Agenda – Day 2

With more than 20 years of experience in healthcare law, Robert Belfort advises healthcare organizations on regulatory compliance and transactional matters. His clients include hospitals, medical groups, health insurers, managed care organizations, accountable care organizations (ACOs), mental health providers, pharmacy chains, IT vendors and healthcare industry trade associations.

For health insurers and other MCOs, Bob helps ensure compliance with federal and state rules and regulations. These include Affordable Care Act standards, Medicare Part C and Part D rules, HIPAA portability and nondiscrimination mandates, state insurance licensing and market conduct laws, and Medicaid managed care requirements.

Bob counsels insurers and providers that are establishing ACOs and other value-based contracting arrangements. In addition, he drafts and negotiates managed care and accountable care contracts, such as provider participation agreements, specialty carve-out and pharmacy benefit manager arrangements. He drafts privacy policies, conducts internal gap analyses, partners with clients to develop other privacy safeguards, and helps clients respond to complaints and privacy breaches.

Brian Betner is a shareholder with Hall Render, the nation’s largest health care focused law firm. His practice is devoted to providing counsel and advice to hospitals, medical staffs and physician groups across the country with an emphasis on clinical integration, medical staff, compliance and related matters.

Laura Black is a Family Nurse Practitioner who has held a variety of roles at the Commonwealth Care Alliance, a fully integrated Medicare/Medicaid Dual program serving the most medically, behaviorally, and socially complex individuals across the Commonwealth of Massachusetts. Laura is the Vice President of Care Partnership and Clinical Delivery, and is responsible for leading the care management and care delivery for the 22,000 beneficiaries currently participating in the program. The interprofessional complex care management model focuses on building collaborative, individualized care plans that address social determinants of health, overcome barriers and provide value.

Sonia Sarkar is Chief Policy and Engagement Officer for the Baltimore City Health Department. Previously, she was Director of Provider Solutions at AVIA, a health system-led innovation accelerator, and also served as Special Advisor and Chief of Staff at Health Leads, a national social enterprise that envisions a healthcare system that addresses all patients’ basic resource needs as a standard part of quality care. As an undergraduate at Johns Hopkins University, Sonia co-founded and served as campus coordinator for Health Leads’ Baltimore site, and also completed a term as a student member of the organization’s national Board of Directors. Subsequently, Sonia served as a Baltimore City Mayoral Fellow with BCHD prior to joining the Health Leads staff team as the Baltimore Program Manager. Sonia is a Truman Scholar, a World Economic Forum Young Global Shaper, and founding board member for the Boston Young Healthcare Professionals and Healthworks Community Fitness.

David Muhlestein is Chief Research Officer of Leavitt Partners and is based in Washington DC. He directs the study of accountable care organizations through the LP Center for Accountable Care Intelligence and leads the firm’s quantitative evaluation of health care markets. He is an expert in using policy analysis, predictive modeling, and applied analytics to understand the evolving health care landscape. David also serves as Adjunct Assistant Professor of The Dartmouth Institute (TDI) at the Geisel School of Medicine at Dartmouth College and is a visiting fellow at the Accountable Care Learning Collaborative. In both of these roles he conducts research to translate learnings of high performing organizations for the benefit of the broader health care system. David earned his doctorate in health services management and policy, JD, MHA, and MS from The Ohio State University, and a BA from Brigham Young University.

Ruth Benton is the founder and owner of New West (a primary care group practice) and is the chief business officer responsible to the Board of Directors. The company has grown to $60 million in revenue, has 100 physicians and mid-level providers, 365 employees at 18 locations in Denver Metro Area; caring for 200,000 Denver Metro citizens.

Prior to her time at New West, Ruth was the Vice President of Operations and Managed Care at HealthOne. She was responsible for the insurance contracts, for five IPA’s and four hospitals in the system; In addition, Ruth was a hospital administrator for Swedish Medical Center in charge of the women’s program, surgery services, laboratory services, medical records, admissions, emergency room and the risk management.

As co-founder and Chief Strategy Officer for Employer Advantage Health Care Solutions, Mr. Constantz advises employers on measures to develop regional and community-based physician accountability and commitment through means of enhanced benefits and reduced costs; with the significant benefit of creating sustained loyalty between providers, patients and payers. He has successfully offered strategies that build on four pillars: actionable data, physician alignment, high-risk member targeting and network re-engineering. Having begun his career on the payor’s side of healthcare (Blue Cross/ Blue Shield of Central New York), Mr. Constantz has served in a number of positions for hospitals, home health agencies, physician organizations and physician/hospital organizations. Over his 30 years in healthcare, Jed has developed tools and resources for primary care providers and employers seeking to reduce costs, drive greater efficiency and quality outcomes and thereby create a “featured-and-favored” network in their regions and community.

Rich Heller is a radiologist and partner with Radiology Partners, serving as their National Director of Pediatric Radiology and Vice-President for Clinical Services. Rich is an AOA graduate of the Feinberg School of Medicine at Northwestern University with an MBA from Northwestern’s Kellogg School of Management. He completed his radiology training at the Mallinckrodt Institute of Radiology at Barnes-Jewish Hospital and Boston Children’s Hospital. He serves on the editorial boards of the Journal of the American College of Radiology and Pediatric Radiology. He regularly writes and speaks on value-based healthcare delivery. Outside of healthcare, Rich is active in contemporary art.

Ed Jhu is a principal and consulting actuary in the Seattle office of Milliman. Ed’s expertise is in group healthcare, with an emphasis on government sponsored programs, (including Medicare and VHA) and health care payer/provider relations. His client base covers a broad spectrum, including providers, payers and purchasers. His consulting assignments have included evaluation and comparison of provider contracts, including development of proprietary tools, review of alternative provider payment arrangements, and contract parity analyses. Ed has also performed more traditional actuarial work such as Medicare Advantage bid support.

Douglas C. Ross is a partner in the Seattle office of Davis Wright Tremaine, where he concentrates his practice in antitrust and litigation. He is also an adjunct faculty member at the University of Washington Law School, where he teaches antitrust and a seminar on competition in health care. Mr. Ross is a member of the Bureau of National Affairs’ Health Law Advisory Board. Chambers USA lists him in Commercial Litigation. Best Lawyers in America named him Seattle Antitrust Lawyer of the Year and lists him in antitrust law and litigation, commercial litigation, and health care law. Mr. Ross is a past officer of the ABA’s Antitrust Section and delegate to the ABA’s House of Delegates. He is a past chair of the Section’s Health Care Industry Committee and past chair of the Antitrust Practice Group of the American Health Lawyers Association. Before entering private practice, Mr. Ross spent three years at the Antitrust Division of the U.S. Department of Justice. He received his J.D. from Columbia Law School, where he was a Harlan Fiske Stone Scholar, and his B.A. from Tufts University, where he graduated summa cum laude in economics.

Joshua Soven is an antitrust partner in the Washington, DC office of Gibson, Dunn & Crutcher LLP. His recent clients include AECOM, Francisco Partners, Hewlett-Packard, LinkedIn, Marriott, Matson, Norbord, Southern Power, St. Jude Medical, and Tenet Healthcare. Mr. Soven has served in high-level positions at both U.S. antitrust agencies. He was Chief of the Litigation I Section of the Antitrust Division of the Department of Justice. In this role, he directed all of the Antitrust Division’s investigations and litigation challenges in the health insurance sector. From 2004 to 2007, Mr. Soven was an Attorney Advisor to Federal Trade Commission Chairman Deborah Platt Majoras.

Sophie is an attorney in the Federal Trade Commission’s Bureau of Competition. Within the Bureau of Competition, Sophie works in the Mergers IV Division, where she is involved in merger review and enforcement within the healthcare industry. Sophie has played key roles in a number of recent FTC investigations and litigations, including several hospital mergers. Most recently, she was a member of the trial team in the FTC v. Advocate Health Care matter.

Christine White is Vice President, Legal Affairs, at Northwell Health. Previously, Christine was a staff attorney in the Northeast Regional Office of the Federal Trade Commission (“FTC”), where she worked on healthcare antitrust policy and enforcement matters including hospital and physician mergers and acquisitions as well as issues relating to the formation and operation of ACOs and other network joint ventures. She received the 2013 FTC Award for Outstanding Scholarship based on her work as a lead author and editor of the book Antitrust & Healthcare: A Comprehensive Guide. Previously, Christine was also a partner at Crowell & Moring LLP, Bingham McCutchen LLP and McDermott Will & Emery LLP. She holds a J.D. and M.P.H. from Boston University and a B.A. cum laude from Wellesley College.

David Muhlestein is Chief Research Officer of Leavitt Partners and is based in Washington DC. He directs the study of accountable care organizations through the LP Center for Accountable Care Intelligence and leads the firm’s quantitative evaluation of health care markets. He is an expert in using policy analysis, predictive modeling, and applied analytics to understand the evolving health care landscape. David also serves as Adjunct Assistant Professor of The Dartmouth Institute (TDI) at the Geisel School of Medicine at Dartmouth College and is a visiting fellow at the Accountable Care Learning Collaborative. In both of these roles he conducts research to translate learnings of high performing organizations for the benefit of the broader health care system. David earned his doctorate in health services management and policy, JD, MHA, and MS from The Ohio State University, and a BA from Brigham Young University.

Derek DeLia is a Research Professor & Senior Health Economist at Rutgers Center for State Health Policy. He also teaches Health Economics and Econometrics in the Rutgers Economics Department. His research focuses on the economics of hospitals and health centers; emergency medical care; shared savings arrangements; performance measurement in accountable care organizations (ACO’s); health insurance coverage; and healthcare access. He serves on the Agency for Healthcare Research and Quality Health Systems & Value Research Study Section. Previously, Dr. DeLia led the organization of a national research conference on the integration of Emergency Medical Services (EMS), served on the NJ Healthcare Access Study Commission and a Subcommittee of the Governor’s Commission on Rationalizing Health Care Resources and held a research position at the United Hospital Fund of New York and taught Health Economics and Statistics at Columbia University and City University of New York.

Christie Lawrence is an accomplished marketing and business development strategist and healthcare consultant with more than 25 years of experience working with hospital systems, physician groups, managed care companies, self-insured employers, government entities, Accountable Care Organizations (ACOs), and Clinically Integrated Networks (CINs) to help them identify new products and services, solve problems, expand market share and increase quality and overall performance. As Vice President, she is responsible for daily operations, strategy, and service delivery.

Edward combines 30 years of health care consulting experience with 7 years of corporate experience to provide realistic business thinking for our healthcare clients. His firm, DHG Healthcare, is one of the largest private healthcare consulting practices in the US working with clients in all 50 states. Edward has acquired significant experience in the areas of data analytics, alternative payment models, ACO analytics, strategic business planning, health system planning, and growth strategies. Edward currently leads the firms Enterprise Intelligence group and recently was the recent leader of our national healthcare strategy practice unit. In the past five years his teams have conducted over 1000 planning and analytic engagements across a wide range of clients including for profit multi-location systems, not for profit systems, community hospitals, rural hospitals, specialty hospitals, health related companies, and accountable care organizations. Edward is particularly proud of the leading edge analytics tools that his team has developed to assist healthcare providers succeed in this new era of alternative payment models.

Emily DuHamel Brower is Vice President of Population Health for Atrius Health, an innovative non-profit healthcare organization with 30 medical practices and a home health and hospice agency providing care to 675,000 patients in eastern Massachusetts.

Emily has developed opportunities to support transformational work that measurably improves healthcare for Atrius Health patients, including leading Atrius Health’s implementation of the Pioneer ACO model, an initiative of CMS’ Center for Medicare and Medicaid Innovation. In her position, Brower leads cross-Atrius Health, cross-discipline teams redesigning care, moving from a payer-based to population-based approach for high risk patients.

Dr. Richard Bakalar has over 30 years of clinical, health informatics and executive leadership experience. Richard has an active medical license in Maryland and was board certified in Internal Medicine and Nuclear Medicine. He has a prior Radiology faculty appointment at the Uniformed Services University of the Health Sciences – School of Medicine in Bethesda, MD. He is a U.S. physician consultant in KPMG’s Global Healthcare Center of Excellence. Previously he was Physician Executive at Microsoft Corporation and a senior clinical advisor in Microsoft’s Health Solutions Group (HSG). He worked for IBM Corporation as Chief Medical Officer on its Healthcare Solution team and served in the Navy in the Medical Corps where he was the Navy Surgeon General’s first Special Assistant for Telemedicine. He is now an active member of the ATA College of Fellows and the Telemedicine and eHealth journal editorial review board.

Dr. Monika Roots is the Vice President of Health Services and the Senior Medical Director of Behavioral Health at Teladoc. She is a practicing child and adolescent psychiatrist and an adjunct professor at University of Wisconsin-Madison. Dr. Roots has practiced in a variety of settings including schools, community outreach programs, and medical/physical rehabilitation units. She believes in a multidisciplinary treatment approach which led to her previous position as Chief Medical Officer of CogCubed focused on assessing and training cognitive processes through games used on new and innovative technologies. Her work has been featured at several national conferences, in addition to multiple journals including Clinical Psychiatry News, Boston Globe, Health 2.0, Techdot MN and Modern Physician.

A key ingredient to informed patient-doctor discussions regarding end-of life care includes the patient’s ability to understand and imagine hypothetical disease states and medical interventions. However, studies suggest that there are numerous barriers to communication between doctors and patients. One innovation to surmount these barriers includes using video decision aids to reinforce end-of-life conversations. Dr. Angelo E. Volandes leads a group of internationally recognized researchers who create and study video decision aids to empower patients and families to make informed decisions at the end of life. ( www.ACPdecisions.org ) Dr. Volandes is a faculty member in the Department of Medicine at the Massachusetts General Hospital and on faculty at Harvard Medical School. Dr. Volandes’ research is focused on improving decision-making at the end of life and is supported by the NIH, the Agency for Healthcare Research and Quality, the Alzheimer’s Association and the Informed Medical Decisions Foundation.

Dr. Bell is currently the Director of the Center for Sustainable Health and Care at JBS International, a company leading efforts to enhance the health and wellbeing of vulnerable populations. She previously served as the Chair of The Certification Commission for HIT where she led the creation of the ACO/HIT Framework, the first publically available, consensus developed approach to outline the HIT supports that providers organizations might consider when assuming financial risk. Her work has been informed by extensive experience in clinical practice, academic medicine, the payer sector, public health, and federal policy. She has served as Acting Deputy of ONC and Director of ONC’s Office of HIT Adoption, as a Sr VP in Massachusetts’ Quality Improvement Organization, as a Medical Director in several health plans and in the Partners Healthcare system where she practiced at Massachusetts General.