COVID-19 Webinar Series Session 17 – The Role of Medicaid

Tom Betlach, MPA, is a partner at Speire Healthcare Strategies where he advises government and private sector clients on complex health policy and strategic initiatives. He is a nationally recognized thought leader on Medicaid and healthcare policy, known for his expertise in serving complex populations, delivery system transformation, value based purchasing, managed care and cost containment. Prior to joining Speire, Tom completed 27 years of state service in Arizona, working for five different Governors in three different cabinet positions. For the last nine years Tom served as Director of the Arizona Health Care Cost Containment System (AHCCCS), Arizona’s single state Medicaid agency, where he reported directly to the Governor. AHCCCS provided health care coverage to 1.9 million Arizonans at an annual cost of $13 billion.
During his tenure, Arizona was an early innovator in leveraging competitive managed care, contracting strategies to transform the delivery system. Under Tom’s leadership, Arizona successfully pursued a multi-year strategy to integrate behavioral health services, expanded the delivery of services to address social determinants of health and pursued value-based purchasing strategies. Arizona remains one of the lowest cost long-term care programs nationally and has maintained high levels of home and community-based placement for persons with long term care needs. As a national leader, Tom served as both Vice President and President of the National Association of Medicaid Directors. He currently serves on the Board for the National Committee for Quality Assurance (NCQA) and is a member of the Congressional Budget Office Panel of Health Advisers. Tom holds a Master’s in Public Administration from the University of Arizona and a Bachelor of Arts in Political Science from the University of Wisconsin.

Contact: tom@speirehcs.com

 

Karen Dale, R.N., MSN, is the Market President for AmeriHealth Caritas District of Columbia, a mission-based Medicaid Managed Care Organizations (MMCO) in Washington, DC. She is the driving force for the development of innovative solutions to address the critical challenges faced by the members served by the MMCO. As a result, opportunities for people to experience health and wellness are enhanced by addressing the social, economic, and environmental conditions that are drivers of poor health outcomes and harmful health disparities with comprehensive and tailored solutions. Ms. Dale has guided the execution of unique approaches to managing the complex needs of persons with multiple health risks. These efforts include the use of digital tools to aid in the management of chronic diseases, peer to peer outreach using community health workers, and the use of a human-centered design member engagement approach. In addition, her philosophy that healthcare must evolve into a health ecosystem that promotes, wellness, without barriers, starting where people are, has led to several collaborative relationships with providers, community partners, philanthropists and businesses to implement sustainable, scalable solutions with high impact. Ms. Dale holds a Master of Science Degree in Psychiatric Mental Health Nursing from The Catholic University and was a member of the Leadership Greater Washington Class of 2003. She serves as a Board Member for Volunteers of America.  Her work as a visionary and pioneer was recognized with the Washington Business Journal Minority Business Leader award and, the Women Who Mean Business award. In 2019, she received the National Dental Association Women’s Health Symposium Phenomenal Corporate Woman award and, the Woodley House Inaugural Community Trailblazer award.

Contact: kdale@amerihealthcaritasdc.com

 

Beth Feldpush, DrPH, is the senior vice president of policy and advocacy at America’s Essential Hospitals. In this role, she provides strategic leadership and advocacy on behalf of safety net health systems. Feldpush directs the association’s federal government affairs portfolio, as well as the organization’s policy development activities. She oversees the association’s internal and external communications efforts. Feldpush also manages the association’s participation in and leadership of coalitions and allied organization activities, acting as a liaison to other trade associations. Feldpush previously served as a senior associate director for policy at the American Hospital Association (AHA), where she worked on health care delivery system reform and hospital quality and patient safety issues. Prior to joining AHA, Feldpush worked at the U.S. Government Accountability Office, where her work focused on Medicare payment policy, end-of-life care, geographic variation in service delivery, and health care workforce adequacy. She also serves as adjunct faculty for the George Washington University School of Public Health Department of Health Policy.

Contact: bfeldpush@essentialhospitals.org

 

Rachel Nuzum, MPH, is vice president for the Federal and State Health Policy initiative at The Commonwealth Fund, working closely with policymakers at the state and federal level. Ms. Nuzum is responsible for developing and implementing the Fund’s national policy strategy for improving health system performance, ensuring that the work of the Fund and its grantees informs the policy process in both the legislative and executive branches of state and federal government. Ms. Nuzum’s work also includes fostering public–private collaboration on health system performance improvement with state and federal stakeholders and organizations. Ms. Nuzum has over 15 years of experience working in health policy at the federal, state, and local levels of government, as well as in the private sector. Before joining the Fund in January 2007, Ms. Nuzum was a legislative advisor for Senator Maria Cantwell (Wash.) on health, retirement and tax issues. Prior to joining Senator Cantwell’s office, she served as a David Winston Health Policy Fellow in Senator Jeff Bingaman’s (N.M.) office. In this role, Ms. Nuzum staffed the Senator on the Health, Education, Labor and Pension Committee and the Senate Finance Committee. Before arriving in Washington, D.C., she served former Governor Roy Romer of Colorado in the office of Boards and Commissions and worked as a health planner in west central Florida. She holds a B.A. in political science from the University of Colorado and an M.P.H. in Health Policy and Management from the University of South Florida. She is on the faculty of Georgetown University’s Graduate School of Nursing and Health Professions and is on the board of the Winston Health Policy Fellowship.

Contact: rn@cmwf.org

 

Sara Rosenbaum, J.D., is the Harold and Jane Hirsh Professor of Health Law and Policy and Founding Chair of the Department of Health Policy at George Washington University’s Milken Institute School of Public Health. Professor Rosenbaum has devoted her career to health justice for medically underserved populations, emphasizing public engagement, along with academic and judicial scholarship, as core aspects of her work. Among her many public service activities, Professor Rosenbaum worked for President Clinton from 1993-1994, directing the drafting of the Health Security Act. She is a member of the National Academies of Sciences Engineering and Medicine and the National Academy of Social Insurance. Professor Rosenbaum is a founding board member and current chair of FAIRHealth, the nation’s largest source of health care cost and utilization information. She also has served on the CDC’s Director’s Advisory Committee and its Advisory Committee on Immunization Practice and previously served as Board Chair of AcademyHealth and the National Academy for State Health Policy. Professor Rosenbaum was a founding Commissioner on Congress’s Medicaid and CHIP Payment and Access Commission (MACPAC), which she chaired from January 2016 through April 2017.

Contact: sarar@gwu.edu