Speaker Biographies
Joe Baker is President of the Medicare Rights Center. He is a member of the Institute of Medicine's Board on Health Care Services and serves on the Centers for Medicare & Medicaid Services' Advisory Panel on Outreach and Education. He is an adjunct professor at the NYU School of Law, teaching a class on the Affordable Care Act. Previously, he was the deputy secretary for health and human services in New York State under Governor David A. Paterson and assistant deputy secretary for health and human services under Governor Eliot Spitzer, after having directed the Health Care Bureau under Spitzer when he was attorney general of New York. Mr. Baker was executive vice president of Medicare Rights from 1994 to 2001, and prior to that was associate director of legal services for Gay Men's Health Crisis.

 

Michael Chernew is the Leonard D. Schaeffer Professor of Health Care Policy at Harvard Medical School. Dr. Chernew's research activities focus on several areas, most notably the causes and consequences of growth in health care expenditures, geographic variation in medical spending and use, and Value Based Insurance Design (VBID). Dr. Chernew is a member of the Congressional Budget Office's Panel of Health Advisors and of the Institute of Medicine Committee on National Statistics. Dr. Chernew is the former Vice Chair of the Medicare Payment Advisory Commission, which is an independent agency established to advise the U.S. Congress on issues affecting the Medicare program. In 2000, 2004 and 2011, he served on technical advisory panels for the Center for Medicare and Medicaid Services that reviewed the assumptions used by the Medicare actuaries to assess the financial status of the Medicare trust funds. Dr. Chernew is a Research Associate of the National Bureau of Economic Research. He co-edits the American Journal of Managed Care and is a Senior Associate Editor of Health Services Research. In 2010, Dr. Chernew was elected to the Institute of Medicine of the National Academy of Sciences and served on the Committee on the Determination of Essential Health Benefits.  

Marcos Dachary is the product manager for the stand-alone suite of software tools of MedInsight in the Seattle office of Milliman. The MedInsight software tools are either windows or web based solutions for providing healthcare analytics for use in a client's environment. Marcos's responsibilities span the full product life-cycle for each of the solutions, e.g. from idea research/creation to production support and maintenance oversight. He joined the firm in 2009. He helped launch the MedInsight Tools practice in 2009 and continues to lead the expansion of the portfolio suite of products for payers, providers, employers, TPAs, and other types of health plans. Marcos has nearly 20 years of professional software development experience. Before joining Milliman he spent over a decade in various line manager roles on Wall Street creating international institutional products for Instinet, Citigroup and the New York Stock Exchange.

 

Paul Fronstin is a senior research associate with the Employee Benefit Research Institute, a private, nonprofit, nonpartisan organization committed to original public policy research and education on economic security and employee benefits. He is also Director of the Institute's Health Research and Education Program, and oversees the Center for Research on Health Benefits Innovation. He has been with EBRI since 1993. Dr. Fronstin's research interests include trends in employment-based health benefits, consumer-driven health benefits, the uninsured, retiree health benefits, employee benefits and taxation, and public opinion about health benefits and health care. In 2012, Dr. Fronstin was appointed to the Maryland Health Care Commission. He currently serves on the board of trustees for Emeriti Retirement Health Solutions. He is the associate editor of Benefits Quarterly and is also a TIAA-CREF Institute Fellow. In 2010, he served on the Institute of Medicine (IOM) Committee on Determination of Essential Health Benefits. In 2002, he served on the Maryland State Planning Grant Health Care Coverage Workgroup. In 2001, Dr. Fronstin served on the Institute of Medicine Subcommittee on the Status of the Uninsured.

Marge Ginsburg is the Executive Director of the Center for Healthcare Decisions (CHCD), a nonprofit, nonpartisan organization that seeks the public's informed views on dilemmas in healthcare policy. CHCD uses deliberative processes, asking individuals and groups to address a thorny problem, rife with competing priorities and conflicting values. Project results are shared with policymakers, healthcare and community leaders to provide direction for improving healthcare quality and affordability. She founded CHCD in 1994 (originally as Sacramento Healthcare Decisions), following many years in healthcare administration of home and community-based geriatric services. She is on the Board of Directors of the National Quality Forum and the Integrated Healthcare Association, as well as NCQA's Committee on Performance Measurement; the Medi-Cal Performance Advisory Committee; and a panel member for the Californai Technology Assessment Forum, among others. In 2011, she was appointed as a member of the Institute of Medicine's Committee on Essential Health Benefits to develop the principles for coverage under the ACA.

Clifford Goodman, PhD, is a Senior Vice President at The Lewin Group, a health care policy consulting firm based in Falls, Church, Virginia.  Dr. Goodman has 30 years of experience in such areas as health technology assessment, evidence-based health care, comparative effectiveness research, health economics, and studies pertaining to health care innovation, regulation, and payment.  He directs studies and projects for an international range of government agencies; pharmaceutical, biotechnology, and medical device companies; health care provider institutions; and professional, industry, and patient advocacy groups.  His recent work has involved such areas as oncology, cardiovascular disease, diabetes, blood disorders, obesity, end-stage renal disease, pandemic influenza, follow-on biologics, diagnostic testing, pharmacogenomics, personalized medicine, and organ donation and transplantation.  Dr. Goodman is an internationally recognized health policy issues moderator and facilitator of expert panels, health industry advisory boards, and workshops.  He is a special consultant on health technology assessment to the China National Health Development and Research Center, Ministry of Health.  Dr. Goodman served as Chair of the Medicare Evidence Development & Coverage Advisory Committee (2009-12) for the US Centers for Medicare and Medicaid Services.  He served as President of the professional society, Health Technology Assessment International (2011-13), and currently serves as its Past President.  He is a Fellow of the American Institute for Medical and Biological Engineering
Mark Hamelburg is the Senior Vice President of Federal Programs at America's Health Insurance Plans(AHIP). Mr. Hamelburg has more than 20 years of private sector and government experience, including service as a senior official at the Centers for Medicare and Medicaid Services (CMS) and time at the Department of Treasury. In addition to his work in public service, he has more than a decade of experience in the private sector at law and consulting firms, focusing on a range of health policy issues. Mr. Hamelburg leads AHIP's efforts to navigate the public policy challenges facing the popular Medicare Advantage program, which provides high-quality care to more than 15 million Americans. In addition to his work on Medicare Advantage, he leads AHIP's regulatory and policy agenda on Medicare Part D and Medicaid and oversees the policy development and regulatory analysis for all of the industry's federal program participation. At CMS, Mr. Hamelburg served as the director of the Medicare Part C (Medicare Advantage) and Part D Analysis Group in the Office of Legislation at CMS. Before that, he was the director of the Employer Policy and Operations Group at CMS. Hamelburg has also served as attorney-advisor in the Office of Benefits Tax Counsel at the Treasury Department. In addition to his government service, he has significant private sector experience, working with a range of stakeholders on issues related to the delivery and payment of health care.
William A. Hazel Jr. MD practiced orthopedic surgery in Northern Virginia until becoming Secretary of Health and Human Resources for the Commonwealth of Virginia in January of 2010. As Secretary, Dr. Hazel oversees 11 state agencies with over 16,000 employees including such diverse programs as Medicaid, Behavioral Health, Social Services, as well as Aging and Rehabilitation. These combined agencies spend approximately one-third of Virginia's budget. During his first term as Secretary, Dr. Hazel led the Virginia Health Reform Initiative and helped establish the Virginia Center for Health Innovation. He served as the Founding Chair of ConnectVirginia, Virginia's health information exchange. He negotiated an agreement with the Department of Justice to improve services to individuals with Intellectual and developmental disabilities. He has become nationally recognized for leading an enterprise Information technology transformation in Health and Human Resources. He has devoted significant energy towards improving the effectiveness and efficiency of the HHR agencies. Dr. Hazel has served as a Trustee of the American Medical Association, Speaker and President of the Medical Society of Virginia, President of the INOVA Fair Oaks Hospital Medical Staff, and Chair of the Medical Affairs council of the INOVA Health System
Christopher F. Koller is president of the Milbank Memorial Fund. Before joining the Fund, he served the state of Rhode Island as the country's first health insurance commissioner, an appointment he held from March of 2005 through June of 2013. Under Mr. Koller's leadership, the R.I. Office of the Health Insurance Commissioner was nationally recognized for its rate review process and its efforts to use insurance regulation to promote payment reform, primary care revitalization, and delivery system transformation. The Office was also one of the lead agencies in implementing the Affordable Care Act in Rhode Island. Prior to serving as health insurance commissioner, Mr. Koller was the CEO of Neighborhood Health Plan of Rhode Island for nine years. In this role he was the founding chair of the Association of Community Affiliated Plans. Mr. Koller was a member of the IOM Committee on Essential Health Benefits and serves in numerous national and state health policy advisory capacities and is also adjunct professor of community health in the School of Public Health at Brown University.
Dr. Randall Krakauer graduated from Albany Medical College in 1972 and is Board Certified in Internal Medicine and Rheumatology. He received training in Internal Medicine at the University of Minnesota Hospitals and in Rheumatology at the National Institutes of Health and Massachusetts General Hospital/Harvard Medical School, and received an MBA from Rutgers. He is a fellow of the American College of Physicians and the American College of Rheumatology and Professor of Medicine at Seton Hall University Graduate School of Medicine. He is past chairman of the American College of Managed Care Medicine. Dr. Krakauer has more than 30 years of experience in medicine and medical management, has held senior medical management positions in several major organizations. He is responsible for medical management planning and implementation nationally for Aetna Medicare members, including program development and administration.

Laurie Lee serves as executive director of the Division of Benefits Administration in the Department of Finance and Administration for the State of Tennessee. The Division is responsible for managing state-provided insurance benefits for nearly 300,000 individuals who receive coverage through the state, local education and local government insurance plans.   Ms. Lee has over 25 years of experience in health services planning, strategy, management and informatics, with a focus on offering solutions to help improve health care quality and build sustainable health care delivery systems. Her primary focus is translating emerging health care trends and evolving marketplace needs into solutions that help improve the health care delivery system.   Prior to joining the State in March 2005, Ms. Lee was vice president for Thomson/Medstat's market planning products and manager of Medstat's Franklin, Tenn. office. Prior to joining Medstat, Ms. Lee was associate vice president of Quorum Health Resources and served as a planning executive for Saint Thomas Hospital, part of Ascension Health in Nashville.

Kathleen Nolan joined the staff of the National Association of Medicaid Directors in May 2011. At NAMD, Ms. Nolan manages a portfolio of state technical assistance on a range of policy and programmatic issues relevant to Medicaid directors. Prior to NAMD, Ms. Nolan worked for seven years as Director of the Health Division in the National Governors Association's Center for Best Practices.  As Division Director, Ms. Nolan led efforts to support implementation of best practices on health care issues facing states including health care reform, Medicaid, health IT, and public health programs.  Ms. Nolan previously held health policy positions with the Association of State and Territorial Health Officials and the Institute of Medicine. Before moving to Washington, Ms. Nolan served as a Program Specialist in the Colorado Department of Public Health and Environment. 
Stephen T. Parente is the Minnesota Insurance Industry Chair of Health Finance in Carlson School of Management, Associate Dean of MBA Programs and the Director of the Medical Industry Leadership Institute at the University of Minnesota. 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 consumer directed health plans, health information technology and health policy micro-simulation. He is currently on the Governing Chair of the Health Care Cost Institute. 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 Legislative Fellow in the office of Senator John D. Rockefeller IV (D-WV) in 1992/93.
Kavita Patel is a Fellow and Managing Director in the Engelberg Center for Healthcare Reform at the Brookings Institution where she leads research on delivery system reforms, healthcare cost, physician payment and healthcare workforce productivity.  Dr. Patel is, in addition, a practicing primary care physician at Johns Hopkins Medicine and a clinical instructor at UCLA's Geffen School of Medicine.  Dr. Patel was previously a Director of Policy for The White House under President Obama and a senior advisor to the late Senator Edward Kennedy.  Her prior research in healthcare quality and community approaches to mental illness have earned national recognition and she has published numerous papers and book chapters on healthcare reform and health policy.  She has testified before Congress several times and she is a frequent guest expert on CBS, NBC and MSNBC as well as serving on the editorial board of the journal Health Affairs.
Roy Ramthun began his career in Federal service in 1987 as a Presidential Management Intern (PMI) and subsequently became a legislative analyst with the Healthcare Financing Administration, now known as the Centers for Medicare and Medicaid Services (CMS). Currently, in his role as senior advisor for health policy, Ramthun brings expertise in governmental affairs and legislative policy to advance West Health's mission to pioneer new and smarter technologies, policies and practices, to make high-quality healthcare more accessible at a lower cost to all Americans. This is accomplished through the nonprofit Gary and Mary West Health Institute, the nonprofit Gary and Mary West Health Policy Center, the for-profit Gary and Mary West Health Investment Fund and the for-profit West Health Incubator. Together, the four organizations of West Health are transforming the American healthcare experience. Ramthun recently served as the founder and president of HSA Consulting Services, LLC, a private healthcare consulting practice. Prior to this he was a member of the National Economic Council staff and served as the senior health policy advisor to President George W. Bush regarding healthcare issues. He also helped lead the Bush Administration's implementation of the Medicare prescription drug benefit. Before joining the President's staff, Ramthun was the Senior Advisor to the Secretary of the U.S. Treasury for health initiatives. In this role, he led Treasury's implementation of the Health Coverage Tax Credit program and the Health Savings Accounts program.
Kathryn (Katy) Spangler is senior vice president, health policy, for the American Benefits Council, a trade association based in Washington, D.C. representing primarily Fortune 500 companies that either sponsor or administer health and retirement benefits covering more than 100 million Americans. In this role, Katy directs the development and advocacy of The Council's health policy priorities.

Previously, Katy served as deputy health policy director of the U.S. Senate Health, Education, Labor, and Pensions (HELP) Committee during the health care reform debate and negotiated one of the few unanimously accepted, bipartisan amendments to the health care law giving employers greater flexibility to vary health benefits for employees participating in wellness programs. Katy also negotiated one of the few bipartisan, unanimously accepted amendments to the American Recovery and Reinvestment Act of 2009 (the stimulus law), which improved the Health Information Technology for Economic and Clinical Health Act (the HITECH Act). Most recently, Katy cofounded VBID Health, a consulting company that specializes in designing and promoting health benefit plans and payment policies that get more health out of every health care dollar. She also served as a Senior Advisor to The University of Michigan Center for Value-Based Insurance Design.

Joe Thompson's work is centered at the intersection of clinical care, public health and health policy. Dr. Thompson is Surgeon General for the State of Arkansas and Director of the Arkansas Center for Health Improvement. He is responsible for developing research activities, health policy and collaborative programs that promote better health and health care in Arkansas. He has led vanguard efforts in planning and implementing health care financing reform, tobacco- and obesity-related health promotion and disease prevention programs. He has worked with Governor Mike Beebe, Arkansas's legislative leadership and the U.S. Department of Health and Human Services to develop a creative alternative to Medicaid expansion under the Patient Protection and Affordable Care Act. In addition, Dr. Thompson is guiding Arkansas's innovative initiatives to improve health system access, quality and cost including a systematic, multi-payer overhaul of Arkansas's health care payment system. Dr. Thompson earned his medical degree from the University of Arkansas for Medical Sciences and Master of Public Health from the University of North Carolina at Chapel Hill. He served as the RWJF Clinical Scholar at the University of North Carolina at Chapel Hill, the Luther Terry Fellow in Preventive Medicine advising the U.S. Assistant Secretary of Health in Washington, DC, and the Assistant Vice President and Director of Research at the National Committee for Quality Assurance in Washington, DC. In addition, Dr. Thompson is a pediatrician and professor at the University of Arkansas for Medical Sciences. 

Daniel B. Wolfson is Executive Vice President and COO of the ABIM Foundation, a not-for-profit foundation focused on advancing medical professionalism and physician leadership to improve the health care system. Mr. Wolfson has been instrumental in leading theChoosing Wiselycampaign, a multi-year effort engaging more than 60 medical specialty societies to promote conversations between physicians and patients about utilizing the most appropriate tests and treatments and avoiding care that may be unnecessary and could cause harm.

Previously, Mr. Wolfson served for nearly two decades as the founding president and CEO of the Alliance of Community Health Plans (formerly The HMO Group), the nation's leading association of not-for-profit and provider-sponsored health plans. During his tenure, Mr. Wolfson earned national recognition for spearheading the development of the Health Plan Employer Data and Information Set (HEDIS™). Before serving at the Alliance of Community Health Plans, Mr. Wolfson was the Director of Planning and Research at the Fallon Community Health Plan. During that time, he led the product development team that launched the nation's first Medicare risk contract with the Health Care Financing Administration.