The State of Play: Challenges and Issues in Health Insurance
Sen. Tom Daschle is the founder and CEO of The Daschle Group, a public policy advisory of Baker Donelson. The Daschle Group is a full-service strategic advisory firm that advises clients on a broad array of economic, policy and political issues. In addition, he is a co-founder of the Bipartisan Policy Center and co-chairs its Commission on Political Reform and Health Project. In 1978, he was elected to the U.S. House of Representatives, where he served for eight years. In 1986, he was elected to the U.S. Senate and was chosen as Senate Democratic leader in 1994. After leaving the Senate in 2005, Daschle joined Alston & Bird LLP as a special policy advisor and then went on to work in the same role at DLA Piper before establishing The Daschle Group in 2014. Sen. Daschle serves as the chair of the DuPont Advisory Committee on Agriculture Innovation and Productivity, as well as the BP Tangguh Independent Advisory Panel. He is also chair of the board of directors at the Center for American Progress and vice-chair for the National Democratic Institute. He serves on the board of the Edward M. Kennedy Institute, the LBJ Foundation, and is a member of the Council of Foreign Relations. He also is a member of the Health Policy and Management Executive Council at the Harvard School of Public Health. Sen. Daschle graduated from South Dakota State University in 1969. He then served for three years as an intelligence officer in the U.S. Air Force Strategic Command. Following his military service, he spent five years as an aide to Sen. James Abourezk.
Thomas A. Scully has been a general partner at Welsh, Carson, Anderson & Stowe since 2006, before which he was a senior operating executive. Prior to joining WCAS, he was the administrator of the Centers for Medicare & Medicaid Services (CMS) for three years and the president and CEO of the Federation of American Hospitals for six years. He also served as the deputy assistant to the president and as the associate director of the Office of Management and Budget under President George H.W. Bush from 1989 to 1993, and has practiced law at Alston and Bird; Patton Boggs; and Akin, Gump, Strauss Hauer and Feld. Mr. Scully attended University of Virginia for his undergraduate studies and received his law degree from Catholic University.
Reed Tuckson is the managing director of Tuckson Health Connections, a health and medical care consulting business that brings people and ideas together to promote optimal health outcomes. He also serves as a board member for the Alliance for Health Reform. Previously, he enjoyed a long tenure as executive vice president and chief of medical affairs for UnitedHealth Group. Prior to that, Dr. Tuckson held leadership positions at the American Medical Association, the Charles R. Drew University of Medicine and Science in Los Angeles, the March of Dimes Birth Defects Foundation, and the District of Columbia government.
Stabilizing the Individual Insurance Market
Karen Bender is a fellow of the Conference of Consulting Actuaries, an associate in the Society of Actuaries, a member of the American Academy of Actuaries, and a Qualified Health Actuary. She is president of Snowway Actuarial and Healthcare Consulting, LLC. Ms. Bender has been in the health actuarial field for over 40 years and in managed care for almost all of that time. Prior to starting her own firm in 2015, Ms. Bender was a principal with a major, worldwide consulting firm. Her experience includes pricing of products for the individual, small group, and large group markets, and is also qualified as a health valuation actuary. Ms. Bender is recognized nationally as an expert in the individual and small group markets, including pre- and post-ACA products. She is currently the chairperson for the Individual and Small Group Committee of the American Academy of Actuaries and is on the American Academy of Actuaries’ Health Practice Council. Ms. Bender has authored and co-authored several papers, testified before various regulatory institutions including the U.S. Senate HELP Committee, and is a frequent speaker at professional meetings.
Ed Haislmaier is senior research fellow in the Center for Health Policy Studies at The Heritage Foundation. As senior research fellow, Mr. Haislmaier’s expertise includes health care tax policy, Medicare, Medicaid, foreign health systems, pharmaceuticals, and health care price controls. Mr. Haislmaier worked on related bills with both state and federal legislators, particularly alternatives to the Affordable Care Act. He has developed innovative strategies for states to create consumer-centered health insurance markets by using their authority to regulate insurance. Before rejoining Heritage in 2005 as a research fellow, Mr. Haislmaier worked as a health policy consultant from 1998 to 2004 and was director of health care policy in Pfizer Inc.’s Corporate Strategic Planning and Policy division from 1994 to 1997. He originally came to Heritage in 1987 as the think tank’s first policy analyst for health care. He was named senior policy analyst in 1994, then senior research fellow in 2007. Mr. Haislmaier is a member of the board of directors of the National Center for Public Policy Research. He holds a bachelor’s degree in history from St. Mary’s College of Maryland.
Chris Holt is the director of health care policy at the American Action Forum, a center right policy institute based in Washington, D.C. Prior to joining the forum in May of 2013, Mr. Holt spent almost seven years as a health policy advisor on Capitol Hill, last serving as the legislative assistant for health care policy to Sen. Scott Brown, R-Mass. Previously, he worked as a health policy advisor for Rep. Tim Murphy, R-Pa.-18, Rep. Bob Inglis, R-S.C.-04, and Sen. George Voinovich, R-Ohio. He began his congressional career as a legislative correspondent with the Senate Special Committee on Aging under Chairman Gordon Smith, R-Ore. Before coming to Capitol Hill, Mr. Holt worked on a number of political campaigns. He is a graduate of Whitman College.
Peter Lee is the executive director of Covered California, the first health exchange created after enactment of the Affordable Care Act. Since joining Covered California in 2011, Mr. Lee oversaw the creation and launch of the Covered California brand, as well as an on-line platform that allows consumers to shop for and buy affordable health insurance. Prior to joining the exchange, Mr. Lee held leadership positions in the Obama administration working on health care delivery reform and quality improvement, as the director of delivery system reform for the Office of Health Reform for Health and Human Services, and as deputy director for the Center for Medicare and Medicaid Innovation at the Centers for Medicare & Medicaid Services. Previously, Mr. Lee was executive director of the Center for Health Care Rights, a consumer advocacy organization based in Los Angeles, and director of programs for the National AIDS Network, working on health care issues in Washington, D.C. in the 1980s. Mr. Lee received his law degree from the University of Southern California and his undergraduate degree from the University of California at Berkeley.
Tom Miller is a resident fellow at the American Enterprise Institute, where he studies health care policy, including health insurance and market-based alternatives to the Affordable Care Act. A former senior health economist for the Joint Economic Committee in Congress, Mr. Miller was previously a trial attorney, journalist, and sports broadcaster. He is the coauthor of the bestseller “Why ObamaCare Is Wrong For America,” the first in-depth examination of the impact of the new health care law. While at the JEC, Mr. Miller organized a number of hearings that focused on reforms in private health care markets, such as information transparency and consumer-driven health care. Mr. Miller has a B.A. in political science from New York University and a J.D. from Duke University School of Law.
Sarah Dash is president & co-CEO of the Alliance for Health Reform. Prior to joining the Alliance, she was a member of the research faculty at the Georgetown University Health Policy Institute in the Center on Health Insurance Reforms. She has also served as a senior health policy aide to Sen. Jay Rockefeller, D-W.Va., and Rep. Rosa DeLauro, D-Conn.-3. She received her master’s degree in public health from Yale University and a bachelor of science from MIT.
Medicaid Moving Forward
Josh Archambault is a senior fellow at the Foundation for Government Accountability. Prior to joining FGA, Mr. Archambault served as the director of the Center for Healthcare Solutions, and as program manager for the Middle Cities Initiative at Pioneer Institute, a Boston-based free-market think tank. While at Pioneer he co-authored the nationally acclaimed book “The Great Experiment: The States, The Feds, and Your Healthcare” (2012) and published numerous studies on the potential impact of payment and delivery system reform proposals on patients and Obamacare’s impact on Massachusetts residents and businesses. Mr. Archambault was previously selected as a health policy fellow at the Heritage Foundation in Washington, D.C., where his research concentrated on the impact of Obamacare on small businesses and the lessons that could be learned from the Massachusetts experiment. In the past, Mr. Archambault served as a legislative director in the Massachusetts State Senate for Scott Brown and as senior legislative aide for then-Gov. Mitt Romney in his Office of Legislative Affairs. Mr. Archambault holds a master’s in public policy from Harvard University’s Kennedy School of Government and a B.A. in political studies and economics from Gordon College.
Trish Riley is executive director of the National Academy for State Health Policy 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 Ms. Riley 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. She chaired the Governor’s Steering Committee to develop a plan to implement the Affordable Care Act in Maine. Ms. 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. Ms. Riley has published and presented widely about state health reform. She was a founding member of the Medicaid and CHIP Payment and Access Commission, 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.
Diane Rowland is executive vice president at Kaiser Family Foundation, and is a nationally recognized health policy expert with a distinguished career in public policy and research focusing on health insurance coverage, access to care, and health financing for low-income, elderly, and disabled populations. From 1991-2016, she served as executive director of the Kaiser Commission on Medicaid and the Uninsured, now the Kaiser Program on Medicaid and the Uninsured. Dr. Rowland oversees the Foundation’s health policy analytic work on Medicaid, Medicare, private health insurance, HIV and global health policy, women’s health policy, and disparities. A noted authority on Medicare, Medicaid, and health policy, she testifies frequently and has published widely on these issues. From 2009-2015, Dr. Rowland served as the inaugural chair of the congressionally-authorized Medicaid and CHIP Payment and Access Commission, established to advise Congress on issues related to Medicaid and the Children’s Health Insurance Program. Dr. Rowland is an elected member of the National Academy of Medicine and holds a Doctor of Science degree (Sc.D.) from the Bloomberg School of Public Health at the Johns Hopkins University.
Judith Solomon is vice president for health policy at the Center on Budget and Policy Priorities, where she focuses on Medicaid and the Children’s Health Insurance Program (CHIP) and issues related to the implementation of health reform, particularly policies to make coverage available and affordable for low-income people. Ms. Solomon has testified before state legislatures and spoken extensively to national and state nonprofit groups, and is often cited by national and state media. Previously, Solomon was a senior policy fellow at Connecticut Voices for Children, and executive director of the Children’s Health Council. She directed the Council’s work on policy analysis, outreach, education and training, and independent oversight of health care services provided through Connecticut’s Medicaid managed care program. Ms. Solomon has also worked as a legal services attorney specializing in the area of public benefits, and taught at the Yale University School of Medicine. Ms. Solomon is a graduate of the University of Connecticut and Rutgers University School of Law in Newark.
Marilyn Serafini is president & co-CEO of the Alliance for Health Reform. Before joining the Alliance in 2012, she was an award-winning journalist covering Congress, the White House and K Street for various publications. She was the Robin Toner Distinguished Fellow and senior correspondent at Kaiser Health News. From 1995 to 2010, Ms. Serafini was the health care and welfare correspondent for National Journal magazine, and before that was a senior reporter for Congress Daily (now National Journal Daily). She has a master’s degree in journalism and public affairs from American University and a bachelor’s degree from the University of Maryland.
On the Ground Considerations and Implications
Michael D. Aubin is the hospital president of Wolfson Children’s Hospital in Jacksonville, Fla., the region’s pediatric referral center and only hospital just for kids. Before joining Wolfson Children’s in January 2011, Mr. Aubin served as the founding administrator/chief operating officer of St. Joseph’s Children’s Hospital of Tampa, where he re-establish St. Joseph’s Children’s Hospital in 1990 after a 23-year hiatus. Mr. Aubin is a fellow in the American College of Healthcare Executives, has served as board president for the Florida Association of Children’s Hospitals (FACH), is a member of its board of directors, and serves as chair of its Advocacy Committee. He currently serves on the national Children’s Hospital Association’s (CHA) board of trustees, the CHA Medicaid Reform Steering Committee, the CHA Executive Exchange Steering Committee, and the Leadership Committee on Advocacy and Policy. He also is a JAX USA Partnership Trustee, and serves on the board of directors of Sulzbacher Center in Jacksonville and the board of directors for STEM2 Hub. Mr. Aubin was co-chair of the Florida Hospital Association’s Committee on the Uninsured for four years, and currently serves on their Strategic Planning Committee. He recently served as board chair of the Jacksonville Sports Medicine Program, and is a past member of the board of directors for the Kids HealthCare Foundation from 2006-2010 and the board of trustees for the Hillsborough County Healthy Start Coalition, where he served as chair. Mr. Aubin holds a master’s degree in Health Services Administration from the University of Wisconsin – Madison. He also is a graduate of Providence College in Providence, Rhode Island, where he received his Bachelor of Science degree in Health Services Administration.
Andy Chasin is policy director for Blue Shield of California. Prior to joining Blue Shield, Mr. Chasin served as the health policy counsel to the Senate Republican Policy Committee, where he worked on the Affordable Care Act as well as a variety of other issues. Ms. Chasin has also worked as a lawyer in a major Washington, D.C., firm and in a variety of other political and campaign positions. He graduated from Stanford Law School.
Kisha Davis is a family physician and recently served as medical director of Casey Health Institute, an integrative medicine primary care practice in Gaithersburg, Md. In addition to providing primary care to patients at CHI, she serves as a project manager at the Center for Applied Research, consulting on the project Family Medicine for America’s Health in the areas of practice improvement and payment reform. Previously, she practiced at Chase Brexton Health Services, Inc., in Columbia, Md. In 2011, Dr. Davis worked for a year as a White House fellow for the U.S. Department of Agriculture, where she advised the agency on nutrition issues, helped implement new breastfeeding policies in the workplace, and increased collaboration between community health centers and the Women, Infants and Children (WIC) program. Previously, Dr. Davis served as the new physician director on the American Academy of Family Physicians board of directors. She has also served on the Commission for Governmental Advocacy and the Commission on Membership and Member Services. Dr. Davis has served on the board of directors of the Maryland Academy of Family Physicians since 2008. She served as president from 2014-2016, and also serves as MAFP’s Special Constituencies Chair. As a clinical instructor, Dr. Davis has taught medical students at both the Johns Hopkins University School of Medicine and the University of Maryland School of Medicine. Dr. Davis completed her Bachelor of Science degree in Biological Anthropology and Anatomy at Duke University, and she earned her medical degree at the University of Connecticut School of Medicine. She completed her residency at the University of Maryland where she served as chief resident and later earned a master’s degree in public health from the Johns Hopkins University Bloomberg School of Public Health.
Kirsten Sloan is vice president for policy for the American Cancer Society’s Cancer Action Network. In this capacity she manages a team of seven senior policy principals and analysts with a focus on access to care, emerging science and prevention. Prior to joining ACS CAN, Ms. Sloan was vice president of the National Partnership for Women & Families with responsibility for the organization’s multi-faceted health portfolio. Ms. Sloan was also director of Federal Health Issues for AARP. In that role, she served as chief health lobbyist and managed a team of senior lobbyists in AARP’s Government Relations Department. Ms. Sloan and her team worked directly with Congress and the administration on advancing AARP’s key health care priorities including Medicare, prescription drugs, long-term care, Medicaid, managed care, health insurance, and health care quality. Earlier in her career at AARP, Ms. Sloan worked as the National Coordinator for Health Issues, Health Team Deputy Director, Medicare lobbyist, and as Legislative Specialist with a focus on the Catastrophic Coverage Act. Prior to AARP, Ms. Sloan was the legislative aide for Congressman Norm Dicks, D-Wash.-06, and was responsible for health care appropriations and aging issues. Ms. Sloan is a graduate of the University of Washington in Seattle, Wa.
Noam N. Levey is a writer for the Los Angeles Times and writes about national health care policy out of Washington, D.C. He covered passage of the 2010 Affordable Care Act, has written extensively about the landmark law, and reported on its implementation from around the country. A former investigative and political reporter, he is a Boston native and a graduate of Princeton University. He joined the newspaper in 2003 and has reported from Washington since 2006.