Coordinated Care and Beyond: The Future of Chronic Care

Future Trends in Chronic Care

Peter Fise is a senior policy analyst with Bipartisan Policy Center’s Health Project. At BPC, Mr. Fise’s issue portfolio includes Medicare coverage and payment policies, individual insurance market coverage issues, Affordable Care Act implementation, and health care delivery system reform policies. Prior to joining BPC, he served as an associate attorney in the health policy practice of a large, international law firm, where he specialized in public policy development and advocacy relating to Medicare and Medicaid payments for providers, physicians, and health plans, as well as implementation of health care coverage expansion and delivery system reform policies under the ACA. He also previously served on the Democratic staff of the House Committee on Oversight and Government Reform, during consideration of the ACA and other health reform legislation. Mr. Fise earned a J.D. from the Catholic University of America, with a certificate in securities law. He received his B.A. in political science from Wake Forest University.

Clay Marsh leads the academic health sciences center of West Virginia University – including five schools – dentistry, medicine, nursing, pharmacy and public health – and numerous allied health programs and clinical operations around the state. Dr. Marsh’s research has focused on defining the underlying mechanisms that determine health and disease. He serves on national scientific advisory committees for organizations such as the National Institutes of Health, the American Thoracic Society, the Sarnoff Cardiovascular Research Foundation, GlaxoSmithKline and Caris Life Sciences. He is a fellow in the American College of Physicians and an elected member of the American Society for Clinical Investigation. From 1985 to 2015, Dr. Marsh was on faculty at Ohio State University, where he held a wide range of teaching, clinical, research, and administrative roles at Ohio State’s Wexner Medical Center, including as vice dean for research and vice dean for innovation in the College of Medicine. Dr. Marsh earned both his undergraduate and medical degrees from West Virginia University.

Sue Nelson is the vice president of federal advocacy at the American Heart Association. She is responsible for the development and implementation of the American Heart Association’s government affairs initiatives aimed at influencing national leaders to implement policies and programs that support the mission and goals of the AHA. Prior to joining AHA, Ms. Nelson’s career spanned nearly two decades in the United States Senate, where she focused on budget and health care policy. She staffed all major budget summits and worked closely with authorizing committees on Medicare prescription drug legislation. Throughout her tenure in the Senate, she served six chairmen or ranking members of the Senate Budget committee, ending her career as deputy director and senior analyst for Medicare. Ms. Nelson began her Washington, D.C., career as a presidential management intern and moved on to become a budget analyst for the Office of Management and Budget. She was also budget advisor to the Clinton-Gore Transition Team and served as associate director of the National Economic Commission. Ms. Nelson holds a Master of Public Affairs from the University of Texas LBJ School of Public Affairs, as well as a Bachelor of Arts with distinction from the University of Michigan.

John Romley is an associate professor in the Price School of Public Policy at the University of Southern California, an economist at the Schaeffer Center for Health Policy and Economics, and an adjunct economist at the RAND Corporation. Dr. Romley’s research focuses on health care quality and costs, hospital markets, environmental health disparities, and pharmaceutical policy and economics. Dr. Romley’s work has been published in the New England Journal of Medicine, Annals of Internal Medicine, Health Affairs, Health Services Research, and other prominent journals. His work has been featured in the New York Times, Wall Street Journal, BusinessWeek, Reuters, Los Angeles Times, and San Francisco Chronicle. Dr. Romley is the managing editor of Forum for Health Economics & Policy. He received his Ph.D. from the department of economics at Stanford University and holds bachelor’s degrees in economics and English (Phi Beta Kappa) from Amherst College.

Moderator

Sarah Dash is president and CEO of the Alliance for Health Policy. Previously, Ms. Dash was a member of the research faculty at the Georgetown University Health Policy Institute in the Center on Health Insurance Reforms and served as a senior health policy aide on Capitol Hill. She received her master’s degree in public health from Yale University and a bachelor of science from MIT.

 

Coverage and Chronic Care

Mark Fendrick 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 conceptualized and coined the term Value-Based Insurance Design (V-BID) and currently directs the V-BID Center at the University of Michigan. 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. 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.

Rebecca Kirch is executive vice president of healthcare quality and value for the National Patient Advocate Foundation, the advocacy affiliate of the Patient Advocate Foundation . In this role, she provides strategic focus and leadership in bringing the millions of patient and family voices these two organizations represent to the forefront of national health care quality improvement efforts. Ms. Kirch joined NPAF in April 2016, previously serving 15 years with the American Cancer Society and its advocacy affiliate, the American Cancer Society Cancer Action Network. As the Society’s first director of quality of life and survivorship, she orchestrated development of its national agenda addressing pain, symptoms and distress experienced by patients, survivors, and caregivers, creating collaborative initiatives in research, programs and advocacy for integrated palliative, psychosocial, and rehabilitation services, as well as enhanced clinical communication skills. She is currently serving as a member of the National Academy of Science, Engineering and Medicine’s Quality Care for People with Serious Illness Roundtable, and as Quality of Life and Person-Centered Care task force co-chair for the American Congress of Rehabilitation Medicine. She has a law degree from Boston College Law School and an undergraduate degree in biology from Wells College.

Kathleen Nolan is a managing principal in Health Management Associates’ Washington, D.C., office. Since coming to HMA, she has worked with clients from across the health care spectrum. She is an expert in federal and state policy, with particular attention on Medicaid. Prior to joining HMA, Ms. Nolan worked on numerous health care reform issues as the director for state policy and programs at the National Association of Medicaid Directors, and as director of the health division in the National Governors Association’s Center for Best Practices. In her many years in those roles, she worked with governors’ offices and other state leaders on health care issues facing states including health care reform, Medicaid, health IT, and public health. Ms. Nolan also held health policy positions with the Association of State and Territorial Health Officials and the Institute of Medicine. Before moving to Washington, she served as a program specialist in the Colorado Department of Public Health and Environment. Ms. Nolan received her M.P.H. from the George Washington University and her B.A. in psychology from Carleton College in Northfield, Minn.

Allyson Y. Schwartz, a former member of the U.S. House of Representatives from Pennsylvania who served from 2005-2015. Throughout her professional life she has worked on issues such as affordability, prevention, primary care, coordinated care, and increased access to coverage. Having worked as a health service executive, Schwartz was elected to the Pennsylvania State Senate in 1990, serving 14 years until her election to Congress. In the state Senate, Schwartz was the driving force behind Pennsylvania’s CHIP program, which was a model for the federal CHIP program five years later. In Congress, Schwartz was appointed to the Ways and Means committee in her second term and served as a senior member of the Budget Committee. Schwartz is a distinguished policy fellow at the University of Pennsylvania’s Leonard Davis Institute of Health Economics, visiting fellow at the Penn Wharton Public Policy Initiative, senior fellow for health policy at the Center for American Progress, and co-chair of the Bipartisan Policy Center Health and Housing Task Force. Schwartz earned a B.A. from Simmons College and a Master of Social Service from Bryn Mawr College.

Moderator

Julie Appleby is senior correspondent at Kaiser Health News, where she reports on the health law’s implementation, health care treatments and costs, trends in health insurance, and policy affecting hospitals and other medical providers. Her stories have appeared in USA TODAY, The Washington Post, the Philadelphia Inquirer, MSNBC and other media. Before joining KHN, Ms. Appleby spent 10 years covering the health industry and policy at USA TODAY. She also worked at the San Francisco Chronicle, The Financial Times in London and the Contra Costa Times in Walnut Creek, Calif. She serves on the board of the Association of Health Care Journalists and has a Master of Public Health degree.

 

The Future of Integrated Care for Complex Chronic Conditions: What’s Working, What’s Not

Bart Asner is the chief executive officer and a member of the board of directors of Monarch HealthCare, an IPA model medical group which he founded in 1994. Monarch is comprised of 2,300 physicians providing care to 180,000 MediCal, commercial and senior patients throughout Orange County, Calif., and has been designated a 2012 Pioneer Accountable Care Organization by the Centers for Medicare and Medicaid Services. Dr. Asner is a past chairman and currently serves on the board of directors of the California Association of Physician Groups, California’s largest professional organization of medical groups and IPAs. Dr. Asner is immediate past chairman, and current member of the Board of Directors of the Integrated Healthcare Association, a statewide policy group that brings together the top decision makers from the major sectors of the health care industry. Dr. Asner holds a bachelor’s degree in Biology from Brooklyn College of the City University of New York and is a graduate from the University of Pennsylvania School of Medicine. He completed his internship and residency in pediatrics at Children’s Hospital in Los Angeles. Board certified in pediatrics, Dr. Asner is a fellow of the American Academy of Pediatrics and of the American College of Physician Executives.

Larry Atkins is executive director of the Long-Term Quality Alliance. He is a board member and immediate past-president of the National Academy of Social Insurance. He was recently the staff director of the federal Commission on Long-Term Care, which issued its final report in September 2013. Prior to that, he was executive director of U.S. Public Policy at the global pharmaceutical manufacturer Merck. He directed Public Policy at Schering-Plough Corporation; was founder and president of Health Policy Analysts, Inc., a firm providing consultation on pharmaceutical, health benefits, and health care reimbursement issues; was executive director of the Corporate Health Care Coalition, an alliance of Fortune 100 companies on federal and state health reform issues; and headed a health and benefits policy practice in the Washington office of the New York law firm Winthrop, Stimson, Putnam and Roberts. During the 1990s, Dr. Atkins served on two quadrennial Social Security Advisory Commissions – 1991 as a Commission member and 1995 as a member of the Technical Panel. During the 1980s, Dr. Atkins served on the U.S. Senate Special Committee on Aging as professional staff, deputy staff director and Republican staff director for Chairman John Heinz (R-Pa.), and advised Sen. Heinz as a member of the Senate Finance Committee on retirement income and health policy matters, and as a member of the 1983 National Commission on Social Security Reform. Dr. Atkins holds a Ph.D. from the Heller School for Social Policy and Management at Brandeis University, where he is currently a member of the Board of Overseers. He holds master’s degrees from the University of Louisville and the University of Kentucky, and an undergraduate degree from Kenyon College.

Sandra Wilkniss serves as program director for the National Governors Association Center for Best Practices’ Health Division. Dr. Wilkniss focuses on issues related to behavioral health and social determinants of health and the innovative integration of these into health system transformation efforts. She leads the NGA Center’s technical assistance work with states advancing programs for high-need, high-cost populations. Prior to joining NGA, Dr. Wilkniss served as senior legislative advisor for health care to Sen. Martin Heinrich, senior legislative assistant for health care to Sen. Jeff Bingaman and director of Thresholds Institute at Tresholds Psychiatric Rehabilitation Centers. She also served as adjunct assistant professor at Dartmouth Medical School and assistant clinical professor at the Chief Psychologist Inpatient Unit at the University of Illinois. Dr. Wilkniss holds a Ph.D in clinical psychology from the University of Virginia and a bachelor’s degree in psychology from Princeton University. She also holds a certificate in non-profit management from the Kellogg School of Management at Northwestern University.

Moderator

Susan Dentzer is the president and chief executive officer of the Network for Excellence in Health Innovation, a not-for-profit think tank and membership organization that seeks innovative ways to advance health, improve health care, and produce smarter health care spending. Ms. Dentzer previously served as senior policy adviser to the Robert Wood Johnson Foundation. She also was formerly editor-in-chief of the policy journal Health Affairs and the on-air health correspondent for the PBS NewsHour. Ms. Dentzer is an elected member of the National Academy of Medicine (formerly the Institute of Medicine) and also serves on the academy’s Board on Population Health and Public Health Practice. She is also an elected member of the Council on Foreign Relations; a fellow of the National Academy of Social Insurance; and a fellow of the Hastings Center, a nonpartisan bioethics research institute. She is a member of the board of directors of the International Rescue Committee; is a public member of the Board of Directors of the American Board of Medical Specialties; a member of the board of directors of Research!America; and is a member of the board of directors of the Public Health Institute. She also is a member of the RAND Health Board of Advisors. Ms. Dentzer graduated from Dartmouth, is a trustee emerita of the college, and chaired the Dartmouth Board of Trustees from 2001 to 2004. She also serves on the Board of Overseers of the Geisel School of Medicine at Dartmouth, earned the institution’s Alumni Award, and holds an honorary Dartmouth master’s degree.