Faculty – Medicare Conference 2018

Larry Baca

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Larry Baca is Director of Sales with Inter Valley Health Plan, a not-for-profit Medicare Advantage Plan. He has more than 20 years of experience in sales management with leading carriers, including United Healthcare and Blue Shield of California.

Paul Belton
Vice President, Corporate Compliance, SHARP HEALTHCARE

John Gorman

Thomas Graf
Chief Medical Officer and Vice President, HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY

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Thomas Graf, MD, FAAFP is Vice President and Chief Medical Officer for Horizon Blue Cross. He brings 25 years of experience in advancing healthcare delivery, reducing cost of care, and supporting continuous growth and performance improvement. Dr. Graf applies his deep understanding of economic, social, and regulatory issues with his clinical experience to align diverse stakeholders and build consensus around shared strategic and operational goals, bridging the unique perspectives provided by physicians, hospitals, payors, patients, and employers. He adeptly translates overarching strategies into targeted operational and performance improvement efforts to help organizations navigate through the evolving and turbulent landscape.

Prior to joining Horizon, he was National Director for Population Health for The Chartis Group helping dozens of provider systems and groups to create strategy and improve performance in driving quality to lower total cost of care and comprehensively care for populations. Prior to Chartis, Dr Graf served for nearly twelve years in various roles at Geisinger. In his final position there, Dr. Graf was the Chief Medical Officer for Population Health and Longitudinal Care Service Lines. There, he was responsible for the value re-engineering of the care continuum and other population health initiatives for Geisinger including the ACO portfolio, the Physician Group Practice, and PGP Transitions Demonstrations and Bundled Payments for Care Improvement. Operationally he had responsibility for the community practice, internal medicine, medical specialties, pediatrics, psychiatry, oncology, neurosciences, women’s health, and care continuum service lines across 22 counties in central and northeast Pennsylvania.

After graduating from University of Michigan Medical School and completing family medicine residency training at Henry Ford Health System in Detroit, Dr. Graf served on the faculty of the Henry Ford Family Practice Residency and was Director of the Southwest Georgia Family Practice Residency.

Leah Hirsch
Government Relations Director, Medicare, ANTHEM

Leonard Kirschner, M.D., MPH
former President, AARP

former Director, ARIZONA MEDICAID

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Dr. Kirschner is Past President of AARP Arizona. He is a member of the Harvard School of Public Health Leadership Council and was a member of the 2011 AHA Committee on Research and the 2010 AHA Long Range Policy Committee. He is on the Board of Directors of Wickenburg Community Hospital. He is a member of the National Advisory Board on Improving Health Care Services for Seniors and People with Disabilities. He is a Trustee of the Arizona Perinatal Trust, a member of the Arizona State Medicaid Advisory Committee, the Arizona Health Improvement Plan, and Fighter Country Partnership. He was a member of the AHRQ Regional Expert Panel and the 2003 Citizens’ Task Force on the Maricopa County Health Care System. He is a past President of the Veterans Medical Leadership Council of the Carl T. Hayden VA Medical Center, and he served on the Board of the AzHHA from 1998 to 2005. He was a member of the AHA Regional Policy Board from 2000-2003 and 2007-2009; and was on the Board of the PMH Health Systems Strategy Group, 1994-2001; Del E. Webb Hospital, 2002-2008; and Sun Health, 2004-2008.

He retired as a Principal with William M. Mercer Inc., a global consulting firm, in 2001. During his tenure with the company, he provided consulting services to such diverse Medicaid programs as TennCare, MediCal and AHCCCS. Dr. Kirschner was Vice President, Health Care Initiatives, State Health Care, EDS, 1993 to 1999. During his six years with EDS, he provided consulting services to Medicaid programs, including business trips to all 50 states.

Dr. Kirschner was Director of the Arizona Health Care Cost Containment System (AHCCCS) from February 1987 until July 1993. This program provides healthcare to more than one million residents of the state. The prepaid model pioneered by Arizona is considered to be the most cost-effective means of providing quality health care to Medicaid beneficiaries. During his six years as AHCCCS Director, he represented the western states and Pacific territories on the Executive Committee of the State Medicaid Directors Association and chaired the Medicaid Managed Care Technical Advisory Group.

During the past 40 years, he has been an invited speaker at numerous conferences across the country speaking on the subjects of Medicaid, Medicare, managed care, behavioral health and health care reform. He was on the Advisory Committee of the National Managed Health Care Congress, a featured speaker of the Medical Leadership Forum, and co-author of “Medicaid Managed Care” in the Managed Health Care Handbook. He was the recipient of the 1994 Arizona Hospital and Healthcare Association’s Salisbury Award and the 1997 Arizona Department of Health Services and Arizona Medical Association’s Public Health Service Award. In 2006, he was awarded the Healthcare Lifetime Achievement Award by the Phoenix Business Journal and the Individual Leadership Award by WESTMARC.

Dr. Kirschner is a graduate of Williams College, Albany Medical College and the Harvard University School of Public Health. He is board certified by the American Board of Preventive Medicine and is a Fellow of the American College of Preventive Medicine and the Aerospace Medical Association.

Dr. Kirschner served on active duty in the United States Air Force for 22 years commanding five Air Force hospitals before retiring in 1985 as Commanding Officer of the USAF Hospital, Luke Air Force Base with the rank of Colonel. He spent 10 years at military medical facilities outside the United States, including assignments in Turkey, Japan, Vietnam, Thailand and Spain, and served four years as Director, Cadet Health Services at the USAF Academy. His military awards include the Legion of Merit, Bronze Star, Air Medal and Vietnam Service.

Sarah Kramer, M.D.
Chief Medical Information Officer, YUMA REGIONAL MEDICAL CENTER

Christine Leo
AVP Senior Products, CIGNA

George Miller


John O'Shea, M.D.
Surgeon and Senior Fellow, Center for Health Policy Studies, THE HERITAGE FOUNDATION

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John O’Shea is currently a practicing surgeon and Senior Fellow in the Center for Health Policy Studies at the Heritage Foundation in Washington, DC. Prior to taking his current position, he was a Visiting Scholar in Health Policy at the Brookings Institution. From 2011 to 2013, he served as a senior health policy advisor to the U.S. House Committee on Energy and Commerce, where he helped draft the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). He has a master’s in public administration from the Harvard Kennedy School and a master’s in history and sociology of science from the University of Pennsylvania.

Michael Olsen, MBA
Senior Director, Network Strategy and Contracting, BETH ISRAEL DEACONESS CARE ORGANIZATION

Michael Perez-Mesa
Division Director Managed Care, SAVASENIORCARE

Jana Perry
Vice President, Sales and Retention, HEALTH ALLIANCE MEDICAL PLANS

Annamarie Rakes
Director, Quality Improvement and Stars, BLUECROSS BLUESHIELD OF TENNESSEE

Scott Sarran, M.D.
Chief Medical Officer, Government Programs, BLUE CROSS BLUE OF ILLINOIS

Curtis Stubblefield

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Curt Stubblefield, the Director of Value Based Care for National HealthCare Corporation (NHC), [(NYSE MKT: NHC)].

An alumunus of the University of Tennessee Martin, (BA, Communications) Mr. Stubblefield’s career in health care began in 1985 in a small private home health agency. Over the course of the 31 years since then, Mr. Stubblefield has managed health care operations for both small, private companies and large, national corporations (Beverly Enterprises and Columbia-HCA).

His experience includes the development of startup companies for healthcare consulting, medical staff leasing and medical adult day care. He has worked in many aspects of healthcare, as a provider and a Medicare Advantage payer.

Mr. Stubblefield gives credit to excellent mentors who were strong leaders and shared their understanding of modeling for change. As a result, he has seen many professional sucesses in his field. Looking ahead, he hopes to have a positive impact with the changes in the industry.

David E. Swieskowski, M.D., MBA
President, MERCY ACO

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Dr. David E. Swieskowski, MD, MBA, is the Senior Vice President and Chief Accountable Care Officer at Mercy Health Network ACO, Iowa. He completed his graduation from University of Iowa College of Medicine. Dr. Swieskowski has led Mercy Health Network ACO’s quality initiatives in areas such as diabetes and hypertension that are now recognized as best-practice nationally. In addition to his clinical expertise in the areas of quality and safety, he has applied process improvement strategies to reduce operating costs. Dr. Swieskowski is a highly experienced doctor, with over 30 years of practice in the field and is affiliated with top rated hospitals.He has authored numerous articles on health IT, policy, medical practices, and administration that featured on various media channels, journals, etc.

Deann Woods Tate
Director, Coding Effectiveness, BON SECOURS HEALTH SYSTEM, INC.