11th Partnering with ACOs & IDNs Summit -

11th Partnering with ACOs & IDNs Summit
June 11–12, 2018
Boston, MA

Access Healthcare Through a Solution Driven Approach by Leveraging Internal and External Influences

Faculty – 11th Partnering with ACOs & IDNs Summit


Ashish Atreja
Chief Technology Engagement and Innovation Officer, Department of Medicine, ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Barrie Baker, M.D., MBA
Chief Medical Officer, TUFTS HEALTH PUBLIC PLANS

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Dr. Baker has over 15 years’ experience in Medicaid Managed Care administration. As the Chief Medical Officer for the Public Plans Division of Tufts Health Plan, she is responsible for over 400,000 of Tufts’ Medicaid, Duals and Commercial Qualified Health Plan members. Prior to coming to Massachusetts, she also served as the medical director for Coventry’s Medicaid programs in Pennsylvania and Maryland, and as Senior Medical Director for Keystone Mercy Health Plan. Before joining the health insurance industry, Barrie spent seven years as a family physician in underserved areas.

Barrie earned her M.D. from the Medical College of Pennsylvania, an M.B.A. from Eastern University and a Bachelor of Architecture from Temple University. She is board certified in Family Practice. She has also presented numerous workshops & talks on Health Care Disparities and Cultural Diversity nationally over the past 20 years


Mike Barrett
Founder, CURA HEALTH MANAGEMENT

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Mike is responsible for business development and oversees the company’s ACOs in the southeast region. In addition to the oversight of these ACOs, Mike is responsible for program growth and development. He has more than 25 years of experience in managed care payer and provider operations, holding executive positions at large hospital systems, managed Medicare physician groups and HMOs. Prior to joining the company, Mike assisted in the turnaround of a large globally capitated “at risk” IPA in greater New York City serving Medicare, Medicaid, Commercial and ACO populations. Mike earned his B.S. degree from Syracuse University. Mike is Co-Chairman of the National Association of ACOs (NAACOS) and was one of the original founders of the association.


Mary Blohm
Associate Director, Systems of Care, NOVARTIS PHARMACEUTICALS

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Mary Blohm has worked at Lilly for 12 years, nine of which have been in an Account Management role in Managed Healthcare Services. She started her career in sales more than 20 years ago and has worked for Coca-Cola, BMS and AstraZeneca. In the past nine years, Mary has been an AM in the WI and MN markets. She has covered the payers and WI Medicaid. For the past two years, Mary has been an AM in the IHS pilot in the Madison, WI territory. She has covered payers, Medicaid, hospitals and physician groups. She has three direct payer contracts that include Medicare Part D, commercial and Managed Medicaid for a regional PBM with three million lives, along with a local health plan contract. She also has a direct hospital contract with the University of WI health system. Mary enjoys spending time with her family and any outdoor activity.


Nicole Bradberry
CEO, FLORIDA ASSOCIATION OF ACOS

Fred Brownfield
Director, Pharma Innovative Contracting, HUMANA

Sarah Johnson Conway, M.D.
Associate Medical Director, JOHNS HOPKINS MEDICINE ALLIANCE FOR PATIENTS (JMAP)

Medical Director, JOHNS HOPKINS HOSPITAL/INFUSION CENTER

Assistant Professor of Medicine, Division of General Internal Medicine, JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE

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Dr. Sarah Johnson Conway is an assistant professor of medicine at the Johns Hopkins University School of Medicine. Her areas of clinical expertise include internal medicine and hospital medicine.

Dr. Conway serves as the Medical Director of the Johns Hopkins Hospital Infusion Center. She also serves as the Associate Medical Director of the Johns Hopkins Medicine Alliance for Patients (or JMAP). Her research interests include quality improvement, care coordination, transitions of care, and accountable care.

Dr. Conway received her undergraduate degree in Economics from Harvard University. She earned her M.D. from the Perelman School of Medicine at the University of Pennsylvania. She completed her residency in internal medicine at Johns Hopkins University School of Medicine. Following residency, she served as the Department of Medicine’s inaugural Health Systems Management Fellow.


Michelle Copenhaver
SVP Strategy and Operations, Southeast Market Lead, Accountable Care Solutions, AETNA

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Michelle Copenhaver is the Regional Vice President of Aetna’s Southeast Territories. She has 30 years of experience in the healthcare industry, both in the clinical realm as a Registered Nurse and as a Healthcare Executive in the payer space. Currently, she leads a team that manages multiple ACO and other value-based model commercial and Medicare Advantage collaborations throughout the southeast region, including contracting, relationship engagement, operations and day-to-day management excellence, strategic expansion, the establishment of win-wins for provider partnership relationship, continuous improvement, growth, and sustainability.


Marion Davis
CEO, PRIMARY PARTNERCARE

Bob Delise
President, ARTISAN HEALTHCARE CONSULTING

Sanjay Doddamani, M.D.
Chief Medical Officer, GEISINGER LED KEYSTONE ACO

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Dr. Sanjay Doddamani is the Chief Medical Officer of the Geisinger-led Keystone ACO, and a senior director in population health at Geisinger Health System. In this capacity, he works with executive leadership to accelerate improvement of performance metrics across the system working closely with the service line medical directors, platform leaders and operational leadership to improve integration of population health initiatives. He is also the systemwide chief of the Advanced Cardiac Disease – Heart Failure program for Geisinger Health System. His background as a heart failure cardiologist has kept him interested in chronic disease management aspects of heart failure. Additionally, he oversees the LVAD program for mechanical circulatory (heart pump) support. Dr. Doddamani is board certified in Internal Medicine and Cardiology, as well as in heart failure and cardiac transplant. He has served on numerous panels and committees, as well as delivered lectures, both nationally and abroad, related to heart health and disease.


Mark Fisher
Senior Manager, Organized Customer Group Commercial Excellence, SANOFI

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Mark brings more than 25 years of pharmaceutical experience to bear in his current role as the National Director- Key Account Lead for Joint Health at Sanofi. Prior to joining Sanofi, Mark was with GSK where he held roles of increasing responsibility in sales (retail and institutional), analytics, sales training, sales leadership, market development, brand professional marketing and key account management across a wide range of therapeutic areas. Mark has a passion for the overlap between healthcare reform, IDNs, the Triple Aim and the therapeutic value proposition in his current and past roles.

Mark currently lives in New Hampshire with his wife of 26 years and their dog, Holly.


Jesse Fishman
Health Outcomes Lead, Medical Affairs Professional, UCB

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Jesse Fishman currently leads the U.S. medical affairs organization Scientific & Real World Data Alliances Department at UCB by providing strategic development and oversight of scientific and database partnerships in their neurology patient value unit (NPVU). Our division of the NPVU seeks to communicate about the clinical and economic solutions that will serve patients with severe disease.

Jesse has 10 years of industry experience working in various roles in clinical development and medical affairs. Jesse has been responsible for developing evidence generation strategies, for medical affairs strategic planning, and for ensuring US payer customer needs are aligned with health outcomes research and communication plans. He has supported 7 new product launches for fortune 500 pharmaceutical companies such as Pfizer and Amgen by communicating about a product’s unique value proposition and supporting market access positions across various therapeutic areas that include oncology, neurology, and rare diseases.

His research and numerous publications focus on topics such as health outcomes, health policy and literacy, and ways to improve communication between patients and healthcare providers. Jesse holds a chemistry degree from Arizona State University and a Doctor of Pharmacy from the University of Arizona. He also completed a pediatric residency at Children’s Healthcare of Atlanta and practiced as a critical care pharmacist prior to entering the pharmaceutical industry.


Alan Gilbert
Chief Growth Officer, V3 HEALTHCARE STRATEGIES

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Alan Gilbert is a mission-driven growth serial entrepreneur with “up through the ranks” experience in the healthcare industry. He is viewed as a thought leader in the areas of accountable care solutions and collaborative care, and is a frequent contributor to professional online journals as well as a sought-after speaker at industry conferences. He possesses a clear understanding of the current healthcare landscape, and has conceived and implemented strategies that resulted in new markets, new clients and increased revenue. Alan benefits from having a well-developed network of long-standing relationships at the executive level, with access and credibility to be viewed as their trusted advisor. Alan is focused on the achievement of systematically better health outcomes at lower costs through a TEAM-based approach to care management. Alan is currently the Chief Growth Officer and Co-Founder of TEAM of Care Solutions, LLC, focusing on Technology Enabled Active Management of Care (TEAM). Previous to TEAM of Care Solutions, LLC, Alan was the Co-Founder of AxSys Health, the U.S. operations of a U.K.-based Collaborative Care Technology Care Company called AxSys Technology.


Jonathan Harding, M.D.
Senior Medical Director, Senior Products Division, TUFTS HEALTH PLANS

Michael Kaminsky
Director, Value-Based Care Strategy, AETNA

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Michael Kaminsky is currently the Director of Value-Based Care Strategy for the Texas market with Aetna. He oversees ~30 Commercial and Medicare value-based partnerships in the state encompassing ~450,000 members. Previously, he was a Senior Manager in the Joint Venture Strategy and Business Development group, forming advanced partnerships with health systems, including the Texas Health + Aetna joint venture in Dallas-Fort Worth. Prior to Aetna, Michael worked at The Boston Consulting Group (BCG). He graduated from Brandeis University with a Bachelor’s degree in Health: Science, Society, and Policy.


Christopher Lisanti
Managing Partner, THE EXEQUOR GROUP

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Chris is the founder and managing partner of the Exequor Group, and since opening its doors in 2012, has led his team of experts into numerous new collaborations in the life sciences and healthcare industries. In a career spanning more than 20 years, Chris supported successful pharmaceutical and biotech product launches. He continues as a trusted adviser, guiding numerous companies in enhancing and implementing their go-to-market strategies. He deftly navigates through today’s increasingly complex healthcare labyrinth, now driven by the Affordable Care Act and new healthcare stakeholders. Through advanced analytics, detailed customer input, real-world experience and proven methodologies, Chris delivers actionable results for a range of clients in the life sciences industry. As such, he is a national thought leader on the implications of healthcare reform in the pharmaceutical industry and how manufacturers can take advantage of newly uncovered commercial opportunities.

His evolutionary approach has delivered positive top- and bottom-line impact and secured a lengthy dossier of satisfied clients and long-term friends. He also brings a wealth of knowledge from the consumer, high-tech and information technology sectors.

Chris combines a distinguished corporate background with a fresh and fierce can-do philosophy that only a boutique firm can offer. He is passionate about delivering new and creative solutions to meet the ever-changing demands of today’s healthcare landscape. With infectious energy, market savvy and ingenuity, Chris Lisanti brings knowledge, leadership and vision to a complex and vital healthcare industry.


John Marchica
Faculty Associate, ARIZONA STATE UNIVERSITY, W.P. CAREY SCHOOL OF BUSINESS AND THE COLLEGE OF HEALTH SOLUTIONS

Brian McGarry
Market President, AETNA

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Brian is the President of National Accounts in Pennsylvania, Delaware, New Jersey, Virginia, Maryland, West Virginia and DC. He has oversight for Sales and Service associated with some of Aetna’s largest prospects and customers within Aetna’s large employer business. He has all P+L accountability for all lines of coverage and products. Before being promoted to President in 2003, Brian was the Vice President Sales and Service of Mid-Atlantic National Accounts.

Brian joined Aetna in March of 1996 as the Eastern U.S. Sales Director in Corporate Health Administrators – a wholly owned subsidiary of Aetna. In that role, he was responsible
for directing a sales team focused on the sale of mid and large sized self?insured employee benefit programs throughout the East Coast. Later that year, Brian’s role was expanded to include all of the US. In 2000, he joined National Accounts in Philadelphia as Director of Sales and Service.

Prior to joining Aetna, Brian spent 12 years at Prudential Healthcare in a variety of progressively responsible Sales and Sales Management positions throughout Southeastern United
States. Immediately prior to joining Aetna, he was the Director of Marketing for Prudential in Virginia.

Over the years, Brian has participated on a number of charitable and business-related boards in the Greater Philadelphia area. He is an immediate past board member of the American Heart Association, a member of their Executive Leadership Team for the Heart Ball, and a past Chairman of the Philadelphia Heart Walk — the largest single fundraising event for the AHA. Brian is a past Board member of the Greater Philadelphia Economy League — a private/public partnership advancing business in the Area. Brian is a frequent speaker on a variety of healthcare and business topics such as the business case for wellness and employee engagement.

Brian graduated from the University of Scranton with a B.S. in Business Management and Marketing.


John Minichiello
Executive Director, INTEGRA COMMUNITY CARE NETWORK ACO

Steven Peskin
Healthcare Delivery Innovation, HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY

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Dr. Steven R. Peskin is the Executive Medical Director Population Management at Horizon Blue Cross Blue Shield of New Jersey. His expertise encompasses physician leadership; medical delivery management; performance improvement in healthcare; contracting; applications in technology, including mobile/social media; and clinical/scientific communications for healthcare professional and consumer audiences.

Dr. Peskin is the former Executive Vice President and Chief Medical Officer for MediMedia USA, CEO of Pharmaceutical Research Plus, and President/COO of Nelson Managed Solutions. He has worked in multiple executive positions in health plans at PacifiCare Health Systems, CIGNA Healthcare and John Hancock. Dr. Peskin has authored industry and scientific articles as well as book chapters, and has spoken at various conferences and events about physician leadership, the medical home, mobile health and social media.

Dr. Peskin continues to work at the Rutgers Robert Wood Johnson School of Medicine as a clinical preceptor and instructor at the Eric B. Chandler Clinic and assists in the business of medicine curriculum. He is Course Director for Internal Medicine Grand Rounds at The University Medical Center in Princeton. He has held faculty appointments in medicine at several universities across the country and is currently an Associate Clinical Professor of Medicine Rutgers Robert Wood Johnson School of Medicine.

Dr. Peskin is a diplomat of the American Board of Internal Medicine and a fellow of the American College of Physicians, serves as governor for the Southern Region of the ACP in New Jersey, Board of Trustees for Friends of the National Library of Medicine, is on the editorial advisory boards of The Journal of Population Health Management and Managed Care, and is a Senior Scholar in the School of Population Health at Thomas Jefferson University. His community service includes the boards of the Greater Donnelley Neighborhood Initiative and Young Audiences of New Jersey.

Dr. Peskin received a bachelor’s degree from The University of North Carolina Chapel Hill and a medical degree from Emory University School of Medicine. He completed residency at Saint Elizabeth’s Medical Center in Boston and holds an MBA from the Sloan School of Management at Massachusetts Institute of Technology.


Matt Portch
Vice President, Managed Markets, SUNOVION PHARMACEUTICALS

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Matt is currently the Vice President of Managed Markets for Sunovion Pharmaceuticals Inc. Matt is responsible for leading the Account Management, Trade, Contracting and MM Marketing Teams at Sunovion.

Prior to this position, Matt was Vice President of Commercial Model Innovation at Pfizer. He and his team were responsible for evolving Pfizer’s Business Model to meet the rapidly evolving needs of Health Care Providers and Organizations in the US. This includes the development of evolved Customer Solutions to meet the changing needs of Customers; Health Information Technology insights to adapt to an HIT-enabled marketplace and new delivery models that are more relevant in meeting Customer needs.

Prior to his current role at Sunovion Matt also served as Vice President, Managed Markets for Pfizer. Previous experience included a number of positions in Sales Leadership, Account Management Leadership, Marketing Leadership and Operations with Pfizer, Pharmacia and Bristol-Myers Squibb.


Michael Ruiz
Vice President, Provider Relations, UCARE

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As UCare’s Vice President of Provider Relations and Contracting, Michael Ruiz leads complex negotiations with providers and develops innovative Medicare and commercial value-based contracting arrangements. He also manages teams and processes to support improved operations and performance at UCare.

Ruiz was most recently Vice President, Medicare Market Performance at UnitedHealthcare in Minnetonka, Minn. His responsibilities included overseeing value-based contracting analysis for incentive programs, addressing gaps in Medicare Star Ratings and improving medical cost performance for health plan members.

He previously held positions as Senior Director, Accountable Care Strategy at UnitedHealthcare; Senior Provider Contract Manager with Blue Cross Blue Shield of Minnesota in Eagan, Minn.; Project Manager with Medical Management, Inc., of Portland, Ore.; and Hospital Director with Banfield Pet Hospitals in the Twin Cities area.

Ruiz earned a Bachelor of Arts degree from the University of Minnesota. He is a member of the Health Care Financial Management Association. Ruiz and his family live in St. Paul, Minn., where he coaches the Mendota Heights Athletic Association Football, Highland Hoops Basketball League, and Hi-Mac Baseball League, and is president of the Friends of the Oxford Pool.


Marie Sanchirico
Director, Medical Managed Care, SANOFI GENZYME

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Marie Sanchirico. Ph.D. is a value and access medical professional and Ph.D. immunologist currently working as a national Medical Managed Care Director at Sanofi Genzyme in complex specialty drug care division. Prior to joining Sanofi medical affairs, Marie was an associate professor at UMASS Medical School and Instructor of Medicine at Harvard Medical School. Marie received her bachelor’s degree in biochemistry at Ithaca College, her Ph.D. from UMASS, Amherst, and specialty trained in immunology as an NIH postdoctoral fellow and Instructor of medicine at Harvard Medical school/Dana Farber Cancer Institute. Marie has three daughters (ages 15, 13 and 9) and is a dedicated hot yogi and outdoor enthusiast.


John Sears, Ph.D., MBA
Health Care Quality and Commercial Strategy Director, JOHNSON & JOHNSON

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John Sears is currently a Director of Health Care Quality Strategy with Johnson & Johnson Health Care Systems. In his current role, John develops internal commercial strategies that support pipeline, inline and above-brand workstreams by bridging any gaps between Janssen’s capabilities and the evolving US healthcare system. John has previous experience with global marketing, sales operations, medical affairs and business consulting working across the majority of therapeutic areas within Janssen.


June Simmons
President/CEO, PARTNERS IN CARE FOUNDATION

Anthony Vespa
Executive Director, SOUTHEAST MICHIGAN ACCOUNTABLE CARE

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Mr. Vespa is a certified public accountant and attorney with experience in the areas of real estate, manufacturing, banking, corporate finance, healthcare and tax. He received his B.A. from Hillsdale College and his J.D. from the University of Detroit School of Law.

Mr. Vespa serves as the Executive Director of Southeast Michigan Accountable Care (SEMAC) since its inception. His efforts were instrumental in the initial formation of SEMAC and its initiatives with Centers for Medicare and Medicaid.


Pritpal Virdee
Senior Vice President and Chief Operating Officer, Senior Health Services, BLUE CROSS BLUE SHIELD MICHIGAN

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