Navigating Complex Systems: Policy Opportunities for Dually Eligible Individuals

March 28, 2024
1:00 pm-

2:30 pm

Virtual Event

Event Description

This webinar provided a deeper understanding into the role of Medicare, Medicaid, and private sector in providing care for dually eligible populations and discussed past and present policy efforts and strategies. Panelists also identified potential future directions and approaches to improve care for dually eligible populations. 

This webinar was sponsored by the Association for Community Affiliated Plans, Santa Clara Family Health Plan, and Health Plan of San Mateo.

Learning Goals

  • Develop a comprehensive understanding of the current landscape of healthcare policies and practices affecting dual eligible populations.
  • Discuss public and private sector efforts at the state and federal level in serving dual eligible beneficiaries, identifying successes, challenges, and areas for improvement.
  • Examine trade-offs involved in designing and implementing policies and programs for dual eligible populations.
  • Discuss potential future directions and strategies for enhancing the care and support of dual eligible beneficiaries.


Brianna Ensslin Janoski, MPH

Managing Director, ATI Advisory
Brianna Ensslin Janoski is a Managing Director in ATI's State Program and Policy Practice. She is focused on issues related to Medicaid LTSS and dual eligible populations. Before joining ATI, she was an independent consultant who supported clients on projects related to managed care, Medicaid, Medicare, SHIPs, and integrating care for some of our nation’s most vulnerable populations. Most recently, Janoski served as the Associate Vice President of Medicare/MMP Product at Molina Healthcare. Here, she led the team responsible for more than 20 plan benefit packages, driving development, administration, and training of these products nationally. Prior to this role, Janoski was a Director of Public Policy at Molina Healthcare where she supported its plans across the country on a variety of federal and state legislative, regulatory, and policy priorities. She focused on issues related to D-SNPs, MMPs, and MLTSS programs, notably spearheading the organization’s policy and advocacy around MMP enrollment growth and capitated Financial Alignment Demonstration program extensions, as well as D-SNP default enrollment and preparing for D-SNP rule changes. Janoski received her Master of Public Health in Urban Health and Bachelor of Science in Health Science degrees from Northeastern University in Boston, MA.

Alice Burns, Ph.D., MPP

Associate Director, Program on Medicaid and the Uninsured, Kaiser Family Foundation
Alice Burns is an associate director of KFF’s Program on Medicaid and the Uninsured, where she focuses on overseeing the team’s quantitative research. Prior to joining KFF in 2022, Dr. Burns served as a principal analyst at the Congressional Budget Office. She led the agency’s research using Medicaid claims data and worked on issues related to long-term services and supports, private health insurance, surprise medical bills, and single-payer health care. Before her time at the CBO, she was a consultant with the Lewin Group and a research scientist at the George Washington University Center for Health Policy Research. Dr. Burns received her bachelor’s degree from the University of Maryland, a Master of Public Policy from George Washington University, and her Ph.D. in public policy and public administration, also from George Washington University.

Michelle Herman Soper, MHS

Vice President of Federal Policy & Advocacy, Commonwealth Care Alliance
Michelle Herman Soper is the Vice President of Federal Policy & Advocacy at Commonwealth Care Alliance (CCA). She leads the design and implementation of CCA’s public policy agenda to advance health policy strategies which support individuals with significant needs. Most recently, Ms. Soper served as Vice President of Integrated Care at the Center for Health Care Strategies, where she worked with states, philanthropic organizations, federal agencies and health plans to improve care delivery and financing for individuals who are dually eligible for Medicare and Medicaid, and implement long-term services and supports and behavioral health reforms. She has served as a Special Assistant to the Executive Director and Acting Director of Communications for the Medicaid and CHIP Payment and Access Commission (MACPAC), and as Special Projects Coordinator for the Office of Chronic and Long-Term Care within the District of Columbia’s Department of Health Care Finance. She also held posts at Avalere Health and the National Conference of State Legislatures. Ms. Soper has a master’s degree in health science (MHS) from The Johns Hopkins School of Hygiene and Public Health and a bachelor’s degree in psychology from Tufts University.

Marcus Johnson, M.S., MSW

Advocacy Programs and Initiatives Manager, Independence Care System
Marcus D. Johnson is a dedicated advocate and leader, currently serving as the Manager of Advocacy Programs and Initiatives at Independence Care System (ICS). He is also a co-leader of the Civics League for Disability Rights (CLDR), a passionate volunteer-driven advocacy group empowering individuals with disabilities. Based in Harlem, New York since 1992, Marcus brings over 25 years of profound experience as a counselor, therapist, mediator, and advocate across diverse populations, with a significant focus on championing the rights of people with disabilities. Since 2002, Marcus proudly holds the title of a Certified Rehabilitation Counselor (CRC), and he has been a practicing Licensed Mental Health Counselor (LMHC) since 2007. Demonstrating his commitment to education and innovation, Marcus was recently appointed as a lecturer at Yale University School of Engineering and Applied Science. Here, he collaborates with a fellow educator in teaching popular Mechanical Engineering and Materials Science (MEMS) design electives — Computer Aided Engineering and Advanced Design and Analysis of Machines. These courses uniquely concentrate on developing technology to empower individuals with physical disabilities, highlighting his deep dedication to creating inclusive and accessible solutions. Marcus's remarkable journey includes overcoming adversity, following a motor vehicle accident that resulted in a spinal cord injury during his second year at The Juilliard School, where he was pursuing a Bachelor of Fine Arts degree in dance. This transformative experience fueled his drive to pursue academic excellence even further. With unwavering support from his loved ones, he achieved academic milestones post-injury. He attained two degrees from New York University — a Master's in Rehabilitation Counseling and a Bachelor's in Performing Arts Administration/Dance Education. He later completed his master’s in social work from Fordham University in 2007. In his current role at ICS, Marcus collaborates with diverse stakeholders to prevent and resolve issues and cultivate constructive relationships. He excels in advocacy and mediation, using his expertise to address various concerns for members with disabilities, striving for an equitable and inclusive environment. Beyond his commitments at ICS, Marcus is an active member of several influential boards, including the New York State Independent Living Council, Inc.’s (NYSILC) Executive Committee, the Consumer Directed Personal Assistance Association of New York State’s (CDPAANYS) Consumer Board, Harlem Independent Living Center, and NYC Spinal. Marcus's dedication has earned him recognition, including the prestigious Paul G. Hearne Leadership Award for People with Disabilities from the American Association for People with Disabilities (AAPD). His holistic approach is further demonstrated through his role as a Credentialed Alcohol and Substance Abuse Counselor (CASAC-T), reinforcing his commitment to helping individuals in multiple facets of their lives. Through his multifaceted leadership and advocacy, Marcus D. Johnson continues to make a lasting impact in disability rights and beyond.

Kate Massey, MPA

Executive Director, Medicaid and CHIP Payment and Access Commission
Kate Massey, MPA, is the executive director of the Medicaid and CHIP Payment and Access Commission (MACPAC). Before joining MACPAC, she was senior deputy director for the Behavioral and Physical Health and Aging Services Administration with the Michigan Department of Health and Human Services. Massey has over 20 years of operational and policy expertise in Medicaid, Medicare, the State Children’s Health Insurance Program, and private market health insurance. She has Medicaid managed care experience previously serving as chief executive officer for Magellan Complete Care of Virginia and vice president for Medicaid and Medicare and government relations for Kaiser Permanente of the Mid-Atlantic States. Massey’s policy experience spans private and government sectors. She worked for Amerigroup, where she established its Public Policy Institute and served as executive director. Prior, she served as unit chief of the Low-Income Health Programs and Prescription Drugs Unit in the Congressional Budget Office and led a team focused on Medicaid, CHIP, and private health insurance market programs at the Office of Management and Budget. Ms. Massey has a master of public affairs from the Lyndon B. Johnson School of Public Policy at the University of Texas at Austin and a bachelor of arts from Bard College in New York.

Presentation: Speaker Presentation

Event Resources


Arielle Mir, MPA 

Arnold Ventures, Vice President of Health Care (Complex Care)


Hemi Tewarson, J.D., MPH 

National Academy for State Health Policy, President and Executive Director


Joseph Antos, Ph.D. 

American Enterprise Institute, Wilson H. Taylor Scholar in Health Care and Retirement Policy 


Cindy Mann, J.D. 

Manatt Health, Partner


Kate Rose, MPH

Welsh Rose, Founding Partner


Amber C. Christ, J.D. 

Justice in Aging, Managing Director of Health Advocacy


Sarah Barth, J.D. 

Altarum Medicare-Medicaid Services for States, Executive Director


Judith Feder, Ph.D.

Georgetown Public Policy Institute, Professor of Public Policy 


Jose Figueroa, M.D., MPH 

Harvard T.H. Chan School of Public Health, Assistant Professor of Health Policy & Management

Harvard Medical School, Assistant Professor of Medicine


Eric T. Roberts, Ph.D.

University of Pennsylvania, Associate Professor of Division of General Internal Medicine