State Opportunities to Address Prescription Drug Costs in Medicaid

Here are the speaker biographies for the briefing on May 11, 2018 focused on State Opportunities to Address
Prescription Drug Costs in Medicaid.

 

John Coster, is director of the Division of Pharmacy at the Center for Medicaid and CHIP Services, which is a component of the Centers for Medicare and Medicaid Services. He is responsible for policy and operational issues relating to the Medicaid pharmacy program and the Medicaid Drug Rebate Program (MDRP). He holds a MPS and Ph.D. in health policy from the University of Maryland Graduate School in Baltimore and a B.S in Pharmacy from St John’s University in New York. Prior to joining CMS, he has held senior government affairs executive positions with the National Association of Chain Drug Stores (NACDS), the National Community Pharmacists Association (NCPA), and Safety Net Hospitals for Pharmaceutical Access.

 

Terry Cothran, is director of Pharmacy Management Consultants at the University of Oklahoma College of Pharmacy. Mr. Cothran has 27 years of pharmacy experience and 24 years of that in management. He previously served as operations manager of several other departments, including Medication Therapy Management, Consulting Pharmacy, and Prior Authorization in a large Pharmacy Benefit Management environment. Prior to that, he was the operations manager in Specialty Pharmacy, the regional manager of store operations in a retail chain, and manager in the independent pharmacy environment. In his current role, he provides the best care possible to the Medicaid members of Oklahoma while being a responsible steward of the tax payer’s dollars. This requires providing an efficient and quality product to the state of Oklahoma while operating under a limited budget.

Trish Riley, is executive director of the National Academy for State Health Policy (NASHP) and president of its corporate Board. She helped build NASHP as CEO from 1988-2003. Previously, she was a Distinguished Fellow in State Health Policy at George Washington University and taught in the graduate program at the Muskie School of Public Service, University of Southern Maine. From 2003-2011 she served as Director of the Governor’s Office of Health Policy and Finance, leading the effort to develop a comprehensive, coordinated health system in Maine including access to affordable health insurance. She was the principal architect of Dirigo Health Reform and served as the state’s liaison to the federal government and Congress, particularly during deliberations around national health reform. She chaired the Governor’s Steering Committee to develop a plan to implement the Affordable Care Act in Maine. Riley has also held appointive positions under five Maine governors—directing the aging office, Medicaid and state health agencies, and health planning and licensing programs. Riley has published and presented widely about state health reform She served as a member of the Kaiser Commission on Medicaid and the Uninsured, and serves on the Institute of Medicine’s Board on Health Care Services, the National Academy for Social Insurance where she co-chaired the Study Panel on Medicaid and the Culture of Health, as well as the Board of Directors of Maine’s Co-Op insurance plan. She was a founding member of the Medicaid and CHIP Payment and Access Commission (MACPAC), served on the Institute of Medicine’s Subcommittee on Creating an External Environment for Quality and was a member of the Board of Directors of the National Committee on Quality Assurance. Riley holds a B.S. & M.S. from the University of Maine.

 

 

Cathy Traugott, is the pharmacy clinical manager for the Colorado Department of Health Care Policy and Financing. In this capacity, she oversees staff and pharmacy initiatives at the Department. She has also served as the drug utilization review pharmacist. Ms. Traugott has more than a decade of experience working for the Department, the single state agency administering public health insurance programs including Health First Colorado (Colorado’s Medicaid Program) and the Child Health Plan Plus in Colorado. The Department has a $10 billion budget and its programs currently serve more than 1.3 million Coloradans. Ms. Traugott worked as a health care attorney at Ross & Hardies in Chicago and Faegre & Benson in Denver, been a clinic research pharmacist at the Denver VA Medical Center and worked in retail pharmacy earlier in her career. Ms. Traugott graduated from the University of Kansas, summa cum laude, earning her B.S.in Pharmacy and attended law school at Chicago-Kent College of Law, graduating as valedictorian.

MODERATORS

Shawn Bishop, joined The Commonwealth Fund in 2016 as vice president for the Controlling Health Care Costs program, which monitors and analyzes spending in both the public and private health care sectors, and Advancing Medicare, which identifies ways in which the Medicare program can serve its beneficiaries more effectively and efficiently. Previously, she provided strategic consulting related to Medicare and the Affordable Care Act, including policy development and outreach to Congress and the administration. Bishop earlier served as senior vice president of research for the Marwood Group, offering financial services firms and others analysis of political, legislative, and regulatory environments, and as professional staff with the U.S. Senate Finance Committee. She holds a master’s degree in public policy from the University of California, Berkeley.

 

Mary Ella Payne is the acting president and chief executive officer at the Alliance for Health Policy. Previously, Mary Ella was senior vice president for Ascension, the nation’s largest not for profit health care system. Mary Ella led Ascension’s systemwide advocacy strategy with special attention to persons living in poverty and the vulnerable. Prior to working for Ascension, Mary Ella was a health care advisor for a senior member of the Finance Committee for 10 years and helped craft the legislation creating the Children’s Health Insurance Program. Mary Ella has a master’s degree in public health from the University of North Carolina at Chapel Hill and a Bachelor of Science in nursing with honors from the University of Louisville.