ADVISORY COMMITTEE

 
 

Joel Andress, PhD

  • Joel earned his PhD in Sociology from Florida State University in 2010. He is the Electronic Health Record Technical Lead in the Quality Measurement and Value-based Incentives Group at CMS and is additionally responsible for developing and maintaining electronic clinical quality measures (eCQMs). He has worked at CMS in the area of quality measure development and maintenance, public reporting, and value-based purchasing for hospitals, dialysis facilities, post-acute care facilities, and clinicians. He has worked as a subject-matter expert for the ESRD Quality Incentive Program (QIP) and Dialysis Facility Compare (DFC), providing support on measure selection and implementation. Joel subsequently worked as the CMS Cost Measure Lead and was responsible for developing and maintaining cost measures for the physician and hospital quality programs, before taking on his current responsibilities.

 

Derek Baughman, MD

  • Dr. Baughman is a current chief resident serving in multiple state and national leadership positions within organized medicine and is a current visiting scholar with the American Board of Family Medicine externing with The Center for Medicare and Medicaid Innovations. His health policy roles at the AAFP and AMA have shaped his keenness for value-based care, focusing his research interest in clinical quality measures and health economics. In addition to published research and ongoing projects in these areas, he also serves on the Annals of Family Medicine’s editorial advisory board. After residency, Dr. Baughman is headed to the US Air Force and thereafter, he is considering fellowships in the health policy arena. Eventually, he would like to lead at the federal level, designing insurance payer-models for the future of healthcare. His personal interests include: spending time with his wife and two young daughters, musicianship, reading, athletics, sci-fi and superhero movies, pizza, and strong coffee.

 

Howard Beckman, MD, FACP, FACH, FNAP

  • Howard Beckman, MD is a general internist who has spent the past 40 years promoting honesty, integrity and quality in health care. Dr. Beckman has served as a program director, chief of medicine, medical director of a large physician organization, chief medical officer for Focused Medical Analytics and most recently Director of Strategic Innovation for the Finger Lakes health planning agency. His most recent interests are in promoting health equity, reducing disparities in care, and reducing the frequency of low value services. Since 2019, Dr. Beckman has served as a consultant to the Virginia Health Innovation project to reduce low value care in Virginia. In addition to providing a framework for the 6 involved health care systems based on his prior work, he and two colleagues published “A ten step program to successfully reduce low value care” as a web exclusive in the June issue of the American Journal of Managed Care.

 

BETH Beaudin-Seiler, PhD

  • Dr. Beaudin-Seiler is an experienced Senior Analyst in the Applied Research and Analytics practice area at Altarum. Dr. Beaudin-Seiler is experienced in both quantitative and qualitative health-related research projects. She has extensive experience conducting literature reviews; conducting key informant interviews for both focus groups and one-on-one interviews; and is highly proficient in analyzing qualitative data. Her qualitative work includes topic areas such as defining and measuring low-value care; defining safety-net hospitals; and practicality of low-value care tools to visualize waste within health care systems. Dr. Beaudin-Seiler has experience in survey development, fielding and analysis of quantitative data in the Consumer Healthcare Experience State Survey (CHESS) where advocates from several states have utilized this data to inform key decision makers on out-of-network billing practices, surprise billing prevalence and other affordability issues in their respective states. She is also the manager of the Research Consortium for Health Care Value Assessment.

 

Daniel Carey, MD, MHCM

  • Daniel Carey, MD, MHCM worked for over 20 years as a cardiologist in Lynchburg, VA and served as Senior Vice President and Chief Medical Officer of Centra, where his responsibilities included information technology services, patient quality and safety efforts, performance improvement initiatives, and functions of the medical staff at Centra’s 4 acute care facilities. Dr. Carey was appointed Virginia’s Secretary of Health and Human Resources by Governor Ralph Northam in January 2018 and served in this role for almost 4 years. He led Virginia’s pandemic response until he stepped down in November of 2021 when he accepted a role at Providence, a large, faith-based health system based in Renton, Washington. In December of 2021, Dr. Carey became the Chief Medical Officer for the Providence Physician Enterprise, the 3rd largest medical group in the country, with over 11,000 providers across 7 states.

    Dr. Carey received his BA in Political and Social Thought from the University of Virginia, his MD from Harvard Medical School, and his Master of Health Care Management from the Harvard T.H. Chan School of Public Health.

 

Michael Chernew, PhD

  • Michael Chernew, PhD, is the Leonard D. Schaeffer Professor of Health Care Policy and the Director of the Healthcare Markets and Regulation (HMR) Lab in the Department of Health Care Policy at Harvard Medical School. Dr. Chernew’s research examines several areas related to improving the health care system including studies of novel benefit designs, Medicare Advantage, alternative payment models, low value care and the causes and consequences of rising health care spending.

    Dr. Chernew is currently serving as the Chair of Medicare Payment Advisory Commission (MedPAC) while previously serving as the Vice Chair from 2012-2014 and a Member from 2008-2012. In 2000, 2004 and 2010, he served on technical advisory panels for the Center for Medicare and Medicaid Services (CMS) that reviewed the assumptions used by Medicare actuaries to assess the financial status of Medicare trust funds. He is a member of the Congressional Budget Office’s Panel of Health Advisors and Vice Chair of the Massachusetts Health Connector Board. Dr. Chernew is a member of the National Academy of Sciences, a research associate at the National Bureau of Economic Research and a senior Visiting Fellow at MITRE. He is currently a co-editor of the American Journal of Managed Care.

    Dr. Chernew earned his undergraduate degree from the University of Pennsylvania and his PhD in economics from Stanford University. In 1998, he was awarded the John D. Thompson Prize for Young Investigators by the Association of University Programs in Public Health. In 1999, he received the Alice S. Hersh Young Investigator Award from the Association of Health Services Research.

 

Gwen Darien

  • Gwen Darien is a longtime patient advocate who has played leadership roles in some of the country’s preeminent nonprofit organizations. As executive vice president for patient advocacy, engagement and education at the National Patient Advocate Foundation and the Patient Advocate Foundation, Gwen leads programs that link PAF’s patient service programs to NPAF initiatives, with the goal of improving access to equitable, affordable, quality health care. As a three-time cancer survivor herself, Gwen came into cancer advocacy expressly to change the experiences and outcomes for the patients who came after her and to change the public dialogue about cancer and other life-threatening illnesses. Over the past 25 years, Gwen has championed placing patients at the center of health system change, whether it is for research, public policy or direct services. Gwen serves on a wide range of program committees and workshop faculties. She is the past Chair PCORI’s Patient Engagement Advisory Panel, founding Chair of Community Engagement in Genomics Working Group of the National Human Genome Research. Gwen serves on the Board of Trustees of the USP and is a member of the National Cancer Policy Forum. Gwen also writes about her experiences as an advocate and cancer survivor. A recent piece, Transformation: My Experience as a Patient and an Advocate in Three Chapters appeared in the National Academy of Medicine Perspectives.

 

Ishani Ganguli, MD, MPH

  • Ishani Ganguli MD MPH is an Assistant Professor of Medicine and a practicing primary care physician at Harvard Medical School and Brigham and Women’s Hospital. She received her AB, MD, and MPH from Harvard University and completed internal medicine/primary care residency and a health policy and management fellowship at Massachusetts General Hospital. Her research focuses on the value of ambulatory care, the use and consequences of low-value care, gender equity, and how health care policies and primary care payment and delivery models affect health outcomes and spending.

 

NEETA GOEL, MD

  • Coming soon…

 

Diane Harper, MD, MPH, MS

  • Dr. Diane Harper is an MIT-educated scientist with residencies in obstetrics/gynecology and family medicine and post-doctoral training in epidemiology and statistics. She advanced through the academic ranks at Dartmouth (now Geisel School of Medicine at Dartmouth) becoming the first woman to reach full professor in her field in the 200 years of the school, and the fifth among all medical departments over all time. She is a physician-scientist focused on the clinical and population-level translational sciences with over 300 publications mentoring over 150 students in their research. She has worked with several startup companies with translational medical devices, chemistry, physics, and cellular biology to improve the health of women. She has served as the Chair of Family and Geriatric Medicine at the University of Louisville. She has provided medical care for all types of people throughout the country. Those who are the poorest whose health is the worst, and the most educated of Americans who make the policy decisions about primary care for the US. She has served on the USPSTF, and now serves as a tenured professor at the University of Michigan with appointments in Family Medicine, Obstetrics and Gynecology, Women and Genders’ Studies and Bioengineering, and leads the HUB Research Center of our Michigan Institute for Clinical and Health Research. She is the President of NAPCRG.

 

Lauren S. Hughes, MD, MPH, MSc, FAAP

 

John Keats, MD

  • John Keats, MD attended Brown University’s seven-year Program in Medicine, and completed a four year residency in Obstetrics and Gynecology at UCLA Medical Center in 1982. This was followed by three years of active duty as an obstetrician-gynecologist with the Air Force, during which time Dr. Keats achieved board-certification in his specialty and became a Fellow of the American College of Obstetricians and Gynecologists (ACOG). After leaving the military in 1985, Dr. Keats joined Buenaventura Medical Group (BMG) in Ventura, California. He has held various leadership positions within the group and medical community. He has served as chair of the departments of obstetrics and gynecology at two local hospitals. He served several terms on the BMG board of directors, including two years as board chair. Dr. Keats was appointed Medical Director of BMG in 1995. In 2002, Dr. Keats was designated a Certified Physician Executive by the Certifying Commission on Medical Management after completing an extensive course of study with the American College of Physician Executives (ACPE). In July 2007, Dr. Keats became President and Medical Director of California HealthFirst Physicians, a multispecialty group in southern California affiliated with Dignity Health, a large Catholic hospital system with facilities in California, Arizona and Nevada. In addition he was designated the Medical Director for Perinatal Safety for the Dignity system, which includes 32 obstetrical units performing approximately 60,000 deliveries per year. He left Dignity in January 2012 to join Cigna Health Plans as Market Medical Executive for the state of Arizona, and in 2016 was named National Medical Senior Director for Affordability and Specialty Partnerships. Dr. Keats is a faculty member of ACOG’s post-graduate course entitled Quality and Safety for Leaders in Women’s Health Care. In addition, he serves as a site reviewer for ACOG’s Voluntary Review of Quality of Care program and is a member of that program’s national steering committee. He remains clinically active, working as an OB hospitalist on weekends.

 

Alex Krist, MD, MPH

  • Alex Krist, MD, MPH, is a Professor of Family Medicine and Population Health at Virginia Commonwealth University (VCU) in Richmond Virginia and a practicing family physician at the Fairfax Family Practice residency. He has trained nearly 200 family physicians, many of whom continue to practice throughout Virginia. Dr Krist is the director of the Virginia Ambulatory Care Outcomes Research Network (ACORN), a collection of over 500 primary care practices, throughout Virginia representing the full spectrum of primary structures and cultures, and he is the director of community engaged research for VCU’s Wright Regional Center for Clinical and Translational Research. In these roles he is leading multiple projects with numerous community partners in Central, Eastern, and Northern Virginia to improve access to care, address health equity, and improve quality of care. Dr. Krist was a member and Chair of the U.S Preventive Services Task Force (2014-2021) where he led efforts to address systemic racism through prevention, integrate the social determinants of health into prevention recommendations, and be more inclusive with respect to sex, gender, and identity. In 2018, Dr Krist was elected to the National Academy of Science, Engineering, and Medicine (NASEM), where he has been actively involved in national efforts around cancer screening, cancer diagnosis, the future of primary care, the impact of COVID19 on health, and social needs. He currently chairs a new NASEM workgroup to transform our current healthcare delivery system to better create whole health.

 

Cheryl Larson

  • Cheryl Larson is President and CEO of the non-profit Midwest Business Group on Health (MBGH), an employer coalition of 145 mid, large and jumbo, self-funded, public and private companies who represent more than 4M lives and spend well over $12B annually.. She oversees all coalition activities including advocacy, membership, administration, research projects and educational activities, working closely with MBGH’s employer-led Board of Directors to establish the strategic direction of the coalition. Cheryl joined MBGH in 1983 and served as the Director of Membership Development for almost 14 years. She then spent 10 years with a population health management company, returning to MBGH in 2006 as Vice President. In 2018, she became President & CEO. She is a nationally recognized speaker on employer best practices in managing specialty drugs, value-based benefit design, wellbeing, consumerism, engagement and benefit communications and serves on multiple boards and committees representing the purchaser perspective.

 

John Mafi, MD, MPH

  • John N. Mafi, MD, MPH is an associate professor of medicine in the Division of General Internal Medicine and Health Services Research at the David Geffen School of Medicine at UCLA where he also practices and teaches primary care and inpatient geriatrics. He also serves as an Affiliated Adjunct Physician Policy Researcher in Health Policy at RAND Corporation. Dr. Mafi completed his undergraduate studies at Northwestern University and then went on to complete medical school at Case Western Reserve University. He then finished his internal medicine residency training at Beth Israel Deaconess Medical Center in 2012, where he also served as Chief Medical Resident in 2013-2014. Dr. Mafi completed the Harvard Medical School Fellowship in General Internal Medicine and Primary Care at Beth Israel Deaconess Medical Center and earned his MPH at the Harvard T.H. Chan School of Public Health in 2015.

    During his career at UCLA, Dr. Mafi has obtained NIH funding as principal investigator, including an NIA R01 award and K76 Beeson Emerging Leaders Career Development Award in Aging, to study and address the problem of harmful medical overuse among older Americans. He has led several national analyses assessing the epidemiological trends of medical overuse, or patient care that provides no net benefit in specific clinical scenarios, such as antibiotic prescriptions for common cold viruses. Dr. Mafi is currently leading several national studies on medical overuse among older Americans as well as initiatives using electronic health records to measure and improve the value of healthcare delivery among older adults in Los Angeles.

 

Ibe Mbanu, MD, MBA, MPH

  • Dr. Mbanu is a physician leader with over a decade and half in clinical practice and executive leadership. He currently serves as a Senior Medical Director with Advocate Aurora Health. His areas of responsibility include both the system’s Performance Advisory Office and the Medical Group.

    Clinical operations and change management have been key areas of focus during his career. He is a certified Lean-Six Sigma Green Belt and has subsequently served as Project Manager (PM) for large engagements. Ibe has served on various boards including the Virginia Center for Health Innovation, and recently completed his term as President of Virginia Health Information. Dr. Mbanu completed his fellowship training at Harvard University’s School of Public Health. He received an MBA from Yale University, an MPH from the University of Michigan, his MD from Wayne State University, and two BS degrees in Chemistry and Cellular & Molecular Biology from the University of Michigan.

 

DaVID MIRKIN

  • David is a principal and healthcare management consultant with the New York office of Milliman. He is also the Medical Director for Milliman's MedInsight data-warehousing and decision-support analytic tool system. He joined the firm in 1995. David is a family practitioner with 30 years of experience in medical management. He serves as a senior consultant assisting clients in a variety of areas, including utilization management, provider profiling, disease management, length-of-stay management for hospitals, return-on-investment evaluations for disease management and wellness programs, and clinical data analysis. David has significant international experience consulting to clients in the U.K., Europe, South America, Middle East and Asia. In addition to consulting, he supervises Milliman clinical and IT staff in India, developing products and tools for international healthcare organizations. Prior to joining Milliman, he was corporate medical director and senior medical director for Medicare risk at FHP International. He also was a member of a family practice group in rural Idaho for ten years David has also been active in the sports medicine field and worked as a volunteer physician at the United States Olympic training center in Colorado Springs, Colo.

 

Amy Mullins, MD, CPE, FAAFP

  • Amy Mullins, MD, CPE, FAAFP, is the Medical Director for Quality Improvement for the American Academy of Family Physicians (AAFP), which represents nearly 116,000 family physicians, family medicine residents, and medical students nationwide. Amy has 14 years of experience as a family physician, including administrative expertise focused on practice transformation through the patient-centered medical home model of care. AAFP is a founding member of NQF, and most recently, Amy served on the Measure Applications Partnership (MAP) Clinicians Workgroup.

 

Denise Pavletic, MPH, RD

  • Denise Pavletic is originally from New York State and currently lives in Washington, DC working at the ABFM Center for Professionalism and Value in Healthcare. Denise is an RD and holds an MPH from the University of North Carolina Chapel Hill. In additional, she holds national quality improvement certifications through the American Society for Quality. Denise started her career as an active duty army officer and has over 25 years of experience in healthcare and population health initiatives at the community, state and national levels. Denise lives with her husband Greg and rescue dog Simba.

 

Robert L. Phillips, MD, MSPH

  • Dr. Phillips directs the Center for Professionalism and Value in Health Care which aims to create space in which patients, health professionals, payers, and policymakers can work to renegotiate the social contract. The center will also seek to define value across the healthcare spectrum, how to measure it, how to improve it, and how to engage and develop leaders. Dr. Phillips is also responsible for overseeing the American Board of Family Medicine's (ABFM) research and related collaborations, as well as the policy relationships related to family medicine and primary care.

 

EuGene Rich, MD

  • Eugene Rich, M.D. (Senior Fellow, Mathematica) is an expert on sources of practice variation in medical care with a focus on the influence of the policy, payment, and practice environments on health professionals’ decision making. As a practicing general internist, he also has a longstanding interest in improving the delivery of primary care and the policies needed to accomplish this. In addition to his expertise in health services and health policy research, he has deep experience with academic and private practice leadership, including past roles as general internal medicine division chief and medicine department chair. Since joining Mathematica in 2010, Rich has led numerous projects. These include directing AHRQ’s Coordinating Center for Comparative Health System Performance which supported efforts to enumerate and describe U.S. health systems, as well as system relationships with diverse clinicians and medical practices. For the CMS Alternative Payment Model Program Analysis Contract he oversees the review and analysis of all Medicare alternative payment model proposals. For the CMMI evaluations of the Comprehensive Primary Care Plus and the Primary Care First models, he oversees development of claims-based measures of primary care practice features and performance. These include new or revised measures of low value services, continuity, comprehensiveness, and care disparities. He is author of more than 160 peer-reviewed publications on these topics. Past recognition includes Robert Wood Johnson Health Policy Fellowship working on physician payment reform with the House Committee on Ways and Means, and past president of the Society of General Internal Medicine.

 

Dana Gelb Safran, Sc.D.

  • Dana Gelb Safran, Sc.D. is President & CEO of the National Quality Forum (NQF). In addition to overseeing NQF’s longstanding function as steward for our nation’s portfolio of healthcare quality measures, Dr. Safran is leading the expansion of NQF’s portfolio of products and services to advance healthcare quality, outcomes, equity and affordability. Dr. Safran is an internationally recognized healthcare executive with a unique blend of accomplishment in business and academia. A central feature of her work has been combining the science of quality measurement with the art of its use to drive significant change in the quality, outcomes, and affordability of care. Dr. Safran’s prior roles include serving for more than a decade as a senior executive at Blue Cross Blue Shield of Massachusetts (BCBSMA), where she was a lead architect of the BCBSMA Alternative Quality Contract (AQC), which is widely credited with having catalyzed the value-based payment movement among public and private payers nationally. She was also a founding member of the executive team at Haven, a joint venture of Amazon, Berkshire Hathaway, and JPMorgan Chase to achieve better health outcomes, care experiences, and costs of care through innovation in care delivery, benefit design and purchasing. Most recently, she was an executive team member at WELL Health, Inc., a health care technology company. Dr. Safran is on the faculty of Tufts University School of Medicine and has held a broad range of advisory roles in the public sector and internationally supporting efforts to improve health and healthcare through effective uses of performance measurement. Since 2017, she has served as a Commissioner of the Medicare Payment Advisory Commission (MedPAC). She holds a BA in Biology and Government from Wesleyan University and completed her post-graduate studies at the Harvard School of Public Health to earn an ScM and ScD in Health Policy and Management.

 

Michelle Schreiber, MD

  • Dr. Schreiber is the Deputy Director of the Center for Clinical Standards and Quality for the Centers (CCSQ) for Medicare and Medicaid Services (CMS). In addition, she serves as the Group Director for the Quality Measurement and Value-Based Incentives Group (QMVIG). In this capacity, she is responsible for executing the quality strategies of CMS including quality measurement, and value based incentive programs to encourage the transition to value based care. Dr. Schreiber is a general internal medicine physician with over 25 years of health care experience. Prior to her work with CMS/CCSQ, she was the Senior Vice President and Chief Quality Officer of Henry Ford Health System (HFHS) in Detroit, Michigan. Prior roles at HFHS included the Division Head of General Internal Medicine, and the SVP of Clinical Transformation and IT Integration, where she was the clinical lead of the system-wide Epic implementation. The Epic implementation and use earned HFHS a Davies Award in 2018. She has also held senior leadership roles at the Detroit Medical Center, where she was the Chief Quality Officer, and with Trinity Health System where she was the national system Chief Medical Officer, and acting interim Chief Medical Information Officer. In addition to her health system roles, Dr. Schreiber has served on numerous quality committees and advisory groups. Dr. Schreiber’s interests are quality improvement, quality measures, and the intersection with electronic medical records to advance quality and quality measures. Dr. Schreiber graduated from Case Western Reserve University in Cleveland, Ohio with degrees in humanities/comparative literature and biology, and also attended medical school at CWRU. She completed her internal medicine training at New York Hospital/Weill Cornell University Medical Center in New York City. She is married, with two children; one a physician at Johns Hopkins and one a committed non-physician.

 

Corrinna Sorenson, PHD

  • Corinna Sorenson PhD, MHSA, MPH is an Assistant Professor in Population Health Sciences at the Duke University School of Medicine, Assistant Professor in Public Policy at the Duke Sanford School of Public Policy, and Core Faculty within the Duke-Margolis Center for Health Policy. Dr. Sorenson’s work centers around the measurement and improvement of health care quality and value. She is a health services and policy researcher with extensive expertise in value assessment, comparative effectiveness research, drug and device policy, evidence-based medicine, and health policy evaluation. Her current works focuses on on the design, implementation, and evaluation of value-based payment and delivery reforms. Dr. Sorenson also serves as Senior Director of the Margolis Scholars Program in Health Policy and Graduate Education in Health Policy at Duke University. Outside of academe, Dr. Sorenson has served in senior research and policy roles in the U.S. and abroad. She has also worked in an advisory capacity for governmental organizations in several countries on the development of national and regional health technology assessment systems. Dr. Sorenson received her MPH and MSHA from the University of Michigan and PhD in health policy from the London School of Economics and Political Science.

 

Katy Spangler

  • Katy Spangler is a principal at Spangler Strategies, a boutique consulting firm based in Washington, D.C. and focused on health policy, advocacy, and coalition building. In this role, Katy is Senior Advisor to the American Benefits Council and the Alliance to Fight for Health Care, a coalition established to protect employer-provided health coverage. Katy is also Co-Director of the Smarter Health Care Coalition, a diverse group of stakeholders focused on integrating benefit design innovations and consumer engagement within broader delivery system reform in order to better align coverage, quality, and value-based payment goals. Katy has distinctive knowledge and extensive understanding of the Affordable Care Act having worked on a variety of health care policies in the U.S. Senate for nearly nine years. Most recently, Katy served as Deputy Health Policy Director of the Health, Education, Labor and Pensions (HELP) Committee during debate of the Affordable Care Act, working for Senator Michael Enzi (R-WY), who during Katy’s tenure, was both the Chairman and Ranking Member of the HELP Committee and a member of the Finance and Budget Committees.

 

Lauren Vela

  • Ms. Vela is the Director of Health Care Transformation at Walmart, Inc. In this role, Lauren identifies opportunities to pilot and implement interventions that will improve the quality and affordability of healthcare for Walmart’s associates and communities. Lauren’s focus includes evaluating quality of care initiatives, promoting advanced primary care, and collaborating to address low value care. Prior to this role, Lauren was on the leadership team for the Purchaser Business Group on Health (PBGH) and worked directly with large private and public health care purchasers to facilitate purchaser-driven healthcare improvement.

 

Elizabeth Wolf, MD, MPH

  • Dr. Wolf joined the VCU faculty in August 2015. She is an active member of the American Academy of Pediatrics and received the 2016 Academic Pediatric Association Bright Futures Young Investigator Award from the Academic Pediatric Association. Dr. Wolf is co-chair of the Academic Pediatric Association Region IV.

 

Patrick O’Malley, MD, MPH, MACP

  • Dr. O’Malley serves as a Professor of Medicine, Division Director of General Internal Medicine, Co-Director of the Foundation in Medicine Module, and Course Director for the Medical Interviewing and Physical Exam courses. He holds a Bachelor of Arts degree in Chemistry from Williams College, Medical degree from the University of Rochester School of Medicine and Dentistry, and a Master of Public Health degree from USU. He completed a residency and fellowship in Internal Medicine at Walter Reed Army Medical Center. An active clinician, he sees patients at Walter Reed and attends in the Internal Medicine Residency Continuity Clinic.

    Over the course of his 30 year military career, COL O’Malley has served military families as a staff internist at Fort Belvoir, as Chief of General Internal Medicine at Walter Reed, and as a primary care provider and hospitalist throughout his career. He is currently the Councilor of the USU Gamma Chapter of AOA, Co-Chair of the VA/DoD Dyslipidemia Guideline, and Associate Program Director of the General Internal Medicine Fellowship.

    Over the course of his career, he has published over 150 peer reviewed publications, book chapters, and editorials, including publications in the New England Journal of Medicine, Lancet, JAMA, Annals of Internal Medicine, BMJ, Archives/JAMA Internal Medicine, Academic Medicine, Circulation, Journal of the American College of Cardiology, and Military Medicine, among others. He was a Senior Deputy Editor for JAMA Internal Medicine from 2004-2019, and serves on the editorial board for the Journal of Co-morbidity. His research is focused on clinical epidemiology, unexplained symptoms, technology assessment of diagnostic tests, patient-physician interaction, and meta-analysis. His teaching has been focused on clinical skills acquisition and clinical reasoning. He is a member of the Society of General Internal Medicine, Association of Chiefs and Leaders of General Internal Medicine (as a Founding Member), and is a Fellow of the American College of Physicians.

 
 

Susannah Berhnheim, MD, MHS

  • Susannah M. Bernheim, MD, MHS is Director of Quality Measurement at the Yale/Yale-New Haven Hospital Centers for Outcomes Research and Evaluation (CORE), Core Faculty in the Robert Wood Johnson Foundation Clinical Scholars Program, and Assistant Clinical Professor in the Section of General Internal Medicine at the Yale School of Medicine. She completed her undergraduate degrees at Yale University and her MD at the University of California, San Francisco. After completing her post-graduate training in Family Medicine at the University of California, San Francisco, Dr. Bernheim was a fellow in the Robert Wood Johnson Clinical Scholars program at Yale University, earning a Master’s degree in Health Sciences Research and completing an additional year of research training in the Section of Geriatrics as a fellow in Geriatric Clinical Epidemiology and Aging Related Research. She spent two years as Deputy Director of Performance Management at the Yale-New Haven Health System before joining CORE. At CORE, Dr. Bernheim leads work funded by the Centers for Medicare and Medicaid Studies to develop the next generation of performance measures across multiple care settings. Dr. Bernheim's research focuses on health care quality, new payment policies, and health care disparities.

 

Roger Bush, MD

  • Roger Bush MD, a General Internal Medicine Clinician Educator has practiced for 23 years, rural private practice, urban referral centers, and FQHCs for 39 years. He has directed the VM internal medicine residency and helped start 2--the new IM residency in Billings Montana, and the WSU IM residency in Everett WA. Since 1994, he has focused on safety, improvement, primary care clinical medicine and graduate medical education. He served on ACGME's Review Committee for Internal Medicine, where he chaired the Educational Innovation Project subcommittee of RRC-IM, a multiyear effort to change from process-based to outcomes-based accreditation and collaboratively align educational and quality of care outcomes. He served as Commissioner for the Joint Commission and is a Director of the American Board of Internal Medicine, and American Board of Family Medicine. He serves as a Technical Advisor for the HRSA-funded Teaching Health Center Program Development and Rural Residency Program Development initiatives.

    He sees patients at Pike Market Medical Clinic, a Seattle FQHC.

 

Adrianne Casebeer, PhD, MPP, MS

  • Coming soon…

 

Marcos A. Dachary

  • Marcos is a Principal and SVP of Sales and Growth for MedInsight in the Seattle office of Milliman. MedInsight is one of the healthcare industry’s most highly regarded platforms for data warehousing and healthcare analytics, and has been adopted by payers, purchasers, providers and other healthcare clients. The Sales & Growth team focus on customer and user acquisition, activation, retention and adoption of the MedInsight client journey. Marcos welcomes a new chapter in his MedInsight career to define the company’s growth plan, second, to coordinate and execute growth programs, and third, to optimize our client partnerships. He joined the firm in 2009.

    Marcos has over 20 years of professional software development experience. He helped launch the MedInsight Tools practice in 2009. He led the expansion of the MedInsight clinical team who were crucial in launching the MedInsight groupers - Guideline Analytics, CCHGs, and the Health Waste Calculator. The Health Waste Calculator is a national leading product for identifying low value healthcare. He’s proud to have been an author on the 2017 Health Affairs article “Low-Cost, High-Volume Health Services Contribute The Most To Unnecessary Health Spending” that has been cross referenced over 800 times. The Waste Calculator also won the 2019 Leaders in Health Care Achievement in Digital Health Gold Award by Seattle Business Magazine. Marcos is very honored to currently serving on the VCHI Leadership Council.

    Marcos earned his BS in Biology from the University of Michigan in Ann Arbor, Michigan. He is also certified in Advance Database Design, from Columbia University in New York, New York.

 

Adam Elshaug, MPH, PhD

  • Professor Adam Elshaug, B.A., B.Sc. (Hons), M.P.H., Ph.D., is Director of the Centre for Health Policy (MSPGH) with joint Chair appointments in the Melbourne School of Population and Global Health (MSPGH) and Melbourne Medical School (MMS). He is a researcher and policy advisor specializing in measuring and reducing waste (e.g. low-value care) to optimize value in health care, an area in which he has developed novel, award winning methods utilizing administrative health data.

    Adam works closely with national and state governments, and third party payers to design and implement reforms to reduce waste and optimize health care safety and value, including the design and evaluation of alternative models of care and payment. He sits on numerous national and international committees, including the newly formed (2021-) Medicare Benefits Schedule (MBS) Review Advisory Committee (MRAC) which takes over from the 2015-20 MBS Review Taskforce on which he also sat, including its Principles and Rules Sub-Committee. He is a Board Member of the New South Wales (NSW) Bureau of Health Information (BHI) which reports on the performance of the NSW public health system, a member of the Health Expert Working Group advising the Australian Broadband Advisory Council, and of the Expert Advisory Committee for Evidence-based Interventions (NICE, NHS England and NHS Improvement). Since 2014 he has been economic and policy advisor to Cancer Australia.

 

Rick Glazier, MD, MPH

  • Rick Glazier, MD, MPH, is the Scientific Director of the Institute of Health Services and Policy Research at the Canadian Institutes of Health Research and a senior scientist at ICES (formerly Institute for Clinical Evaluative Sciences). He is also a staff family physician at St. Michael’s Hospital in Toronto and a scientist in its MAP Centre for Urban Health Solutions, a professor at the University of Toronto in the Department of Family and Community Medicine, Faculty of Medicine, and Dalla Lana School of Public Health. His research interests include evaluating health system transformation, primary care health services delivery models, health of disadvantaged populations, management of chronic conditions, and population-based and geographic methods for improving equity in health.

 

Larry A. Green, MD

  • Dr. Larry Green is the Chair of the ABMS Board of Directors. He has served on the ABMS Board of Directors since 2010. He is Past Chair of the Board of Directors of the American Board of Family Medicine (ABFM) and was a member of the Board of Directors of the ABFM Foundation. Dr. Green is the Distinguished Professor and Epperson Zorn Chair for Innovation In Family Medicine and Primary Care at the University of Colorado School of Medicine. He has been involved in academic medicine for more than 40 years, having joined the faculty at the University of Colorado in 1977. During that time, he has served in various roles, including practicing physician, Residency Program Director, Developer of Practice-Based Research Networks, and Department Chair. In 1999, Dr. Green was the founding director of the Robert Graham Center, a Washington, DC-based research policy center sponsored by the American Academy of Family Physicians. He served on the Steering Committee of the Future of Family Medicine Project that propelled the patient-centered medical home forward. Dr. Green directed the Robert Wood Johnson Foundation’s Prescription for Health program focused on incorporating health behavior change in redesigned primary care practices. Dr. Green is a member of the National Academy of Medicine. He received the Curtis Hames Research Award from the Society of Teachers of Family Medicine and the Maurice Wood Award for Lifetime Contribution to Primary Care Research from the North American Primary Care Research Group.

    Dr. Green received his medical degree from the Baylor College of Medicine in Houston, TX and completed his family medicine residency at Highland Hospital and the University of Rochester in New York. He served in the National Health Service Corps in Arkansas. Dr. Green is certified by the ABFM in Family Medicine and is participating in the ABFM Continuing Certification program.

 

APARNA HIGGINS

  • Lauren Hughes is an associate professor of family medicine in the University of Colorado School of Medicine and the State Policy Director of the Eugene S. Farley, Jr. Health Policy Center. In these roles, she leads initiatives to generate and/or translate data for policymakers to inform the design and implementation of evidence-based policy. Her research interests include strengthening rural health care, the future of primary care and public health post COVID-19, and new payment and delivery models that address social determinants of health. Dr. Hughes previously served as Deputy Secretary for Health Innovation in the Pennsylvania Department of Health, where she co-designed and launched the Pennsylvania Rural Health Model, a new payment and delivery model that transitions rural hospitals from fee-for-service to multi-payer global budgets and transforms how they deliver care to better meet community health needs. Dr. Hughes serves on the American Board of Family Medicine, the Rural Health Redesign Center Organization, and the American Medical Student Association Foundation Boards of Directors. She has been a visiting scholar at the CMS Innovation Center, the Commonwealth Fund, and ABC News Medical Unit. She earned her MD from the University of Iowa, her MPH in health policy from The George Washington University, and her master's in health and health care research from the University of Michigan as part of the Robert Wood Johnson Foundation Clinical Scholars Program. She is currently pursuing a master’s degree in health care delivery science from Dartmouth College. She completed her family medicine residency at the University of Washington in the Harborview Hospital track. In 2018, she was named a Presidential Leadership Scholar by Presidents Bill Clinton and George W. Bush. In 2021, she was elected Chair-Elect of the American Board of Family Medicine and appointed to the National Academies of Science, Engineering, and Medicine Board on Health Care Services.

 

Karen Johnson, PhD

  • Karen Johnson leads the AAFP division of Practice Advancement focused on strengthening primary care with payment innovation and supporting the efforts of family physicians to navigate the changing career and practice landscape. Karen brings a wealth of health care leadership experience having worked with large purchasers (employers and union trusts), health plans, and provider organizations. Prior to joining AAFP she led large-scale multi-stakeholder improvement efforts in Washington state as part of the Washington Health Alliance.

 

Randall (Reid) Kiser, MS

  • Mr. Kiser is the Director of the Division of Quality Measurement for the Centers for Medicare and Medicaid Services (CMS) within the Quality Measurement and Value-Based Incentives Group of the Center of Clinical Standards and Quality. In this capacity, he is responsible for executing the quality strategies of CMS for quality measurement for value-based incentive and public reporting programs to encourage the transition to value-based care and bring transparency on quality and outcomes.

    Reid has over 20 years of diversified quality measurement and analytics experience in health care. He started his health care quality career at NCQA (National Committee for Quality Assurance) as the Director of HEDIS Policy. He served in corporate leadership roles at UnitedHealthcare overseeing health plan quality measure reporting and improvement for commercial, Medicare, and Medicaid populations including the design and implementation of patient and provider engagement programs. Additionally, Reid has served in private industry stakeholder performance measurement development and implementation roles in both the non-profit and for-profit sectors at CAQH (Council for Affordable Quality Healthcare), PQA (Pharmacy Quality Alliance), Inovalon, and as an independent consultant prior to joining CMS.

    Reid has a Bachelor of Science in Biochemistry & Biophysics from the University of Houston and a Master of Science in Evaluative Clinical Sciences from Dartmouth College and Medical School.

    His interests are quality improvement, quality measurement, and the intersection of quality and health information technology to advance quality, value, and patient outcomes.

 

Bruce E. Landon, MD, MBA, MSc

  • Bruce E. Landon, MD, MBA, MSc, is a professor of health care policy at Harvard Medical School and a professor of medicine at the Beth Israel Deaconess Medical Center. He practices internal medicine at BIDMC. Dr. Landon studies tools that help translate macro-level policies and incentives into treatment strategies that lead to better care at lower cost, namely strategies to promote integrated care, payment incentives at both the organization and physician level, and approaches to quality management and improvement. Dr. Landon graduated summa cum laude from the Wharton School at the University of Pennsylvania with a major in finance. He received his MD degree from the University of Pennsylvania School of Medicine, and an MBA with a concentration in health care management from the Wharton School. He also received an MSc in health policy and management from the Harvard School of Public Health. He is a fellow of the American College of Physicians and is an elected member of the American Society of Clinical Investigation and the Association of American Physicians.

 

Wendy Levinson, MD

  • Dr. Wendy Levinson is a Professor of Medicine and Past Chair of the Department of Medicine at the University of Toronto. She has served in leadership roles in the United States and Canada including Chair of the American Board of Internal Medicine, President of the Association of Professors of Medicine, and President of the Society of General Internal Medicine. She is presently the Chair of Choosing Wisely Canada and is coordinating Choosing Wisely International. In 2014, Dr. Levinson was appointed an Officer of the Order of Canada for her work.

 

SILAS MARTIN

  • Silas is the Senior Director leading Market Access Scientific and External Strategy for Janssen Scientific Affairs. His team shapes scientific strategy, develops policy evidence, and engages with external experts and researchers to demonstrate the value of pharmaceutical innovation and enable patient access. Silas had been with Janssen/Johnson & Johnson for more than 20 years, working on health economics, healthcare quality, outcomes research and market access. He has also engaged with health plans, health systems, and quality measurement organizations to support the Triple Aim. Currently, Silas is a member of the Task Force on Low Value Care led by VBID Health and multiple industry market access and research work groups. He received a M.S. Evaluative Clinical Sciences from Dartmouth and a B.A. in biopsychology from Cornell.

 

Mark McClellan, MD, PhD

  • Mark McClellan, MD, PhD, is the Robert J. Margolis Professor of Business, Medicine, and Policy, and founding Director of the Duke-Margolis Center for Health Policy at Duke University. Dr. McClellan is a doctor and an economist who has addressed a wide range of strategies and policy reforms to improve health care, including payment reform to promote better outcomes and lower costs, methods for development and use of real-world evidence, and strategies for more effective biomedical innovation. At the center of the nation’s efforts to combat the pandemic, Dr. McClellan is the co-author of a roadmap that details the steps needed for a comprehensive COVID-19 response and safe reopening of our country. His current work on responding to the COVID-19 public health emergency spans virus containment and testing strategies; reforming health care toward more resilient models of delivering better, more equitable care; accelerating the development of therapeutics and vaccines, and building a more robust global response to the pandemic.

    Before coming to Duke, he served as a Senior Fellow in Economic Studies at the Brookings Institution, where he was Director of the Health Care Innovation and Value Initiatives and led the Richard Merkin Initiative on Payment Reform and Clinical Leadership. Dr. McClellan is a former administrator of the Centers for Medicare & Medicaid Services (CMS) and former commissioner of the U.S. Food and Drug Administration (FDA). He has also previously served as a member of the President’s Council of Economic Advisers and senior director for health care policy at the White House, and as Deputy Assistant Secretary for Economic Policy at the Department of the Treasury. Dr. McClellan is the founding chair and a Senior Advisor of the Reagan-Udall Foundation for the FDA, serves on the ICER Advisory Board, and is a member of the National Academy of Medicine (NAM). He chairs the NAM’s Leadership Council for Value and Science-Driven Health Care, co-chairs the Guiding Committee of the Health Care Payment Learning and Action Network, and is a research associate at the National Bureau of Economic Research. He is also a Senior Advisor on the faculty of the University of Texas Dell Medical School and is an independent director on the boards of Johnson & Johnson, Cigna, Alignment Healthcare, and PrognomIQ. He was previously an associate professor of economics and medicine with tenure at Stanford University, and has twice received the Kenneth Arrow Award for Outstanding Research in Health Economics.

 

Nora Mueller, PHD, MAA

  • Dr. Mueller is a Staff Fellow and joined AHRQ as part of the Dissemination and Implementation initiative, which aims to translate patient-centered outcomes research into practice. Her work extends across the Division of Practice Improvement and Evidence-based Practice Center Division. She serves as a project and program official in both divisions.

    Nora’s previous experience includes graduate work in anthropology and a Ph.D. in public health from the University of Maryland, College Park. In addition, she received postdoctoral training as a cancer prevention fellow at the Harvard T.H. Chan School of Public Health and Dana Farber Cancer Center in Boston, MA. Her areas of expertise include health behavior, access to cancer screening and treatment, and implementation science.

 

Warren Newton, MD, MPH

  • Warren Newton, MD, MPH, serves as President and Chief Executive Officer for the American Board of Family Medicine (ABFM). As President and CEO of the ABFM, he also oversees the ABFM Foundation and Pisacano Leadership Foundation. Dr. Newton previously served as Executive Director of the North Carolina Area Health Education Center (NC AHEC), a national leader in practice redesign, continuing professional development, health careers programming, and innovation in graduate medical education, and Vice Dean of Education at the University of North Carolina (UNC) School of Medicine. From 1999–2016 he served as the William B. Aycock Professor and Chair of Family Medicine at UNC.

    Dr. Newton has served as a personal physician for 34 years. In the 1990s he founded the first hospitalist program at UNC Hospitals and helped reorganize family medicine obstetrics into a maternal child service. As an educator, Dr. Newton served as residency director at UNC from 1992–1997, and for 14 years he has co-led the I3 collaborative of 24 primary care residencies focused on clinical transformation in the residency practices. He has also taught extensively in medical school and fellowship programs. Continuously board-certified in family medicine since 1987, Dr. Newton served on the ABFM Board of Directors from 2007–2013, including his term as Board Chair in 2011–12, and served as a Director on the ABFM Foundation Board of Directors. Dr. Newton also brings experience working with the American Board of Medical Specialties (ABMS), where he serves as a member of the ABMS Committee on Continuing Certification, including a term as one of its founding chairs in 2014. Dr. Newton currently serves on the planning committee of the National Academies Global Forum on Innovation in Health Professional Education.

    Dr. Newton graduated from Yale University in 1980 and Northwestern Medical School in 1984. After residency and chief residency at the University of North Carolina, he completed the Robert Wood Johnson Clinical Scholars Program and an MPH at UNC. In 2012–13 he served as a Society of Teachers of Family Medicine (STFM) Bishop Fellow, during which he also completed the American Council of Education Fellow’s program. Dr. Newton is married and has two children.

 

Lars Peterson, MD, PhD

  • Lars Peterson, MD, PhD is a family physician and health services researcher and Vice President of Research of the American Board of Family Medicine (ABFM) and an Associate Professor in the Department of Family and Community Medicine at the University of Kentucky. He received his medical and graduate degrees from Case Western Reserve University. His research interests include investigating associations between area level measures of health care and socioeconomics with both health and access to health care, rural health, primary care, and comprehensiveness of primary care. He has authored over 130 peer reviewed publications and made over 100 conference presentations. He is leading team research efforts at the ABFM to understand what family physicians do in practice and how the quality of care they provide can be improved. In particular, elucidating the ways in which Continuing Certification may be associated with quality of care.

 

Barbra Rabson, MPH

  • Barbra Rabson has led the Massachusetts Health Quality Partners (MHQP) since 1998, and under her leadership MHQP has become a national leader in the measurement and public reporting of health care information, with a particular focus on measuring and improving patients’ experiences of care. MHQP’s main focus areas include capturing patient experiences, advancing health equity, enhancing telehealth and strengthening primary care. Ms. Rabson has led MHQP’s most recent work to create a dashboard to monitor the health of primary care in Massachusetts. She is a member of the Milbank Advisory Committee for the Health of US Primary Care Scorecard, the MA Executive Office of Health and Human Services Quality Measure Alignment Task Force and Quality Subcommittee, the Massachusetts Health Equity Data Standards Technical Advisory Committee, and the Betsey Lehman Center Research Advisory Committee. Ms. Rabson received her Masters in Public Health from Yale University and her undergraduate degree from Brandeis University. She enjoys sculling on the Charles River and playing her cello in her free time.

 

Michelle Rockwell, PhD, RD

  • Michelle Rockwell PhD, RD is an Assistant Professor in the Department of Family & Community Medicine at the Virginia Tech Carilion School of Medicine and a Research Assistant Professor with the Fralin Life Sciences Institute at Virginia Tech. She is a health services researcher interested in the quality and value of primary care, multilevel trust in the context of low-value care de-implementation, and behavioral economics-informed interventions to improve healthcare delivery. Prior to a mid-career shift to health services research, Michelle practiced as a sports and research dietitian for more than 15 years.

 

David Schmitz, MD

  • David Schmitz, MD, is Professor and Chair of the Department of Family and Community Medicine at the University of North Dakota School of Medicine and Health Sciences. He earned his medical doctorate from the State University of New York at Buffalo and completed residency training at the Family Medicine Residency of Idaho. He has extensive research expertise in training and retaining physicians in rural and underserved areas, emphasizing health professions education resulting in rural physician and interprofessional workforce development. He has served as the president of the National Rural Health Association and is active with several national organizations and agencies including serving as a member of the National Advisory Council on the National Health Service Corps. Dr. Schmitz has published and presented nationally and internationally and continues active research in rural-focused medical education and rural health issues.

 

Bruce Sherman, MD, FCCP, FACOEM

  • Bruce Sherman, MD, FCCP, FACOEM, is the consulting Corporate Medical Director for Wal-Mart Stores, Inc. In this role, he supports the U.S. benefits team in the development of integrated, value-based health and performance management strategies for the organization's associates and family members. Previously he was a consulting corporate medical director for Whirlpool Corporation and The Goodyear Tire & Rubber Company. He also serves as the Medical Director for the Ohio-based Employers Health Coalition, where he provides health management strategies to the organization’s members, and provides strategic guidance for the coalition’s data warehouse program. Dr. Sherman has particular interests in the areas of the business value of health and evaluation of quality and efficiency in health care delivery. Dr. Sherman is also a member of the leadership boards for the Integrated Benefits Institute and the Center for Health Value Innovation. A speaker at both local and national levels, he has presented workforce health and productivity management strategies to diverse audiences, and has published numerous related articles. Dr. Sherman received his MD from New York University School of Medicine, his MA from Harvard University and his bachelor's degree from Brown University. He is board-certified in internal medicine. Dr. Sherman continues as a member of the clinical faculty in the Department of Medicine at the Case Western Reserve University School of Medicine.

 

Jason Spangler, MD, MPH, FACPM

  • Dr. Spangler is CEO of the Innovation and Value Initiative (IVI). Previously he served as Executive Medical Director, Global HTA Policy Strategy & Engagement at Amgen, Inc., where he led the team responsible for the development and execution of global policy and engagement strategy to shape HTA trends and influence direction of major HTA groups in the US and key international markets, and advance the company’s position on HTAs/value assessments, the value of its products, and its innovation priorities. Prior to this, he both led the International Health Policy and Population Health team responsible for global health policy activities and all activities related to healthcare quality and medical policy, as well as senior advisor for other population health activities and was company lead on policy issues related to health economics and value, healthcare quality and engagement with Federal payer agencies in the U.S. Prior to Amgen, Dr. Spangler was chief medical officer at Partnership for Prevention-a national, non-profit health policy research organization, and public health and health policy consultant at Pfizer Inc. Dr. Spangler is a Fellow of the American College of Preventive Medicine (ACPM) and serves on the Board of Regents of ACPM. He represents Amgen on multiple councils/committees of both national quality organizations and organizations assessing healthcare value. He also serves on the Board of Directors of the Pharmacy Quality Alliance, the Advisory Board of the University of Michigan Center for Value-Based Insurance Design, and the Pharmaceutical Research and Manufacturers of America (PhRMA) Foundation Value Assessment Review Committee. Dr. Spangler graduated from the University of Pennsylvania and received his MD at the Pennsylvania State University College of Medicine. He completed internal medicine residency at the University of Pittsburgh and preventive medicine residency at the Johns Hopkins, where he was chief resident. He is board certified in general preventive medicine/public health.

 

Christina Stasiuk, DO, FACOI

  • A humanistic thinker and practical problem solver leading solutions in employee well-being, healthcare affordability, health disparities, and clinical leadership.

 

Kara Odom Walker, MD, MPH, MSHS

  • Dr. Kara Odom Walker, MD, MPH, MSHS is Executive Vice President and Chief Population Health Officer (CPHO) for Nemours Children’s Health System. She leads Nemours National Office of Policy and Prevention, as well as all aspects of Population Health Strategy, Research, Innovation and Implementation. Dr. Walker and her team are responsible for the development and implementation of national and state-specific advocacy strategies to help achieve outcomes tied to health and value while also leading Nemours’s policy agenda. She is based in Washington, D.C., and reports to Nemours President and Chief Executive Officer, R. Lawrence Moss, MD.

 

Arlene BiermaN, MD, MS

  • Arlene S. Bierman, M.D., M.S., leads the work of CEPI, which consists of five divisions: the Evidence-Based Practice Center Program; the U.S. Preventive Services Task Force Program; the Division of Decision Science and Patient Engagement; the Division of Health Information Technology; and the Division of Practice Improvement, as well as the National Center for Excellence in Primary Care Research. Dr. Bierman is a general internist, geriatrician, and health services researcher, whose work has focused on improving access, quality, and outcomes of health care for older adults with chronic illness in disadvantaged populations. Dr. Bierman has also developed strategies for using performance measurement as a tool for knowledge translation and has conducted research to increase policymakers’ use of evidence.

    As a tenured professor, she held appointments in health policy, evaluation, and management; public health; medicine; and nursing at the University of Toronto, where she was the inaugural holder of the Ontario Women's Health Council Chair in Women's Health and a senior scientist in the Li Ka Shing Knowledge Institute at St. Michael's Hospital. Dr. Bierman was also principal investigator for the Project for an Ontario Women’s Health Evidence-Based Report Card (POWER) study, which provided actionable data to help policymakers and health care providers improve health and reduce health inequities in Ontario.

    Dr. Bierman has served on many advisory committees, including the Geriatric Measurement Advisory Panel of the National Committee for Quality Assurance and the boards of Health Quality Ontario and the National Center of Excellence National Initiative for Care of the Elderly (NICE). She received her MD degree from the University of North Carolina School of Medicine in Chapel Hill where she was a Morehead Fellow. She completed fellowships in outcomes research at Dartmouth Medical School and community and preventive medicine at the Mount Sinai School of Medicine. She also served as an Atlantic Philanthropies Health and Aging Policy Fellow/American Political Science Foundation Congressional/Fellow.

 

Jacob Quinton, MD, MSHS, FACP

  • Dr. Jacob ‘Jake’ Quinton, MD, MSHS, FACP is a primary care internist and a medical officer for the Center for Medicare and Medicaid Innovation (CMMI). Jake practices at an FQHC in southern Maryland and at CMMI as part of the patient care models group leadership he designs and implements value-based payment models focused on primary care and specialty care with a focus on interactions between primary care clinicians and specialists. Before CMMI, Jake completed a fellowship in general internal medicine and health services research at UCLA in the National Clinician Scholars Program and was funded through the NIA for his health disparities research partnered with United Health Group and focused on Medicaid managed care organizations. He trained in primary care - internal medicine at Yale New Haven Hospital and was a Stanford/JJ global health scholar practicing in a free clinic in rural Tennessee during residency, as well as earning a distinction in quality improvement and physician leadership and serving as the chair of the American College of Physicians’ (ACP) Council of Residents and Fellow Members. His research into mortality risk indexes used in the Veteran’s Health Administration as a housestaff officer won a GIM housestaff research award from Johns Hopkins University.

 

PLANNING COMMITTEE

 

BETH BORTZ, MPP

  • Beth was named the President and CEO of the Virginia Center for Health Innovation (VCHI) in March 2012. Prior to joining VCHI, she served for nine years as the Executive Director of the Medical Society of Virginia (MSV) Foundation, where she developed and led programs in health care quality improvement, medication assistance, public health awareness, and physician leadership. Ms. Bortz also served as Senior Program Officer and Deputy Director of the Virginia Health Care Foundation for seven years and as a Senior Associate Legislative Analyst for the Virginia General Assembly’s Joint Legislative Audit and Review Commission for three years. Ms. Bortz is a 2007 graduate of LEAD Virginia and currently serves on its Board of Directors. She also serves as a public member of the Board of Directors of the American Board of Family Medicine and on the National Task Force to Reduce Low Value Healthcare. She served as Secretary of the Board of Directors of Virginia Health Information and was a founding board member of Rx Partnership, serving as Board Chair from 2006-2008. She has received several awards and recognition for her work, including: the 2014 Virginia Leader Award from LEAD Virginia, Influential Women of Virginia Award from Virginia Lawyer’s Media; Medallion Award for Community Partnership from Mutual of America; and Stettinius Award for Nonprofit Leadership from the Community Foundation representing Greater Richmond. Ms. Bortz earned her undergraduate degree in Economics and Government and her Masters in Public Policy from the College of William and Mary.

 

A MARK FENDRICK, MD

  • A. Mark Fendrick, M.D. is a Professor of Internal Medicine in the School of Medicine and a Professor of Health Management and Policy in the School of Public Health at the University of Michigan. Dr. Fendrick received a bachelor’s degree in economics and chemistry from the University of Pennsylvania and his medical degree from Harvard Medical School. He completed his residency in internal medicine at the University of Pennsylvania where he was a fellow in the Robert Wood Johnson Foundation Clinical Scholars Program.

    Dr. Fendrick conceptualized and coined the term Value-Based Insurance Design (V-BID) and currently directs the V-BID Center at the University of Michigan [www.vbidcenter.org], the leading advocate for development, implementation, and evaluation of innovative health benefit plans. His research focuses on how clinician payment and consumer engagement initiatives impact access to care, quality of care, and health care costs. Dr. Fendrick has authored over 250 articles and book chapters and has received numerous awards for the creation and implementation of value-based insurance design. His perspective and understanding of clinical and economic issues have fostered collaborations with numerous government agencies, health plans, professional societies, and health care companies. Dr. Fendrick is an elected member of the Institute of Medicine of the National Academy of Sciences, serves on the Medicare Coverage Advisory Committee, and has been invited to present testimony before the U.S. Senate Committee on Health, Education, Labor and Pensions and the U.S. House of Representatives Ways and Means Subcommittee on Health.

    Dr. Fendrick is the co-editor in chief of the American Journal of Managed Care and is an editorial board member for 3 additional peer-reviewed publications. He is also a member of the Institute for Healthcare Policy and Innovation at the University of Michigan, where he remains clinically active in the practice of general internal medicine.

 

SARaYA PERRY, MPA, MNM

  • Saraya supports all of VCHI's core projects and research efforts. Prior to joining VCHI, Saraya served several nonprofit agencies while completing her education. At Healing the Children Florida, she worked in partnership with local physicians and healthcare systems to provide uninsured children with quality care at no cost. Ms. Perry also worked with the Florida Department of Health’s Office of Performance and Quality Improvement assisting with many of their community health initiatives. Saraya has diverse experience in health policy research. In 2016, she served as a graduate student representative with the University of Central Florida’s School of Public Administration, working closely with the University of Seoul and the Seoul Metropolitan Government to exchange healthcare policy recommendations and foster an environment of international partnership. Ms. Perry is a graduate of the University of Central Florida where she earned both her Master of Public Administration and Master of Nonprofit Management degrees. She also earned a Bachelor of Health Services Administration from the University of Central Florida.

 

ANDREW BAZEMORE, MD, MPH

  • Andrew Bazemore, MD, MPH has served as the Senior Vice President of Research and Policy for the American Board of Family Medicine (ABFM), and co-director of the Center for Professionalism & Value in Health Care in Washington, DC., since 2019. Prior to that, he was the Director of the Robert Graham Center for Policy Studies, where he directed policy research with special interests in access to primary care, underserved populations, health workforce and training, and spatial analysis. He has authored over 200 peer reviewed publications. He also led the Graham Center’s emphasis on developing geospatial data tools intended to empower primary care providers, leaders, and policymakers and inform policy, such as HealthLandscape and the UDS Mapper, which currently helps to guides funding for all the nation’s Federally Qualified Health Centers. Dr. Bazemore sees patients and teaches at the VCU-Fairfax Medicine residency program, is an elected member of the National Academies of Medicine and serves on the faculties of the Departments of Family Medicine at Georgetown University, Virginia Commonwealth University, and the University of Toronto.

 

StePHEN HORAN, PHD

  • Stephen Horan, PhD is the founding president of Community Health Solutions, bringing more than 25 years of professional experience to each client and project. Under Steve’s leadership Community Health Solutions has helped hundreds of organizations achieve better results through effective strategy and practice. Individually, Steve has been an advisor to consumer groups, nonprofit organizations, corporations, foundations, and public sector leaders. This broad perspective informs his ability to think at the system level as well as the street level, and help people bridge gaps between policy and practice.

 

Jill Shuemaker, RN, CPHIMS

  • Jill Shuemaker, RN, CPHIMS directs the Clinician Measure efforts at The Center for Professionalism & Value in Health Care. She is the enterprise subject matter expert in the area of clinical quality measurement, quality measure interpretation and development, electronic data extraction, clinical informatics, and health information technology (HIT). Ms. Shuemaker is a registered nurse, clinical informaticist and a certified professional in health information management systems. She has held leadership positions in the Office of the National Coordinator for Health Information Technology (ONC) and Health Information Management Systems Society (HIMSS) national committees and task forces. Jill was appointed to Co-Chair the Health Information Technology Advisory Committee’s (HITAC) 2021 EHR Reporting Program Task Force; is a member and past Chair of HIMSS’ National Quality and Safety Committee, and a current member of HIMSS Government Relations Public Policy committee. She has served on National Quality Forum’s (NQF) Measure Feedback Loop Committee, American Health Insurance Plans (AHIP) Core Quality Measure Collaborative (CQMC) and CQMC Digital Measurement Workgroup; and Centers for Medicare & Medicaid Services (CMS) clinical quality measure and health IT task forces. She is a national speaker and presenter on various clinical quality topics such as data driven patient care, quality metrics and reporting in value-based care, interoperability challenges to eCQM reporting, federal quality reporting provider value proposition, aligning eCQM compliance with improving care outcomes, and value-focused reimbursement. In recognition for her expertise in the field of healthcare and information technology, Ms. Shuemaker received the HIMSS Foundation Covert Award. She is uniquely qualified to provide key insights in the use of health IT in care delivery, quality measurement, and regulatory reporting. Ms. Shuemaker is passionate about family care and using technology to advance health through research, and quality measurement to improve care quality and influence policy.