mhpa program book
2009 Annual Meeting “Advancing Health Reform through Medicaid Innovation”
November 16-17, 2009 The Fairmont Hotel Washington, DC
Medicaid Managed Care and the 2008 Elections
Medicaid Health Plans of M America TABLE OF CONTENTS |
Table of Contents
Welcome Letter ...... 5
Agenda ...... 7-11
Speaker Bios ...... 13-29
Keynoters ...... 13
Presenters ...... 17
Sponsors ...... 31-33
Major Sponsors ...... 31
Partners ...... 31
Annual Meeting Sponsors ...... 32
Exhibitors ...... 34-36
Exhibitor Booth List...... 34
Floor Plans ...... 35
Registrant List ...... 37-53
Note Pages ...... 55-58 WELCOME | Welcome Letter from the mhpa executive director welcome
Welcome to the Medicaid Health Plans of America’s 2009 Annual Meeting! This year’s meeting — focused on innovations in Medicaid in this era of change and health reform — features many nationally recognized speakers who will share with us their expertise in health care and politics.
This year’s conference sets the tone for the new frontier in Medicaid managed care. We are proud to present such nationally well-known speakers, including John Gorman, President and CEO of the Gorman Health Group, and traditionally one of our most popular speakers annually; David Plouffe, the campaign manager for President Barack Obama’s 2008 presidential campaign, and in the President’s own words, the “unsung hero” of the campaign; Mark Shields, a nationally known columnist and commentator; nationally-known Medicaid expert Vernon Smith, a principal of Health Management Associates; former HHS Secretary and Governor Tommy Thompson; and former U.S. Congresswoman Heather Wilson, who served as a Congressional leader on Medicaid issues.
We hope you enjoy your time with your peers, learn about innovations in the industry, and enjoy the conference! We thank you for being a part of our continued growth and success.
Thomas L. Johnson Executive Director Medicaid Health Plans of America AGENDA |
Agenda MONday, NOVEMber 16
7:00-8:00am Continental Breakfast Ballroom Prefunction sponsored by: Optimetra & Health Partners of philadelphia
8:00am Welcome and Opening Remarks Grand Ballroom Daniel J. Hilferty, President & CEO, The
AmeriHealth Mercy Family of Companies, and agenda Chair, MHPA Board of Directors
8:10am Vice Chair Remarks Grand Ballroom Karen Clark, President & COO, Horizon NJ Health, and Vice Chair, MHPA Board of Directors
8:30-9:15am Keynote: “Prevention is the Solution to the Grand Ballroom Health Care Crisis in America” Tommy G. Thompson, former HHS Secretary and Wisconsin Governor Vision to Lead sponsored by: US Preventive Medicine Mission to Care 9:15-10:00am Keynote: “The Wit and Wisdom of Mark Shields” Grand Ballroom Mark Shields, Political Analyst, Commentator and The AmeriHealth Mercy Family of Companies serves more than Columnist 6.5 million members nationwide. We offer high quality services and products for health plans, states and programs that manage care 10:00-10:15am Break for low-income populations covered by publicly funded programs. Ballroom Prefunction sponsored by: select health of south carolina Our product lines include: t Full risk health plans 10:15-11:00am Keynote: “2010 and Beyond: An Electoral Grand Ballroom Outlook” t Management and administrative services David Plouffe, Chief Campaign Manager, Barack t pharmacy benefit management Obama’s 2008 Presidential Campaign
t ® intensive care management 11:00-11:45am Presentation: “Using a Collaborative Platform t behavioral health care services Grand Ballroom to Fuel an Effective Physician Quality Recognition Program” Cynthia Burghard, Senior Vice President, Market Intelligence, ikaSystems Ruth Atkins, Executive Director, Passport Health Plan www.amerihealthmercy.com | for more information, please call 215.863.6762 | 2009 MHPA ANNUAL MEETING AGENDA |
11:45am-1:00pm Lunch 2:00-3:00pm tWO concurrent sessions: The Colonnade Executive Forum Clinical Best Practices – Pharmacy 11:45am-12:45pm Luncheon Keynote: “Be Heard on the Hill: ` sponsored by: navinet The Colonnade Positioning Medicaid Health Plans to Succeed in moderator: Dr. Jeremy Nobel, co-Founder, Congress” NaviNet The Hon. Heather Wilson, former member, U.S. “Advanced Pharmacy Care for Diabetes” Congress (R-NM); former member, U.S. House Merri Pendergrass, MD, PhD, National Energy and Commerce Committee Practice Leader, Diabetes, Medco sponsored by: health management systems “Benchmarking Generic Utilization in a Medicaid agenda 1:00-2:00pm two concurrent sessions: Environment - Issues and Solution” Mesfin Tegenu, President, Perform Rx Grand Ballroom Trends in Mediciad and Women and Children’s Coverage Issues
agenda sponsored by: community care behavioral health Grand Ballroom Clinical Best Practices organization sponsored by: wellpoint moderator: Licy Do Canto, Principal, The Raben moderator: Kevin Hayden, President, State Group Sponsored Business, Wellpoint Robert Hall, Assistant Director, American “Quality End-of-Life Care: Payer Perspective” Academy of Pediatrics Dr. Barry Kinzbrunner, MD, Chief Medical Catherine Hess, Senior Program Director, National Officer, Vitas Healthcare Academy of State Health Policy “Childhood Obesity” Lee Partridge, Senior Health Policy Advisor, Harvinder Sareen, PhD, Director, Clinical National Partnership for Women and Families Programs, State Sponsored Business, Wellpoint Executive Forum Developments in Health Information “How to Effectively Deal with State Mandates for Technology Treatment of Special Populations (Autism, ABD, sponsored by: dc chartered health plan CSN, Children in Foster Care)” moderator: Karen M. Dale, RN, MSN, Executive Tim Murphy, President, Beacon Health Vice President, Operations and Strategy, Strategies DC Healthcare Systems, Inc. 3:00-3:15pm Break “How the Wireless Industry Can Transform Communicating with Enrollees” Ballroom Prefunction sponsored by: milliman Dr. Anand Iyer, President & CEO, WellDoc Communications “Using Persuasive Technologies for Chronic Disease Management - Clinical Benefits ” Arthur Henderson, President, Affinity Networks 10 | 2009 MHPA ANNUAL MEETING AGENDA | 11
3:15-4:15pm two concurrent sessions: tuesday, november 17 Grand Ballroom Operations – Best Practices 7:30-8:15am tHREE concurrent breakfast sessions: moderator: Lourdes Rivas, Vice President of Client Services - Managed Care, DentaQuest Roosevelt Room The Use of Array CGH in the Clinical Diagnosis of Genetic Disease “Where Are We And Where Are We Going” Daniel Tillotson, CEO, The Prevention Plan sponsored by: signature genomic laboratories, llc Bassem A. Bejjani, MD, FACMG, Chief Medical “Actuarial Soundness and Recent State Budget Officer, Signature Genomic Laboratories, LLC Challenges: Lessons Learned from Recent Rate- Setting Cycles and Implications for the Future” Grand Ballroom Continuity of Therapy: Janssen Long-Acting
John Kaelin, Senior Vice President, Therapy Update agenda AmeriChoice sponsored by: Sponsored by ortho-mcneil Georgia L. Stevens, PhD, PMHCNS, BC, “Best Practices in Pharmacy Care Management” Aftercare Coordinator, Maryland State Mental Bob Tanner, Director of Operations, Hygiene Administration and Baltimore Mental agenda PharmaStar Health Systems Executive Forum Best Practices – Program Integrity & Diabetes Potomac Suite Update: Dental Care and Medicaid moderator: Robert McDaniel, National Accounts, sponsored by: sponsored by avesis and kool smiles Roche Diagnostics Meg Booth, Deputy Executive Director, Children’s “Best Practices in Program Integrity for Dental Health Project Government-Sponsored Health Plans” Dr. Fred Sharpe, DDS, Avesis Carrie Cunningham, Vice President, Business Development, Health Management Systems 8:30-9:30am Keynote: “Outlook for Special Needs Plans David Sand, MD, Chief Medical Officer, Grand Ballroom in 2010” Health Management Systems John K. Gorman, CEO, Gorman Health Group “Self-Measurement of Blood Glucose in Type II 9:30-10:30am Keynote: “Medicaid Trends and Policy Diabetics: Benefits and Practical Application - Grand Ballroom Direction in 2009 and the Outlook for 2010” Is It More than Just a Number?” Vernon K. Smith, PhD, Principal, Health Andreas Stuhr, MD, MBA, Medical Director, Management Associates Group Diabetes Care North America, Roche-Diabetes Care 10:30-10:45am Break Ballroom Prefunction sponsored by: doral dental 4:30-5:30pm Congressional Staff Panel Grand Ballroom 10:45-11:30am Session: “Why an Efficient Approach to ` Grand Ballroom Medicaid Risk-Based Payment is more Critical Than Ever for Your Bottom-Line Revenue” 5:30-7:00pm Conference Reception Behzad Mohazzebi, President, DCA Prefunction Ballroom sponsored by: tmg health 11:30am-12:15pm Presentation: “Compliance Review 2009” Grand Ballroom Clifford Barnes, Esq., Partner, Epstein, Becker & Green
12:15pm Closing Remarks and Adjournment Grand Ballroom Thomas L. Johnson, Executive Director, MHPA SPEAKER BIOS | 13
Keynote Speaker Bios
John K. Gorman John Gorman is CEO of Gorman Health Group, a company he founded in 1996 (under its predecessor name, Managed Care Compliance Solutions) to provide Medicare regulatory compliance advisory services to health care payers. Under John’s leadership, Gorman Health Group has since emerged to become the leading consulting firm in Medicare managed care, providing thought leadership along with expert strategic, operational, financial and other professional services to the health care industry, including an array of leading- edge business process outsourcing solutions. Mr. Gorman and his Medco Ad here-- file too large to paste in team of more than 65 senior-level consultants are considered by many in the industry to be the go-to source for understanding the regulatory and business implications of the Medicare Modernization Act and the introduction of the Medicare Part D prescription drug
program. John speaks at dozens of healthcare industry conferences speakers each year, reaching thousands of senior healthcare executives and professionals nationally. In 2000, John received Best Speaker Award for the National Managed Health Care Congress. John is regularly quoted in the trade press and the national media, and serves on the editorial advisory boards of several industry publications. He is also frequently sought out by the investment community for his analyses and predictions about the evolving Medicare managed care market.
David Plouffe David Plouffe was the campaign manager for Barack Obama’s 2008 presidential campaign. After winning the election on Nov. 4, President-elect Obama credited Plouffe in his acceptance speech, calling him “the unsung hero of this campaign, who built the… best political campaign in the history of the United States of America.” Plouffe began his political career when he went to work for Senator Tom Harkin’s 1990 re- election campaign. From 1997 to 1998, Plouffe served as Democratic leader Dick Gephardt’s deputy chief of staff. From 1999 to 2000, as executive director of the Democratic Congressional Campaign Committee, Plouffe led a national campaign that led the Democrats closer to the majority. Beginning in 2003, Plouffe and David Axelrod worked on Barack Obama’s 2004 Illinois Senate campaign, beginning Plouffe’s association with Obama. Plouffe also worked with Axelrod on Deval Patrick’s successful 2006 campaign for Governor of Massachusetts. 14 | 2009 MHPA ANNUAL MEETING | 15
Mark Shields Tommy G. Thompson Mark Shields, a nationally known columnist and Tommy G. Thompson, the former Health and commentator, has worked in Washington through Human Services (HHS) secretary and four-term the administrations of nine U.S. Presidents. He governor of Wisconsin, is National Policy Advisor was an editorial writer for The Washington Post for U.S. Preventive Medicine. Gov. Thompson’s where he began writing his column in 1979. state government career began in 1966, when Since 1988, Shields has provided weekly political he was elected to the Wisconsin State Assembly analysis and commentary on national campaigns at the age of 24. He was first elected governor of for PBS’ award-winning The NewsHour with Jim Lehrer where he Wisconsin in 1986, and was re-elected in 1990 and 1994. Thompson has matched wits with David Gergen, The Wall Street Journal’s Paul was confirmed by the U.S. Senate as the 19th HHS Secretary in Gigot and most recently with David Brooks of The New York Times. 2001 and served until 2005. As the nation’s top advocate for the For 17 years, Shields was moderator and panelist on CNN’s Capital health and welfare of all Americans, Secretary Thompson led the Gang. He now is a regular panelist on Inside Washington, the department, which employed more than 60,000 personnel and had weekly public affairs show which is seen on both ABC and PBS. a fiscal year 2004 budget in excess of $500 billion. Thompson was a candidate for the 2008 U.S. Presidential Election.
Vernon K. Smith, PhD Heather Wilson
Vernon Smith is a Principal with Health speakers Management Associates, where he focuses Former Congresswoman Heather Wilson (R-New on Medicaid, Medicare, SCHIP, state budgets Mexico) represented her Albuquerque-based and trends in the health care market place. He district in the U.S. House of Representatives has authored several reports on enrollment, from 1998-2008. A senior member of the House spending, policy trends in Medicaid and SCHIP, Energy and Commerce Committee Subcommittee on Health, she led efforts in Congress to improve speakers the Medicare prescription drug benefit, and on state directions to address the uninsured. Dr. Smith has spoken on the Medicaid program, establish the Medicaid these issues before many national and state audiences, including Commission, and reauthorize the State Children’s Health Insurance the National Governors Association, the National Conference of Program. Before being elected to Congress, Wilson was Cabinet State Legislatures, the Council of State Governments, the National Secretary of New Mexico’s Children, Youth and Families Department Association of State Medicaid Directors, American Medical where she managed the state’s foster care system and treatment for Association, American Hospital Association, the National Health mentally ill children. This position led her to take an intense interest Policy Forum, committees of the U.S. Congress, and Medicaid in Medicaid and the ways in which the system can be improved reform groups in several states. He has been a guest on National to ensure the health of children and low-income vulnerable Public Radio and quoted on these issues in The New York Times, The populations. Washington Post, The Wall Street Journal, USA Today, Newsweek and Time magazine. Before joining HMA, Dr. Smith served as Michigan Medicaid director and as budget director for the human services agency during 30 years of public service. He holds a doctorate degree in Economics from Michigan State University. SPEAKER BIOS | 17 Solutions for Managing End-of-Life Care Yesterday, Presenters Bios Ruth Atkins As Executive Director for Passport Health Plan and Passport Today, Advantage, Ruth Atkins is responsible for oversight and execution of all health plan operations for the Medicaid and Medicare Advantage lines of business. Passport Health Plan has been ranked in the top Tomorrow 25 Medicaid ‘America’s Best Health Plans’ by US News and World Report and the National Committee for Quality Assurance. In 2008, Passport was ranked #9 in America’s Best Health Plans 2008-09’ of all With over 30 years of caring for hospice patients and their families, Medicaid Health Plans in America. Ms. Atkins has been with Passport VITAS leverages its expertise, innovation and industry leadership Health Plan since 1999 and has held various positions including Chief to provide cost-effective, quality solutions for managed care. Operating Officer. Prior to joining Passport Health Plan, Ms. Atkins was Manager of Health Care Programs for General Electric Appliances in Louisville, Kentucky, where she was responsible for the management • Established protocols and • A strategic partner to assist in and delivery of health care programs for employees in the Appliance guidelines to identify hospice managing excessive ED visits Division. She also served in key positions with Norton Healthcare and appropriate patients Aetna Health Plans. Ms. Atkins has over 25 years of progressive health speakers • A responsive partner for decreasing care experience. • Industry leading quality hospitalization by providing home measurement data based care • A cost effective choice to meet the Clifford E. Barnes comprehensive medical, emotional, Clifford Barnes is member of the law firm, Epstein, Becker and Green spiritual needs of the terminally ill in its Health Care and Life Sciences Practice. Mr. Barnes represents Over providers, including hospitals, hospital systems, ancillary service • Comprehensive continuing companies, managed care companies, specializing in Medicare and education programs to Medicaid managed care companies, non-profit associations and enhance clinician understanding contract research organizations. He counsels health care providers on and utilization of hospice issues related to mergers, acquisitions, joint ventures, various forms of years contracting, including risk arrangements, international transactions, When a participant becomes antitrust issues, fraud and abuse, compliance programs, and federal seriously ill, it can be difficult to and state regulations; serves as general and special counsel for know what type of care is best… managed care companies, including Medicare and Medicaid health or where to turn for help. plans; as well as serves as general and special counsel for non-profit associations, including the Medicaid Health Plans of America, and the VITAS can help. National Medical Association, among others. Prior to entering law school, Mr. Barnes worked as the Executive Assistant to the Deputy Commissioner of the New York City Health Department and as the Assistant Director for Project Review at the Health System Agency of Founded in 1978 New York City. 1.800.873.5198 [email protected] VITAS.com 18 | 2009 MHPA ANNUAL MEETING SPEAKER BIOS | 19
Bassem A. Bejjani, MD, FACMG card and underwriting automation technologies. She was also a Dr. Bejjani is Chief Medical Officer and co-Founder of Signature Genomic consultant and market researcher for Charles J. Singer & Co. and held Laboratories, LLC. He is also an Adjunct Professor in the Department management positions at Bay State Health Care, Blue Cross Blue Shield of Ophthalmology at the University of Washington in Seattle. He is of Massachusetts and the Massachusetts Health Data Consortium. She Director of the Genetic Fellowship Training Program in Clinical Molecular holds a bachelor’s degree from the University of Colorado. Genetics and Clinical Cytogenetics at Sacred Heart Medical Center Spokane. Dr. Bejjani obtained his medical degree from the American Karen L. Clark University of Beirut, in Beirut, Lebanon. He completed his fellowship Karen Clark is the President and Chief Operating Officer of Horizon NJ training in Molecular Genetics and Cytogenetics at Boston University Health, New Jersey’s largest managed health care company serving the School of Medicine. He trained in Pediatrics at the University of North publicly insured. At Horizon NJ Health and throughout her career, Ms. Carolina Hospitals-Chapel Hill, and in Medical Genetics at Baylor College Clark has maintained her focus for ensuring that accessible, affordable of Medicine in Houston. He is board certified in Medical Genetics, Clinical quality health care is made available for all, especially the uninsured Molecular Genetics, Clinical Cytogenetics and Pediatrics. and at risk population. She is a leader and a businessperson who understands the role of public and private partnerships which address Meg Booth systematic health care issues. As an advocate, she understands the value in working with community groups as important partners in Meg Booth is the Deputy Executive Director of CDHP, where she change. Ms. Clark has concentrated on developing “Best Practices” in manages policy efforts to improve the health and health care systems managed care to impact outcomes, access and quality. She explores for children. Prior to joining CDHP, Ms. Booth served as a Policy Analyst ways to effectively utilize funding to ensure access for the publicly for children with special health care needs and early childhood issues at insured population in New Jersey. Her participation with local, state speakers the Association of Maternal and Child Health Programs. Her background and national organizations includes service with faith-based, school and includes working to educate policy makers on child health issues at community groups. As a volunteer, she has a focus on improving the the local, state and national levels. Ms. Booth worked with local health health behaviors for young people. department in North Carolina to assess and evaluate their strategies to enroll children into public health care coverage. Additionally, she also speakers worked in the Family Services Bureau at the Iowa Department of Public Carrie Cunningham Health developing the state Title V Block Grant application and outreach Carrie Cunningham has more than 22 years of leadership experience in strategies for enrolling Iowa’s children into Medicaid and SCHIP coverage. Managed Care. As Vice President of Business Development, she leads Additionally, Ms. Booth was a Policy Associate with the Alliance for Health HMS’s Managed Care Unit’s national agenda to bring HMS services to Reform and a private consultant at the Center on Budget and Policy the Medicaid Managed Care and Medicare Advantage Health plans. She Priorities. She holds a bachelor of arts in Community Health Education also serves as General Manager and Vice President of HMS’s Software with a minor in Women’s Studies from the University of Northern Iowa, Services Division, which provides proprietary software for public health as well as obtained a Master’s in Public Health from the Department of clinics. Ms. Cunningham joined HMS in 1998, after previous success Maternal and Child Health at the University of North Carolina at Chapel with Blue Shield of California and the Blue Cross Blue Shield National Hill. Association.
Cynthia Burghard Karen M. Dale, RN, MSN Cynthia Burghard, Senior Vice President of Market Intelligence, spearheads Karen M. Dale is Executive Vice President of Operations and Strategy ikaSystem’s market strategy and is a renowned expert in the health at DC Healthcare Systems, Inc. (DCHSI) and is responsible for the insurance industry. She has spent over 30 years in the health care strategic direction and expansion efforts for DCHSI, the owner, of DC information systems market, holding market research, consulting and Chartered Health Plan, Inc., the oldest minority-owned and operated analytic product development roles for health care payers, employers, Medicaid Managed Care Organization (MCO) in the District of Columbia. providers and regulators. Before joining ikaSystems, Ms. Burghard was Currently serving over 80,000 members, Chartered is the largest a research director for 14 years at Gartner, a leading IT research and MCO in Washington, DC. Ms. Dale brings to DCHSI over 25 years of advisory services firm, where she authored over 100 publications on experience, including broad and comprehensive expertise in health topics such as care management, consumer engagement, magnetic care. She served as the CEO for Greater Southeast Community Hospital, 20 | 2009 MHPA ANNUAL MEETING SPEAKER BIOS | 21
Hadley Memorial Hospital and Skilled Nursing Facility and DC General Robert Hall Ambulatory and Emergency Care Centers. In addition, she previously Robert Hall is currently an Assistant Director in the Washington, DC served as Chartered’s COO for the DC HealthCare Alliance Program. She office of the American Academy of Pediatrics. His work is focused was a senior staff member at the DC Department of Health, where she on federal advocacy related to children’s health, specifically in the managed public health programs in the areas of diabetes, addiction, areas of access to care; health care financing, quality and information prevention and recovery, asthma, immunization, maternal and child technology; medical liability; and pediatric practice. He chairs the health services and external affairs. She brings significant experience Children’s Health Group. Previously, Mr. Hall served as Legislative at all levels of health care delivery and management and has specific Counsel to Senator Mark Dayton (D-MN). As chief legal advisor for expertise in program development, operational effectiveness and the senior senator from Minnesota, Mr. Hall managed the health care, financial management. labor, education, immigration, judiciary, pensions, and social security policy portfolio and staffed the Senator on the Governmental Affairs Licy Do Canto Committee (since renamed the Homeland Security and Government Licy Do Canto a Principal at the Raben Group, where he co-leads Affairs Committee). He also managed Senator Dayton’s signature the firm’s Health and Education Practice Group. With more than 14 campaign issue, advocating for prescription drugs coverage under years of successful government relations, lobbying and management Medicare. Mr. Hall holds a Juris Doctorate from the University of Texas experience, Mr. Do Canto brings a wealth of knowledge and experience School of Law in Austin, Texas and a Masters in Public Affairs from the to clients on health and health care policy, and has a proven track Lyndon B. Johnson School of Public Affairs, where he was managing record of building bipartisan consensus on and guiding federal editor of the LBJ Journal of Public Affairs. He also earned a Bachelor of legislation into law; creating and managing bipartisan coalitions; Arts in political science from Haverford College. and directing large, complex policy and legislative campaigns at the speakers national level. Mr. Do Canto most recently served as chief executive Kevin R. Hayden officer of the AIDS Alliance for Children Youth and Families, a leading Kevin R. Hayden is President of WellPoint’s State Sponsored Business. national, non-profit advocacy organization focused on improving Appointed to this role in April 2008, Mr. Hayden’s responsibilities include access to HIV/AIDS prevention, care and treatment for under-served the development, implementation, management and expansion of communities across the United States. Mr. Do Canto is largely credited speakers health coverage for the underserved through government programs with significantly strengthening the Alliance’s operational and policy such as Medicaid, State Children’s Health Insurance Programs, and structure and considerably expanding and fortifying its relations with other publicly funded programs for the uninsured and underserved public and private sector partners. Prior to the Alliance, Mr. Do Canto populations. He leads WellPoint’s Medicaid business, which currently served as the director of federal affairs for the National Association of serves 1.8 million members in 10 states. Mr. Hayden has over 23 years of Community Health Centers (NACHC). experience in health care administration. He served as Secretary of the Department of Health and Family Services for the State of Wisconsin and Christina Dragonetti was responsible for leading all public health and care delivery services to over 900,000 residents. He was a key architect in creating Badgercare Christina Dragonetti is responsible for sales and service to HMS’s Plus, an innovative program expanding coverage to all children in commercial markets, including business development, product Wisconsin. Prior to that, Mr. Hayden served as the Administrator for expansion and customer management. She works closely with Wisconsin’s Division of Health Care Financing, where he was responsible commercial clients and health care industry representatives regarding for the oversight of the Wisconsin Medicaid Program. Mr. Hayden also trends in government-sponsored and private health care, opportunities served nearly 10 years as President and Chief Administrative Officer at emerging as a result of health care reform, and response to federal and Dean Health Systems, Inc., a billion dollar multi-specialty integrated state requirements. Prior to joining HMS, Ms. Dragonetti was Senior healthcare delivery system with a physician group practice of more than Vice President for the Reimbursement Services Group, Inc., and led 500 physicians and 3,400 employees in Madison, Wisconsin. the delivery of cost management services to a broad array of health care providers across the country. She has more than 20 years of experience within the HMS family of companies, service multiple roles in marketing, corporate strategy and product development. She holds a Bachelor’s of Arts from Barnard College. 22 | 2009 MHPA ANNUAL MEETING SPEAKER BIOS | 23
Arthur R. Henderson, Jr. Daniel J. Hilferty Arthur Henderson has years of experience in government, private sector As President and Chief Executive Officer of AmeriHealth Mercy, Daniel and university environments in the design, development and marketing J. Hilferty is responsible for the leadership, strategic direction, business of technology-based products and services. He currently is CEO of development and operations of the AmeriHealth Mercy Family of Affinity Networks, Inc., a systems integration firm delivering products Companies, including its sister organization, Keystone Mercy Health and services to the health care and homeland security industries. In Plan, the largest Medical Assistance managed health care organization in addition to the numerous other firms he has founded, he gained valuable Southeastern Pennsylvania. Headquartered in Philadelphia, AmeriHealth experience at IBM, where he participated in the development and Mercy and its affiliated health plans comprise the largest family of management of command and control systems for nuclear submarines, Medicaid managed care plans in the United States. Through ownership, and implemented advanced systems for the Central Intelligence Agency. affiliation or management, AmeriHealth Mercy touches the lives of His latest venture, Affinity Networks, has recently launched IntelaCare, a more than 2 million members nationwide. Mr. Hilferty has more than 20 cell and broadband phone based service that delivers multimedia health years of experience in health care, government affairs, communications care content and applications to specific patient populations. The Army and education. He was previously Senior Vice President of Corporate and several commercial entities are currently using IntelaCare to deliver and Government Affairs for Mercy Health System in Southeastern two-minute diabetes management videos to the cell and broadband Pennsylvania. In this capacity, he coordinated all government relations home phones of patients and employees. IntelaCare has demonstrated activities, corporate communications, marketing initiatives, development daily viewership as high as 70%, and has had a significant impact on the and community outreach efforts. Prior to his tenure at Mercy Health health of all participants, with similar results expected in other chronic System, Mr. Hilferty was the Executive Director of PennPorts with disease areas. the Office of Pennsylvania Governor Robert P. Casey. He managed all
economic development programs and legislative relations related to the speakers Catherine Hess ports of Philadelphia, Pittsburgh and Erie. Catherine Hess is a Senior Program Director based in the National Academy for State Health Policy’s Washington, DC office, where she Anand K. Iyer, PhD develops and directs programs focused on child health coverage, Dr. Iyer serves as president and COO of WellDoc Communications,
speakers community health centers, and other health policy topics important to Inc., where he oversees the deployment of the company’s cell phone- states. She serves as the Program Director for Maximizing Enrollment and web-based diabetes management platform, and leads efforts to for Kids, a $15 million national initiative of the Robert Wood Johnson integrate WellDoc’s solution internationally into mainstream chronic Foundation; the Project Director for a David and Lucile Packard disease management programs. Dr. Iyer has more than 20 years of Foundation program funded for over a decade to provide technical consulting experience. Previously, he served as a director (partner) at assistance to and report on state CHIP programs; and Project Director PRTM Management Consultants in the firm’s communications industry for NASHP’s National Cooperative Agreement with HRSA’s Bureau of group and led its wireless solutions practice. During his 14-year tenure Primary Health Care to better inform state policy-making as it affects with PRTM, Iyer helped companies in commercial and government federally qualified health centers. Catherine has nearly 30 years of senior sectors capitalize on the convergence of three trends – internet ubiquity, and executive level state and national health policy experience. She emerging wireless technologies and innovation business models – to was the first Executive Director of the Association of Maternal and Child unlock new business and customer value. He is also the founder and Health Programs (AMCHP), a position she held for 14 years. In the 1980’s, president of the In-Building Wireless Alliance, a global, cross-industry, Ms. Hess served as Director of the Policy Office for the Massachusetts not-for-profit focused on accelerating the adoption of in-building wireless Department of Public Health’s Division of Family Health, where she technologies to improve public safety response, energy consumption and played an instrumental role in the development of the nation’s first state real estate value for buildings. maternity care insurance program, Healthy Start. 24 | 2009 MHPA ANNUAL MEETING SPEAKER BIOS | 25
John Kaelin Boards, Committees and JCAHO Accreditation. Bob received a B.A. in Life John Kaelin is a Senior Vice President at the AmeriChoice Corporation, Science from Indiana State University with his graduate work at Indiana a subsidiary of UnitedHealth Group. AmeriChoice health plans serve University. more than 2.7 million Medicaid, Children’s Health Insurance Program (CHIP) and Medicare beneficiaries in 22 states. John is heavily involved Behzad Mohazzebi in the Company’s efforts to develop new products for Medicaid and the Behzad Mohazzebi is Founder and President of Dynamic Commerce uninsured and works closely with states on Medicaid managed care Applications, Inc. Prior to founding DCA in 1991, Behzad Mohazzebi rate-setting issues. Earlier in his career at the New York State Health started ACS. He then directed ACS, and later DCA, to support health Department, he played a leadership role in the establishment of New care organizations using this package across the US and Canada. In the York State’s Medicaid managed care program in the mid-1990s. After late 1990’s, Mr. Mohazzebi focused on HIPAA, with special attention on leaving New York state service, John was appointed Chief Executive at Medicaid and Medicare Encounter Reporting and Revenue Management. the University of Maryland’s Center for Health Program Development and For the last seven years Mr. Mohazzebi’s primary focus has been on Management in 1998 where he helped implement the concept of risk Medicaid and Medicare Risk Adjustment, Encounter Reporting, and adjusted payments in a number of states. Revenue Management. Mr. Mohazzebi has a BA degree in Quantitative Economics from Robert College in Istanbul, Turkey. Barry M. Kinzbrunner, MD, FACP, FAAHPM Dr. Barry Kinzbrunner is executive vice president and chief medical officer Timothy Murphy for VITAS Innovative Hospice Care®, one of the nation’s oldest and largest Timothy Murphy joined Beacon in 2007 as President. Prior to joining
providers of end-of-life care. Barry has cared for the terminally ill and Beacon, Mr. Murphy served as the Secretary of Health and Human speakers their families since 1984. As chief medical officer, he serves as liaison Services for the Commonwealth of Massachusetts. A recognized leader between VITAS’ growing array of hospice programs and community in health care policy, Mr. Murphy’s signature accomplishment during physicians providing hands-on care to more than 11,000 patients each his tenure was the development, passage, and initial implementation day. A national leader in defining the role of the hospice medical director, of the landmark Massachusetts health care reform law. Prior to his Barry has extensive experience in developing professional performance governmental service, Mr. Murphy was a successful investment banker speakers standards, pain and symptom management guidelines, quality assurance, in New York City. He holds a BA from Merrimack College, where he is a and hospice and palliative care education. He was involved in the member of the college’s Board of Trustees, and an MPP from Harvard development of a medical education and research program in hospice University. and palliative care for third-year medical students enrolled at the University of Miami. Barry joined VITAS in 1984 as a team physician. He is the lead author of the respected hospice textbook, 20 Common Problems Jeremy J. Nobel, MD, MPH in End-of-Life Care, Barry has published nearly 30 articles in peer-reviewed Dr. Nobel designs health care management and delivery systems journals and authored a chapter on the care of the terminally ill cancer that focus on cost and quality concerns. Working with employers, patient for a medical oncology textbook. He has written on the treatment government, as well as health plans, he develops and evaluates of cancer pain and the team approach to pain management. computer-based information technology applications that coordinate critical aspects of health care delivery, support optimal practice patterns Robert McDaniel and improve patient satisfaction. His contributions to this field span Robert McDaniel, State Government, directs Roche Diagnostics Diabetes 20 years, and include providing health policy insight to the landmark Care State Medicaid efforts across the country and develops State Institute of Medicine of 1991 study addressing the automated patient partnership strategies through Pharmacy Benefit Management, Managed record. He has worked in consultation to several major corporations Care and Care Management Programs. Prior to joining Roche Diagnostics, and foundations in the design and evaluation of effective health Bob served as Wellcare (Harmony Health Plan of Indiana) Vice President care management programs including Blue Cross/Blue Shield of of Network Development and Operations. In addition, Bob has served Massachusetts, J&J, Mercer, HBOC, Chrysler, GM, Safeway, Sanofi-Aventis, in senior level positions with Anthem BCBS and PacifiCare Health Plans. Pfizer, GSK, Verizon, CAREMARK, IBM, Medtronic, McKesson, Blue Shield Bob has two decades of experience in, overseeing Medical Advisory of CA Foundation and the California Endowment. He is on the adjunct faculty of the Harvard School of Public Health where he teaches and does research on the health policy and management issues related 26 | 2009 MHPA ANNUAL MEETING SPEAKER BIOS | 27
to improving care delivery processes through better information David J. Sand, MD, MBA, FACS, CHCQM, FAIHQ management. Dr. Nobel is Board Certified in both Internal Medicine and Dr. David J. Sand received his undergraduate and medical degrees Preventive Medicine with Master’s Degrees in Epidemiology and Health from Brown University. After nearly 15 years of private practice, Policy from the Harvard School of Public Health. He graduated magna he earned his MBA with a Health Care concentration from Regis cum laude from Princeton University within the Science and Human University in Denver. Dr. Sand has been involved in issues of Affairs program. He received his medical education at the University of regulatory compliance at the administrative level since 1999, Pennsylvania and completed his internal medicine residency at the Beth first as Medical Director of a start-up national hearing health care Israel Hospital, Boston. company, and then as Medical Director of Permedion. As Chief Medical Officer for HMS, he has been integrally involved in the Lee Partridge company’s Independent Medical Review work. He has extensive experience on issues of medical necessity and appropriate coding, Lee Partridge is a senior health policy advisor at the National Partnership and provides quality oversight for Permedion’s independent medical for Women and Families, where she specializes in performance peer review activities. His involvement with multiple state Medicaid measurement and quality improvement issues with special reference to agencies and Medicaid Managed Care Organizations has included lower income individuals and families. From 1992-2003, she headed the both extensive contract oversight of, and direct responsibilities for, health policy section of the American Public Human Services Association; the medical review of disputed health care claims issues as well as the Association provides the staff support for the National Association providing input regarding a variety of issues including coverage of State Medicaid Directors. From 1983-1992, she directed the Medicaid policy. program for the District of Columbia. Her background also includes seven years on the staff of a U.S. Senator and five as chief of staff for speakers the health and welfare committee of the DC City Council. She has co- Harvinder Sareen, PhD chaired several performance measurement committees of the National Dr. Harvinder Sareen is the Director of Clinical Programs at Quality Forum (NQF) and recently completed serving on its committee WellPoint’s State Sponsored Business. She plays a key role in to evaluate a set of perinatal quality measures. She is also a member leading WellPoint’s efforts to address childhood obesity among its of the NCQA Advisory Panel considering measurement approaches for commercial and Medicaid members and facilitating innovative BMI evaluating the Patient-Centered Medical Home. speakers training and other resources for primary care physicians. Under her leadership, the initiative has partnered with academic institutions Lourdes Rivas for the scientific evaluation of initiative activities. Her work has recently expanded into diabetes care, advancing the Medicaid Lourdes Rivas is Vice President of Client Services – Managed Care for Medical Home agenda, and using advanced healthcare analytics to the DentaQuest government division. Prior to her role at DentaQuest, enhance care management for Medicaid and SCHIP members. In Ms. Rivas served as Chief Operating Officer of Atlantic Dental Inc. ADI addition to the above responsibilities, Dr. Sareen has developed was acquired by DentaQuest in 2008. DentaQuest is one of largest SimpleSteps, a pilot wellness program for employees under the government dental benefits administrators in the nation. It currently umbrella of WellPoint’s Choose Better Health program. She is also serves nearly 50 managed care organizations, seven state agencies, co-chair of the California Wellness Committee for WellPoint and is a 12 million members and approximately 17,000 participating dentists. member of the WellPoint’s Women’s Wellness Committee. DentaQuest also offers vision benefits administration through its affiliate, eyeQuest. Ms. Rivas is in the midst of guiding her clients through an expansive operational and system change. The initiative is comprised of enabling technologies that will provide DentaQuest with the tools to set benchmarks for the industry in claims processing, reporting, cost management and wellness research.
28 | 2009 MHPA ANNUAL MEETING | 29
Fred L. Sharpe, DDS Mesfin Tegenu Dr. Fred Sharpe serves as the Chief Dental Officer for Avesis. Dr. Mesfin Tegenu is President of PerformRx, AmeriHealth Mercy’s Sharpe has over twenty-four years of experience with dental benefits pharmacy benefit management division. Prior to his current administration and has personally led dental HMO, PPO and discount role, Mr. Tegenu held a number of management and executive programs across the country. He has been responsible for the positions. His broad range of experience in the field of managed development of the Avesis Medicaid and Medicare dental programs care pharmacy provides him with the knowledge and expertise along with the Avesis Preventive Plus and Restorative Plus programs. required to resolve both commonplace and unique problems Dr. Sharpe has been with Avesis since 2003 and has overseen the encountered when providing a comprehensive pharmacy development of the Avesis Medicaid and Medicare dental networks, benefit. In addition to his New York State Pharmacy license, Mr. the quality assurance processes and the overall dental administrative Tegenu has a Bachelor of Pharmacy degree from Addis Ababa programs. University, Addis Ababa, Ethiopia, and a Masters of Science degree from St. John’s University, Jamaica, New York.
Andreas Stuhr, MD, MBA Daniel Tillotson Andreas Stuhr, MD, is Medical Director North America, Roche Diabetes Daniel Tillotson is CEO of The Prevention Plan™, a business unit Care. Dr. Stuhr graduated from Ludwig-Maximilians University Medical of U.S. Preventive Medicine®, and has served in this position School in Munich, Germany with a Doctor of Medicine degree. Before since October 2007. Serving clients in 46 states, the company becoming a licensed medical doctor, he completed his clinical training is URAC and NCQA accredited as well as HIPAA compliant. The at The Marshfield Clinic and Hospital, Marshfield, Wisconsin. He
Prevention Plan provides a comprehensive suite of primary, speakers provided adolescent and pediatric endocrine and diabetes care at the secondary and tertiary prevention and disease management University Children’s hospital in Munich Germany for five years. He solutions for employers, as well as Medicare and Medicaid earned his Master of Business Administration and Business Informatics service providers. Mr. Tillotson’s health care career spans three from the Rotterdam School of Management, Erasmus Graduate decades in the development and operation of successful, School of Business, in the Netherlands. Before joining Roche in 2005 innovative companies in the health care industry. In 1975, in Mannheim, Germany, he worked for Eli Lilly and Co. as Scientific speakers he joined American Health Plans (AHP) functioning as the Advisor and for Becton, Dickinson and Company Europe as Medical company’s COO. AHP provided innovative, center-based Director Europe both for Diabetes Care and Medical Surgical Systems, managed care including primary, specialty, diagnostic, vision, BD Medical. and pharmacy services to Medicare and commercial groups. The company was one of the first to become federally qualified and one of the first acquisitions of CIGNA. After the acquisition, Mr. Bob Tanner, CPA, MBA Tillotson became general manager for the region as the AHP As PharmaStar’s Director of Operations, Bob Tanner currently oversees model was replicated across the country. the operations and business functions for PharmaStar LLC, a pharmacy benefit manager specializing in Medicaid and Medicare. In this role, Bob has developed partnerships with several organizations including Medicaid Health Plans of America (MHPA) and the National PACE Association (NPA). Prior to his current position, Bob has seven years of experience in accounting with several health plans. Bob received a bachelor of science degree in Accounting from Minnesota State University, Mankato and an MBA from the University of Minnesota. He is also a CPA and is a Six Sigma green belt.
SPONSORS | 31
Sponsors
MHPA wants to thank its sponsors for its most generous support:
2009 MAJOR SPONSORS
EPSTEIN BECKER & GREEN, P.C.
2009 PARTNERS sponsors 32 | 2009 MHPA ANNUAL MEETING SPONSORS | 33
ANNUAL MEETING SPONSORS & EXHIBITORS
PharmaStar Your PBM. On your time. sponsors sponsors 34 | 2009 MHPA ANNUAL MEETING EXHIBITORS | 35
Exhibitors Exhibitor Floor Plan for Ballroom Prefunction List of Exhibitors and Booth # Location (alpha order)
34 - Access2Care (Ballroom) 28 - AmeriHealth Mercy Family of Companies (Ballroom) First 14 - Avesis Recovery Group Avesis Vitas HMS 22 - Block Vision 07 - Connolly Healthcare Medco 20 - DCA 20 33 - DentaQuest (Ballroom) DCA Forest 08 - Emdeon Pharmaceuticals Roche 29 - Epstein Becker & Green (Ballroom) Diagnostics 13 - First Recovery Group Ortho- Signature McNeil Genomics 09 - Forest Pharmaceuticals Emdeon Optimetra 31 - Health + Solutions (Ballroom) Connolly 32 - Health Integrated (Ballroom) Healthcare 21 Patriot 12 - Health Management Associates (Ballroom) 27 26 - Health Trio (Ballroom) 16 - HMS ika Cyber Café Block Vision 06 - ika Systems Systems 01 - MEDai 17 - Medco ZirMed 03 - NaviNet 19 - Optimetra 23 Smart Data Trizetto 11 - Ortho-McNeil Group 21 - Patriot Data Services 24 - PharmaStar (Ballroom) 18 - Roche Diagnostics NaviNet TMG MeDai Health 10 - Signature Genomics 23 - Smart Data Solutions
25 - Staywell Custom Communications (Ballroom) exhibitors 02 - TMG Health 30 - TMS Management Group (Ballroom) 04 - The Trizetto Group 35 - US Preventative Medicine, Inc. (Ballroom) 15 - Vitas Health Innovative Hospice Care
exhibitors 27 - Cyber Café 05 - ZirMed 36 | 2009 MHPA ANNUAL MEETING ATTENDEES | 37
Exhibitor Floor Plan for Ballroom Attendee List attendees
Epstein The following individuals had registered to attend (as of October 20): Health Becker & Health + Trio Green Solutions Cathy Adler 25 26 28 29 30 31 Health Marketing Manager of Managed Care, Roche Diagnostics, Indianapolis, IN 24 Staywell AmeriHealth TMS 32 Integrated Mercy Management Pharmastar Group Karen Amstutz DentaQuest Health Management 33 Medical Director, WellPoint State Sponsored Business, Camarillo CA 12 Associates 34 Access2Care Joseph Antonucci US Preventative Executive Vice President, Patriot Managed Care Solutions, Houston, TX 35 Medicine Kevin Ashliman Assoc. Director, Customer Marketing, Merck & Co., Inc., North Wales, PA
Ruth Atkins Executive Director, Passport Health Plan, Louisville, KY
Jennifer Babcock Director of Policy, Association for Community Affiliated Plans, Washington, DC
Paul Bader Director, Payer Strategy, Merck & Co., Inc., North Wales, PA
Bryan Baier VP, Government & Regulatory Affairs, WellCare Health Plan, Tampa, FL
Deanna Banks Principal, Furst Group, Washington, DC
Bassem Bejjani Chief Medical Officer, Signature Genomics, Spokane, WA
Jill Bell Vice President of Public Affairs. Passport Health Plan, Louisville, KY
Drew Berento AmeriHealth Mercy Family of Companies, Philadelphia, PA
George Bilyk exhibitors Director, Government Channel Strategies (Strategic Customer Group), Ortho-McNeil Janssen Pharmaceuticals, Inc., Titusville. NJ 38 | 2009 MHPA ANNUAL MEETING ATTENDEES | 39
Pat Bollom Jim Carlough Owner, Smart Data Solutions, Mendota Heights, MN VP Client Development, HMS, Irving, TX attendees
Nancy Borah Carroll Carlson Business Development Consultant, Optimetra, Inc., Monument, CO Group Health Cooperative of Eau Claire, Augusta, WI
Patrick Brier Donna Carris
attendees Attorney, Brier & Associates, Scranton, PA CEO, Health Right, Washington,, DC
Martin Brill Monica Cartwright SVP Finance/CFO, Health Partners of Philadelphia, Philadelphia, PA Reg. Account Executive, North Wales, PA
Julia Brillhart Angelo Castillo State Director, WellPoint State Sponsored Business, Camarillo, CA Government Programs Manager, Unity Health Insurance, Sauk City. WI
R.J. Briscione Flora Castillo Director, Government and Community, Peach State Health Plan/Centene, VP, Corporate Marketing, AmeriHealth Mercy Family of Companies, Smyrna, GA Philadelphia, PA
Doug Brown Heidi Chan Chairman, NCDR LLC/Kool Smiles, Atlanta, GA AmeriHealth Mercy Family of Companies, Harrisburg, PA
Jamie Bruce Ray Cioffi Chief Compliance Officer & Director of External Affairs, MdWise, Senior Sales Executive, Human Arc, Cleveland, OH Indianapolis, IN Karen Clark David Buchsbaum President & COO, Horizon NJ Health, West Trenton, NJ Medical Director, WellPoint State Sponsored Business, Camarillo, CA Kevin Clark Cynthia Burghard VP of Marketing, Connolly Healthcare, Wilton, CT Senior VP, Market Intelligence, ikaSystems, Southborough, MA James Clark Kathryn Busby State Government Stategy & Relations, Roche Diagnostics, Executive Director, Arizona Association of Health Plans, Phoenix, AZ Indianapolis, IN
Bob Cacciola Amy Clubbs Events Manager, NaviNet, Cambridge, MA COO, Molina Healthcare of Ohio, Columbus, OH
Kevin Campbell Marvin Cobern State Director, WellPoint State Sponsored Business, Camarillo, CA Vice President of Strategic Planning, Molina Healthcare, Inc., Long Beach, CA
Mike Campisi Corey Coleman Sr. Director, Sales & Marketing, ESA Magellan Biosciences, Chelmsford, MA Manager of Legislative & Public Affairs, AmeriHealth Mercy Family of Companies, Philadelphia, PA Brandy Cantor MML&K Government Solutions, Frankfort, KY Mitch Collins State Director WellPoint State Sponsored Business, Camarillo, CA 40 | 2009 MHPA ANNUAL MEETING ATTENDEES | 41
Carrie Cunningham Katie Dunning VP Business Development, HMS, New York, NY The Palmetto Policy Group, Columbia, SC attendees
Alec Cunningham Keith Eckert President FL & HI Division, WellCare Health Plan, Tampa, FL Associate Vice President, AmeriHealth Mercy Family of Companies Philadelphia, PA Sam Currie
attendees Director of Pharmacy Services, Horizon NJ Health, West Trenton, NJ Becky Erbe AVP, Government Programs, The Trizetto Group, Phoenix, AZ Donna Daddario SVP Pharmacy, Health Partners of Philadelphia, Philadelphia, PA Phillip Fairchild Director of Provider Services, Select Health of South Carolina, Karen M. Dale Charleston, SC Executive Vice President, D.C. Healthcare Systems, Inc., Washington, DC Kimberely Fedor James Dalessio Manager, MA Medical Management, UPMC Health Plan, Pittsburgh, PA Controller, Horizon NJ HealthWest, Trenton, NJ Jay Feldstein DeDe Davis Corporate Chief Medical Officer, AmeriHealth Mercy Family of Companies Vice President of Operations and Contracting, Passport Health Plan, Philadelphia, PA Louisville, KY Corey Fenoglio Laurie Dean Sales Manager, HMS, Irving, TX Sr. Vice President of Operations, Ucare, Minneapolis, MN Karen Ferry Randolph Desonia Partner, The Harwich Group, LLC, Providence, RI Director of Medicaid Policy, America’s Health Insurance Plans, Washington, DC Jeff Flick Regional Vice President, WellPoint State Sponsored Business Licy DoCanto Camarillo, CA Principal, The Raben Group, Washington, DC James Francesconi Christina Dragonetti Attorney, Haglund & Kelley Law Firm, Portland, OR Senior Vice President of Managed Care, Health Management Systems, Inc. New York, NY Carl Garrett Manager, Government Affairs, WellCare Health Plan, Tampa, FL Kari Dreyer-Goldman Staff Vice President, WellPoint State Sponsored Business - Field Operations William George Camarillo, CA President & CEO, Health Partners of Philadelphia, Philadelphia, PA
Chirstopher Drumm Lisa Getzfrid Senior Vice President, Government & External Affairs, AmeriHealth Mercy Sr. VP Product Development, AmeriHealth Mercy Family of Companies Family of Companies, Philadelphia, PA Philadelphia, PA
Wendy Duff Frederic Goldstein Manager of Business Development & Marketing, Connolly Healthcare President, U.S. Preventive Medicine, Inc., Jacksonville, FL Wilton, CT 42 | 2009 MHPA ANNUAL MEETING ATTENDEES | 43
John Gorman Russell Hereford CEO, The Gorman Group, Washington, DC Deputy Regional Inspector General, US Department of Health & Human, attendees Services, Boston, MA Natasha Greco Account Executive, NaviNet, Cambridge, MA Catherine Hess Senior Program Director, National Academy of State Health Policy William Greer Washington, DC
attendees Passport Health Plan, Louisville, KY Nikki Highsmith Ruth Anne Guerrero Senior Vice President, Center for Health Care Strategies, Hamilton, NJ Vice President, PMO, AmeriHealth Mercy Family of Companies, Philadelphia, PA Daniel Hilferty President and CEO, AmeriHealth Mercy Family of Companies Joyce Hagan Philadelphia, PA Regional President, Passport Health Plan, Louisville, KY Helen Homberger Sherita Haigler Vice President of Medical Management, Passport Health Plan, Louisville, KY NurseWise, St. Louis, MO Dr. Thomas Hui Robert Hall Senior Medical Director, Horizon NJ Health, West Trenton, NJ Assistant Director, American Academy of Pediatrics - Department of Federal Affairs, Washington, DC Ravi Ika CEO, ikaSystems, Southborough, MA Danielle Hansen Government Affairs Manager, WellPoint State Sponsored Business, Dr. Anand Iyer Camarillo, CA President & CEO, WellDoc Communications, Baltimore, MD
Nancy Hardy Kim Jayhan Senior Vice President, Sellers Dorsey, Philadelphia, PA Sales Executive, MEDai, Inc., Orlando, FL
Lynne Harsha Mike Jernigan AVP, PerForMED, Philadelphia, PA President & CEO, Select Health of South Carolina, Charleston, SC
Phyllis Hartstein Sunil Joshi VP Managed Care Division, HMS, New York, NY State Director, WellPoint State Sponsored Business, Camarillo, CA
Kevin Hayden John Kaelin President, WellPoint State Sponsored Business, Camarillo, CA Senior Vice President, AmeriChoice
Cindy Helling Arshad Kasim COO, Select Health of South Carolina, Charleston, SC Sales Executive, The Trizetto Group, Phoenix, AZ
Arthur Henderson David Kimpf President, Affinity Networks, Inc., Arlington, VA CEO, Optimetra, Inc., Monument, CO
Elizabeth Kingeter Senior Account Director, AstraZeneca, Warrington, PA 44 | 2009 MHPA ANNUAL MEETING ATTENDEES | 45
Jimmy Liu
Barry Kinzbrunner attendees Chief Medical Officer, Vitas Healthcare, Miami, FL Senior Consultant, DCA, Springfield, PA
Len Kiudgis Dorian Lo Director of Communications & Marketing, Horizon NJ Health, Chief Medical Officer, Medco, Franklin Lakes, NJ West Trenton, NJ John Lovelace attendees Sherry Knowlton President, UPMC Health Plan, Pittsburgh, PA AmeriHealth Mercy Family of Companies, Harrisburg, PA Thomas Lyman Tom Knox AmeriHealth Mercy Family of Companies, Philadelphia, PA Strategic Market Director (Strategic Customer Group), Ortho-McNeil Janssen Pharmaceuticals, Inc., Verona, KY William MacBain Senior Vice President, Finance, Gorman Health Group, Washington, DC Alan Krigstein Chadds Ford, PA Charlotte MacBeth President & CEO, MdWise, Indianapolis, IN William Kruegel VP of Compliance and RA, Sunshine State Health Plan/Centene Jackie Macias Sunrise, FL Vice President & General Manager, WellPoint State Sponsored Business Camarillo, CA Christopher Labonte Director of Client Services, Sellers Dorsey, Philadelphia, PA Joseph Manger Director of Regulatory Affairs, Horizon NJ Health, West Trenton, NJ Ingrid Lamirault Manager, Strategic Projects, Alameda Alliance for Health, Alameda, CA Pete Maniago National Account Manager, Managed Medicaid, Roche Diagnostics David Lavely Indianapolis, IN Sr. VP of Business Development, OptiCare Managed Vision Rocky Mountain, NC Larry Marchant President, The Palmetto Policy Group, Columbia, SC Kimberely C. Lawson Regional Sales Executive, Western Region, DentaQuest, Cave Creek, AZ Scott Markovich Regional Vice President, WellPoint State Sponsored Business Virginia Lee Camarillo, CA Vice President, U.S. Preventive Medicine, Inc., Jacksonville, FL John Mathewson Anita Lewis HSCSN, Washington, DC Legislative Program Manager, Health Partners of Philadelphia Philadelphia, PA Michelle Mayer Lower Gwynedd, PA Rose Lichtenstein Program Analyst, Office of Inspector General - US Department of Health Robert Mayock & Human Services, Boston, MA Vice President, Market Expansion, AmeriHealth Mercy Family of Companies, Philadelphia, PA Heidi Liedl Group Health Cooperative of Eau Claire, Altoona, WI 46 | 2009 MHPA ANNUAL MEETING ATTENDEES | 47
Candice McAuliffe Behzad Mohazzebi State Director, WellPoint State Sponsored Business, Camarillo, CA President, DCA, Springfield, PA attendees
Terry McBrayer John Montague Lexington, KY Director of Sales Support, TMG Health, King of Prussia, PA
Joseph McCormack Tonya Moody
attendees Eastern Region Sales Director, PerformRx, Philadelphia, PA AVP, Health Promotion & Program Development, AmeriHealth Mercy Family of Companies, Philadelphia, PA John McDaid Sr. Director of Strategic Projects, AmeriHealth Mercy Family of Companies Carl Moroff Philadelphia, PA Chief Vision Officer, eyeQuest, Mequon, WI
Robert McDaniel William Morsell National Accounts, Roche Diagnostics, Indianapolis, IN Senior Vice President. AmeriHealth Mercy Family of Companies Huntingdon Valley, PA Joe McDonald Regional VP, Sales & Business Development, NaviNet, Cambridge, MA Tom Murar Director Medicare/Medicaid, DCA, Springfield, PA Joanne McFall Associate Vice President, AmeriHealth Mercy Family of Companies Timothy Murphy Philadelphia, PA President & CEO, Beacon Health Strategies, LLC, Woburn, MA
Kearline McKellar-Jones Margaret Murray VP of Government Relations & Compliance, Health Partners of CEO, Association for Community Affiliated Plans, Washington, DC Philadelphia, Philadelphia, PA Joseph Musker John Meerschaert Centene, Washington, DC Principal and Consulting Actuary, Milliman, Brookfield, WI Victor Negron Michelle Miller Director, Marketing, AmeriHealth Mercy Family of Companies Director of Sales & Business Development, Nurtur, Oakland, CA Philadelphia, PA
Neal Miller Sonya Nelson Director of Business Development, Connolly Healthcare, Wilton, CT President and CEO, BlueCross Blue Shield TN, Chattanooga, TN
Rita Johnson Mills Erin Newton SVP-Regional Health Plan Operations, AmeriChoice, Minnetonka, MN Regional Account Manager, Forest Pharmaceuticals, Parkton, MD
Mike Miniati Jeremy Nobel VP, Marketing, Health Integrated, Tampa, FL Co-Founder, NaviNet, Cambridge, MA
David Mitchell Andrew Oreffice VP, Market Development, Medco, Franklin Lakes, NJ Vice President, Government & Industry Relations, NCDR LLC/Kool Smiles Atlanta, GA 48 | 2009 MHPA ANNUAL MEETING ATTENDEES | 49
Cindy Orth Michael Regan Director, Network Development. Columbia United Providers Area Director, Managed Markets, Forest Pharmaceuticals attendees Vancouver, WA Fort Washington, PA
Laura Palmer Lourdes Rivas Director of Health Plan Sales, StayWell Custom Communications Vice President of Client Services - Managed Care4, Middleton, WI DentaQuest, Coral Gables, FL attendees Lee Patridge Linda Roman Senior Health Policy Advisor, National Partnership for Women and Senior Sales Executive, Human Arc, Cleveland, OH Families, Washington, DC Dan Rome Gale Pearce Chief Medical Officer, Beacon Health Strategies, LLC, Woburn, MA Executive Director, AmeriHealth Mercy Family of Companies Indianapolis, IN Dee Roseler Regional Sales Director, Patriot Managed Care Solutions, Houston, TX Merri Pendergrass National Practice Leader - Diabetes Therapeutic Resource Center, David Rosen Medco Health Solutions, Fort Worth, TX President, First Recovery Group, Southfield, MI
Ralph Perez Karen Rosenberg Sales Representative, NurseWise, St Louis, MO Director of Business Development, Coordinated Transportation Solutions, Ansonia, CT Pam Persichilli Director of Utilization Management, Horizon NJ Health, West Trenton, Elizabeth Salter NJ Daichi Sanyo Pharmaceuticals, Inc., Bethesda, MD
David Plouffe David Sand Chief Campaign Manager, Barack Obama’s 2008 Presidential Campaign Chief Medical Officer, Health Management Systems Westerville, OH John Prange Owner, Smart Data Solutions, Mendota Heights, MN Marla Sandall Strategic Planning Director. WellPoint State Sponsored Business Ken Preede Camarillo, CA Director, Federal Affairs, Molina Healthcare, Inc., Long Beach, CA Dr. Harvinder Sareen Dolores Rago Director of Clinical Programs, WellPoint, Camarillo, CA Director of Health & Wellness, Horizon NJ Health, West Trenton, NJ Betsy Scarcelli Raghu Ramaya Vice President, Strategic Planning, AmeriHealth Mercy Family of Senior Vice President, Sales, ikaSystems, Southborough, MA Companies, Philadelphia, PA
Michael Rashid Denise Schifano AmeriHealth Mercy Family of Companies, Philadelphia, PA Associate Vice President of Quality Improvement, Member Services and Data Analysis, Passport Health Plan, Louisville, KY 50 | 2009 MHPA ANNUAL MEETING ATTENDEES | 51
Mark Shields Christopher Teska Political Analyst, commendtator and Columnist Manager of Medical Assistance Finance and Reporting, UPMC Health attendees Plan, Pittsburgh, PA Andrew Slabinski Sales Associate, First Recovery Group, Southfield, MI Jesse Thomas President, Molina Healthcare, Troy, MI Vernon K. Smith Tommy G. Thompson
attendees Principal, Health Management Assoiciates, Lansing, MI Former HHS Secretary and Wisconsin Governor Holly Smith VP, Business Development, Optimetra, Inc., Monument, CO Jacqueline Threadgill Managed Care Director, Signature Genomics, Spokane, WA Debra Smyers Senior Director, Product Development Medical Assist., UPMC Health Plan Daniel Tillotson Pittsburgh, PA CEO, The Preventive Plan, U.S. Preventive Medicine, Inc. Jacksonville, FL
Kathleen Snyder John Tobin Marketing Coordinator Coordinated Transportation Solutions, Ansonia, CT Vice President of Sales and Marketing, PerformRx, Philadelphia, PA
Linda Steinke Bob Tomek State Director. WellPoint State Sponsored Business, Camarillo, CA Vice President of Sales & Marketing, CenCorp Health Solutions, St. Louis, MO Mary Stom SVP of Healthcare Management and CMO, Health Partners of Philadelphia Christine Tremblay Philadelphia, PA Product Definition Manager, NaviNet, Cambridge, MA
Andreas Stuhr, MD Brenda Troutner Medical Director, Diabetes Care North America, Roche Diagnostics Chief Operating Officer, Venture Behavioral Health, Battle Creek, MI
Joseph Stulz Kim Tuck Senior Account Manager, Boehringer Ingelheim, Maple Glen, PA President & CEO, NurseWise, St. Louis, MO
Bob Tanner Michelle Vancura Director of Operations, PharmaStar, Eau Claire, WI VP/GM Carriers/TPAs, Medco, Franklin Lakes, NJ
Robert Taylor David Velez President & CEO, The Cameron Companies LLC (Keystone), Solebury, PA Director, Customer Marketing, Merck & Co., Inc., North Wales, PA
Mesfin Tegenu William Wagner President, Perform Rx, Philadelphia, PA Executive Director, Family Health Care Centers, Louisville, KY
Amy Tenhouse Mark Ward Director of Policy, Molina Healthcare, Washington, DC Director of Provider Network, South County Health Alliance, Owatonna, MN
Cynthia Warsh Vice President, Sales, APS Healthcare, White Plains, NY ATTENDEES | 53
Robert Watkins Chief Operations Officer, DC Chartered Health Plan, Inc., Washington, DC attendees
Nickalas Watsula Sr. Director of Medical Assistance & Medicare Special Needs Plan, UPMC Health Plan, Pittsburgh, PA
Bradley Waugh President & CEO, NaviNet, Cambridge, MA EPSTEINBECKERGREEN HEALTH CARE & LIFE SCIENCES Bradley Weaver Managing Director, Ingenix Consulting, West Greenwich, RI Thought Leaders in Health Law ® Katherine Wentworth COO, MdWise, Indianapolis, IN
John Wernert Chief Medical Officer, MdWise, Indianapolis, IN
Chad Westover Vice President, WellPoint State Sponsored Business, Camarillo, CA Dedicated to improving America's health care system by providing legal services unparalleled David White President, Coordinated Transportation Solutions, Ansonia, CT in quality, value and responsiveness. Michael Willis SVP, Chief Information Officer, AmeriHealth Mercy Family of Companies To us, it's more than a business. It's a mission. Pikesville, MD
Heather Wilson Former Member, U.S. Congress; Former Member, U.S. House Energy and Commerce Committee
Michael Wright Sr. Vice President of CAO, AmeriHealth Mercy Family of Companies Clifford E. Barnes Philadelphia, PA 1227 25th Street, NW, Suite 700 Washington, DC 20037-1156 Leslie Zavodnick Vice President Corporate Initiatives, AmeriHealth Mercy Family of 202/861-1856 Companies, Philadelphia, PA [email protected] Katie Zito Sr. Manager Government Affairs, WellCare Health Plan, Tampa, FL
ATLANTA | BOSTON | CHICAGO | HOUSTON | LOS ANGELES | MIAMI NEW YORK | NEWARK | SAN FRANCISCO | STAMFORD | WASHINGTON, DC www.ebglaw.com EPSTEIN BECKER & GREEN, P.C. NOTES | 55
Notes ______%POUMFUBMJUUMFMFBL ______notes ______CFDPNFBO ______PDFBOPGXBTUF ______).4JTUIFMFBEFSJODPPSEJOBUJPOPGCFOFmUTBOEQBZNFOUJOUFHSJUZ ______TFSWJDFTGPSNBOBHFEDBSFQMBOT8FIFMQFOTVSFUIBUDMBJNTBSFQBJE ______DPSSFDUMZBOECZUIFSFTQPOTJCMFQBSUZ"TBSFTVMUPG).4hTTFSWJDFT PVSDMJFOUTSFDPWFSPWFSCJMMJPOBOOVBMMZ BOETBWFCJMMJPOTPGEPMMBST ______NPSFCZBWPJEJOHFSSPOFPVTQBZNFOUT ______$BSSJF$VOOJOHIBN 71#VTJOFTT%FWFMPQNFOU ______$FMM]0ċDF DDVOOJOHIBN!INTDPN 56 | 2009 MHPA ANNUAL MEETING NOTES | 57
______
______notes ______
NOTES ______58 | 2009 MHPA ANNUAL MEETING | 59
______SAVE the DATE ______November 4-5, 2010 ______for Medicaid Health ______Plans of America’s 2010 ______
NOTES ______ANNUAL MEETING ______Hyatt Regency Crystal City Arlington, VA Medicaid Health Plans of America
1140 Connecticut Avenue, NW MSuite 505 Washington, DC 20036 tel: (202) 857-5720 fax: (202) 857-5731 e-mail: [email protected] web: www.mhpa.org