Agenda – Day 3

Deirdre Baggot is one of the healthcare industry’s most respected voices on the subject of bundled payments. The leader of ECG’s Bundled Payments practice, she has been invited to testify before Congress on the efficacy of bundled payments, was appointed expert reviewer by the Centers for Medicare & Medicaid Services for the Bundled Payments for Care Initiative, and has served as the lead for the Acute Care Episode Bundled Payment Demonstration. Deirdre also is an adviser for New York Medicaid bundled payment pilots.

Chris Smith Ritter joined CMMI in April 2016 as the Director of the Patient Care Models Group (PCMG). Chris has worked in many capacities at CMS in her career. Most recently she was the Deputy Director of the Hospital and Ambulatory Policy Group (HAPG), which handles Fee-for Service (FFS) payment policy for hospitals, physicians, Part B drugs, and laboratories, among others. Chris previously led payment policy for both the hospital outpatient prospective payment system and the physician fee schedule. In addition to FFS payment policy, Chris also has spent time working on coverage, Medicare Advantage quality measures, and the Medicare Drug Card program, a precursor to Part D drug payment.

Aneesh Chopra is the President of NavHealth, a member-driven company that harnesses open health data to provide insights and workflow for population health organizations. He served as the first U.S. Chief Technology Officer and authored, “Innovative State: How New Technologies can Transform Government.”

Paul N. Casale, MD, MPH is a cardiologist and Executive Director of NewYork Quality Care, the ACO of NewYork-Presbyterian, Weill Cornell Medicine and Columbia University College of Physicians and Surgeons. Dr. Casale serves on the HHS Physician-Focused Payment Technical Advisory Committee and the NQF MAP Clinician Workgroup. He is a member of the Board of Trustees of the American College of Cardiology. Dr. Casale is a graduate of Weill Cornell Medical College. He completed his residency in internal medicine at NewYork-Presbyterian/Weill Cornell Medical Center and his fellowship in cardiology at Massachusetts General Hospital and Harvard Medical School. He received a Master of Public Health at Harvard T.H. Chan School of Public Health. Dr. Casale is board certified in Internal Medicine, Cardiology and Interventional Cardiology.

Dr. Grace Terrell is CEO of Envision Genomics, helping clinicians diagnose rare disease through the integration of genomic data into clinical care. As a leader in health care delivery system reform, Dr. Terrell speaks to health systems, provider groups and professional organizations about the importance of improving population health through patient care model redesign, clinical and information integration, and value-based compensation.

In 2013, Dr. Terrell launched CHESS, a company dedicated to helping health systems and other medical groups make the transition to value based medicine. For over 16 years, Dr. Terrell served as the President and CEO of Cornerstone Health Care. Dr. Terrell currently serves on the U.S. Department of Health and Human Services’ Physician-Focused Payment Model Technical Advisory Committee, the Board of Directors of the American Medical Group Association, the American Medical Association’s Integrated Physician section, and the Oliver Wyman Health Innovation Center’s Leadership Alliance. She is also a practicing internist.

Tim Gronniger is a nonresident fellow with the Center for Health Policy in Brookings’ Economic Studies program. He is the former Chief of Staff and Director of Delivery System Reform at CMS where he led the agency’s work on drug spending issues, significant elements of the agency’s implementation of the new physician payment system created by the Medicare Access and CHIP Reauthorization Act of 2015, creation of new payment models, and other topics. He was previously a senior adviser for health care policy at the White House Domestic Policy Council, where he was responsible for coordinating administration activities in health care delivery system reform. Before joining DPC he was a senior professional staff member for Ranking Member Henry Waxman at the House Committee on Energy and Commerce, responsible for drafting and collaborating to develop elements of the Affordable Care Act.

Mary Beth has been in Health Care for over 30 years. She is a nurse by background. She started as a floor nurse, cutting her teeth on an Orthopedic unit. She then became a Discharge Planner and went from strictly discharge planning to learning UR, CDI, and how Care Management works. After that she began to rise in the departments and soon became the Director. Her experience was strictly limited to Michigan until the last 7 years. Mary Beth is now responsible for assisting with day to day operations at a Trinity Health. Trinity spans 22 states, 93 hospitals, 47 home care agencies, 59 continuing care facilities and 15 PACE center locations. She leads Care Management, including Acute and Ambulatory in her organization. She is also the Clinical lead for Trinity’s BPCI program, which includes 30 sites spanning a combination of the 48 DRGs in the program.

Valinda Rutledge is Vice President, Public Payor Health Strategy in the Care Coordination Institute at Greenville Health System. She is responsible for identifying, analyzing, and supporting the implementation of opportunities related to government initiatives. She previously worked as a member of the leadership team (Senior Advisor and Group Director) at the Center for Medicare and Medicaid Services Innovation (CMMI) where she helped build the Innovation Center from its startup phase and managed the design and launch of several of the Center’s models.

Before joining CMS, Ms. Rutledge served as Chief Executive Officer of CaroMont Health where she led the development of a 210-day bundled knee payment arrangement between CaroMont Health and Blue Cross and Blue Shield of North Carolina.

Ms. Rutledge received the 2013 Becker’s Healthcare Leadership Award, which is given to the top 30 individuals in the nation who demonstrate leadership and impact to the industry on a national level.

Dr. MaCalus Hogan is the Vice Chair of Education and Residency Program Director in the Department of Orthopaedic Surgery at the University of Pittsburgh Medical Center. He oversees all educational and training programs within the department. He is an Assistant Professor in the Departments of Orthopaedic Surgery and Bioengineering. He was the recipient of a National Institutes of Health Training Grant and served as a Musculoskeletal Tissue Repair and Regeneration Research Fellow at the University of Virginia Health System, Department of Orthopaedic Surgery. Dr. Hogan has experience in the realm of healthcare policy and quality of care delivery currently serving as the Medical Director for Outcomes and Registries for the UPMC Donald F. Wolff, Jr. Center for Quality, Safety, and Innovation. With a passion for research Dr. Hogan’s interests is in musculoskeletal regenerative medicine with a focus on tendon, ligament, and cartilage bioengineering.

Timothy Jahn, chief clinical officer for Baptist Health, is responsible for all quality initiatives and clinical integration for the Louisville-based healthcare system. Dr. Jahn also oversees system Pharmacy and Information Technology, ensuring that the information and clinical systems at the hospitals and other facilities are enabling caregivers to provide top-level care. He is certified in Lean, a program that teaches principles aimed at eliminating waste and improving efficiency. He founded and now oversees Baptist Health’s Process Excellence program, which includes Six Sigma, Lean, Change Management, and other performance improvement methodologies.

Before joining Baptist Health, Dr. Jahn served as system chief medical officer for Abrazo Health and spent 12 years in the U.S. Navy, including service as a flight surgeon. Prior to his work at Abrazo Health, Dr. Jahn spent 12 years with the faithbased, not-for-profit, Hospital Sisters Health System in Green Bay, Wisconsin.

Mr. Terry has been working in care and risk management with healthcare providers all along the continuum of care for over 20 years. He has worked within of all types of reimbursement systems, and has been focused on bundled payment programs since Medicare created its first major demonstration in 2011. Dave is the CEO and co-founder of Archway Health, whose mission is to fix healthcare reform by designing and implementing market leading bundled payment initiatives. He holds a BA in Political Science from Columbia and an MBA from Harvard.

François de Brantes is Vice President and Director, Center for Payment Innovation (CPI), which designs and implements innovative payment and benefit plan design programs to motivate physicians, hospitals, and consumer-patients to improve the quality and affordability of care. CPI works with states, employers, health plans, and provider organizations, as well as national consultancies such as McKinsey and KPMG, to advise them on payment and delivery system reform. Previously, Mr. de Brantes was the executive director of the Health Care Incentives Improvement Institute (HCI 3), a nonprofit that merged with Altarum in 2016. As the executive director of HCI 3, Mr. de Brantes led the organization’s development and implementation of the nationally known Bridges To Excellence and PROMETHEUS Payment programs, which have been at the forefront of payment reform in the United States. Previously, Mr. de Brantes was the program leader for various health care initiatives at GE’s corporate headquarters.

Deirdre Baggot is one of the healthcare industry’s most respected voices on the subject of bundled payments. The leader of ECG’s Bundled Payments practice, she has been invited to testify before Congress on the efficacy of bundled payments, was appointed expert reviewer by the Centers for Medicare & Medicaid Services for the Bundled Payments for Care Initiative, and has served as the lead for the Acute Care Episode Bundled Payment Demonstration. Deirdre also is an adviser for New York Medicaid bundled payment pilots.

Valinda Rutledge is Vice President, Public Payor Health Strategy in the Care Coordination Institute at Greenville Health System. She is responsible for identifying, analyzing, and supporting the implementation of opportunities related to government initiatives. She previously worked as a member of the leadership team (Senior Advisor and Group Director) at the Center for Medicare and Medicaid Services Innovation (CMMI) where she helped build the Innovation Center from its startup phase and managed the design and launch of several of the Center’s models.

Before joining CMS, Ms. Rutledge served as Chief Executive Officer of CaroMont Health where she led the development of a 210-day bundled knee payment arrangement between CaroMont Health and Blue Cross and Blue Shield of North Carolina.

Ms. Rutledge received the 2013 Becker’s Healthcare Leadership Award, which is given to the top 30 individuals in the nation who demonstrate leadership and impact to the industry on a national level.