She holds a masters of public health degree in research epidemiology and global health from Loma Linda University and a bachelor’s degree in biological sciences from The University of California Irvine. Ms. Dickerson also coordinates with the Centers for Medicare and Medicaid Services and interpret federal guidelines, draft legislative language and perform comparative analysis to determine the most appropriate delivery of services for individuals and families. "For hospitals to have a chargemaster where they think it's appropriate to charge $1,000 for a Band-Aid, that's important for the public to know," Donovan said. Working across divisions, he is leading managed care strategic planning and working on establishing performance metrics along with other major tasks of managing this large program. In addition to his work in the Governor’s Office, he serves as a Captain in the Delaware Army National Guard. Megan holds a JD from DePaul University and a BA from American University. She is also part of Utah’s team to implement Medicaid expansion. Prior to OHCS, he worked in a homeless shelter as a housing case manager, for elected officials, and in various levels of government working in different capacities at the nexus of health and housing. The price lists hospitals publish for their readers take many forms, some of them are hard to decipher. Most recently, Eileen was instrumental in the creation and passage of Cascade Care, Washington state’s public option plan. Ms. Stout holds a Masters of Science in Health Communication, and has worked with state and local audiences to build capacity in strategic and effective messaging and campaigns for behavior change. Iowa blends big school opportunities with focused personal attention, giving you all the support you need to excel. Addressing the Climate Crisis: An Opportunity for State Health Policy Innovation. Her areas of focus include state and federal regulation of private health insurance plans and markets and evolving insurance market rules. State of Arkansas. Her past experience with Medicaid includes chairing the Physician Advisory Group for Medicaid (an independent legislated non-profit whose sole purpose is advising Medicaid on clinical policy) for many years. Mike was a key leader in securing approval for Oregon’s 1915(K) State Plan Option. During his leadership role for the Provider Audit Section, Mike adopted a data analytics approach towards assessing risk of errors, fraud and abuse in Oregon Health Plan’s medical programs. His areas of specialty include insurance markets, health care provider markets, labor markets, and public finance/economics. MCPAP is the model for the implementation of access programs in 38 other states and for the federal legislation in the 21st Century Cures Act which led to the 21 state pediatric HRSA grants and 7 state maternal HRSA grants. Before joining the MHCC, he served as a budget analyst in the Health, Housing, and Income Security Division of the Congressional Budget Office, among activities he worked on the modeling that produced the estimates of reforms that ultimately led to the Medicare Prospective Payment System. Senior Program Advisor She specializes in health law and policy, and her research focuses on health care markets, consolidation, and cost-control. She provides support to families, advocates and service providers on family driven care, systems advocacy, and family empowerment. His publications include over 125 peer-reviewed articles and commentaries on the role of evidence in the health care system, and the book No Margin, No Mission: Health Care Organizations and the Quest for Ethical Excellence, published by Oxford University Press. Some hospitals made web pages with prices in tables, while others published a downloadable spreadsheet. CaroMont Health . She has served as health care policy advisor to two governors. She also comes with prior experience replicating effective youth development interventions and evaluating and improving child welfare and educational programs. It includes establishing sound quality components that include early implementation strategy, performance measures, performance improvement projects, long-term evaluation while collaborating with internal and external stakeholder engagement. Carle. Michael MacKenzie serves as an Assistant Attorney General and Deputy Chief of the Antitrust Division in Massachusetts Attorney General Maura Healey’s Office. Building on the roadmap, this toolkit provides additional concrete resources for states. Jeremy previously led government relations for Kaiser Permanente’s Northwest Region and served as the legislative director for OHA during the design and implementation of Oregon’s coordinated care organizations. His practice has expanded into areas of Medication Therapy Management, Antibiotic Stewardship, Alternate Payment Models (APMs)/Value-Based Contracting, Academic Detailing, and programs to reduce over prescribing in nursing homes. On Time Delivery: Optimizing Access to Care for Pregnant Women with SUD or Mental Health Conditions. In this role she works across the Department and with stakeholders to ensure that reliable data and information are available, and used to drive improvements in population health and clinical outcomes through the Department’s programs and policies. His consulting activities include hospitals and â¦ Recently, The Montana Office of the Commissioner of Securities and Insurance examined the ratio between 10 acute hospitals’ expenses and chargemaster rates. Washington State Health Care Authority. As the programs undergo transformation to even better fit the needs of state and its residents, he is committed to the fundamental goal of improving the health and well-being of all residents. In her role as Director of Medicaid and CHIP, Kate has had the privilege of overseeing major transformation in Connecticut HUSKY Health, migrating from capitated managed care arrangements to a self-insured, managed fee-for-service approach. She is a member of the Council of State and Territorial Epidemiologists (CSTE), the American Public Health Association (APHA), the Alabama Public Health Association (Alpha), the Association for Professionals in Infection Control and Epidemiology (APIC), the American Medical Association (AMA), and the Medical Association of the State of Alabama (MASA). Katherine L. Gudiksen, Ph.D., M.S., is a Senior Health Policy Researcher for The Source on Healthcare Price and Competition at the University of California, Hastings College of the Law. Recently she has been focused on issues facing long term care facilities as they address the impact of the COVID-19 pandemic. Kate is currently serving as the President of the Board of Directors of the National Association of Medicaid Directors, and on the executive committee of the Reforming States Group. Ms. Schell-Guy also served as Senior Attorney for the NYS Office of State Comptroller and NYS Department of Motor Vehicles. ACF includes the Office of Refugee Resettlement and a wide range of other programs assisting low-income and vulnerable children, families and communities. The Latest State Actions to Tackle Rx Prices, And What’s Next? Matt earned his bachelors degree in Social Work from Eastern Michigan University and his masters degree from the University Of Michigan School Of Social Work. in biology from Winston Salem State University in Winston Salem, NC. Her body of work has led to her participation in the President’s Cancer Panel’s workshops on Access to Cancer Drugs, her appointment to a National Academies of Sciences, Engineering, and Medicine committee on Ensuring Patient Access to Affordable Drugs, and testifying before the Senate Aging Committee on the same topic in 2019. Ms. Stout directs the Suicide Prevention Resource Center (SPRC) project at EDC, leading a team that provides resources and capacity building services to state and local leaders, health and behavioral health agencies and organizations, federal suicide prevention grantees, and national stakeholders involved in suicide prevention efforts across the country. Dr. Sullivan is currently a Professor of Clinical Emergency Medicine and Pediatrics at Indiana University School of Medicine. Rep. Gattine is passionate about helping vulnerable people access high quality health care and live better lives. Beth’s work includes assisting states and other stakeholders in delivery system and payment reform design; care management and health home program design; behavioral health reform, including integration, opiate prevention and treatment; quality measurement; managed care procurements; and long-term services and supports strategy and integration. Operations Director Heather has a degree from the University of Oregon and is a Certified Public Manager. He most recently came to State government by way of HUD where he is most proud of creating the HUD Resource Locator which maps out all the federal housing programs across the U.S. Connor has a Master’s in Public Administration from The Hatfield School at Portland State University and a B.S. Written with support from NASHP’s Health Systems Cost Project funded by Arnold Ventures. Develop sustainable cross-agency financing. Joe Bryant is currently the Health Care Policy Advisor to Governor John C. Carney (Delaware). It also offers laboratory and diagnostic services, scheduled surgeries, labor and delivery services, recovery services, and inpatient treatment. California Department of Health Care Services, Medicaid in an Era of Policy Unpredictability and Enrollment Shifts. She leads a team of program specialists and policy analysts responsible for stakeholder engagement, system coordination, and policy initiatives. Richard believes the right way to achieve success is to work closely with stakeholders in all aspects of Medicaid. Institute for Clinical and Economic Review, State-Only Summit on New Prescriptions to Lower Rx Costs. Michelle Mello is Professor of Law at Stanford Law School and Professor of Medicine in the Center for Health Policy/Primary Care and Outcomes Research in the Department of Medicine at Stanford University School of Medicine. In his new role, he is engaging in efforts related to the opioid epidemic, maternal/child health, value-based payment, and the social drivers of health. But the resulting documents, which can include as many as 60,000 items, are hard to decipher, with descriptions like “ABBOTT TECNIS TORIC ASPHERIC IOL ZCT300 21.0D SE 3.00 CYL.” and “FILL, PULL, VOID.” And if you're not a data analyst or a programmer, you might have trouble reading the files at all. She has served ten years on Joint Appropriations Committee serving as the Senate Chair. All of these features make it difficult for public and private payers to use chargemaster rates as a way to establish relevant prices to pay to hospitals. How to Slice the Pie? Since 2001, she has worked on long term support policy, including Olmstead implementation, Real Choice Systems Change Grants and Money Follows the Person. Mr. Steffen serves as a spokesperson for the Commission at state and national levels on state health care expenditures, physician work force, physician uncompensated care, and information security. Under Heather’s direction the Nevada Exchange was the first state to successfully transition functionality away from the platform to operate as a fully autonomous state based exchange. In the COVID pandemic she has led efforts across DHHS related to Telehealth and Health Equity with a focus on increasing testing in Historically Marginalized Populations. Linette Scott, MD, MPH, is the Chief Medical Information Officer and the Deputy Director of the Information Management Division in the California Department of Health Care Services. Mr. Allen has served in various public health capacities. Mr. DeCerchio currently serves as the program director of the In-Depth Technical Assistance Program of the Substance Abuse and Mental Health Services Administrations (SAMHSA) National Center on Substance Abuse and Child Welfare, and the Deputy Project Director of the National Quality Improvement Center for Collaborative Community Court Teams, funded by the Childrens Bureau in the Administration on Children, Youth and Families. Ms. Dickerson holds a Masters degree in Health Services Administration from Central Michigan University and a Bachelor’s degree in Health Education from Otterbein University, Westerville, Ohio. In this role, Ana led the department’s efforts to develop and implement a framework for achieving health equity at the state and local levels through Rhode Island’s “Health Equity Zones” initiative. Ms. Harrington has over 25 years experience working in health care. She conducts empirical research into issues at the intersection of law, ethics, and health policy. North Carolina Medicaid, Division of Health Benefits, North Carolina Department of Health and Human Services. Ashley is active in her political party at the state level, recently served as the Speaker of the House of Oklahoma Intercollegiate Legislature, and volunteers with a nationally accredited animal rescue, Tornado Alley Bulldog Rescue. He has been with the Maryland Health Benefits Exchange since 2013 in a variety of roles before assuming his current position in 2017. Highlights include the work she did with the Ohio Department of Health to define food deserts and the communities impacted by them. In the Medi-Cal program, she serves as the Deputy Director for Health Care Benefits and Eligibility (HCBE). Costs to patients on Medicare, Medicaid, or Veterans Affairs health care are capped by law. He is the Chair of the Board of Directors for Reveal Rx, a technology company that enables the review of pharmacy claims by health plans and PBMs. Additionally, he recently led the implementation of the Departments Population Health Data Analytics module to support Montanas Medicaid program. A lifelong Oklahoman, Ashley has dedicated herself to the people of Oklahoma. Prior to joining AARP, Megan was the Director in the Office of Legislation at the Centers for Medicare & Medicaid Services. She graduated with honors from the University of North Carolina School of Law and is admitted to practice in Washington State and the District of Columbia. Since January 2017, she has led the design, roll out, and management of a $115 million portfolio of Statewide Investment programs aimed advancing Massachusetts efforts to transform healthcare payment and care delivery and improve health outcomes for its MassHealth population. That includes developing new policies, payment models, and operational processes that improve the way health care is delivered to 1.8 million low-and moderate-income residents and individuals with disabilities. Virginia Dize is Co-Director of the National Aging and Disability Transportation Center (NADTC) and Program Director at the National Association of Area Agencies on Aging (n4a). Founded in 1847, it is the oldest and the second-largest university in the state. Melissa Jordan has worked at the Florida Department of Health, primarily in the field of applied epidemiology, since 2003. She earned her medical degree from Meharry Medical College in Nashville and served as resident physician in Internal Medicine at the George Hubbard Hospital in Nashville, TN. Dr. Oliver is the State Health Commissioner at the Virginia Department of Health. She also served as Director of Government Relations for the Maryland Hospital Association and as a budget analyst for the General Assembly’s Legislative Services department. Assistant Director, Medicaid Program Operations & Integrity Governor Wyman’s staff, Ms. Veltri was the State Healthcare Advocate. He was also instrumental in bringing together the NGOs and hospital systems that formed the Healthier Hospitals Initiative. Commissioner State of Virginia. She has served as the family engagement consultant for the past 7 years on the NYS System of Care Expansion grant and currently trains family / youth peer advocates on the High Fidelity Wraparound process. Hayden was elected by his peers as Assistant DFL Leader in 2016. He is actively engaged in the development and implementation of a health care quality and cost benchmark for the State of Delaware Department of Health and Social Services. In addition, she plays a lead role in the agency’s value-based payment and social determinants of health work. Rep. Drew Gattine is in his fourth term in the Maine House of Representatives. He has served twice previously in the California Governor’s Office, where he was a Deputy Cabinet Secretary and Health Care Advisor for Governor Arnold Schwarzenegger and Deputy Legislative Secretary for Governor Davis where he was responsible for health care, human services and health insurance issues. Ben’s 36-year career in health care began in community mental health and includes 11 years in local public health and 18 years with community health centers. Her interests include treating whole families with a special focus on preventative health care, group visits, and medication-assisted treatment for opioid use disorder. Chargemaster: Pricing Structures for Hospitals Webinar T2814Tuesday, February 19, 2013 8:30 a.m. â 10:00 a.m. (CST) Overview Learn from an expert answers to these questions: â¢ Why are hospital charges and pricing so controversial? Before that role, he served with the US military in various leadership positions with responsibility for small and large-scale, multi-faceted teams and complex financial situations. Ms. Dize oversees n4a’s transportation initiatives, including work on the Inclusive Coordinated Transportation Partnership project funded by the U.S. Administration for Community Living (ACL) and she previously served as co-director of the National Center on Senior Transportation (NCST; 2008-2015). She is board certified in Public Health and General Preventive Medicine through the American Board of Preventive Medicine. is the Director of the Health Policy and Analytics Division for the Oregon Health Authority, which is responsible for developing and implementing the state’s vision for health reform. She has more than thirty years’ experience in Aging programs, the last 10 years focused on transportation for older adults and people with disabilities. Jeremy received his Juris Doctor from the University of North Dakota School of Law and his undergraduate degree in public policy and administration from Western Oregon University. Canadian Foundation System. Catherine Kirk Robins works as a Deputy Director for the Maryland Citizens’ Health Initiative on issues surrounding prescription drug affordability. From 1997 to 2001, Ms. Corlette worked as a professional staff member of the U.S. Senate HELP Committee. The health system set up an online price comparison tool for the 70 most-common procedures and a call center so that patients can get further help determining the prices they should expect to pay, based on their insurance and circumstances. Doug has worked in the mental health and substance use disorder field for over 24 years in various capacities as a direct service provider and administrator. Center for Improving Value in Health Care. Ana has worked for the Rhode Island Department of Health since 1998, first as a children’s health Education and Outreach Coordinator and later as Chief of the Office of Minority Health and Director of the Division of Community, Family Health, and Equity. With over 25 years of experience in long-term services and supports, she currently serves as an appointed member of the National Academy for State Health Policy, an advisor to the AARP’s Public Policy Institute in Washington DC and a consultant to the Department of Justice regarding community options for older adults and people with disabilities. Her primary focus is to develop and implement state Medicaid policies in the areas of nursing and intermediate care facilities, home and community-based waivers, maternal and child health and developmental disabilities. She holds a masters of science degree in nursing as a clinical nurse specialist and masters degree in hospital administration. Erika started her career managing a homeless shelter in the Mississippi Delta and has since served in a variety of capacities across health care and human services including positions at Duke University and the World Health Organization. Daphnne provides training and technical assistance to family-run and provider agencies in preparation for the transformation to Medicaid Managed Care. Office of Governor Jay Inslee. Marie Zimmerman oversee and lead the major functions Minnesotas Medicaid program, Medical Assistance, and its Basic Health Plan, MinnesotaCare, the program which provide health coverage to 1.2 million Minnesotans. Richard N. Gottfried has chaired the NY State Assembly Health Committee since 1987 and represents a district in Manhattan. CHEO. Mike served as the Deputy Director of the Aging and People with Disabilities program in 2012 and from December 2015 to October 2019, when he assumed the Interim Director position. State-Only Virtual Summit: New Prescriptions to Lower Rx Costs. Hospital chargemaster rates are the equivalent of Manufacturers Suggested Retail Price or MSRP in car buying markets. Senator Hayden has advocated for progressive policies in his community for decades and has been at the forefront of economic justice and health care issues throughout his legislative career. The Maryland Health Care Commission is an independent regulatory agency whose mission is to plan for health system needs, promote informed decision-making, increase accountability, and improve access to health care and health care coverage in Maryland. This population remains a priority for the Illinois team. Joe was appointed Deputy Secretary of Finance in January 2018. Dr. Abbey works extensively in all areas relating to compliance reviews,coding, billing and reimbursement with particular emphasis on the chargemaster and outpatient payment. She provided primary care for 11 years before joining the state. From 2016 to 2018, she was the Chief Health Policy Advisor in the Office of Lt. From 1993 to 2003, she served as Assistant Director and a lead researcher on maternal and child health policy at the Center for Health Policy Research (now housed in the Department of Health Policy) at The George Washington University. She takes a public health approach to policy decisions and is committed to strategic alignment across government and the private sector to improve health outcomes and fill unmet social needs. Margarita Alegría is the Chief of the Disparities Research Unit at the Massachusetts General Hospital and a Professor in the Departments of Medicine and Psychiatry at Harvard Medical School, where she has served since 2004. Hospitals instead negotiate discounts off their chargemaster rates with individual and group plans. Ben previously served as President and Chief Executive Officer of the North Carolina Community Health Center Association (NCCHCA) during a 10-year period of unprecedented growth in organizations, clinical sites and patients served. Under her leadership, and in a short amount of time, the health department made great strides in transforming the culture and public health practice by embedding health equity in the health department’s work. She oversees Medicaid, child welfare, juvenile justice and other programs that support the well-being of the state’s most vulnerable populations. Nigel Chiwaya is a deputy data editor for NBC News. Emma Chacon is the Operations Director with the Division of Medicaid and Health Financing, Utah Department of Health. Some of her current projects include the state’s Money Follows the Person behavioral health pilot and a randomized trial of self-direction for adults with serious mental illness. Sarah Brummett, is Director of the Office of Suicide Prevention at the Colorado Department of Public Health and Environment. Make more effective use of data, data matching, and demonstrating return on investment (ROI): Review Medicaid data on individuals with intellectual and/or developmental disabilities (I/DD)to identify those eligible for additional housing supports. Executive Director Joe graduated with a B.A. , Data Analyst She holds a Ph.D. in Health Policy from Harvard University, a J.D. Dena Stoner, Director of Innovation Strategy for the Texas Health and Human Services Commission’s Intellectual and Developmental Disabilities / Behavioral Health Division, has over 40 years of policy, design and implementation experience, including long term services, acute medical care, managed healthcare and behavioral health. NAHDO is a national non-profit membership and educational organization dedicated to improving the collection and use of healthcare data. Jeremia Kimelman is an interactive graphics developer for NBC News. 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