10th Partnering With ACOs & IDNs Summit -

10th Partnering With ACOs & IDNs Summit
November 2 - 3, 2017
Los Angeles, CA

Demonstrate Value Using Real-World Evidence, Big Data and a Responsive Approach Partnering

Faculty – 10th Partnering With ACOs & IDNs Summit


Andre Berger
CEO, NACO MSO LLC

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Andre Berger, M.D. is founder of Rejuvalife Vitality Institute, a premier cosmetic surgery and anti aging practice in Beverly Hills, California. Specializing in cosmetic medicine and surgery and anti aging medicine, he is recognized for his masterful abilities to combine western medical technologies with Eastern holistic philosophies to achieve beautiful natural results, inside and out. Dr. Berger has been in active practice in Los Angeles and Beverly Hills, California since 1978. Named “Top Doc” by Vanity Fair, he is a sought-after expert and has been featured on many news stories and magazine articles and authored the acclaimed book The Beverly Hills Anti Aging Prescription!

Dr. Berger has been board certified by the American Board of Emergency Medicine for 20 years, and he is a diplomate of the American Board of Anti-Aging and Regenerative Medicine, and the American Board of Holistic Medicine. He received his Medical Degree from the University of Ottawa and completed his residency training in both Internal Medicine and Clinical Pharmacology at McGill University. Dr. Berger serves on the Board of Trustees of the California Academy of Cosmetic Surgery as its Secretary, and is Chairman of the California Academy of Cosmetic Surgery Foundation for Patient Safety and Education.


Katherine Chan
Senior Manager, GENENTECH

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Katherine Chan is a Senior Manager at Genentech working with IDNs and ACOs on initiatives such as cancer screening with the goal of improving patient outcomes. Katherine holds a B.S. in Materials Science and Engineering from the University of Minnesota Institute of Technology and an MBA from the Carlson School of Business.


Mark Cherry
Principal Analyst of Market Access Insights, DECISION RESOURCES GROUP

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Mark Cherry is a Principal Analyst at Market Access Insights for Decision Resources Group. Mark has been with DRG/HealthLeaders-InterStudy since 2005, studying markets in Pennsylvania, Florida, New York and Texas, while analyzing the growing influence of integrated delivery networks. He holds an MFA from the University of Arkansas and a Bachelor’s from the University of Tennessee.


Joanne Chia, Pharm.D.
Director, Medical Managed Care, SANOFI GENZYME

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Dr. Joanne Chia, Pharm.D., currently resides in Atlanta, GA and works for Sanofi Genzyme as Director, Medical Managed Care where she has been for the past 3 years. In this role, Dr. Chia is responsible for payer, PBM and specialty pharmacy accounts in the Southeast region (GA, AL, MS, LA, and PR). Dr. Chia began her industry career in the Medical Information department as a Medical Information Specialist at UCB Inc. She held various roles in both Market Access and Medical Affairs. Within Market Access, she was responsible for multiple training initiatives for the field-based market access teams, she led payer marketing on UCB portfolio payer marketing programs, and developed all Market Access pull-through training and resources for CNS and Immunology field forces. Prior to her biotech/pharmaceutical career, she worked as a retail pharmacist in Canada and maintains her pharmacy license through the Ontario College of Pharmacists. Dr. Chia holds a Bachelor of Science in Pharmacy with Honors (University of Toronto) and a Doctor of Pharmacy Degree (University of Colorado Denver).


Jesse Fishman, Pharm.D.
Scientific Alliance and Real World-Data Lead, 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.


Rajesh Gade, M.D.
Corporate Medical Director, HEALTHCARE PARTNERS

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Raj Gade, M.D. is currently the Medical Director for ACOs & New Products for HealthCare Partners. He also serves as the IPA Medical Director for Downtown Los Angeles overseeing medical management for over 12,000 senior and 20,000 commercial full risk lives. Prior to that, he has had roles as a Corporate Medical Director working on corporate initiatives, special projects and national ventures, Group Model Medical Director and Physician Director for inpatient and high-risk programs. He is currently triple board certified in Internal Medicine, Infectious Diseases and Critical Care Medicine. In addition, he is a graduate of the HCP Leadership Institute and the UCSF Institute for Physician Leadership.


Alan Gilbert, MPA
FHIMSS Advisor, COMMONWEALTH HEALTH ADVISORS. LLC

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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.


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.


Michael Hunt
CEO/President, ST. VINCENT’S HEALTH PARTNERS, INC.

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Dr. Hunt graduated from the University of Osteopathic Medicine and Health Sciences, Des Moines, Iowa and completed his residency in Pediatrics. During his military service, Dr. Hunt’s held key leadership positions. As Chief Medical Information Officer, he has implemented ‘Epic’ and ‘Cerner’ EMRs. He is Board Certified and received a Master of Science in Medical Informatics.

In April 2013, Dr. Hunt was appointed CPHO (Chief Population Health Officer [CMO/CMIO]) for St. Vincent’s Health Partners, Inc., a Physician Hospital Organization with more than 400 providers, and St. Vincent’s Medical Center. Dr. Hunt provides physician leadership and direction for the planning, design, and implementation of clinical information systems at St. Vincent’s Health Partners, Inc. and oversees quality and utilization for its provider network. Under the leadership of Dr. Hunt, St. Vincent’s Health Partners, Inc. was the first organization in the country to become accredited by URAC as a Clinically Integrated Network and is leading the charge in changing the face of healthcare in CT. Currently, working with organizational leaders, Dr. Hunt is engaged to develop information system infrastructure to support a super clinically integrated network. As interim Chief Executive Officer (2016), he is now focused to develop additional opportunities for medical management with employers.

Dr. Hunt joined St. Vincent’s Health System (SVHS) as CMIO in August 2014. He is working closely with clinical and information technology associates to transition to ongoing operations after the Cerner EMR implementation. Additionally, Dr. Hunt participates with the Valued Care Alliance (a newly formed seven hospital consortium in Connecticut in which St. Vincent’s Medical Center is a founding member) to establish system-wide population management infrastructure. SVHS was the first hospital to attest to stage two Meaningful use in Connecticut and is now optimizing through uplift the Cerner EMR.


Dr. Shaparak Kamarei, M.D.
Medical Director, Quality, OPTUMCARE MEDICAL GROUP

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Dr. Shaparak Kamarei currently serves as the Medical Director of Clinical Operations at OptumCare Medical Group (OCMG) in Southern California. OCMG is a physician-led organization comprised of 21 medical offices and over 100 primary care physicians, specialists and advanced care professionals delivering care to 100,000 patients annually. Dr. Kamarei oversees the clinical site lead physicians and their providers and leads the development, implementation, and oversight of clinical programs that empower providers to deliver the highest quality of care. These programs also support the business and financial goals of OCMG, including HEDIS, CMS Stars, Medicare Risk Adjustment and ACO efforts. Dr. Kamarei received her medical degree from the University of Southern California and completed her internship and residency training at the University of California, San Diego. She is board certified in Internal Medicine and has been practicing medicine for 22 years.


Michael Kaminsky
Director, Value-Based Care, 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.


Michael Lombard
CEO, CORNERSTONE HOSPITAL OF SOUTHWEST LOUISIANA

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Michael Lombard, MBA, PMP, is an accomplished leader in Lean healthcare. Prior to serving as the CEO of Cornerstone Hospital of Southwest Louisiana, Michael was the Senior Director of Operational Excellence at Cornerstone Healthcare Group in Dallas, TX.

With experience in a wide range of healthcare settings, including pediatric hospitals, full-service acute care hospitals and post-acute rehabilitation centers, Michael has a track record of helping health systems deliver results through continuous improvement. His specialty is enabling leaders, from the front lines to the c-suite, to develop strong leadership habits through proven coaching techniques.

Above all, Michael is a lifelong learner, always looking to apply lessons learned at work, and at home as a father and husband.


Daniel McCabe, M.D.
CEO, ARIZONA CONNECTED CARE ACO

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Daniel McCabe, M.D. is the CEO of Arizona Connected Care (AZCC). He was with the organization since its formative stages in 2010 and 2011. AZCC now has one hospital and 380 physicians and growing. Was Board Chairman of Finance since it first started risk contracting in 2012. Is responsible for three Commercial and two Medicare contracts (27,000 lives) and is negotiating at the present time for 3 new contracts. Yearend distributions to PCP’s for 4 consecutive years. Dr. McCabe was in active clinical practice for 28 years while an executive for multispecialty group practices. In the past, he successfully managed under a PHO’s 22,000 full risk Medicare lives over a 4 year period.


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.


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.


Stephanie Roberts
Senior Regional Account Director, ACORDA THERAPEUTICS

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Stephanie Roberts started her career in fitness and wellness programming, later moving into the managed care world, focusing on health education and disease management. After about ten years of trying to convince people to eat right and exercise, Stephanie gave up and moved to the dark side, transitioning to the pharmaceutical industry. In her 18 years in the bio-pharmaceutical industry, Stephanie has been involved in primary care and oncology sales and sales management, hospital contracting and training, finally finding her sweet spot in the market access environment. Stephanie prides herself in a deep understanding of the healthcare industry and her ability to understand both the big picture and the inner complexities. Currently with Acorda Therapeutics, Stephanie finds that focusing on her customers’ “Why’s” and reminding them of their commitment to patients helps her to be relevant, ultimately allowing her to bring value and be successful.


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.


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
CEO, PARTNERS IN CARE FOUNDATION

Dr. Mohini Sinha, M.D.
Medical Director, Quality and Performance Improvement, MONARCH HEALTHCARE

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Dr. Mohini Sinha currently serves as the Medical Director for Performance Improvement and Risk Adjustment at Monarch HealthCare, Irvine, California that collectively serves approximately 265,600 beneficiaries comprised of Medicare, Commercial, Medi-Cal and Dual Eligible coverage. In her role at Monarch, she oversees HEDIS and CMS Stars and Risk Adjustment efforts for all lines of business as well as Peer Review and Credentialing. She previously served as Medical Director at CHOC Health Alliance. Dr. Sinha received her M.D. degree from Patna Medical College, India and completed her Residency training at the State University of New York Health Science Center at Brooklyn, NY. Dr. Sinha is board certified in General Pediatrics.


Rebecca Snakowski
Executive Director, Performance Improvement, MONARCH HEALTHCARE

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Rebecca Snakowski is a quality improvement professional with 17 years of expertise in quality performance programs [California IHA Pay-for-Performance (VBP4P), CMS Medicare Advantage Star Ratings and Pioneer/Next Generation ACO Quality Reporting (GPRO)]. As Executive Director of Performance Improvement at Monarch HealthCare (a physician medical group in Orange County, CA), she is responsible for designing and implementing a company-wide program that improves clinical quality, care experience and affordability of care – optimizing performance-based revenue from quality incentive programs. Prior to working at Monarch HealthCare, she was the Manager of Quality Improvement at Arta Health Network (now part of DaVita Medical Group). Rebecca holds a BA in English from the University of California, Santa Barbara.


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.


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