healthcare transparency summit
healthcare transparency summit
healthcare transparency summit
healthcare transparency summit
healthcare transparency summit
healthcare transparency summit



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AGENDA: DAY II
Tuesday, March 17, 2015

7:00 a.m. Registration Opens; Breakfast
MORNING PLENARY SESSION
8:00 a.m.

Welcome and Introduction to Day II Morning Plenary Session

Sheila Burke, MPA, RN, FAAN
faculty research fellow, Malcolm Wiener Center for Social Policy and faculty, John F. Kennedy School of Government, Harvard University, chair, government relations & public policy, Baker, Donelson, Bearman, Caldwell & Berkowitz, Washington, DC
8:15 a.m.

Keynote Address

Karen B. DeSalvo, MD, MPH, MSc
national coordinator for health information technology, acting assistant secretary for health, US Department of Health and Human Services, Washington, DC
8:45 a.m.

Panel -- Best Practices in Providing Cost Information

Anne F. Weiss, MPP
director, Robert Wood Johnson Foundation, Princeton, NJ (Moderator)
Keynote
Kevin Counihan, MBA
marketplace chief executive officer and director, Center for Consumer Information and Insurance Oversight, Washington, DC

    Speaker Bio

    Kevin Counihan serves as the Chief Executive Officer of the Marketplace and the Deputy Administrator at the Center for Medicare and Medicaid Services (CMS). In his role as Marketplace CEO, Kevin is responsible and accountable for leading the federal Marketplace, managing relationships with state Marketplaces, and directing the Center for Consumer Information and Insurance Oversight (CCIIO), which regulates health insurance at the federal level.

    Kevin comes to the Department after most recently serving as the CEO of AccessCT, the state of Connecticut's health insurance exchange, since July 2012. As the AccessCT CEO, Kevin led the successful implementation of the state's marketplace where enrollment exceeded expectations.
Panel Discussion
Christine Ferguson, JD
principal, Leverage GC; former director, Rhode Island Health Benefits Exchange, Rhode Island, Providence, RI

    Speaker Bio

    A Principal of LeverageGC, providing management consulting in public and private sectors, Christy is known as an innovator and visionary with a unique ability to translate across disciplines -- the result of an unusual combination of experience as purchaser, regulator and provider at state and federal levels, board service and consulting. Most recently she built HSRI managing $152 million to create a consumer focused insurance exchange addressing delivery, cost, and quality using advanced analytics tools. This work was highlighted as one of seven worldwide innovations by the Imperial College of London at the international WISH Foundation. She is a respected bi-partisan adviser to public, private and non-profit leaders and organizations.
Amy Moore
senior vice president, employer solutions and products, The Healthcare Bluebook, Nashville, TN

    Speaker Bio

    Amy Moore is the SVP of Product and Employer Solutions at Healthcare Bluebook. Amy has 20+ years of experience in designing health strategies and products for large multi-national employers in various industries including healthcare, retail, high tech, hospitality and non-profit.

    In her current role at Healthcare Bluebook, Amy is responsible for working with clients designing consumer-centric products that maximize healthcare investments. Prior to Healthcare Bluebook, Amy was a Design Leader on Healthways' Innovations team and in prior Benefit roles, Amy led benefits for Whole Foods, Dell, Inc and Marriott International.
Robert C. Pendleton, MD
chief medical quality officer, University of Utah Health Care, associate professor (clinical), internal medicine, University of Utah, Salt Lake City, UT

    Speaker Bio

    Dr. Pendleton is a graduate of Baylor College of Medicine who completed his training at the University of Utah. He has been a practicing internal medicine physician for the past 15 years and is Professor of Medicine and the Chief Medical Quality Officer (CMQO)for University of Utah Healthcare. In his role as CMQOhe is has had the opportunity to help develop and lead value-based care initiatives across an integrated health system focused on the delivery of patient centered care leading to the best possible health outcomes at affordable costs.
Lewis Sandy, MD, MBA, FACP
senior vice president, clinical advancement, United Health Group, Minnetonka, MN
9:45 a.m. Break
10:15 a.m.

Panel -- Best Practices in Providing Quality Information

Susan R. Mende, BSN, MPH
senior program officer, Robert Wood Johnson Foundation, Princeton, NJ (Moderator)

    Speaker Bio

    Susan Mende is a Senior Program Officer at the Robert Wood Johnson Foundation (RWJF) where her special focus areas include: health care delivery system reform, higher value care for complex high cost populations, overuse, transparency in health care quality and community and consumer engagement.

    Susan was formerly the Chief Operating Officer for Tsao Foundation, Singapore where she focused on community based care of older people, professional and caregiver training and regional and international aging issues for WHO and the UN . While living in Australia, she consulted with national and international organizations on successful aging and inclusion of older people. Trained as a nurse, she received her MPH from Hunter College of The City University of New York and worked in risk management and quality improvement for the New York City Health and Hospitals Corporation.
Jim Chase, MHA
president, Minnesota Community Measurement, Minneapolis, MN
Bill Kramer, MBA
executive director for national health policy, Pacific Business Group on Health, San Francisco, CA

    Speaker Bio

    Bill Kramer is Executive Director for National Health Policy at the Pacific Business Group on Health. Bill also serves as Project Director for the Consumer-Purchaser Alliance, and he is on the Board of the National Quality Forum and the NQF's Measure Applications Partnership Coordinating Committee. Immediately prior to taking his position at PBGH, Bill led an independent consulting practice focusing on health reform, finance and business strategy. Prior to that, he was a senior executive with Kaiser Permanente for over 20 years. Bill has an MBA from the Stanford Graduate School of Business and a BA from Harvard.
Oliver Kharraz, MD
president and founder, ZocDoc, New York, NY
Jennifer Schneider, MD
chief medical officer, Castlight Health, San Francisco, CA

    Speaker Bio

    Jennifer leads the team of clinicians and quality experts who are responsible for creating the clinical and quality content for Castlight products and services. She is a practicing internist and prior to joining Castlight she was an attending physician at Stanford University and the VA Palo Alto Health Care System. Jennifer has an undergraduate degree from the College of the Holy Cross, an M.D. from Johns Hopkins, and an M.S. In Health Policy from Stanford University. She completed her Internal Medicine Residency at Stanford University where she also served as a Chief Resident.
11:15 a.m.

Panel -- Designing Benefits and Payment to Complement Cost and Quality Transparency

Andrea M. Ducas, MPH
program officer, Robert Wood Johnson Foundation, Princeton, NJ (Moderator)

    Speaker Bio

    Andrea M. Ducas, MPH, is a program officer with the Robert Wood Johnson Foundation. Andrea contributes to the Foundation's efforts to realize the highest possible value from investments health and health care investments, and to catalyze demand for healthy places and practices in communities across the country. Andrea leads programs related to payment and delivery system reform, purchaser engagement, price transparency, community health improvement, and strengthening health departments. Previously, Andrea worked in development and communications at the Center for Family Representation, a non-profit law and policy organization serving families at risk of separation by the foster care system. She was also the co-founding CMO of EveryDoc.com, which sought to facilitate information-sharing between medical professionals, promote practice improvement, and empower patients to seek out clinicians according to their individual needs and preferences. Andrea earned a BA from Brown University and an MPH in Health Policy and Management from Columbia University.
Robert W. Dubois, MD, PhD
chief science officer, National Pharmaceutical Council, Washington, DC

    Speaker Bio

    Robert W. Dubois, MD, PhD, is the chief science officer and executive vice president of the National Pharmaceutical Council (NPC). In this role, he oversees NPC's research on policy issues related to comparative effectiveness research, as well as on how health outcomes are valued. Dr. Dubois, who is board certified in internal medicine, brings more than 25 years of experience in health services research and comparative clinical effectiveness. He has co-founded and led various health care research organizations in developing quality research with practical application. Most recently, he was the Chief Medical Officer at Cerner LifeSciences, where he focused on comparative effectiveness and the use of an electronic health records infrastructure to implement clinical change.
Kari Hedges, MBA
vice president, national programs, Blue Cross Blue Shield Association, Chicago, IL

    Speaker Bio

    Kari Hedges is Vice President of National Programs at the Blue Cross and Blue Shield Association (BCBSA). Kari joined the Association in 1996, focusing on national solutions to meet the needs of Blue customers including, consumers, employers and doctors and physicians that involve coordination among the independent Blue Cross and Blue Shield companies. Kari is responsible for the BlueCard program, Blue Distinction operations, the OPM Multi-State Plan Program, PlanConnexion shared services platform and national employer services. Kari earned a bachelor's degree from the University of Kentucky and an MBA from the University of Notre Dame.
12:15 p.m. Networking Luncheon

BREAKOUT SESSIONS I
BREAKOUT A: Are Privacy and Transparency on a Collision Course: Consumer Concerns about Privacy
1:15 p.m. Panel Discussion

Stephen J. Downs, SM
chief technology and information officer, Robert Wood Johnson Foundation, Princeton, NJ (Moderator)

    Speaker Bio

    Stephen J. Downs, SM, is the Robert Wood Johnson Foundation's chief technology and information officer. In this role, he ensures that the Foundation's technology strategy and operations are aligned with its organizational plans. Working with his team to set long-term strategies and operational road maps, Downs ensures that RWJF staffhave the resources they need to practice philanthropy at the highest level. His team's work also enables RWJF grantees and partners to make the most of their relationship with the Foundation.

    Downs' programmatic work at RWJF focuses on the application of consumer technologies on improving health. Recent and current projects include: Project HealthDesign, which involved using personal health data to inform the care of people with chronic conditions; opening up physicians' notes to patients; and the Health Data Exploration project, which aims to accelerate the use of personal health data, generated by apps and wearables, in research.
Kathryn Marchesini, JD
privacy branch chief, Office of the National Coordinator for Health Information Technology, HHS, Washington, DC

Deven McGraw, JD, MPH
partner, Manatt, Phelps & Phillips, LLP, Washington, DC

    Speaker Bio

    Deven McGraw is a partner in the healthcare practice of Manatt, Phelps & Phillips, LLP. Her areas of focus include health privacy and data security, health IT policy, and patient engagement. Previously, Ms. McGraw was the Director of the Health Privacy Project at the Center for Democracy & Technology (CDT), where she led efforts to develop and promote workable privacy and security protections for electronic personal health information. Ms. McGraw has served on the Health Information Technology Policy Committee since 2010 and chairs its Privacy and Security Workgroup. Ms. McGraw received her L.L.M. and J.D. from Georgetown University Law Center, an M.P.H. from Johns Hopkins School of Hygiene and Public Health, and a B.S. and B.A. from the University of Maryland, College Park.
Jocelyn Samuels, JD
director, Office for Civil Rights (OCR), HHS, Washington, DC

    Speaker Bio

    Jocelyn Samuels is the Director of the HHS Office for Civil Rights, where she leads the Office for Civil Rights' work to enforce federal laws that help to ensure non-discrimination and equity in federally funded health and human services, and leads enforcement of federal laws that protect the privacy and security of medical information and the rights of individuals to their health records.

    Ms. Samuels was previously the Acting Assistant Attorney General for Civil Rights at the United States Department of Justice and managed operations of the Civil Rights Division. Prior to her tenure at the Department of Justice, Ms. Samuels was the Vice President for Education and Employment at the National Women's Law Center in Washington, D.C. Her prior experience also includes work as a Labor Counsel to Senator Edward M. Kennedy and as a senior policy attorney at the Equal Employment Opportunity Commission.

    She received her law degree from Columbia University, and her bachelor's degree from Middlebury College.
Mark Savage, Esq.
director of health information technology policy and programs, National Partnership for Women & Families, Washington, DC

    Speaker Bio

    Mark Savage serves as Director of Health IT Policy and Programs at the National Partnership for Women & Families, where he oversees the National Partnership's HIT strategy and work to advance electronic health information access and exchange as the necessary backbone for delivery reform, patient engagement, quality measurement, and population health. The work includes policy development for patients and families throughout the Meaningful Use program and related initiatives at the Office of the National Coordinator for Health IT, Centers for Medicare & Medicaid Services, and the White House; but also reaches more broadly to initiatives to reduce health disparities and to advance person-centered health and care planning. The National Partnership also leads the Consumer Partnership for eHealth, a coalition of leading consumer, patient and labor organizations working since 2005 to advance patient-centered health IT.
2:30 pm Transition Break
BREAKOUT B: Physician Sunshine Act: What You Need to Know
1:15 p.m. Panel Discussion

Katherine Hayes
director of health policy at the Bipartisan Policy Center, Washington, DC (Moderator)

    Speaker Bio

    Katherine Hayes, Health Policy Director for the Bipartisan Policy Center, has 30 years of experience in health law and policy. She advised two U.S. Senators, two members of the U.S. House of Representatives, a governor, and a state Medicaid agency. Hayes served as VP of Health Policy for Jennings Policy Strategies, practiced health law, served as faculty at The George Washington University, and as adjunct faculty at the American University's Washington College of Law. Hayes received her B.A. from the University of North Carolina at Chapel Hill, and J.D. from the American University.
Shantanu Agrawal, MD
deputy administrator and director, CMS, Baltimore, MD
Maya A. Babu, MD, MBA
member, board of trustees, American Medical Association, Rochester, MN

    Speaker Bio

    Maya Babu, MD, MBA is a senior resident in Neurologic Surgery at the Mayo Clinic, Rochester MN. She serves on the Board of Trustees of the American Medical Association and is Chair-Elect of the American College of Surgeons Resident and Associate Society which represents 13,000 trainees. She graduated from Harvard Medical School cum laude, and Harvard Business School. She previously worked at Piper Jaffray in medical technology investment banking and Medtronic in business development. She received a 2010 Harvard Business School Dean's Award and met President Bush in 2004 as an honoree of USA FreedomCorps for volunteer service.
Martha "Meg" Gaines, JD, LLM
associate dean for academic affairs and experiential learning; director, Center for Patient Partnership (CPP), University of Wisconsin Law School, Madison, WI
John Murphy, JD
associate general counsel, PhRMA, Washington, DC
Charles Ornstein
senior reporter, ProPublica; vice president, Association of Health Care Journalists; awardee, Pulitzer Prize for Public Service, Washington, DC

    Speaker Bio

    Charles Ornstein is a senior reporter at ProPublica, a nonprofit investigative news organization based in New York. Prior to joining ProPublica in 2008, he was a member of the metro investigative projects team at the Los Angeles Times. Ornstein was a lead author on a series on Martin Luther King Jr./Drew Medical Center, a troubled hospital in South Los Angeles. The articles won the 2005 Pulitzer Prize for Public Service. Ornstein also co-authored a series of stories that detailed serious failures in oversight by the California Board of Registered Nursing. The work was a finalist for the 2010 Pulitzer Prize for Public Service. Ornstein is a board member and past president of the Association of Health Care Journalists, as well as an adjunct professor at the Columbia University Graduate School of Journalism.
2:30 p.m. Transition Break
BREAKOUT C: Consumer Awareness and Use of Cost and Quality Information
1:15 p.m. Panel Discussion

Susan R. Mende, BSN, MPH
senior program officer, Robert Wood Johnson Foundation, Princeton, NJ (Moderator)

    Speaker Bio

    Susan Mende is a Senior Program Officer at the Robert Wood Johnson Foundation (RWJF) where her special focus areas include: health care delivery system reform, higher value care for complex high cost populations, overuse, transparency in health care quality and community and consumer engagement.

    Susan was formerly the Chief Operating Officer for Tsao Foundation, Singapore where she focused on community based care of older people, professional and caregiver training and regional and international aging issues for WHO and the UN . While living in Australia, she consulted with national and international organizations on successful aging and inclusion of older people. Trained as a nurse, she received her MPH from Hunter College of The City University of New York and worked in risk management and quality improvement for the New York City Health and Hospitals Corporation.
Walton Francis, MPA, MPP, MS
author, Checkbook's Guide to Health Plans for Federal Employees, Consumers' Checkbook, Washington, DC

    Speaker Bio

    Walton Francis is an expert in the evaluation of public programs and policies and has worked for OMB, HHS, and CMS. A consumer information expert, he served as co-webmaster for the HHS internet site and coauthored CHECKBOOK's Guide to Health Plans for Federal Employees (online at www.guidetohealthplans.org). He has testified before Congress on health insurance and on consumer information. His book Putting Medicare Consumers in Charge: Lessons from the FEHBP evaluates both the FEHBP and Medicare programs. He also worked with CHECKBOOK to develop a consumer tool for state Marketplace Exchanges. The Illinois version is at https://www.healthplanratings.org.
Robert M. Krughoff, JD
founder and president, Consumers' Checkbook, Washington, DC

    Speaker Bio

    Robert Krughoff, JD, is founder and president of Center for the Study of Services/Consumers' CHECKBOOK, an independent, nonprofit consumer organization founded in 1974. CHECKBOOK magazine has published patient evaluations of individual physicians since 1980 and has published a Consumers' Guide to Hospitals in new editions periodically since 1986. In 1994, in cooperation with the U.S. Office of Personnel Management, Mr. Krughoff co-led the design and implementation of the first nationwide survey of members about their health plans for public reporting, on 260 plans. CHECKBOOK/CSS also sponsored the nation's largest surveys for public reporting at the individual physician level using the CAHPS Clinician & Group Survey instrument and protocol and employing state-of-the-art procedures for case-mix adjustment, documentation of reliability and validity, and assessment of possible ways of presenting results.
Lynn Quincy, MA
associate director, Health Reform Policy, Consumers Union, Washington, DC

    Speaker Bio

    Lynn Quincy is Director of the Health Value Resource Hub at Consumers Union, the policy and advocacy division of Consumer Reports. The Health Value Resource Hub is a new center that uses evidence to help advocates work on health care cost and value issues. Specifically, Ms. Quincy works at the federal and state levels on a wide variety of policy issues, with a particular focus on health care costs, transparency, consumer protections, and consumers' health insurance literacy. Recent work includes: convening a conference for advocates on rising health care costs, a mixed methods study to better understand how to better engage consumers around health care cost and value issues, consumer-testing explanations of the new health premium tax credit; studying consumer reactions to new health insurance disclosure forms; launching an initiative to measure consumers' health insurance literacy; and a study that examines the use of "choice architecture" in health plan chooser tools.
Alicia Staley
chief patient officer, Akari Health, Boston, MA
2:30 p.m. Transition Break

BREAKOUT D: Transparency within Narrow Networks
1:15 p.m. Panel Discussion

Katherine Hempstead, PhD
director, Robert Wood Johnson Foundation, Princeton, NJ (Moderator)

    Speaker Bio

    Katherine Hempstead, PhD, is a Director at the Robert Wood Johnson Foundation, where she works on health insurance issues. She joined the Foundation in 2011 as a senior program officer in the Research and Evaluation unit. Previously, Hempstead was director of the Center for Health Statistics in the New Jersey Department of Health and Senior Services and worked as an analyst in the Office of the Attorney General, New Jersey Department of Law and Public Safety. She is a visiting faculty member at Rutgers Center for State Health Policy. Hempstead received a PhD in Demography and History from the University of Pennsylvania, where she also earned an MA in Demography and a BA in Economics and History.
Michael Boninger, MD
professor and UPMC endowed chair, Department of Physical Medicine and Rehabilitation University of Pittsburgh School of Medicine, senior medical director for post acute care, Health Services Division, UPMC, Pittsburgh, PA

    Speaker Bio

    Dr. Michael Boninger is a Professor and Endowed Chair in the Department of Physical Medicine & Rehabilitation at the University of Pittsburgh, School of Medicine. He is Director of the UPMC Rehabilitation Institute and the Senior Medical Director for Post-Acute Care for the Health Services Division of UPMC. Dr. Boninger has an extensive publication record of over 200 papers and has received numerous honors including being a member of the Institute of Medicine. UPMC is a health care provider and insurer that includes 20 hospitals, 400 doctors' offices and outpatient sites, and a more than 2.5-million-member health insurance division.
Sabrina Corlette, JD
senior research fellow and project director, Center on Health Insurance Reforms, Georgetown University, Washington, DC

    Speaker Bio

    Sabrina Corlette is a Senior Research Fellow at the Center on Health Insurance Reforms and an Adjunct Professor of Law at Georgetown University. She is a nationally recognized expert on health insurance and has published widely on the implementation of new market rules under the ACA. She provides technical expertise and strategic advice to organizations on federal and state health insurance laws and programs.

    In previous positions, Ms. Corlette was Director of Health Policy Programs at the National Partnership for Women & Families, served as staff to the Senate HELP Committee, and was a health regulatory attorney at Hogan Lovells.
Richard Kronick, PhD
director, Agency for Healthcare Research and Quality (AHRQ), Washington, DC

    Speaker Bio

    On August 19, 2013, U.S. Department of Health and Human Services Secretary Kathleen Sebelius announced Dr. Richard Kronick as the new director of the Agency for Healthcare Research and Quality (AHRQ).

    Dr. Kronick joined the Department in January 2010 as Deputy Assistant Secretary for Planning and Evaluation, overseeing the Office of Health Policy. In that role, he conducted and coordinated research on policies relating to public health; health care delivery; health insurance; and health care financing programs, including Medicare, Medicaid, State Children's Health Insurance Program, and private insurance coverage. His work, and that of the Office of Health Policy under his leadership, was integral to the implementation of the Affordable Care Act. Additionally, his team provided insight and information critical to the effort to improve the health of the Nation.
Lori Nelson, MBA
vice President, provider network management, Blue Cross and Blue Shield of Minnesota, Minneapolis, MN

    Speaker Bio

    Lori Nelson serves as vice president of Provider relations at Blue Cross. She is responsible for the overall development and implementation of Blue Cross' provider strategy including requirements for provider contracts, contracted health services, and the implementation of affordability strategies related to provider networks including payment innovation, high performance networks, aligned incentive contracting and accountable care models.

    Prior to this position, Nelson served as director of provider transactions at Blue Cross. Nelson also served in key roles at Fairview Health System, PreferredOne, Novartis Nutrition, Medica and Alliant Tech Systems. She has broad experience in contracting, relationship management, negotiations and financial analysis.
Dan Schwartzer
deputy commissioner of insurance, Office of the Commissioner of Insurance, Madison, WI

    Speaker Bio

    Governor Scott Walker appointed Dan Schwartzer as Deputy Commissioner of Insurance for the State of Wisconsin on January 4, 2011. Deputy Commissioner Schwartzer supervises the regulatory, public information and administrative functions of OCI. Prior to his appointment, Deputy Commissioner Schwartzer owned his own government relations and association management firm that worked with both corporations and trade associations from a variety of industries. He served as executive director for the Wisconsin Employee Benefit Advisors Association, executive director for the Wisconsin Economic Development Association, as well as executive director for the Independent Business Association of Wisconsin.
2:30 pm Transition Break

BREAKOUT E: New Initiatives in Transparency
1:15 p.m. Panel Discussion

Chris Jennings
president and founder, Jennings Policy Strategies, Inc., Washington, DC (Moderator)

Peter Beilenson, MD, MPH
president and chief executive officer, Evergreen Health Co-op, Baltimore, MD

    Speaker Bio

    Dr. Peter L. Beilenson, M.D., M.P.H. currently serves as the CEO and President of the Evergreen Health Cooperative, an innovative, member-oriented health care model authorized by the Affordable Care Act. He brings 20 years of experience in public health leadership having previously served as the Health Officer of Howard County, Maryland in the administration of County Executive Ken Ulman and as the Baltimore City Health Commissioner in the administrations of Mayors Kurt Schmoke and Martin O'Malley. Dr. Beilenson received his undergraduate degree from Harvard College, Medical Doctorate from Emory University School of Medicine, and Masters in Public Health from the Johns Hopkins University Bloomberg School of Public Health. During his tenure in Baltimore City, Dr. Beilenson's vision led to expanded drug treatment programs in Baltimore, improved immunization compliance, a wide range of extremely effective lead poisoning prevention initiatives, juvenile violence prevention, and the creation of the state-wide initiative for universal health coverage in Maryland - Health Care for All. In Howard County he launched the Healthy Howard Access Plan, a first-of-its-kind program in the country that provides comprehensive, affordable health and wellness services to the uninsured of Howard County; the Healthy Howard Initiative—which certifies healthy schools, workplaces, childcare and restaurants; and the first in the nation ban on indoor tanning for minors.
Ben Harder
managing editor & chief of health analysis, U.S. News & World Report, Washington, DC

    Speaker Bio

    Ben Harder is a managing editor and Chief of Health Analysis at U.S. News & World Report, publisher of the Best Hospitals rankings. He oversees the use of healthcare data to power U.S. News's consumer decision-support tools on usnews.com and in print. These tools include hospital rankings, nursing home ratings, health insurance ratings and a searchable directory of about 760,000 U.S. physicians. He previously covered medical research for Science News magazine and has contributed to the Los Angeles Times, USA Today, the Washington Post and other outlets. His work appeared in Best American Science Writing 2005.
David Newman, JD, PhD
executive director, Health Care Cost Institute, Inc., Washington, DC

Joel White
president, Clear Choices Campaign, Washington, DC
2:30 p.m. Transition Break
AFTERNOON PLENARY SESSION
2:45 p.m.

Federal Action: Price and Transparency

Heather Howard, JD
lecturer in public affairs and director, State Health Reform Assistance Network, Princeton University Woodrow Wilson School of Public & International Affairs, Princeton, NJ (Moderator)

    Speaker Bio

    Heather Howard is a lecturer in Public Affairs at Princeton University's Woodrow Wilson School of Public and International Affairs, where she teaches courses on implementation of the Affordable Care Act (ACA) and state and local health policy, and is a faculty affiliate of the Center for Health & Wellbeing. She is director of two Robert Wood Johnson Foundation-funded programs: the State Health Reform Assistance Network provides technical assistance to states implementing the ACA and the State Health and Value Strategies program supports state efforts to enhance the value of health care by improving population health and reforming the delivery of health care services. She served as New Jersey's Commissioner of Health and Senior Services from 2008-2010, overseeing a cabinet-level agency with a budget of $3.5 billion and staff of 1,700, responsible for public health services, regulation of health care institutions, senior services, and health care policy and research.
Niall Brennan, MPP
chief data officer, Office of Enterprise Data and Analytics, CMS, Washington, DC
Tim Gronniger, MPP, MHSA
senior advisor for health care policy, White House Domestic Policy Council, Washington, DC
Richard Kronick, PhD
director, Agency for Healthcare Research and Quality (AHRQ), Washington, DC

    Speaker Bio

    On August 19, 2013, U.S. Department of Health and Human Services Secretary Kathleen Sebelius announced Dr. Richard Kronick as the new director of the Agency for Healthcare Research and Quality (AHRQ).

    Dr. Kronick joined the Department in January 2010 as Deputy Assistant Secretary for Planning and Evaluation, overseeing the Office of Health Policy. In that role, he conducted and coordinated research on policies relating to public health; health care delivery; health insurance; and health care financing programs, including Medicare, Medicaid, State Children's Health Insurance Program, and private insurance coverage. His work, and that of the Office of Health Policy under his leadership, was integral to the implementation of the Affordable Care Act. Additionally, his team provided insight and information critical to the effort to improve the health of the Nation.
4:00 p.m. Transition Break

BREAKOUT SESSIONS II
BREAKOUT F: Open Notes: Communicating and Engaging with Fully Transparent Medical Records
4:15 p.m. Panel Discussion

Stephen J. Downs, SM
chief technology and information officer, Robert Wood Johnson Foundation, Princeton, NJ (Moderator)

    Speaker Bio

    Stephen J. Downs, SM, is the Robert Wood Johnson Foundation's chief technology and information officer. In this role, he ensures that the Foundation's technology strategy and operations are aligned with its organizational plans. Working with his team to set long-term strategies and operational road maps, Downs ensures that RWJF staffhave the resources they need to practice philanthropy at the highest level. His team's work also enables RWJF grantees and partners to make the most of their relationship with the Foundation.

    Downs' programmatic work at RWJF focuses on the application of consumer technologies on improving health. Recent and current projects include: Project HealthDesign, which involved using personal health data to inform the care of people with chronic conditions; opening up physicians' notes to patients; and the Health Data Exploration project, which aims to accelerate the use of personal health data, generated by apps and wearables, in research.
Tom Delbanco, MD
co-director, Open Notes; professor of general medicine and primary care, Harvard Medical School, Boston, MA

    Speaker Bio

    Tom Delbanco, MD, MACP, is the Richard and Florence Koplow -- James Tullis Professor of General Medicine and Primary Care, Harvard Medical School. Until 2002, he was Chief of the Division of General Medicine and Primary Care at Beth Israel Deaconess Medical Center, a unit he created and led for more than 30 years.

    Dr. Delbanco trained in internal medicine at Bellevue, Harlem, and Presbyterian Hospitals in New York. In 1971, he came to Beth Israel Hospital in Boston and created one of the first primary care practice and teaching programs at an academic health center. Today, Healthcare Associates provides for more than 100,000 patient visits annually and serves 400 patients with HIV infection.

    Currently, Dr Delbanco and his colleague, Jan Walker, are leading "OpenNotes," a national effort to promote and examine the impact of increasing transparency in care by inviting patients to read and contribute to their medical records.
Peter H. Elias, MD
family physician, Family Health Care Associates, Auburn, ME

Jan Walker, RN, MBA
co-director, Open Notes; member, research faculty, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA

    Speaker Bio

    Jan Walker is a member of the research faculty of the Division of General Medicine and Primary Care at Beth Israel Deaconess Medical Center and Harvard Medical School in Boston. Her primary research interests are in patients' perspective on care, the use of information technologies to improve their experience, and strategies to reorganize and improve primary care practice.

    Ms. Walker formerly served as Vice President for Client Services and Research at the Picker Institute, an organization devoted to measuring patient experiences and incorporating the patient perspective into care. She was the founding Executive Director of the Center for Information Technology Leadership at Partners HealthCare, and also directed national program evaluation for the Albert Schweitzer Fellowship. Educated at the University of Kansas (BSN) and Boston University (MBA), she has a clinical background in nursing. Her publications have focused on patient perspectives on hospital care, interoperability among critical elements of the health system, and patient insights into new electronic technologies. She is an Assistant Professor of Medicine at Harvard Medical School.
Candice Wolk
patient in the OpenNotes Study, Westin, MA
BREAKOUT G: Physician and Patients: New Models of Communication
4:15 p.m. Panel Discussion

Emmy Ganos, PhD
program associate, Robert Wood Johnson Foundation, Princeton, NJ (Moderator)

    Speaker Bio

    Emmy Ganos, PhD, joined the Robert Wood Johnson Foundation in 2013 as a program associate. She works on the Foundation's efforts to advance a Culture of Health. She brings her research experience in public and community health to her work at RWJF, and relishes the opportunity the Foundation provides to apply her expertise to improving the value of health care and public health.

    Previously, Ganos held research and teaching positions with the Medical College of Wisconsin in Milwaukee, working with undergraduate, graduate, and medical students. She also served as a manager of research and administration with the Donors Forum of Wisconsin, a professional membership association for grantmakers and Wisconsin's premier resource for philanthropy. She has researched, written, and presented on a host of health and health care issues in Wisconsin.
Natasha Gajewski
founder of Symple Health, New York, NY

Neel Shah, MD, MPP
founder and executive director, Costs of Care; assistant professor, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA

Peter Ubel, MD
associate director, Health Sector Management and Madge and Dennis T. McLawhorn university professor, Duke University's Fuqua School of Business, Durham, NC

Leana S. Wen, MD, MSc, FAAEM
commissioner, Baltimore City Health Department; former director of patient-centered care research, Department of Emergency Medicine, George Washington University; founder, Who's My Doctor?, Washington, DC

    Speaker Bio

    Leana S. Wen, MD, MSc, FAAEM, is an emergency physician, patient advocate, and public health leader. On January 15th, 2015. Dr. Wen began serving as the Health Commissioner for Baltimore City. At BCHD, Dr Wen oversees a department of over 1,100 employees with wide-ranging responsibilities that include management of acute communicable diseases, animal control, chronic disease prevention, emergency preparedness, food service inspections, HIV/AIDS and other sexually transmitted diseases (STD), maternal-child health, school health, senior services, and youth violence issues.

    Most recently, Dr. Wen has been an attending physician and Director of Patient-Centered Care in the Department of Emergency Medicine at George Washington University. A professor of Emergency Medicine at the School of Medicine and of Health Policy at the Milken Institute School of Public Health, she co-directed GW's Residency Fellowship in Health Policy, co-led a new national collaboration on health policy and social mission with Kaiser Permanente, and served as founding director of Who's My Doctor, a campaign calling for radical transparency in medicine.
BREAKOUT H: States at the Forefront on Price and Quality Transparency
4:15 p.m. Panel Discussion

Tara Oakman, MPP, PhD
senior program officer, Robert Wood Johnson Foundation, Princeton, NJ (Moderator)

    Speaker Bio

    Tara Oakman, PhD, is a senior program officer at the Robert Wood Johnson Foundation working to improve the value of our investments in health and health care and also on strengthening vulnerable children and families.

    Prior to joining the Foundation in 2013, Oakman served as director of the Quality Team at the Center for Consumer Information and Insurance Oversight (CCIIO) in the Centers for Medicare and Medicaid Services. Earlier, she was an international health officer with the U.S. Department of Health and Human Services (HHS) Office of Global Health Affairs and also served as a program analyst in the HHS Budget Office.
Barbara Anthony, MA, JD
senior fellow, Harvard Kennedy School, Center for Business and Government, former undersecretary, Massachusetts Office of Consumer Affairs & Business Regulation, Boston, MA

Heather Howard, JD
lecturer in public affairs and director, State Health Reform Assistance Network, Princeton University Woodrow Wilson School of Public & International Affairs, Princeton, NJ

    Speaker Bio

    Heather Howard is a lecturer in Public Affairs at Princeton University's Woodrow Wilson School of Public and International Affairs, where she teaches courses on implementation of the Affordable Care Act (ACA) and state and local health policy, and is a faculty affiliate of the Center for Health & Wellbeing. She is director of two Robert Wood Johnson Foundation-funded programs: the State Health Reform Assistance Network provides technical assistance to states implementing the ACA and the State Health and Value Strategies program supports state efforts to enhance the value of health care by improving population health and reforming the delivery of health care services. She served as New Jersey's Commissioner of Health and Senior Services from 2008-2010, overseeing a cabinet-level agency with a budget of $3.5 billion and staff of 1,700, responsible for public health services, regulation of health care institutions, senior services, and health care policy and research.
Denise Love, BSN, MBA
executive director, National Association of Health Data Organizations (NAHDO); co-chair, All Payer Claims Database Council, Salt Lake City, UT

Trish Riley, MS
executive director, National Academy for State Health Policy, Portland, ME

    Speaker Bio

    Trish Riley is Executive Director of the National Academy for State Health Policy, a position she held from 1987-2003. She held fellowships at the University of Southern Maine and George Washington University. Riley directed the Governor's Office of Health Policy and Finance, where she was the principal architect of Dirigo Health Reform.

    She held other appointive positions under four Maine governors, including directing the aging, Medicaid and state health agencies, including health planning and licensing.

    Riley serves on the Kaiser Commission on Medicaid and the Uninsured, the Medicaid and CHIP Payment and Access Commission, and previously was on the Board of Directors of NCQA.
BREAKOUT I: Best Practices in Hospital and Health System Transparency
4:15 p.m. Panel Discussion

Claire B. Gibbons, MPH, PhD
senior program officer, Robert Wood Johnson Foundation, Princeton, NJ (Moderator)

Richard L. Gundling, FHFMA, CMA
vice president healthcare financial practices, Healthcare Financial Management Association, Washington, DC

    Speaker Bio

    As Vice President, Healthcare Financial Practices, Rick is responsible for overseeing HFMA's technical and content direction, leading the organization's Washington, DC activities, and managing the association's thought leadership efforts. Results of HFMA's policy initiatives have been used by hospitals, rating agencies, regulatory agencies, congressional committees, accounting standard setting bodies, state hospital organizations, and other government and industry leaders. Rick also serves as staff liaison to the HFMA Principles and Practices Board and has written an extensive number of published articles on broad topics within healthcare finance and the healthcare industry.
Mark Rukavina, MBA
principal, Community Health Advisors, LLC, Boston, MA

    Speaker Bio

    Mark Rukavina, Principal of Community Health Advisors, LLC, holds an MBA from Babson College and a BS from the University of Massachusetts-Amherst, and is a recognized expert on healthcare access and affordability.

    Mark is an active member of the Healthcare Financial Management Association (HFMA). He recently served on HFMA's Medical Debt Task Force and their Price Transparency Task Force. He has regularly presented at HFMA's Annual Networking Institute (ANI). Currently, he advises HFMA on their Dollars and Sense initiative.

    Mark has extensive experience advising hospitals, healthcare providers, community coalitions, and policymakers on access expansion and community health improvement efforts. He's a recognized expert on barriers to healthcare that result from personal medical debt and on community benefit requirements for tax-exempt hospitals.
Caroline Steinberg
vice president data trends and analysis, American Hospital Association, Washington, DC

    Speaker Bio

    Caroline Rossi Steinberg, Vice President, Trends Analysis, joined the American Hospital Association (AHA) in 2002 after 14 years in health care consulting. Ms. Steinberg manages policy research and trends analysis for the AHA. Prior to moving to the AHA, Ms. Steinberg was a vice president at The Lewin Group, where she spent nine years working with both public and private provider organizations to develop strategies to confront changes in the health care environment. While at Lewin, Ms. Steinberg also managed the intensive site visit component of the Community Tracking Study for four years.
5:30 p.m. Adjournment


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