november 16-17, 2009 the fairmont hotel washington, dc · analysis and commentary on national...
TRANSCRIPT
Medicaid Managed Careand the 2008 Elections
November 16-17, 2009The Fairmont Hotel
Washington, DC
M MedicaidHealth Plans ofAmerica
MHpa prograM book
2009 annual Meeting“advancing Health reform
through Medicaid Innovation”
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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
TABLE OF CONTENTS
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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. JohnsonExecutive DirectorMedicaid Health Plans of America
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WELCOME
Welcome Letterfrom The mhpa exeCuTive direCTor
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agendamoNday, November 16
7:00-8:00am Continental BreakfastBallroom Prefunction sponsored by: optimetra & HealtH partners of pHiladelpHia
8:00am Welcome and Opening RemarksGrand Ballroom Daniel J. Hilferty, President & CEO, The
AmeriHealth Mercy Family of Companies, and Chair, MHPA Board of Directors
8:10am Vice Chair RemarksGrand 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 sponsored by: Us preventive medicine
9:15-10:00am Keynote: “The Wit and Wisdom of Mark Shields”Grand Ballroom Mark Shields, Political Analyst, Commentator and Columnist
10:00-10:15am BreakBallroom Prefunction sponsored by: select HealtH of soUtH carolina
10:15-11:00am Keynote: “2010 and Beyond: An Electoral Grand Ballroom Outlook” David Plouffe, Chief Campaign Manager, Barack Obama’s 2008 Presidential Campaign 11:00-11:45am Presentation: “Using a Collaborative Platform 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
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Vision to LeadMission to Care
The AmeriHealth Mercy Family of Companies serves more than 6.5 million members nationwide. We offer high quality services and products for health plans, states and programs that manage care for low-income populations covered by publicly funded programs. Our product lines include:
Full risk health plans
Management and administrative services
pharmacy benefit management ® intensive care management
behavioral health care services
www.amerihealthmercy.com | for more information, please call 215.863.6762
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11:45am-1:00pm LunchThe Colonnade
11:45am-12:45pm Luncheon Keynote: “Be Heard on the Hill: ` The Colonnade Positioning Medicaid Health Plans to Succeed in Congress” The Hon. Heather Wilson, former member, U.S. Congress (R-NM); former member, U.S. House Energy and Commerce Committee sponsored by: HealtH management systems
1:00-2:00pm TWO CONCURRENT SESSIONS:
Grand Ballroom Trends in Mediciad and Women and Children’s Coverage Issues sponsored by: commUnity care beHavioral HealtH organization
moderator: Licy Do Canto, Principal, The Raben Group
Robert Hall, Assistant Director, American Academy of Pediatrics
Catherine Hess, Senior Program Director, National Academy of State Health Policy
Lee Partridge, Senior Health Policy Advisor, National Partnership for Women and Families
Executive Forum Developments in Health Information Technology sponsored by: dc cHartered HealtH plan
moderator: Karen M. Dale, RN, MSN, Executive Vice President, Operations and Strategy, DC Healthcare Systems, Inc.
“How the Wireless Industry Can Transform Communicating with Enrollees”
Dr. Anand Iyer, President & CEO, WellDoc Communications
“Using Persuasive Technologies for Chronic Disease Management - Clinical Benefits ”
Arthur Henderson, President, Affinity Networks
2:00-3:00pm TWO CONCURRENT SESSIONS:
Executive Forum Clinical Best Practices – Pharmacy sponsored by: navinet
moderator: Dr. Jeremy Nobel, co-Founder, NaviNet
“Advanced Pharmacy Care for Diabetes”Merri Pendergrass, MD, PhD, National Practice Leader, Diabetes, Medco
“Benchmarking Generic Utilization in a Medicaid Environment - Issues and Solution”
Mesfin Tegenu, President, Perform Rx
Grand Ballroom Clinical Best Practices sponsored by: wellpoint
moderator: Kevin Hayden, President, State Sponsored Business, Wellpoint
“Quality End-of-Life Care: Payer Perspective”Dr. Barry Kinzbrunner, MD, Chief Medical Officer, Vitas Healthcare
“Childhood Obesity”Harvinder Sareen, PhD, Director, Clinical Programs, State Sponsored Business, Wellpoint
“How to Effectively Deal with State Mandates for Treatment of Special Populations (Autism, ABD, CSN, Children in Foster Care)”
Tim Murphy, President, Beacon Health Strategies
3:00-3:15pm BreakBallroom Prefunction sponsored by: milliman
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3:15-4:15pm TWO CONCURRENT SESSIONS:
Grand Ballroom Operations – Best Practices moderator: Lourdes Rivas, Vice President of Client Services - Managed Care, DentaQuest
“Where Are We And Where Are We Going”Daniel Tillotson, CEO, The Prevention Plan
“Actuarial Soundness and Recent State Budget Challenges: Lessons Learned from Recent Rate- Setting Cycles and Implications for the Future”
John Kaelin, Senior Vice President, AmeriChoice
“Best Practices in Pharmacy Care Management”Bob Tanner, Director of Operations, PharmaStar
Executive Forum Best Practices – Program Integrity & Diabetes moderator: Robert McDaniel, National Accounts, Roche Diagnostics
“Best Practices in Program Integrity for Government-Sponsored Health Plans”
Carrie Cunningham, Vice President, Business Development, Health Management SystemsDavid Sand, MD, Chief Medical Officer, Health Management Systems
“Self-Measurement of Blood Glucose in Type II Diabetics: Benefits and Practical Application - Is It More than Just a Number?”
Andreas Stuhr, MD, MBA, Medical Director, Diabetes Care North America,Roche-Diabetes Care
4:30-5:30pm Congressional Staff PanelGrand Ballroom
5:30-7:00pm Conference ReceptionPrefunction Ballroom sponsored by: tmg HealtH
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Tuesday, November 1�
7:30-8:15am THREE CONCURRENT BREAKFAST SESSIONS:
Roosevelt Room The Use of Array CGH in the Clinical Diagnosis of Genetic Disease sponsored by: signatUre genomic laboratories, llc
Bassem A. Bejjani, MD, FACMG, Chief Medical Officer, Signature Genomic Laboratories, LLC
Grand Ballroom Continuity of Therapy: Janssen Long-Acting Therapy Update sponsored by: sponsored by ortHo-mcneil
Georgia L. Stevens, PhD, PMHCNS, BC, Aftercare Coordinator, Maryland State Mental Hygiene Administration and Baltimore Mental Health Systems
Potomac Suite Update: Dental Care and Medicaid sponsored by: sponsored by avesis and kool smiles
Meg Booth, Deputy Executive Director, Children’s Dental Health Project Dr. Fred Sharpe, DDS, Avesis
8:30-9:30am Keynote: “Outlook for Special Needs PlansGrand Ballroom in 2010”
John K. Gorman, CEO, Gorman Health Group
9:30-10:30am Keynote: “Medicaid Trends and PolicyGrand Ballroom Direction in 2009 and the Outlook for 2010” Vernon K. Smith, PhD, Principal, Health Management Associates Group
10:30-10:45am BreakBallroom Prefunction sponsored by: doral dental
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”
Behzad Mohazzebi, President, DCA
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11:30am-12:15pm Presentation: “Compliance Review 2009” Grand Ballroom Clifford Barnes, Esq., Partner, Epstein, Becker & Green
12:15pm Closing Remarks and AdjournmentGrand Ballroom Thomas L. Johnson, Executive Director, MHPA
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Keynote speaker bios
SPEAKER BIOS
John K. GormanJohn 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 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 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 plouffeDavid 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.
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Medco Ad here-- file too large to paste in
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mark shieldsMark Shields, a nationally known columnist and commentator, has worked in Washington through the administrations of nine U.S. Presidents. He was an editorial writer for The Washington Post where he began writing his column in 1979. Since 1988, Shields has provided weekly political analysis and commentary on national campaigns
for PBS’ award-winning The NewsHour with Jim Lehrer where he has matched wits with David Gergen, The Wall Street Journal’s Paul Gigot and most recently with David Brooks of The New York Times. For 17 years, Shields was moderator and panelist on CNN’s Capital Gang. He now is a regular panelist on Inside Washington, the weekly public affairs show which is seen on both ABC and PBS.
vernon K. smith, phdVernon Smith is a Principal with Health Management Associates, where he focuses on Medicaid, Medicare, SCHIP, state budgets and trends in the health care market place. He has authored several reports on enrollment, spending, policy trends in Medicaid and SCHIP, the Medicare prescription drug benefit, and on
state directions to address the uninsured. Dr. Smith has spoken on these issues before many national and state audiences, including the National Governors Association, the National Conference of State Legislatures, the Council of State Governments, the National Association of State Medicaid Directors, American Medical Association, American Hospital Association, the National Health Policy Forum, committees of the U.S. Congress, and Medicaid reform groups in several states. He has been a guest on National Public Radio and quoted on these issues in The New York Times, The 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.
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Tommy G. ThompsonTommy G. Thompson, the former Health and Human Services (HHS) secretary and four-term governor of Wisconsin, is National Policy Advisor for U.S. Preventive Medicine. Gov. Thompson’s state government career began in 1966, when he was elected to the Wisconsin State Assembly at the age of 24. He was first elected governor of
Wisconsin in 1986, and was re-elected in 1990 and 1994. Thompson was confirmed by the U.S. Senate as the 19th HHS Secretary in 2001 and served until 2005. As the nation’s top advocate for the health and welfare of all Americans, Secretary Thompson led the department, which employed more than 60,000 personnel and had a fiscal year 2004 budget in excess of $500 billion. Thompson was a candidate for the 2008 U.S. Presidential Election.
heather WilsonFormer Congresswoman Heather Wilson (R-New Mexico) represented her Albuquerque-based district in the U.S. House of Representatives from 1998-2008. A senior member of the House Energy and Commerce Committee Subcommittee on Health, she led efforts in Congress to improve the Medicaid program, establish the Medicaid
Commission, and reauthorize the State Children’s Health Insurance Program. Before being elected to Congress, Wilson was Cabinet Secretary of New Mexico’s Children, Youth and Families Department where she managed the state’s foster care system and treatment for mentally ill children. This position led her to take an intense interest in Medicaid and the ways in which the system can be improved to ensure the health of children and low-income vulnerable populations.
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presenters bios
ruth atkins As Executive Director for Passport Health Plan and Passport 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 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 Medicaid Health Plans in America. Ms. Atkins has been with Passport Health Plan since 1999 and has held various positions including Chief 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 and delivery of health care programs for employees in the Appliance Division. She also served in key positions with Norton Healthcare and Aetna Health Plans. Ms. Atkins has over 25 years of progressive health care experience.
Clifford e. barnesClifford Barnes is member of the law firm, Epstein, Becker and Green in its Health Care and Life Sciences Practice. Mr. Barnes represents providers, including hospitals, hospital systems, ancillary service companies, managed care companies, specializing in Medicare and Medicaid managed care companies, non-profit associations and contract research organizations. He counsels health care providers on issues related to mergers, acquisitions, joint ventures, various forms of contracting, including risk arrangements, international transactions, antitrust issues, fraud and abuse, compliance programs, and federal and state regulations; serves as general and special counsel for managed care companies, including Medicare and Medicaid health plans; as well as serves as general and special counsel for non-profit associations, including the Medicaid Health Plans of America, and the 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 New York City.
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With over 30 years of caring for hospice patients and their families,VITAS leverages its expertise, innovation and industry leadership
to provide cost-effective, quality solutions for managed care.
• Established protocols andguidelines to identify hospiceappropriate patients
• Industry leading qualitymeasurement data
• A cost effective choice to meet thecomprehensive medical, emotional,spiritual needs of the terminally ill
• Comprehensive continuingeducation programs toenhance clinician understandingand utilization of hospice
• A strategic partner to assist inmanaging excessive ED visits
• A responsive partner for decreasinghospitalization by providing homebased care
When a participant becomesseriously ill, it can be difficult toknow what type of care is best…or where to turn for help.
VITAS can help.
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bassem a. bejjani, md, faCmGDr. Bejjani is Chief Medical Officer and co-Founder of Signature Genomic Laboratories, LLC. He is also an Adjunct Professor in the Department of Ophthalmology at the University of Washington in Seattle. He is Director of the Genetic Fellowship Training Program in Clinical Molecular Genetics and Clinical Cytogenetics at Sacred Heart Medical Center Spokane. Dr. Bejjani obtained his medical degree from the American University of Beirut, in Beirut, Lebanon. He completed his fellowship training in Molecular Genetics and Cytogenetics at Boston University School of Medicine. He trained in Pediatrics at the University of North Carolina Hospitals-Chapel Hill, and in Medical Genetics at Baylor College of Medicine in Houston. He is board certified in Medical Genetics, Clinical Molecular Genetics, Clinical Cytogenetics and Pediatrics.
meg boothMeg Booth is the Deputy Executive Director of CDHP, where she manages policy efforts to improve the health and health care systems for children. Prior to joining CDHP, Ms. Booth served as a Policy Analyst for children with special health care needs and early childhood issues at the Association of Maternal and Child Health Programs. Her background includes working to educate policy makers on child health issues at the local, state and national levels. Ms. Booth worked with local health department in North Carolina to assess and evaluate their strategies to enroll children into public health care coverage. Additionally, she also worked in the Family Services Bureau at the Iowa Department of Public Health developing the state Title V Block Grant application and outreach strategies for enrolling Iowa’s children into Medicaid and SCHIP coverage. Additionally, Ms. Booth was a Policy Associate with the Alliance for Health Reform and a private consultant at the Center on Budget and Policy Priorities. She holds a bachelor of arts in Community Health Education with a minor in Women’s Studies from the University of Northern Iowa, as well as obtained a Master’s in Public Health from the Department of Maternal and Child Health at the University of North Carolina at Chapel Hill.
Cynthia burghardCynthia Burghard, Senior Vice President of Market Intelligence, spearheads ikaSystem’s market strategy and is a renowned expert in the health insurance industry. She has spent over 30 years in the health care information systems market, holding market research, consulting and analytic product development roles for health care payers, employers, providers and regulators. Before joining ikaSystems, Ms. Burghard was a research director for 14 years at Gartner, a leading IT research and advisory services firm, where she authored over 100 publications on topics such as care management, consumer engagement, magnetic
card and underwriting automation technologies. She was also a consultant and market researcher for Charles J. Singer & Co. and held management positions at Bay State Health Care, Blue Cross Blue Shield of Massachusetts and the Massachusetts Health Data Consortium. She holds a bachelor’s degree from the University of Colorado.
Karen L. Clark Karen Clark is the President and Chief Operating Officer of Horizon NJ Health, New Jersey’s largest managed health care company serving the publicly insured. At Horizon NJ Health and throughout her career, Ms. Clark has maintained her focus for ensuring that accessible, affordable quality health care is made available for all, especially the uninsured and at risk population. She is a leader and a businessperson who understands the role of public and private partnerships which address systematic health care issues. As an advocate, she understands the value in working with community groups as important partners in change. Ms. Clark has concentrated on developing “Best Practices” in managed care to impact outcomes, access and quality. She explores ways to effectively utilize funding to ensure access for the publicly insured population in New Jersey. Her participation with local, state and national organizations includes service with faith-based, school and community groups. As a volunteer, she has a focus on improving the health behaviors for young people.
Carrie Cunningham Carrie Cunningham has more than 22 years of leadership experience in Managed Care. As Vice President of Business Development, she leads HMS’s Managed Care Unit’s national agenda to bring HMS services to the Medicaid Managed Care and Medicare Advantage Health plans. She also serves as General Manager and Vice President of HMS’s Software Services Division, which provides proprietary software for public health clinics. Ms. Cunningham joined HMS in 1998, after previous success with Blue Shield of California and the Blue Cross Blue Shield National Association.
Karen m. dale, rN, msN Karen M. Dale is Executive Vice President of Operations and Strategy at DC Healthcare Systems, Inc. (DCHSI) and is responsible for the strategic direction and expansion efforts for DCHSI, the owner, of DC Chartered Health Plan, Inc., the oldest minority-owned and operated Medicaid Managed Care Organization (MCO) in the District of Columbia. Currently serving over 80,000 members, Chartered is the largest MCO in Washington, DC. Ms. Dale brings to DCHSI over 25 years of experience, including broad and comprehensive expertise in health care. She served as the CEO for Greater Southeast Community Hospital,
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Hadley Memorial Hospital and Skilled Nursing Facility and DC General Ambulatory and Emergency Care Centers. In addition, she previously served as Chartered’s COO for the DC HealthCare Alliance Program. She was a senior staff member at the DC Department of Health, where she managed public health programs in the areas of diabetes, addiction, prevention and recovery, asthma, immunization, maternal and child health services and external affairs. She brings significant experience at all levels of health care delivery and management and has specific expertise in program development, operational effectiveness and financial management.
Licy do CantoLicy Do Canto a Principal at the Raben Group, where he co-leads the firm’s Health and Education Practice Group. With more than 14 years of successful government relations, lobbying and management experience, Mr. Do Canto brings a wealth of knowledge and experience to clients on health and health care policy, and has a proven track record of building bipartisan consensus on and guiding federal legislation into law; creating and managing bipartisan coalitions; and directing large, complex policy and legislative campaigns at the national level. Mr. Do Canto most recently served as chief executive officer of the AIDS Alliance for Children Youth and Families, a leading national, non-profit advocacy organization focused on improving access to HIV/AIDS prevention, care and treatment for under-served communities across the United States. Mr. Do Canto is largely credited with significantly strengthening the Alliance’s operational and policy structure and considerably expanding and fortifying its relations with public and private sector partners. Prior to the Alliance, Mr. Do Canto served as the director of federal affairs for the National Association of Community Health Centers (NACHC).
Christina dragonettiChristina Dragonetti is responsible for sales and service to HMS’s commercial markets, including business development, product expansion and customer management. She works closely with commercial clients and health care industry representatives regarding trends in government-sponsored and private health care, opportunities emerging as a result of health care reform, and response to federal and state requirements. Prior to joining HMS, Ms. Dragonetti was Senior Vice President for the Reimbursement Services Group, Inc., and led 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.
robert hallRobert Hall is currently an Assistant Director in the Washington, DC office of the American Academy of Pediatrics. His work is focused on federal advocacy related to children’s health, specifically in the areas of access to care; health care financing, quality and information technology; medical liability; and pediatric practice. He chairs the Children’s Health Group. Previously, Mr. Hall served as Legislative Counsel to Senator Mark Dayton (D-MN). As chief legal advisor for the senior senator from Minnesota, Mr. Hall managed the health care, labor, education, immigration, judiciary, pensions, and social security policy portfolio and staffed the Senator on the Governmental Affairs Committee (since renamed the Homeland Security and Government Affairs Committee). He also managed Senator Dayton’s signature campaign issue, advocating for prescription drugs coverage under Medicare. Mr. Hall holds a Juris Doctorate from the University of Texas School of Law in Austin, Texas and a Masters in Public Affairs from the Lyndon B. Johnson School of Public Affairs, where he was managing editor of the LBJ Journal of Public Affairs. He also earned a Bachelor of Arts in political science from Haverford College.
Kevin r. hayden Kevin R. Hayden is President of WellPoint’s State Sponsored Business. Appointed to this role in April 2008, Mr. Hayden’s responsibilities include the development, implementation, management and expansion of health coverage for the underserved through government programs such as Medicaid, State Children’s Health Insurance Programs, and other publicly funded programs for the uninsured and underserved populations. He leads WellPoint’s Medicaid business, which currently serves 1.8 million members in 10 states. Mr. Hayden has over 23 years of experience in health care administration. He served as Secretary of the Department of Health and Family Services for the State of Wisconsin and was responsible for leading all public health and care delivery services to over 900,000 residents. He was a key architect in creating Badgercare Plus, an innovative program expanding coverage to all children in Wisconsin. Prior to that, Mr. Hayden served as the Administrator for Wisconsin’s Division of Health Care Financing, where he was responsible for the oversight of the Wisconsin Medicaid Program. Mr. Hayden also served nearly 10 years as President and Chief Administrative Officer at Dean Health Systems, Inc., a billion dollar multi-specialty integrated healthcare delivery system with a physician group practice of more than 500 physicians and 3,400 employees in Madison, Wisconsin.
SPEAKER BIOSs
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arthur r. henderson, Jr.Arthur Henderson has years of experience in government, private sector and university environments in the design, development and marketing of technology-based products and services. He currently is CEO of Affinity Networks, Inc., a systems integration firm delivering products and services to the health care and homeland security industries. In addition to the numerous other firms he has founded, he gained valuable experience at IBM, where he participated in the development and management of command and control systems for nuclear submarines, and implemented advanced systems for the Central Intelligence Agency. His latest venture, Affinity Networks, has recently launched IntelaCare, a cell and broadband phone based service that delivers multimedia health care content and applications to specific patient populations. The Army and several commercial entities are currently using IntelaCare to deliver two-minute diabetes management videos to the cell and broadband home phones of patients and employees. IntelaCare has demonstrated daily viewership as high as 70%, and has had a significant impact on the health of all participants, with similar results expected in other chronic disease areas.
Catherine hess Catherine Hess is a Senior Program Director based in the National Academy for State Health Policy’s Washington, DC office, where she develops and directs programs focused on child health coverage, community health centers, and other health policy topics important to states. She serves as the Program Director for Maximizing Enrollment for Kids, a $15 million national initiative of the Robert Wood Johnson Foundation; the Project Director for a David and Lucile Packard Foundation program funded for over a decade to provide technical assistance to and report on state CHIP programs; and Project Director for NASHP’s National Cooperative Agreement with HRSA’s Bureau of Primary Health Care to better inform state policy-making as it affects federally qualified health centers. Catherine has nearly 30 years of senior and executive level state and national health policy experience. She was the first Executive Director of the Association of Maternal and Child Health Programs (AMCHP), a position she held for 14 years. In the 1980’s, Ms. Hess served as Director of the Policy Office for the Massachusetts Department of Public Health’s Division of Family Health, where she played an instrumental role in the development of the nation’s first state maternity care insurance program, Healthy Start.
daniel J. hilfertyAs President and Chief Executive Officer of AmeriHealth Mercy, Daniel J. Hilferty is responsible for the leadership, strategic direction, business development and operations of the AmeriHealth Mercy Family of Companies, including its sister organization, Keystone Mercy Health Plan, the largest Medical Assistance managed health care organization in Southeastern Pennsylvania. Headquartered in Philadelphia, AmeriHealth Mercy and its affiliated health plans comprise the largest family of Medicaid managed care plans in the United States. Through ownership, affiliation or management, AmeriHealth Mercy touches the lives of more than 2 million members nationwide. Mr. Hilferty has more than 20 years of experience in health care, government affairs, communications and education. He was previously Senior Vice President of Corporate and Government Affairs for Mercy Health System in Southeastern Pennsylvania. In this capacity, he coordinated all government relations activities, corporate communications, marketing initiatives, development and community outreach efforts. Prior to his tenure at Mercy Health System, Mr. Hilferty was the Executive Director of PennPorts with the Office of Pennsylvania Governor Robert P. Casey. He managed all economic development programs and legislative relations related to the ports of Philadelphia, Pittsburgh and Erie.
anand K. iyer, phdDr. Iyer serves as president and COO of WellDoc Communications, Inc., where he oversees the deployment of the company’s cell phone- and web-based diabetes management platform, and leads efforts to integrate WellDoc’s solution internationally into mainstream chronic disease management programs. Dr. Iyer has more than 20 years of consulting experience. Previously, he served as a director (partner) at PRTM Management Consultants in the firm’s communications industry group and led its wireless solutions practice. During his 14-year tenure with PRTM, Iyer helped companies in commercial and government sectors capitalize on the convergence of three trends – internet ubiquity, emerging wireless technologies and innovation business models – to unlock new business and customer value. He is also the founder and president of the In-Building Wireless Alliance, a global, cross-industry, not-for-profit focused on accelerating the adoption of in-building wireless technologies to improve public safety response, energy consumption and real estate value for buildings.
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John Kaelin John Kaelin is a Senior Vice President at the AmeriChoice Corporation, a subsidiary of UnitedHealth Group. AmeriChoice health plans serve more than 2.7 million Medicaid, Children’s Health Insurance Program (CHIP) and Medicare beneficiaries in 22 states. John is heavily involved in the Company’s efforts to develop new products for Medicaid and the uninsured and works closely with states on Medicaid managed care rate-setting issues. Earlier in his career at the New York State Health Department, he played a leadership role in the establishment of New York State’s Medicaid managed care program in the mid-1990s. After leaving New York state service, John was appointed Chief Executive at the University of Maryland’s Center for Health Program Development and Management in 1998 where he helped implement the concept of risk adjusted payments in a number of states.
barry m. Kinzbrunner, md, faCp, faahpm Dr. Barry Kinzbrunner is executive vice president and chief medical officer for VITAS Innovative Hospice Care®, one of the nation’s oldest and largest providers of end-of-life care. Barry has cared for the terminally ill and their families since 1984. As chief medical officer, he serves as liaison between VITAS’ growing array of hospice programs and community physicians providing hands-on care to more than 11,000 patients each day. A national leader in defining the role of the hospice medical director, Barry has extensive experience in developing professional performance standards, pain and symptom management guidelines, quality assurance, and hospice and palliative care education. He was involved in the development of a medical education and research program in hospice 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 in End-of-Life Care, Barry has published nearly 30 articles in peer-reviewed journals and authored a chapter on the care of the terminally ill cancer patient for a medical oncology textbook. He has written on the treatment of cancer pain and the team approach to pain management.
robert mcdaniel Robert McDaniel, State Government, directs Roche Diagnostics Diabetes Care State Medicaid efforts across the country and develops State partnership strategies through Pharmacy Benefit Management, Managed Care and Care Management Programs. Prior to joining Roche Diagnostics, Bob served as Wellcare (Harmony Health Plan of Indiana) Vice President of Network Development and Operations. In addition, Bob has served in senior level positions with Anthem BCBS and PacifiCare Health Plans. Bob has two decades of experience in, overseeing Medical Advisory
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Boards, Committees and JCAHO Accreditation. Bob received a B.A. in Life Science from Indiana State University with his graduate work at Indiana University.
behzad mohazzebiBehzad Mohazzebi is Founder and President of Dynamic Commerce Applications, Inc. Prior to founding DCA in 1991, Behzad Mohazzebi started ACS. He then directed ACS, and later DCA, to support health care organizations using this package across the US and Canada. In the late 1990’s, Mr. Mohazzebi focused on HIPAA, with special attention on Medicaid and Medicare Encounter Reporting and Revenue Management. For the last seven years Mr. Mohazzebi’s primary focus has been on Medicaid and Medicare Risk Adjustment, Encounter Reporting, and Revenue Management. Mr. Mohazzebi has a BA degree in Quantitative Economics from Robert College in Istanbul, Turkey.
Timothy murphy Timothy Murphy joined Beacon in 2007 as President. Prior to joining Beacon, Mr. Murphy served as the Secretary of Health and Human Services for the Commonwealth of Massachusetts. A recognized leader in health care policy, Mr. Murphy’s signature accomplishment during his tenure was the development, passage, and initial implementation of the landmark Massachusetts health care reform law. Prior to his governmental service, Mr. Murphy was a successful investment banker in New York City. He holds a BA from Merrimack College, where he is a member of the college’s Board of Trustees, and an MPP from Harvard University.
Jeremy J. Nobel, md, mph Dr. Nobel designs health care management and delivery systems that focus on cost and quality concerns. Working with employers, government, as well as health plans, he develops and evaluates computer-based information technology applications that coordinate critical aspects of health care delivery, support optimal practice patterns and improve patient satisfaction. His contributions to this field span 20 years, and include providing health policy insight to the landmark Institute of Medicine of 1991 study addressing the automated patient record. He has worked in consultation to several major corporations and foundations in the design and evaluation of effective health care management programs including Blue Cross/Blue Shield of Massachusetts, J&J, Mercer, HBOC, Chrysler, GM, Safeway, Sanofi-Aventis, Pfizer, GSK, Verizon, CAREMARK, IBM, Medtronic, McKesson, Blue Shield 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
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to improving care delivery processes through better information management. Dr. Nobel is Board Certified in both Internal Medicine and Preventive Medicine with Master’s Degrees in Epidemiology and Health Policy from the Harvard School of Public Health. He graduated magna cum laude from Princeton University within the Science and Human Affairs program. He received his medical education at the University of Pennsylvania and completed his internal medicine residency at the Beth Israel Hospital, Boston.
Lee partridge Lee Partridge is a senior health policy advisor at the National Partnership for Women and Families, where she specializes in performance measurement and quality improvement issues with special reference to lower income individuals and families. From 1992-2003, she headed the health policy section of the American Public Human Services Association; the Association provides the staff support for the National Association of State Medicaid Directors. From 1983-1992, she directed the Medicaid 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 the health and welfare committee of the DC City Council. She has co-chaired several performance measurement committees of the National Quality Forum (NQF) and recently completed serving on its committee to evaluate a set of perinatal quality measures. She is also a member of the NCQA Advisory Panel considering measurement approaches for evaluating the Patient-Centered Medical Home.
Lourdes rivas Lourdes Rivas is Vice President of Client Services – Managed Care for the DentaQuest government division. Prior to her role at DentaQuest, Ms. Rivas served as Chief Operating Officer of Atlantic Dental Inc. ADI was acquired by DentaQuest in 2008. DentaQuest is one of largest government dental benefits administrators in the nation. It currently serves nearly 50 managed care organizations, seven state agencies, 12 million members and approximately 17,000 participating dentists. 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.
david J. sand, md, mba, faCs, ChCQm, faihQDr. David J. Sand received his undergraduate and medical degrees from Brown University. After nearly 15 years of private practice, he earned his MBA with a Health Care concentration from Regis University in Denver. Dr. Sand has been involved in issues of regulatory compliance at the administrative level since 1999, first as Medical Director of a start-up national hearing health care company, and then as Medical Director of Permedion. As Chief Medical Officer for HMS, he has been integrally involved in the company’s Independent Medical Review work. He has extensive experience on issues of medical necessity and appropriate coding, and provides quality oversight for Permedion’s independent medical peer review activities. His involvement with multiple state Medicaid agencies and Medicaid Managed Care Organizations has included both extensive contract oversight of, and direct responsibilities for, the medical review of disputed health care claims issues as well as providing input regarding a variety of issues including coverage policy.
harvinder sareen, phdDr. Harvinder Sareen is the Director of Clinical Programs at WellPoint’s State Sponsored Business. She plays a key role in leading WellPoint’s efforts to address childhood obesity among its commercial and Medicaid members and facilitating innovative BMI training and other resources for primary care physicians. Under her leadership, the initiative has partnered with academic institutions for the scientific evaluation of initiative activities. Her work has recently expanded into diabetes care, advancing the Medicaid Medical Home agenda, and using advanced healthcare analytics to enhance care management for Medicaid and SCHIP members. In addition to the above responsibilities, Dr. Sareen has developed SimpleSteps, a pilot wellness program for employees under the umbrella of WellPoint’s Choose Better Health program. She is also co-chair of the California Wellness Committee for WellPoint and is a member of the WellPoint’s Women’s Wellness Committee.
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fred L. sharpe, ddsDr. Fred Sharpe serves as the Chief Dental Officer for Avesis. Dr. Sharpe has over twenty-four years of experience with dental benefits administration and has personally led dental HMO, PPO and discount programs across the country. He has been responsible for the development of the Avesis Medicaid and Medicare dental programs along with the Avesis Preventive Plus and Restorative Plus programs. Dr. Sharpe has been with Avesis since 2003 and has overseen the development of the Avesis Medicaid and Medicare dental networks, the quality assurance processes and the overall dental administrative programs.
andreas stuhr, md, mbaAndreas Stuhr, MD, is Medical Director North America, Roche Diabetes Care. Dr. Stuhr graduated from Ludwig-Maximilians University Medical School in Munich, Germany with a Doctor of Medicine degree. Before becoming a licensed medical doctor, he completed his clinical training at The Marshfield Clinic and Hospital, Marshfield, Wisconsin. He provided adolescent and pediatric endocrine and diabetes care at the University Children’s hospital in Munich Germany for five years. He earned his Master of Business Administration and Business Informatics from the Rotterdam School of Management, Erasmus Graduate School of Business, in the Netherlands. Before joining Roche in 2005 in Mannheim, Germany, he worked for Eli Lilly and Co. as Scientific Advisor and for Becton, Dickinson and Company Europe as Medical Director Europe both for Diabetes Care and Medical Surgical Systems, BD Medical.
bob Tanner, Cpa, mbaAs PharmaStar’s Director of Operations, Bob Tanner currently oversees 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.
mesfin Tegenu Mesfin Tegenu is President of PerformRx, AmeriHealth Mercy’s pharmacy benefit management division. Prior to his current role, Mr. Tegenu held a number of management and executive positions. His broad range of experience in the field of managed care pharmacy provides him with the knowledge and expertise required to resolve both commonplace and unique problems encountered when providing a comprehensive pharmacy benefit. In addition to his New York State Pharmacy license, Mr. Tegenu has a Bachelor of Pharmacy degree from Addis Ababa University, Addis Ababa, Ethiopia, and a Masters of Science degree from St. John’s University, Jamaica, New York.
daniel Tillotson Daniel Tillotson is CEO of The Prevention Plan™, a business unit of U.S. Preventive Medicine®, and has served in this position since October 2007. Serving clients in 46 states, the company is URAC and NCQA accredited as well as HIPAA compliant. The Prevention Plan provides a comprehensive suite of primary, secondary and tertiary prevention and disease management solutions for employers, as well as Medicare and Medicaid service providers. Mr. Tillotson’s health care career spans three decades in the development and operation of successful, innovative companies in the health care industry. In 1975, he joined American Health Plans (AHP) functioning as the company’s COO. AHP provided innovative, center-based managed care including primary, specialty, diagnostic, vision, 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. Tillotson became general manager for the region as the AHP model was replicated across the country.
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sponsorsMHPA wants to thank its sponsors for its most generous support:
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EPSTEIN BECKER & GREEN, P.C.
| ���2 | 2009 MHPA ANNUAL MEETING | ��SPONSORSs
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aNNuaL meeTiNG spoNsors & exhibiTors
PharmaStarYour PBM. On your t ime .
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Cyber Café
NaviNet TMGHealth
MeDai
Smart Data
TrizettoGroup
Block Vision
ZirMed
ikaSystems
ConnollyHealthcare
Emdeon
ForestPharmaceuticals
SignatureGenomics
Ortho-McNeil
FirstRecoveryGroup Avesis Vitas HMS
Medco
RocheDiagnostics
Optimetra
DCA
Patriot
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exhibitor floor plan forballroom prefunction
exhibitors
List of exhibitors and booth # Location (alpha order)
34 - Access2Care (Ballroom)28 - AmeriHealth Mercy Family of Companies (Ballroom)14 - Avesis22 - Block Vision07 - Connolly Healthcare20 - DCA 33 - DentaQuest (Ballroom)08 - Emdeon29 - Epstein Becker & Green (Ballroom)13 - First Recovery Group09 - Forest Pharmaceuticals 31 - Health + Solutions (Ballroom)32 - Health Integrated (Ballroom)12 - Health Management Associates (Ballroom)26 - Health Trio (Ballroom)16 - HMS06 - ika Systems01 - MEDai17 - Medco03 - NaviNet19 - Optimetra11 - Ortho-McNeil21 - Patriot Data Services24 - PharmaStar (Ballroom)18 - Roche Diagnostics10 - Signature Genomics23 - Smart Data Solutions25 - Staywell Custom Communications (Ballroom)02 - TMG Health30 - TMS Management Group (Ballroom)04 - The Trizetto Group35 - US Preventative Medicine, Inc. (Ballroom)15 - Vitas Health Innovative Hospice Care27 - Cyber Café05 - ZirMed
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attendee List
The following individuals had registered to attend (as of October 20):
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Cathy adlerMarketing Manager of Managed Care, Roche Diagnostics, Indianapolis, IN
Karen amstutzMedical Director, WellPoint State Sponsored Business, Camarillo CA
Joseph antonucciExecutive Vice President, Patriot Managed Care Solutions, Houston, TX
Kevin ashlimanAssoc. Director, Customer Marketing, Merck & Co., Inc., North Wales, PA
ruth atkinsExecutive Director, Passport Health Plan, Louisville, KY
Jennifer babcockDirector of Policy, Association for Community Affiliated Plans, Washington, DC
paul baderDirector, Payer Strategy, Merck & Co., Inc., North Wales, PA
bryan baierVP, Government & Regulatory Affairs, WellCare Health Plan, Tampa, FL
deanna banksPrincipal, Furst Group, Washington, DC
bassem bejjaniChief Medical Officer, Signature Genomics, Spokane, WA
Jill bellVice President of Public Affairs. Passport Health Plan, Louisville, KY
drew berentoAmeriHealth Mercy Family of Companies, Philadelphia, PA
George bilykDirector, Government Channel Strategies (Strategic Customer Group),Ortho-McNeil Janssen Pharmaceuticals, Inc., Titusville. NJ
Pharmastar
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25 26 28 29 30 31Staywell
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HealthTrio
EpsteinBecker & Green
AmeriHealthMercy
Health Integrated
Health + Solutions
TMSManagement
Group
DentaQuest
Access2Care
Health Management Associates12
US Preventative Medicine35
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pat bollomOwner, Smart Data Solutions, Mendota Heights, MN
Nancy borahBusiness Development Consultant, Optimetra, Inc., Monument, CO
patrick brierAttorney, Brier & Associates, Scranton, PA
martin brill SVP Finance/CFO, Health Partners of Philadelphia, Philadelphia, PA
Julia brillhartState Director, WellPoint State Sponsored Business, Camarillo, CA
r.J. briscioneDirector, Government and Community, Peach State Health Plan/Centene, Smyrna, GA
doug brownChairman, NCDR LLC/Kool Smiles, Atlanta, GA
Jamie bruceChief Compliance Officer & Director of External Affairs, MdWise, Indianapolis, IN
david buchsbaumMedical Director, WellPoint State Sponsored Business, Camarillo, CA
Cynthia burghardSenior VP, Market Intelligence, ikaSystems, Southborough, MA
Kathryn busbyExecutive Director, Arizona Association of Health Plans, Phoenix, AZ
bob CacciolaEvents Manager, NaviNet, Cambridge, MA
Kevin CampbellState Director, WellPoint State Sponsored Business, Camarillo, CA
mike CampisiSr. Director, Sales & Marketing, ESA Magellan Biosciences, Chelmsford, MA
brandy CantorMML&K Government Solutions, Frankfort, KY
Jim CarloughVP Client Development, HMS, Irving, TX
Carroll CarlsonGroup Health Cooperative of Eau Claire, Augusta, WI
donna CarrisCEO, Health Right, Washington,, DC
monica CartwrightReg. Account Executive, North Wales, PA
angelo CastilloGovernment Programs Manager, Unity Health Insurance, Sauk City. WI
flora CastilloVP, Corporate Marketing, AmeriHealth Mercy Family of Companies, Philadelphia, PA
heidi ChanAmeriHealth Mercy Family of Companies, Harrisburg, PA
ray CioffiSenior Sales Executive, Human Arc, Cleveland, OH
Karen ClarkPresident & COO, Horizon NJ Health, West Trenton, NJ
Kevin ClarkVP of Marketing, Connolly Healthcare, Wilton, CT
James ClarkState Government Stategy & Relations, Roche Diagnostics,Indianapolis, IN
amy ClubbsCOO, Molina Healthcare of Ohio, Columbus, OH
marvin CobernVice President of Strategic Planning, Molina Healthcare, Inc., Long Beach, CA
Corey ColemanManager of Legislative & Public Affairs, AmeriHealth Mercy Family of Companies, Philadelphia, PA
mitch CollinsState Director WellPoint State Sponsored Business, Camarillo, CA
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Carrie CunninghamVP Business Development, HMS, New York, NY
alec CunninghamPresident FL & HI Division, WellCare Health Plan, Tampa, FL
sam CurrieDirector of Pharmacy Services, Horizon NJ Health, West Trenton, NJ
donna daddarioSVP Pharmacy, Health Partners of Philadelphia, Philadelphia, PA
Karen m. daleExecutive Vice President, D.C. Healthcare Systems, Inc., Washington, DC
James dalessioController, Horizon NJ HealthWest, Trenton, NJ
dede davisVice President of Operations and Contracting, Passport Health Plan, Louisville, KY
Laurie deanSr. Vice President of Operations, Ucare, Minneapolis, MN
randolph desoniaDirector of Medicaid Policy, America’s Health Insurance Plans,Washington, DC
Licy doCantoPrincipal, The Raben Group, Washington, DC
Christina dragonettiSenior Vice President of Managed Care, Health Management Systems, Inc.New York, NY
Kari dreyer-GoldmanStaff Vice President, WellPoint State Sponsored Business - Field OperationsCamarillo, CA
Chirstopher drummSenior Vice President, Government & External Affairs, AmeriHealth Mercy Family of Companies, Philadelphia, PA
Wendy duffManager of Business Development & Marketing, Connolly HealthcareWilton, CT
Katie dunningThe Palmetto Policy Group, Columbia, SC
Keith eckertAssociate Vice President, AmeriHealth Mercy Family of CompaniesPhiladelphia, PA
becky erbeAVP, Government Programs, The Trizetto Group, Phoenix, AZ
phillip fairchildDirector of Provider Services, Select Health of South Carolina,Charleston, SC
Kimberely fedorManager, MA Medical Management, UPMC Health Plan, Pittsburgh, PA
Jay feldsteinCorporate Chief Medical Officer, AmeriHealth Mercy Family of CompaniesPhiladelphia, PA
Corey fenoglioSales Manager, HMS, Irving, TX
Karen ferryPartner, The Harwich Group, LLC, Providence, RI
Jeff flickRegional Vice President, WellPoint State Sponsored BusinessCamarillo, CA
James francesconiAttorney, Haglund & Kelley Law Firm, Portland, OR
Carl GarrettManager, Government Affairs, WellCare Health Plan, Tampa, FL
William GeorgePresident & CEO, Health Partners of Philadelphia, Philadelphia, PA
Lisa GetzfridSr. VP Product Development, AmeriHealth Mercy Family of CompaniesPhiladelphia, PA
frederic GoldsteinPresident, U.S. Preventive Medicine, Inc., Jacksonville, FL
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John GormanCEO, The Gorman Group, Washington, DC
Natasha GrecoAccount Executive, NaviNet, Cambridge, MA
William GreerPassport Health Plan, Louisville, KY
ruth anne GuerreroVice President, PMO, AmeriHealth Mercy Family of Companies, Philadelphia, PA
Joyce haganRegional President, Passport Health Plan, Louisville, KY
sherita haiglerNurseWise, St. Louis, MO
robert hallAssistant Director, American Academy of Pediatrics - Department of Federal Affairs, Washington, DC
danielle hansenGovernment Affairs Manager, WellPoint State Sponsored Business,Camarillo, CA
Nancy hardySenior Vice President, Sellers Dorsey, Philadelphia, PA
Lynne harshaAVP, PerForMED, Philadelphia, PA
phyllis hartsteinVP Managed Care Division, HMS, New York, NY
Kevin haydenPresident, WellPoint State Sponsored Business, Camarillo, CA
Cindy hellingCOO, Select Health of South Carolina, Charleston, SC
arthur hendersonPresident, Affinity Networks, Inc., Arlington, VA
russell herefordDeputy Regional Inspector General, US Department of Health & Human, Services, Boston, MA
Catherine hessSenior Program Director, National Academy of State Health PolicyWashington, DC
Nikki highsmithSenior Vice President, Center for Health Care Strategies, Hamilton, NJ
daniel hilfertyPresident and CEO, AmeriHealth Mercy Family of CompaniesPhiladelphia, PA
helen hombergerVice President of Medical Management, Passport Health Plan, Louisville, KY
dr. Thomas huiSenior Medical Director, Horizon NJ Health, West Trenton, NJ
ravi ikaCEO, ikaSystems, Southborough, MA
dr. anand iyerPresident & CEO, WellDoc Communications, Baltimore, MD
Kim JayhanSales Executive, MEDai, Inc., Orlando, FL
mike JerniganPresident & CEO, Select Health of South Carolina, Charleston, SC
sunil JoshiState Director, WellPoint State Sponsored Business, Camarillo, CA
John KaelinSenior Vice President, AmeriChoice
arshad KasimSales Executive, The Trizetto Group, Phoenix, AZ
david KimpfCEO, Optimetra, Inc., Monument, CO
elizabeth KingeterSenior Account Director, AstraZeneca, Warrington, PA
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| 4�44 | 2009 MHPA ANNUAL MEETING | 4�
barry KinzbrunnerChief Medical Officer, Vitas Healthcare, Miami, FL
Len KiudgisDirector of Communications & Marketing, Horizon NJ Health,West Trenton, NJ
sherry KnowltonAmeriHealth Mercy Family of Companies, Harrisburg, PA
Tom KnoxStrategic Market Director (Strategic Customer Group), Ortho-McNeil Janssen Pharmaceuticals, Inc., Verona, KY
alan KrigsteinChadds Ford, PA
William KruegelVP of Compliance and RA, Sunshine State Health Plan/CenteneSunrise, FL
Christopher LabonteDirector of Client Services, Sellers Dorsey, Philadelphia, PA
ingrid LamiraultManager, Strategic Projects, Alameda Alliance for Health, Alameda, CA
david LavelySr. VP of Business Development, OptiCare Managed VisionRocky Mountain, NC
Kimberely C. LawsonRegional Sales Executive, Western Region, DentaQuest, Cave Creek, AZ
virginia LeeVice President, U.S. Preventive Medicine, Inc., Jacksonville, FL
anita LewisLegislative Program Manager, Health Partners of PhiladelphiaPhiladelphia, PA
rose LichtensteinProgram Analyst, Office of Inspector General - US Department of Health & Human Services, Boston, MA
heidi LiedlGroup Health Cooperative of Eau Claire, Altoona, WI
Jimmy LiuSenior Consultant, DCA, Springfield, PA
dorian Lo Chief Medical Officer, Medco, Franklin Lakes, NJ
John LovelacePresident, UPMC Health Plan, Pittsburgh, PA
Thomas LymanAmeriHealth Mercy Family of Companies, Philadelphia, PA
William macbainSenior Vice President, Finance, Gorman Health Group, Washington, DC
Charlotte macbethPresident & CEO, MdWise, Indianapolis, IN
Jackie maciasVice President & General Manager, WellPoint State Sponsored BusinessCamarillo, CA
Joseph mangerDirector of Regulatory Affairs, Horizon NJ Health, West Trenton, NJ
pete maniagoNational Account Manager, Managed Medicaid, Roche DiagnosticsIndianapolis, IN
Larry marchantPresident, The Palmetto Policy Group, Columbia, SC
scott markovichRegional Vice President, WellPoint State Sponsored BusinessCamarillo, CA
John mathewsonHSCSN, Washington, DC
michelle mayerLower Gwynedd, PA
robert mayockVice President, Market Expansion, AmeriHealth Mercy Family of Companies, Philadelphia, PA
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| 4�46 | 2009 MHPA ANNUAL MEETING | 4�
Candice mcauliffeState Director, WellPoint State Sponsored Business, Camarillo, CA
Terry mcbrayerLexington, KY
Joseph mcCormackEastern Region Sales Director, PerformRx, Philadelphia, PA
John mcdaidSr. Director of Strategic Projects, AmeriHealth Mercy Family of CompaniesPhiladelphia, PA
robert mcdanielNational Accounts, Roche Diagnostics, Indianapolis, IN
Joe mcdonaldRegional VP, Sales & Business Development, NaviNet, Cambridge, MA
Joanne mcfallAssociate Vice President, AmeriHealth Mercy Family of CompaniesPhiladelphia, PA
Kearline mcKellar-JonesVP of Government Relations & Compliance, Health Partners of Philadelphia, Philadelphia, PA
John meerschaertPrincipal and Consulting Actuary, Milliman, Brookfield, WI
michelle millerDirector of Sales & Business Development, Nurtur, Oakland, CA
Neal millerDirector of Business Development, Connolly Healthcare, Wilton, CT
rita Johnson millsSVP-Regional Health Plan Operations, AmeriChoice, Minnetonka, MN
mike miniatiVP, Marketing, Health Integrated, Tampa, FL
david mitchellVP, Market Development, Medco, Franklin Lakes, NJ
behzad mohazzebiPresident, DCA, Springfield, PA
John montagueDirector of Sales Support, TMG Health, King of Prussia, PA
Tonya moodyAVP, Health Promotion & Program Development, AmeriHealth Mercy Family of Companies, Philadelphia, PA
Carl moroffChief Vision Officer, eyeQuest, Mequon, WI
William morsellSenior Vice President. AmeriHealth Mercy Family of CompaniesHuntingdon Valley, PA
Tom murarDirector Medicare/Medicaid, DCA, Springfield, PA
Timothy murphyPresident & CEO, Beacon Health Strategies, LLC, Woburn, MA
margaret murrayCEO, Association for Community Affiliated Plans, Washington, DC
Joseph muskerCentene, Washington, DC
victor NegronDirector, Marketing, AmeriHealth Mercy Family of CompaniesPhiladelphia, PA
sonya NelsonPresident and CEO, BlueCross Blue Shield TN, Chattanooga, TN
erin NewtonRegional Account Manager, Forest Pharmaceuticals, Parkton, MD
Jeremy NobelCo-Founder, NaviNet, Cambridge, MA
andrew orefficeVice President, Government & Industry Relations, NCDR LLC/Kool SmilesAtlanta, GA
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| 4�4� | 2009 MHPA ANNUAL MEETING | 4�
Cindy orthDirector, Network Development. Columbia United ProvidersVancouver, WA
Laura palmerDirector of Health Plan Sales, StayWell Custom CommunicationsMiddleton, WI
Lee patridgeSenior Health Policy Advisor, National Partnership for Women and Families, Washington, DC
Gale pearceExecutive Director, AmeriHealth Mercy Family of CompaniesIndianapolis, IN
merri pendergrassNational Practice Leader - Diabetes Therapeutic Resource Center, Medco Health Solutions, Fort Worth, TX
ralph perezSales Representative, NurseWise, St Louis, MO
pam persichilliDirector of Utilization Management, Horizon NJ Health, West Trenton, NJ
david plouffeChief Campaign Manager, Barack Obama’s 2008 Presidential Campaign
John prangeOwner, Smart Data Solutions, Mendota Heights, MN
Ken preedeDirector, Federal Affairs, Molina Healthcare, Inc., Long Beach, CA
dolores ragoDirector of Health & Wellness, Horizon NJ Health, West Trenton, NJ
raghu ramayaSenior Vice President, Sales, ikaSystems, Southborough, MA
michael rashidAmeriHealth Mercy Family of Companies, Philadelphia, PA
michael reganArea Director, Managed Markets, Forest PharmaceuticalsFort Washington, PA
Lourdes rivas Vice President of Client Services - Managed Care4,DentaQuest, Coral Gables, FL
Linda romanSenior Sales Executive, Human Arc, Cleveland, OH
dan romeChief Medical Officer, Beacon Health Strategies, LLC, Woburn, MA
dee roselerRegional Sales Director, Patriot Managed Care Solutions, Houston, TX
david rosenPresident, First Recovery Group, Southfield, MI
Karen rosenbergDirector of Business Development, Coordinated Transportation Solutions, Ansonia, CT
elizabeth salterDaichi Sanyo Pharmaceuticals, Inc., Bethesda, MD
david sand Chief Medical Officer, Health Management SystemsWesterville, OH
marla sandallStrategic Planning Director. WellPoint State Sponsored BusinessCamarillo, CA
dr. harvinder sareenDirector of Clinical Programs, WellPoint, Camarillo, CA
betsy scarcelliVice President, Strategic Planning, AmeriHealth Mercy Family of Companies, Philadelphia, PA
denise schifanoAssociate Vice President of Quality Improvement, Member Services and Data Analysis, Passport Health Plan, Louisville, KY
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mark shieldsPolitical Analyst, commendtator and Columnist
andrew slabinskiSales Associate, First Recovery Group, Southfield, MI
vernon K. smithPrincipal, Health Management Assoiciates, Lansing, MI
holly smithVP, Business Development, Optimetra, Inc., Monument, CO
debra smyersSenior Director, Product Development Medical Assist., UPMC Health PlanPittsburgh, PA
Kathleen snyderMarketing Coordinator Coordinated Transportation Solutions, Ansonia, CT
Linda steinkeState Director. WellPoint State Sponsored Business, Camarillo, CA
mary stomSVP of Healthcare Management and CMO, Health Partners of PhiladelphiaPhiladelphia, PA
andreas stuhr, mdMedical Director, Diabetes Care North America, Roche Diagnostics
Joseph stulzSenior Account Manager, Boehringer Ingelheim, Maple Glen, PA
bob TannerDirector of Operations, PharmaStar, Eau Claire, WI
robert TaylorPresident & CEO, The Cameron Companies LLC (Keystone), Solebury, PA
mesfin TegenuPresident, Perform Rx, Philadelphia, PA
amy TenhouseDirector of Policy, Molina Healthcare, Washington, DC
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Christopher TeskaManager of Medical Assistance Finance and Reporting, UPMC Health Plan, Pittsburgh, PA
Jesse ThomasPresident, Molina Healthcare, Troy, MI
Tommy G. ThompsonFormer HHS Secretary and Wisconsin Governor
Jacqueline ThreadgillManaged Care Director, Signature Genomics, Spokane, WA
daniel TillotsonCEO, The Preventive Plan, U.S. Preventive Medicine, Inc. Jacksonville, FL
John TobinVice President of Sales and Marketing, PerformRx, Philadelphia, PA
bob TomekVice President of Sales & Marketing, CenCorp Health Solutions,St. Louis, MO
Christine TremblayProduct Definition Manager, NaviNet, Cambridge, MA
brenda TroutnerChief Operating Officer, Venture Behavioral Health, Battle Creek, MI
Kim TuckPresident & CEO, NurseWise, St. Louis, MO
michelle vancuraVP/GM Carriers/TPAs, Medco, Franklin Lakes, NJ
david velezDirector, Customer Marketing, Merck & Co., Inc., North Wales, PA
William WagnerExecutive Director, Family Health Care Centers, Louisville, KY
mark WardDirector of Provider Network, South County Health Alliance,Owatonna, MN
Cynthia WarshVice President, Sales, APS Healthcare, White Plains, NY
ATTENDEES
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robert WatkinsChief Operations Officer, DC Chartered Health Plan, Inc., Washington, DC
Nickalas Watsula Sr. Director of Medical Assistance & Medicare Special Needs Plan,UPMC Health Plan, Pittsburgh, PA
bradley WaughPresident & CEO, NaviNet, Cambridge, MA
bradley WeaverManaging Director, Ingenix Consulting, West Greenwich, RI
Katherine WentworthCOO, MdWise, Indianapolis, IN
John WernertChief Medical Officer, MdWise, Indianapolis, IN
Chad WestoverVice President, WellPoint State Sponsored Business, Camarillo, CA
david WhitePresident, Coordinated Transportation Solutions, Ansonia, CT
michael WillisSVP, Chief Information Officer, AmeriHealth Mercy Family of CompaniesPikesville, MD
heather WilsonFormer Member, U.S. Congress; Former Member, U.S. House Energy and Commerce Committee
michael WrightSr. Vice President of CAO, AmeriHealth Mercy Family of CompaniesPhiladelphia, PA
Leslie ZavodnickVice President Corporate Initiatives, AmeriHealth Mercy Family of Companies, Philadelphia, PA
Katie ZitoSr. Manager Government Affairs, WellCare Health Plan, Tampa, FL
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Dedicated to improving America's health care system by providing legal services unparalleled
in quality, value and responsiveness.
To us, it's more than a business. It's a mission.
Clifford E. Barnes1227 25th Street, NW, Suite 700
Washington, DC 20037-1156202/861-1856
ATTENDEES
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SaVE the DaTE
Hyatt regency Crystal Cityarlington, Va
November 4-5, 2010
for Medicaid Healthplans of america’s 2010
aNNUaL MEETINg
1140 Connecticut avenue, NWSuite 505
Washington, DC 20036tel: (202) 857-5720 fax: (202) 857-5731
e-mail: [email protected] web: www.mhpa.org
M MedicaidHealth Plans ofAmerica