Joe R & Theresa Lozano Long School of medicine in 1974 He broadened his training in recent years to become an AHIMA-Approved ICD 10 Trainer after obtaining his certified coding specialist and certified clinical documentation specialist accreditation.
CEO - IntegraNet Physician Resource, Inc., D/B/A IntegraNet Health and Subsidiaries (“IntegraNet”) since March 1997. Reports directly to the Board of Directors of IntegraNet and its parent holding company, Intercare Health Systems, Ltd. In addition to the overall success of the Company, is responsible for leading the development and execution of long-term strategies, with the goal of improving healthcare processes, healthcare outcomes, healthcare policy, and increasing shareholder value. Creates and implements high-level corporate strategy and major Company decisions.
Communicates with shareholders, government entities, and the public. Creates and implements the organization’s vision and mission. Evaluates the work of other executive leaders within the Company and continuously assesses risks to the Company and ensures they are monitored and minimized. Constantly maintains awareness of the competitive market landscape, expansion opportunities, industry developments, regulatory impediments and risks, etc. Ensures that the Company maintains a high level of social responsibility and image wherever it does business.
Dr. James N. Weinstein is the Senior Vice President for Microsoft Health Care. Prior to joining Microsoft, he was the Chief Executive Officer and President of Dartmouth-Hitchcock Health. As leader of a bi-state health system, he created an operating model based in population health and transitioned the region from fee-for-service toward more global payments, value-based care. This became an important part of the national strategy during the Obama presidency. He built partnerships with a variety of providers throughout northern New England and the United States, to deliver optimum care at lowest cost to patients in the region. Prior to becoming CEO in 2011, Dr. Weinstein served as President of Dartmouth-Hitchcock Clinic, leader of the 1200 plus physicians across the Dartmouth
Hitchcock system; held the Peggy Thompson Chair at the Geisel School of Medicine and; was the Director of The Dartmouth Institute for Health Policy and Clinical Practice (TDI), home of the Dartmouth Atlas of Health Care. For decades, the Atlas documented the ongoing variations in health care delivery across the United States and, has been part of several. U.S. Presidential health policy agendas. His dual positions as Clinic President and TDI Director allowed him to build critical linkages between, the groundbreaking health services research at TDI, and the clinical care teams at Dartmouth and nationally. During his tenure as CEO/President, Dartmouth Hitchcock Health grew from a one hospital, academic medical center, to a multi-hospital holding company including several critical access hospitals and a State of the Art ,Hospice Center. He raised the funds necessary to support this center. The local VNA network, joined the health system and was integral in supporting care transitions, supporting hospital at home.
While Director of TDI, Dr. Weinstein co-founded, with then Dartmouth College President Jim Yong Kim (immediate past President, World Bank); the Master of Health Care Delivery Science (MHCDS) program, a collaboration between TDI and the Tuck School of Business, the first hybrid residential and distance learning degree program offered by Dartmouth college. Early in his time at Dartmouth, Dr Weinstein was the inaugural Chair of Orthopedics and established, the first ever, Center for Shared Decision Making, allowing for true informed choice vs. More traditional informed consent. This work was featured in the WSJ, and Washington Post. Dr Weinstein remains a strong advocate for what he calls “informed choice”, which requires SDM. He’s leader in advancing "informed choice", vs. traditional informed consent, to ensure patients receive evidence-based, safe, effective, care; only the care they want/need, when well informed. This became part of the legal basis for patient informed choice, informed consent. Several states have since adopted this model and was part of the ACA.
Dr. Weinstein was the co-founder/Executive Director, the High Value Healthcare Collaborative (HVHC) involving 70 million patients, 70,000 physicians, across 31 states. The HVHC founding members included Mayo Clinic, Intermountain Healthcare, TDI, Denver Health, Geisinger and Cleveland Clinic. It grew to be a national partnership of more than a dozen health systems dedicated to improving the quality of care while lowering costs. The Collaborative allowed for unprecedented data sharing, including electronic medical record data from each system, and the first national collection of patient-reported measures (PRO’s). Dr Weinstein initiated PRO’s in 1982, while a resident at Rush Medical Center, Chicago and later at the University of Iowa Hospitals and Clinics, where he held an endowed chair until moving to Dartmouth. There, he recreated the multidisciplinary Spine Center which incorporated PRO’s, eventually adopted by ONC, (office of the national coordinator) as part of federally mandated, meaningful use data, part of value-based care. PRO’s were first automated, real time, while at the Dartmouth-Hitchcock Spine Center and eventually adopted by EPIC (Medical Record Co, Madison, Wisc.). Today, CMS, 21st Century cures act, is requiring direct to patients data, e.g., MyHealthEData, via using FHIR ( Fast HealthCare Interoperability Resources) based API’s (Application Programming Interfaces) in clinical practice Patient Access, Blue Button 2.0. Microsoft is helping to lead these efforts.
As a researcher and internationally renowned spine surgeon, Dr. Weinstein received two Kappa Delta awards from the American Academy of Orthopedics (Nobel-like for the Orthopedics community), one for his basic research, neurophysiological understanding of pain; re., animal models of radiculopathy, while at Iowa (and received the prestigious, 5 year, Bristol-Meyers Career Investigator Award); and the other for his Clinical Trials work as PI, of the 15 year NIH funded SPORT trial, the largest NIH supported clinical research program. It involved eleven states, more than 140 clinicians, enrolled (3,500) patients in this uniquely designed study (simultaneous, RCT and OBS) which used SDM as part of consent and collected PRO’s. Dr Weinstein founded multidisciplinary care teams, e.g., Spine Center first while at the University of Iowa and then at Dartmouth-Hitchcock. Today, such multidisciplinary centers, in varied fields, e.g., Cancer have become standard around the world. Clinically, he developed the first classification and treatment system by which surgeons around the world treat cancers of the spine. He has been a well-funded researcher throughout his career, receiving more than $70 million in federal funding (NIH, CMMI) and has published more than 335 peer-reviewed articles.
Upon retiring as CEO/President, he was appointed as a Senior Fellow, for the HealthCare Initiative, TUCK Business School at Dartmouth, a visiting Professor at the Northwestern Kellogg Business School, Public & Private Interface initiative. At Kellogg he teaches in the spring quarter, “The CEO Playbook for Health System Success”. He continues facilitating Dartmouth Hitchcock, Spine Center case for Michael Porter and Rob Huckman at the Harvard Business School.
In 2015, Dr. Weinstein co-developed ImagineCare, a virtual health care system that incorporates 24/7 connectivity to manage chronic diseases outside the traditional bricks and mortar of traditional hospital-based systems. ImagineCare is currently being implemented in Scandinavia. Before leaving Dartmouth, he helped establish the Advanced Regenerative Manufacturing Institute (ARMI) which is supported by an $80 million grant from the Department of Defense (DOD) and more than $300 million in private sector funding (Dean Kamen PI). ARMI will use 3D technology to print human organs, from one’s own stem cells, a development that could transform the world of organ transplantation as we know it. The impact on lives of millions of people around the world could be affected by diseases of the kidney, diabetes and more.
Dr Weinstein is a member of the National Academy of Medicine - NAM and serves on the organization’s Board for Population Health and Public Health Practice. He served as Chair of the NAM; Committee on Community Based Solutions to Promote Health Equity in the U.S, which published the report, “Communities in Action: Pathways to Health Equity 2016. Today he serves on two NAM committees related to AI (artificial intelligence) in Health Care and Co-Chairs with NAM president Dr Victor Dzau the ongoing inequities in health care, ‘call to action’ meetings. He serves on several Boards of Trustees including the internationally renowned Max Planck Institute for Neuroscience, the DOD ARMI/BioFab project and the Intermountain Health System as well as several for profit and non for profits. Dr. Weinstein continues to serve as an appointee to the Special Medical Advisory Group of the VA, which advises the Secretary of Veterans Affairs and the Under Secretary for Health on matters relating to the care and treatment of veterans. He served on a special task force to assist in the reorganization of the active Military Health System, Army, Navy, Marines, Airforce and Tri-Care. He is frequently consulted by members of Congress and the Administration, as well as government leaders, on health policy and health reform. In 2015, Dr. Weinstein was awarded the Ellis Island Medal of Honor by the National Ethnic Coalition of Organizations. In 2017 he was the recipient of the prestigious American Hospital Association’s, Justin Ford Kimball Innovator’s Award. He has been named one of “The 100 Most Influential People in Healthcare” by Modern Healthcare magazine and top 50 “Physician Leaders to Know” by Becker’s Hospital Review. He is the longest standing Editor in Chief of a major journal, SPINE. His book, Unraveled: Prescriptions to Repair a Broken Health Care System, was published in February 2016, has received praise from health leaders and patients from around the world.
EXPERIENCE AND EXPERTISE:
Chief Medical Officer of AltaMed Restricted Knox Keen Health Plan and Senior Vice President of Medical Management.(March 2019 to Present)
Chief Medical Officer Golden Shore Medical Group: (November 2017- February 2019),
Chief Medical Officer Molina Healthcare, Incorporated (April 2013- September 2017), Long Beach, CA
Molina Healthcare Inc.: Chief Medical Officer (July 2014- September 2017): Clinical leader with oversight of the 13 states and the territory of Puerto Rico of Molina health plans regarding all clinical affairs.
President: Molina Medical Group : (April 2013- July 2014):
Regional Medical Director Healthcare Partners (April 2010-April 2013), Torrance, CA
President, CEO and Chairman of the Board: Talbert Medical Group (October 1999- April 2010), Fountain Valley, CA
Oversight of an elite multi-specialty medical group with over 17 in-house specialties, 120 clinicians at 13 facilities. Led the physician acquisition and establishment of the organizational governance structure for Talbert.
Specialty Medical Director MedPartners Physician Practice Management Company (August 1997- September 1999), Long Beach, CA .
Chairman of Obstetrics and Perinatal services for FHP Staff Model FHP Staff Model Organization (September 1991- August 1997), Costa Mesa, CA
Staff Obstetrician- Gynecologist Surgeon
Cigna Staff Model Medical Group (August 1985- September 1991), Burbank, CA
EDUCATION:
Undergraduate Studies Chemistry/Chemical Engineering,
University of Southern California, 1977
Doctor of Medicine, Howard University College of Medicine, 1981
Internship, Howard University Hospital, 1982
Obstetrics and Gynecology Residency, Martin Luther King, Jr. Hospital, 1985
American Board of Obstetrics and Gynecology, Board Certified December 1987 – 1997
Recertification, August 1997 – 2007, 2007 – 2013
Annual Maintenance of Certification (MOC) 2013 - 2019