Panel 1 – Think Again: What We Get Wrong About Health Care Payment and Why It Matters

July 22, 2026
9:40 am-

10:30 am

Misconceptions about how payment works don’t just confuse the conversation, they can impede constructive policy conversation. At the Alliance’s 2026 Thought Leader Workshop, experts kept returning to the same blind spots, the ones that quietly steer debates off course before they begin. This panel brings together voices from insurance and system design, hospital policy, physician and provider payment, and drugs and devices to name the misconceptions they encounter most and to unpack what changes once they’re corrected. 

By the end of this session, participants will be able to:

  • Identify key misconceptions and blind spots in the health care payment policy conversation across major payment domains.
  • Understand the correction of the misunderstandings. 
  • Understand how closing gaps in payment literacy can support more constructive policy dialogue.

Speakers:

  • Moderator: Julie Rovner, Chief Washington Correspondent, KFF Health News
  • Aisha Pittman, MPH, Senior Vice President of Government Affairs, National Association of ACOs (NAACOS)
  • Alex Brill, M.A., Senior Fellow, American Enterprise Institute
  • Richard L. Gundling, FHFMA, CMA, Senior Vice President, Healthcare Financial Management Association (HFMA)
  • Stephen Parente, Ph.D., M.S., MPH, Associate Dean, Carlson Global Institute, Professor of Finance and Minnesota Insurance Industry Chair of Health Finance, University of Minnesota

Speakers

Julie Rovner

Chief Washington Correspondent, KFF Health News
Julie Rovner, chief Washington correspondent, hosts the KFF Health News weekly health policy news podcast, “What the Health?” Previously, she spent 16 years as a health policy correspondent for NPR, where she helped lead the network’s coverage of the passage and implementation of the Affordable Care Act. Julie is the author of the critically praised reference book “Health Care Politics and Policy A to Z,” now in its third edition. In 2005, she received the National Press Foundation’s Everett McKinley Dirksen Award for Distinguished Reporting of Congress. Before working at NPR, Julie, a University of Michigan graduate, covered health policy for National Journal’s Congress Daily and for Congressional Quarterly, among other organizations.

Aisha Pittman, MPH

Senior Vice President of Government Affairs, National Association of ACOs (NAACOS)
Aisha T. Pittman, MPH, is Senior Vice President of Government Affairs at the National Association of ACOs (NAACOS), where she leads the organization’s advocacy and thought leadership efforts, advancing policies that accelerate the adoption of value-based care and highlighting the importance of provider-led transformation. She brings more than 20 years of health care experience, with expertise in payment policy, alternative payment models, and quality improvement. Her insights are regularly sought by Congress and national media, and she has been recognized by Modern Healthcare as one of the “100 Most Influential People in Healthcare” and as a Leading Woman in Healthcare. Ms. Pittman holds a Master of Public Health, a Bachelor of Science in Biology, and a Bachelor of Arts in Psychology, from The George Washington University.

Alex Brill, M.A.

Senior Fellow, American Enterprise Institute (AEI)
Alex Brill is a senior fellow at the American Enterprise Institute (AEI), where he studies tax, budget, health care, retirement security, and trade policies. He also works on health care reform, pharmaceutical spending and drug innovation. He has testified numerous times before Congress on tax policy, labor markets and unemployment insurance, Social Security reform, fiscal stimulus, the manufacturing sector, and biologic drug competition. Before joining AEI, Brill served as the policy director and chief economist of the House Ways and Means Committee. Previously, he served on the staff of the White House Council of Economic Advisers.

Richard L. Gundling, FHFMA, CMA

Senior Vice President, Healthcare Financial Management Association (HFMA)
Richard Gundling, FHFMA, CMA, is Senior Vice President for the Healthcare Financial Management Association (HFMA). Mr. Gundling is responsible for the technical and content direction for HFMA, managing of its thought leadership efforts, and leadership of its Washington, D.C. activities. He also serves as staff liaison to the Principles and Practices Board of the HFMA. Mr. Gundling has written an extensive number of published articles on broad topics within healthcare finance and the healthcare industry. HFMA is a professional association with over 40,000 members engaged in the financial management of the healthcare sector. HFMA’s thought leadership has covered payment reform, value creation, revenue cycle management, accounting and financial reporting, capital access, and many other areas that drive healthcare organizational high performance. Results of those initiatives have been used by hospitals, rating agencies, regulatory agencies, congressional committees, accounting standard setting bodies, state hospital organizations, and other government and industry leaders.

Stephen Parente, Ph.D., M.S., MPH

Associate Dean, Carlson Global Institute, Professor of Finance and Minnesota Insurance Industry Chair of Health Finance, University of Minnesota
STEPHEN T. PARENTE, Ph.D., MPH, MS is a Professor in the Department of Finance and the Minnesota Insurance Industry Chair of Health Finance in Carlson School of Management at the University of Minnesota and Associate Dean of the Global Institute. He is the President of the American Society of Health Economists (ASHEcon). From 2014-2017, he served as Associate Dean of MBA and MS programs. Dr. Parente is the longest-serving Director of the Medical Industry Leadership Institute (2006-2017). As a Professor in the Finance Department, he specializes in health economics, information technology, and health insurance. Dr. Parente has been the principal investigator on large funded studies regarding medical price transparency, consumer-directed health plans, health information technology, and health policy micro-simulation. In Washington, DC, he served as Chief Economist for Health Policy and Senior Economist on the Council of Economic Advisers in the Executive Office of the President at the White House in Washington, DC, from 2019 to 2021. Previously, he was Senior Adviser to the Secretary for Health Economics in the Department of Health and Human Services, Vice-Chair of Academy Health, and the Governing Chair of the Health Care Cost Institute from 2013 to 2017. He is the Founding Director of the Medical Valuation Laboratory, a nine-college interdisciplinary effort to accelerate medical innovation from scientists, clinicians, and entrepreneurs. Dr. Parente was a health policy advisor for the McCain 2008 Presidential Campaign and served as a Legislative Fellow in the office of Senator John D. Rockefeller IV (D‑WV) in 1992/93. He has a doctorate from Johns Hopkins University.