Agenda – Day I

Jeff Rideout is President and CEO of the Integrated Healthcare Association (IHA), a California leadership group representing health plans, hospital systems, physician groups and other healthcare stakeholders. Dr. Rideout is responsible for management of all IHA programs and activities, including its nationally recognized pay-for-performance program, performance measurement and payment innovation initiatives, and efforts to enhance the adoption of health information technology and improve healthcare affordability. Prior to joining IHA, Dr. Rideout was the Senior Medical Advisor for Covered California, supporting clinical quality, network management, and delivery system reform related to the 1.1 million Californians enrolled through the exchange.

Mike Leavitt is the founder and general partner of Leavitt Partners where he helps clients navigate the future as they transition to new and better models of care. His early career included nearly twenty years building businesses in the risk management sector. Then, sixteen years in public service. Governor Leavitt served as Governor of Utah for three terms before occupying two roles in the Cabinet of President George W. Bush: Administrator of the United States Environmental Protection Agency and Secretary of the United States Department of Health and Human Services. Currently, he is focused on the advancement of value-based health care through Leavitt Partners, a family of businesses that provides investment support, data and analytics, member-based alliances, and direct services to clients to support decision-making strategies in the value economy. Mike Leavitt is a noted author, and routinely appears as an opinion leader in TV and print media.

Mark McClellan is Director and Robert J. Margolis, M.D., Professor of Business, Medicine and Health Policy at the Margolis Center for Health Policy at Duke University. He is a physician-economist who focuses on quality and value in health care, including payment reform, real-world evidence and more effective drug and device innovation. He is former administrator of the Centers for Medicare & Medicaid Services and former commissioner of the U.S. Food and Drug Administration, where he developed and implemented major reforms in health policy. He is an independent director on the boards of Johnson & Johnson, Cigna, and Alignment Health Care and is co-chair of the Accountable Care Learning Collaborative and the Guiding Committee for the Health Care Payment Learning and Action Network.

Kavita Patel is a nonresident Senior Fellow at the Brookings Institution. She is also the Associate Chief Medical Officer and Medicare Director at Johns Hopkins Medicine, Sibley Hospital. Previously, she was a Fellow and Managing Director of Delivery System Reform and Clinical Transformation at the Engelberg Center for Health Care Reform in the Department of Economic Studies at the Brookings Institution. Dr. Patel also serves on the GAO Appointed Physician-Focused Payment Model Technical Advisory Committee (PTAC). Previously, she was Director of the health policy program at the New America Foundation and served in the Obama Administration as director of policy for the Office of Intergovernmental Affairs and Public Engagement in the White House. She also served as a policy analyst and trusted aide to Senator Edward Kennedy, was a health services researcher at UCLA and an Associate Scientist Research at the RAND Corporation.

Don Crane is the President and CEO of America’s Physician Groups, the nation’s leading professional association representing medical groups and independent practice associations practicing coordinated care. With offices in Los Angeles, Sacramento and Washington, America’s Physician Groups has become a leading voice for the value-based healthcare movement at the state and federal levels. America’s Physician Groups’ are at the forefront of national healthcare reform and represent the care model and payment methodologies adopted by federal legislation for the entire nation. Mr. Crane serves on the Board of Directors of the National Coalition on Health Care. In 2016, he received the prestigious Mathies Award for Vision and Excellence in Healthcare Leadership.

Eric D. Hargan is the Deputy Secretary of the Department of Health and Human Services. HHS is dedicated to promote and enhance the health and well-being of the American people and as the largest department in the federal government has an annual budget in excess of 1.3 Trillion dollars and over 80,000 employees across 26 divisions. As Deputy Secretary, he is the Chief Operating Officer is a responsible for day-to-day operations and management of the department in addition to leading policy and strategy development.

Mr. Hargan was sworn into office as Deputy Secretary of the Department of Health and Human Services and immediately served as Acting Secretary of HHS.

Previously, Mr. Hargan served at HHS in a variety of capacities, including, Department’s Regulatory Policy Officer.

In between his tours of duty at HHS, Mr. Hargan taught at Loyola Law School in Chicago, focusing on administrative law and healthcare regulations.

François de Brantes serves as Senior Vice President of Commercial Business Development at Remedy Partners. He leads customer development of the Medicare Advantage, Self-Insured Employer, and Commercial Payer markets. He has spent close to two decades working to transform the U.S. healthcare system by improving incentives for providers and consumers in order to encourage value-based decisions. Prior to joining Remedy Partners, he served as Vice President of Altarum, a national nonprofit. He was also Executive Director of the Health Care Incentives Improvement Institute (HCI3), a not-for-profit company that designed programs to motivate physicians and hospitals to improve the quality and affordability of healthcare delivery. Prior to HCI3, François was Chief Operating Officer of the eHealth Initiative (eHI). Early in his career he worked in General Electric’s corporate health care department.

Melanie Matthews is the dynamic, creative and innovative CEO at Physicians of Southwest Washington (PSW) bringing more than 20 years of operations, financial, human resources and product marketing experience in health care services for specialty populations. Her nationally recognized visionary leadership will assure that PSW continues its work to help integrate the ideas of health care reform into the lives of patients and physician practices. Prior to PSW, Melanie 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 her other accomplishments, Melanie serves as the chair of the Washington Health Care Association, was selected by the American Health Care Association as a “National Political Ambassador” in 2013, and was named a national “Future Leader” in 2012.

Hoangmai (Mai) Pham, Vice President, Provider Alignment Solutions 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. Prior to joining Anthem, Mai was a founding official at the Center for Medicare & Medicaid Innovation (CMMI), where she served as Chief Innovation Officer. Mai’s earlier work at CMMI included responsibility as the Director of the Seamless Care Models Groups, overseeing the design and testing of models on accountable care organizations and advanced primary care. Previously, she was senior health researcher and co-director of research at the Center for Studying Health System Change and Mathematica. 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.

David Muhlestein is Chief Research Officer at Leavitt Partners. He directs the study of accountable care organizations through the LP Center for Accountable Care Intelligence and leads the firm’s quantitative evaluation of health care markets. He is an expert in using policy analysis, predictive modeling, and applied analytics to understand the evolving health care landscape. David also serves as Adjunct Assistant Professor of The Dartmouth Institute (TDI) at the Geisel School of Medicine at Dartmouth College, is a Visiting Policy Fellow at the Margolis Center for Health Policy at Duke University, and is a Visiting Fellow at the Accountable Care Learning Collaborative. In these roles he conducts research to translate learnings of high-performing organizations for the benefit of the broader health care system.

Dr. Sanjay Doddamani is the Chief Medical Officer of Geisinger at Home, a home-based model of care for Geisinger’s population of medically complex patients. He leads a large clinical team across the primary service area in Central and Northeastern Pennsylvania. He also serves as Chief Medical Officer of the Keystone ACO, and is a Senior Director in Population Health. In this capacity, he works with the executive leadership to accelerate improvement of performance metrics across the system, working closely with the service line, hospital and community healthcare and operational leadership, to improve integration of population health initiatives. His clinical background as a practicing heart failure cardiologist has helped provide deep insights in to chronic conditions and the struggles faced by patients and their caregivers. He has served on numerous panels and committees and presented on diverse topics both nationally and abroad.

Matthew Mazdyasni is a Strategic Partner and Board Member at COPE Health Solutions. He is currently involved in various consulting and advisory engagements. He was Executive Vice-President, Chief Administrative and Chief Financial Officer of HealthCare Partners Holding, LLC till February 2014. Prior to joining HealthCare Partners, he worked for national and local public accounting firms.

Mr. Mazdyasni was an active board member of several trade associations including CAPG where he was a member of CAPG Board of Directors and the Executive Committee. He was the CAPG Chairman of Board of Directors in 2004. Since retiring, he continued as a board member of CAPG Foundation.

Mr. Mazdyasni was a preceptor to the University of Southern California’s Master of Health Administration program for more than 25 years and was named Preceptor of the Year 2000-2001. Mr. Mazdyasni is a current member of Health Advisory Board of USC Price School of Public Policy.

Vincent McVittie has spent more than 25 years in the healthcare industry, including executive roles with payer, provider, and convener organizations. His most recent roles include Chief Administrative Officer with Highmark/Allegheny Health Network where he oversaw a network of more than 1,400 physicians and 400 outpatient provider locations. He has served in executive roles with Tenet Healthcare, Wellpoint, and Kaiser Permanente. He has also worked as an independent consultant in provider strategy and business development.

Pamela Pelizzari is a principal and senior healthcare consultant with the New York office of Milliman. She has a broad background in integrated delivery system administration and healthcare payment reform. Pamela has worked in both clinical and payer settings and has extensive experience in alternative risk contracting strategies.

Pamela has particular expertise in analysis of healthcare claims and the development of episode-based payment definitions and benchmarking methodologies. She also has experience implementing both prospective and retrospective payment methodologies, including developing gainsharing methodologies, claims adjudication techniques, and quality monitoring programs.

Prior to joining Milliman, Pamela held a technical advisory role in the U.S. federal government. She was responsible for developing and implementing novel payment methodologies to transform healthcare delivery and payment nationwide. Previously, Pamela worked at an academic medical center, building consensus for redesigning care delivery among diverse stakeholders including physicians, administrators, and patient advocates.

Jay Sultan has been working on the intersection of payment reform policy and enabling technology for twenty years. He is a software executive that has been a pioneering voice on both the policy of payment reform and the reality of its execution at scale. He is now serves as the VP Healthcare Strategy at Cognizant, creating new solutions to enable value based care through engagement. Jay has previously authored two patents on payment bundling methods and has been engaged by payers, providers, and governments on the best ways to implement new VBR and VBID programs.

Thomas M. Priselac is President and Chief Executive Officer of the Cedars-Sinai Health System and its flagship organization, Cedars-Sinai. He has served as President and CEO of Cedars-Sinai since 1994 and was also named President and CEO of the Cedars-Sinai Health System when it was formed in 2017.

An author and invited speaker on policy issues regarding the delivery and financing of healthcare, Mr. Priselac has served the health care field in various roles during his career at Cedars-Sinai. He is a past Chair of the American Hospital Association Board of Trustees and past Chair of the Association of American Medical Colleges. The holder of the Warschaw/Law Endowed Chair in Healthcare Leadership at Cedars-Sinai Medical Center, Mr. Priselac also serves as an adjunct professor at the UCLA School of Public Health.

Richard M. Scheffler is a Distinguished Professor Emeritus of Health Economics and Public Policy at the School of Public Health and the Goldman School of Public Policy at the University of California, Berkeley. He is also the Chair Emeritus in Healthcare Markets and Consumer Welfare endowed by the Office of the Attorney General for the State of California in 1999. In addition to directing the Petris Center, Dr. Scheffler is also the Director of the Global Center for Health Economics and Policy Research. He has been a visiting professor at the London School of Economics, Charles University in Prague, at the Department of Economics at the University of Pompeu Fabra in Barcelona and at Carlos III University of Madrid, Spain. Dr. Scheffler has been a visiting scholar at the World Bank, the Rockefeller Foundation in Bellagio, and the Institute of Medicine at the National Academy of Sciences.

Stephen M. Shortell is the Blue Cross of California Distinguished Professor of Health Policy and Management Emeritus and Professor of the Graduate School at the School of Public Health and Haas School of Business at University of California-Berkeley where he also co-leads the Center for Healthcare Organizational and Innovation Research (CHOIR) and the Center for Lean Engagement and Research (CLEAR) in healthcare. Previously, he served as Dean of the School of Public Health at Berkeley.

A leading health care scholar, Dr. Shortell and his colleagues have received numerous awards for their research examining the performance of integrated delivery systems; the organizational factors associated with quality and outcomes of care; and the factors associated with the adoption of evidence-based processes for treating patients with chronic illness. He is currently conducting research on patient engagement and the performance of Accountable Care Organizations (ACOs) and on Lean applications in healthcare.

Jeff Rideout is President and CEO of the Integrated Healthcare Association (IHA), a California leadership group representing health plans, hospital systems, physician groups and other healthcare stakeholders. Dr. Rideout is responsible for management of all IHA programs and activities, including its nationally recognized pay-for-performance program, performance measurement and payment innovation initiatives, and efforts to enhance the adoption of health information technology and improve healthcare affordability. Prior to joining IHA, Dr. Rideout was the Senior Medical Advisor for Covered California, supporting clinical quality, network management, and delivery system reform related to the 1.1 million Californians enrolled through the exchange.