Navigating Next Steps on Payment Reform

Mai Pham is vice president, Provider Alignment Solutions at Anthem, where she is responsible for developing and refining Anthem’s provider payment models that reduce the cost of care while rewarding improvements in quality and access. She is also establishing a team to develop new products and networks built on a foundation of value-based care, and oversee Anthem’s Enhanced Personal Health Care initiative, a program that focuses on patient-centered care. Mai was formerly Chief Innovation Officer at CMMI where she was responsible for implementation of the alternative payment model provisions of the Medicare Access and CHIP Reauthorization Act and other multi-organizational initiatives.

Emily Roesing is the director of business development at Catalyst for Payment Reform, an independent, non-profit corporation working to catalyze employers, public purchasers and others to implement strategies that produce higher-value health care and improve the functioning of the health care marketplace. Emily works with CPR’s employer audience as they strive to become high-value health care purchasers. She can speak to what payment reforms are happening in the commercial sector, what is known about how they are working, and what employers want to know more about. She can also speak to the influence that CMS has on the commercial sector and vice versa and how important it is to work toward alignment. Prior to joining CPR, she held positions at Jiff Inc., Kaiser Permanente, and Deloitte Consulting. She received her MBA from Berkeley’s Haas School of Business and her Bachelors of Arts from Duke University.

Robert Saunders is Research Director, Payment and Delivery Reform at Duke-Margolis.  In this role, he manages the Center’s portfolio for payment and delivery reform initiatives, including bringing together faculty from across the University for developing the strategic vision in this area. He also leads specific projects in digital health technologies, evaluation of new payment policies, and federal physician payment reforms. Prior to joining Duke-Margolis, Dr. Saunders was a Senior Director and then Senior Advisor to the President of the National Quality Forum, where he managed a large federally-funded project that provided recommendations on more than 200 quality measures for 20 different federal programs in a period of two months. As Senior Advisor, he directed special projects on topics including data, payment reform, systems engineering, and future of healthcare quality measurement. There, he authored targeted communications to translate the organization’s technical work for a broad audience, including journal perspectives, white papers, and blogs and supported the development of new funding opportunities, including developing relationships with foundations and authoring concept papers and proposals. He was previously Senior Program Officer at the Institute of Medicine and managed health care legislative affairs for Representative Rush D. Holt. He has previously served as an adjunct professorial lecturer at American University and the Duke University Program in Medical Physics.  He served on the Duke University Board of Trustees from 2005-2007.

Alison Stark is vice president and chief medical officer at Montefiore Care Management. Dr. Stark provides physician leadership in the development, implementation and supervision of CMO’s population health, care management and utilization management programs.  She also serves as CMO’s principal medical liaison to Montefiore’s inpatient, outpatient and Independent Practice Associations (IPAs).  She leads a team of medical directors who are actively engaged in the CMO’s care management and utilization management programs. Dr. Stark is also an Assistant Professor of Medicine and Family and Social Medicine at the Albert Einstein College of Medicine. Dr. Stark brings to the position a rich and varied background in geriatric and palliative care medicine, healthcare consulting, public health planning, health care administration and health care finance.  Dr. Stark completed medical school at the University of Chicago Pritzker School of Medicine and her residency training in internal medicine and primary and social medicine at Montefiore. She then completed an integrated fellowship in geriatric medicine and palliative care medicine at the Mount Sinai School of Medicine.  She has an MBA degree from The Wharton School at the University of Pennsylvania and a Bachelor of Arts degree in Bioethics from Brown University.  She is Board Certified in internal medicine, geriatric medicine and hospice and palliative care medicine.

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.