WASHINGTON DC USA -- HEALTHCARE UPDATE NEWS SERVICE™ -- MAY 11, 2023: The Virtual Fourth National Medicare Advantage Summit was held on April 25-28, 2023 as a purely virtual event.
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KEYNOTE SPEAKERS
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Donald M. Berwick, MD
Lecturer of Health Care Policy, Department of Health Care Policy, Harvard Medical School; President Emeritus, Institute for Healthcare Improvement; Former
CMS Administrator, Newton Centre, MA |

Michael Chernew, PhD
Chair, MedPAC; Leonard D. Schaeffer Professor of Health Care Policy, & Director, Healthcare Markets and Regulation Lab, Harvard Medical School, Cambridge, MA |

David M. Coriell, JD
Assistant US Attorney, Western District of New York, US Department of Justice, Buffalo, NY
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Don Crane, JD
Former President & CEO, America's Physician Groups; Co-producer Primary Care Transformation Summit and Medicare Advantage Summit, Los Angeles, CA |
Ezekiel J. Emanuel, MD
Vice Provost for Global Initiatives, Professor & Co-Director, Health Transformation Institute and Chair, Department of Medical Ethics, University of Pennsylvania; Former Advisor, OMB (Obama), Philadelphia, PA |

Jay M. Gellert
Former Chief Executive Officer and President, Health Net, Inc.; Former President and COO, Bay Pacific Health Corporation; Former SVP and COO, California Healthcare System, San Francisco, CA
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Richard J. Gilfillan, MD, MBA
Former CEO and President, Trinity Health; Former Director, Centers for Medicare and Medicaid Innovation, Washington, DC |

John Gorman
Chair, Nightingale Partners LLC; Founder and Former Executive Chairman, Gorman Health Group; Former Assistant to the Director, Office of Managed Care, HCFA, Washington, DC |

George Halvorson
Chair & CEO, Institute for InterGroup Understanding; Former Chairman & CEO, Kaiser Permanente; Former CEO, HealthPartners; Former Chair, AHIP and International Federation of Health Plans, Sausalito, CA
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Karen Ignagni, MBA
President & CEO, EmblemHealth; Former President, AHIP; Former Director, AFL/CIO, New York, NY
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Mary A. Inman, JD
Whistleblower Counsel; Partner, Constantine Cannon LLP; Lead Whistleblower Counsel, Multiple Medicare Advantage Risk Adjustment Fraud Litigation, San Francisco, CA and London, UK |

Doug Jacobs, MD, MPH
Chief Transformation Officer, Center for Medicare, Centers for Medicare & Medicaid Services; Former Chief Medical Officer and Chief Innovation Officer, Pennsylvania Department of Human Services, Washington, DC
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Sachin H. Jain, MD, MBA
President & CEO, SCAN Group & Health Plan; Co-Editor-in-Chief & Co-Founder, Healthcare: the Journal of Delivery Science and Innovation, Los Angeles, CA |

Christopher Jennings
Founder & President, Jennings Policy Strategies; Senior Fellow, Bipartisan Policy Center; Former Co-chair, Biden Health Committee; Former Senior Advisor for Health Policy (Obama), Washington, DC |

Carolyn Kapustij, MPH
Senior Advisor for Managed Care, Office of Inspector General, US Department of Health and Human Services, Washington DC
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Ellen Lukens, MPH
Deputy Director, Center for Medicare & Medicaid Innovation, Centers for Medicare & Medicaid Services, Washington, DC |

Mark McClellan, MD, PhD
Director, Robert J Margolis Center for Health Policy, Duke University; Co-chair, Health Care Payment Learning and Action Network; Former CMS Administrator and FDA Commissioner, Washington, DC |

Richard Merkin, MD
Founder, President & CEO, Heritage Group; Board, Caltech & USC Keck School of Medicine; Founder Merkin Foundation for Stem Cell Research, Broad Institute, Harvard & MIT, Los Angeles, CA
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Sibel Ozcelik, MA
Deputy Director, Division of Health Plan Innovation, CMS Innovation Center, Centers for Medicare & Medicaid Services, Washington, DC |

Tom Priselac
President & CEO, Cedars-Sinai Health System; Past Chair, American Hospital Association and Association of American Medical Colleges, Los Angeles, CA |

George Renaudin, JD, MPP
President, Medicare and Medicaid, Humana; Former Senior Vice President, Ochsner Health Plan, Franklin, TN
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Dean Rosen, MA, JD
Partner, Mehlman Consulting; Former Majority Counsel, House Ways and Means Health Subcommittee; Former VP Policy and GC, Health Insurance Association of America, Washington, DC |

Meena Seshamani, MD, PhD
Director, Center for Medicare, Centers for Medicare & Medicaid Services; Former VP, Clinical Care Transformation, MedStar Health, Washington, DC |

Molly T. Turco, MPH
Senior Advisor, Center for Medicare, Centers for Medicare & Medicaid Services, Washington, DC
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Seema Verma, MPH
Health Policy Consultant; Board, LifeStance Health, Lumeris and Monogram Health; Former Administrator, Centers for Medicare & Medicaid Services |

Alan Weil, MA, JD
Editor-in-Chief, Health Affairs; Former Executive Director, National Academy for State Health Policy; Former Executive Director, Bethesda, MD
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AGENDA AVAILABLE
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Click Here to view agenda.
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VALUE-BASED CARE CONFERENCE SERIES SPONSORED BY
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CO-CHAIRS
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Susan Dentzer
President & CEO, America's Physician Groups; Former Editor in Chief, Health Affairs; Former Health Correspondent, PBS NewsHour; Washington, DC

Mary Beth Donahue, MPP
President and Chief Executive Officer, Better Medicare Alliance; Former EVP, Advocacy and Operations, AHIP; Former Chief of Staff, Secretary Donna E. Shalala, US Department of Health and Human Services, Washington, DC
J. Nwando Olayiwola, MD, MPH, FAAFP
Chief Health Equity Officer & SVP, Humana; Adjunct Professor, The Ohio State University College of Medicine & College of Public Health, Columbus, OH
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SPONSORS
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DIAMOND
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GOLD
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SILVER
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BRONZE
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MEDIA PARTNERS
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PENDING CONTINUING EDUCATION CREDITS
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Compliance Certification Board Continuing Education Units (CCB CEUs)
This education activity has been submitted to the Compliance Certification Board (CCB)® and is currently pending their review for approval of CCB CEUs.
Physicians (ACCME) Credit
The Summit is pending approval to offer MA PRA Category 1 Credits™.
Certificates of Attendance
Attendees may download and self-complete a certificate of attendance which will be posted on the Summit virtual video broadcast platform to file with appropriate certifying bodies which accept such.
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FEATURED FACULTY
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Steven Abramson
SVP, Chief Market & Payor Relations Officer, UpStream Health, Dallas, TX |

Shantanu Agrawal, MD, DPhil
Chief Health Officer, Elevance Health; Former CMS Deputy Administrator, Washington, DC |

Nicole J. Aiken-Shaban, JD
Partner, Reed Smith, Philadelphia, PA |

Steve Arbaugh
Principal and CEO, ATTAC Consulting Group (ACG), Ann Arbor, MI |

Mandy Asgeirsson, MPH
Director, Berkeley Research Group, Washington DC
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Bart Asner, MD
Former President, OptumCare Southern California; Former Chair, America's Physician Groups; Los Angeles, CA |

David Axene, MS
President/Managing Partner, Axene Health Partners, Celina, TX |

Gary E. Bacher, MPA, JD
Chief of Strategy, Policy, and Legal Affairs, Capital Caring Health; Former CMMI Chief Strategy Officer, Washington, DC |

Tricia A. Beckmann, JD
Director, Faegre Drinker Consulting; Former Special Assistant, CCIIO, CMS, Washington, DC |

Justin Bever
President, RB Insurance Group, LLC; VP, Medicare Solutions, Association Members Benefits Advisors, Carbondale, CO
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Alex Billioux, MD, DPhil
VP of Social Determinants of Health, UnitedHealthcare Government, Baltimore, MD |

Adam S. Boehler
CEO, Rubicon Founders; Former Senior Advisor for Value-Based Innovation, HHS; Former CMS Deputy Administrator; Former CMMI Director, Nashville, TN |

Brynn Bowman, MPA
CEO, Center to Advance Palliative Care; Assistant Professor, Icahn School of Medicine at Mount Sinai, New York, NY |

Benjamin Brooks
Chief Technology and Operations Officer, MedicareOnDemand, Indianapolis, IN |

Brian Brown, CHIE, PAHM
Vice President, Sales & Marketing, Presbyterian Health Plan, Albuquerque, NM
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Marcy Buckner, JD
SVP of Government Affairs, National Association of Health Underwriters, Washington, DC |

Jacquelyn Cawley, DO, MBA
Vice President of Population Health and Chief Medical Officer for Ambulatory Care, BayCare Health System, Yarmouth, ME |

Brittany M. Chambers, MPH, MCHES
Director, Health Equity and Special Initiatives, Center to Advance Palliative Care, New York, NY |

Chuck Chaput
Chief Operations and Compliance Officer, MedicareCompareUSA and MCUSA Consulting, Lakewood Ranch, FL |

Chris Chen, MD
Chief Executive Officer, ChenMed, Miami, FL
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Aneesh Chopra, MPP
President, CareJourney; Former First US Chief Technology Officer, Arlington, VA |

Ken Cohen, MD
Executive Director of Translational Research, Optum Care; Former Chief Medical Officer, New West Physicians, Golden, CO |

Matthew Collins, MD, MBA
Executive Vice President and Chief Medical Officer, Blue Cross Blue Shield Rhode Island, Boylston, MA |

Ceci Connolly
President & CEO, Alliance of Community Health Plans; Founding Member, Women of Impact, Washington, DC |

Patrick H. Conway, MD, MSc
CEO, Care Solutions at Optum; Former Director, CMMI, Baltimore, MD
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Sean Creighton, MSc
Managing Director, Avalere; Former Deputy Group Director, Payment Policy and Financial Management Group, CMS, Washington, DC |

Tyler Overstreet Cromer, MPAc
Principal & Head, Medicare Innovation Practice, ATI Advisory, Alexandria, VA |

Kimberly A. Curseen, MD, FAAHPM
Director of Outpatient Supportive Care, Emory Palliative Care Center, Emory University School of Medicine, Atlanta, GA |

Steve Davis, MS
AVP Managed Care & Payer Strategy, Ardent Health Services, McKinney, TX |

Sanjay Doddamani, MD
Co-Founder and Chief Executive Officer, Upstream Healthcare, Dallas, TX
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Lauren Driscoll, MPH
Founder and Chief Executive Officer, NourishedRx; Co-Chair, Entrepreneurs Council, United States of Care, Stamford, CN |

Bianca Duff, PA-C, MPH, PA-C
Senior Vice President, Clinical Operations, CareMax, Boston, MA |

A. Mark Fendrick, MD
Professor, Department of Health Management and Policy; Director, Center for Value-Based Insurance Design, University of Michigan, Ann Arbor, MI |

Clive Fields, MD
Co-founder and Chief Medical Officer, VillageMD, Houston, TX |

Helaine Fingold, JD
Partner, Epstein Becker & Green, PC; Former Acting Director, Rates & Benefits Branch, CCIIO, CMS; Former GC, MedPAC, Baltimore, MD
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Amy Flaster, MD, MBA
Chief Medical Officer, ConcertoCare; Instructor of Medicine, Harvard Medical School, Boston, MA |

Rick Frommeyer
VP of Group Medicare and Head, Group Retiree Solutions, Aetna, St Paul, MN |

Russ Gagnon
Chief Product Officer, Wellth, Los Angeles, CA |

Bill Gil, MBA
Former VP & CEO, Providence Southern California Medical Foundations, Los Angeles, CA |

Jeff Goldsmith
President, Health Futures, Charlottesville, VA
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Merrill Goozner, MA
Independent Journalist, GoozNews; Author, The $800 Million Pill: The Truth Behind the Cost of New Drugs, Former Editor, Modern Healthcare, Chicago, IL |

John Gorman
Chair, Nightingale Partners LLC; Former Assistant to the Director, Office of Managed Care, HCFA, Washington, DC |

Ari Gottlieb
Principal, A2 Strategy; Former Director, Health Services & Payer Strategy, PwC, Chicago, IL |

Bob Herman
Business of Health Care Reporter, STAT News; Former Health Care Business Reporter, Axios, Modern Healthcare and Becker's Healthcare, Chicago, Il |

Carlos O. Hernandez, MD, FACP
President, WellMed Medical Group, San Antonio, TX
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Emma Hoo
Director of Value-Based Purchasing, Purchaser Business Group on Health, San Francisco, CA |

Ravi Hundal, MD
CFO & EVP, Clinical Integration, Interim Chair of Population Health, John Muir Medical Group, Pleasant Hill, CA |

Gretchen Jacobson, PhD
VP, Medicare, The Commonwealth Fund, New York, NY |

Brian Jeffrey, MS
Principal, Jeffrey Healthcare Consulting LLC; Former SVP, Network Management, UnitedHealth; Former VP, Provider Network Strategy, PacifiCare, Corona del Mar, CA |

Nicole Jobe, JD, LLM
Partner, Thompson Coburn LLP, St Louis, MO
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Shreya Kangovi, MD, MS
Executive Director, Penn Center for Community Health Workers, University of Pennsylvania, Philadelphia, PA |

John Kelly, JD
Partner & Chair, Healthcare, Barnes & Thornburg; Former Assistant Chief, Health Care Fraud, Criminal Division, US DOJ, Washington, DC |

Lauren Flynn Kelly
Managing Editor, AIS Health, an MMIT company; Editor, Radar on Medicare Advantage, Washington, DC |

Rosemary Kennedy, MBA, PhD
Chief Health Informatics Officer, Connect America, Malvern, PA |

Ali Khan, MD, MPP, FACP
Chief Medical Officer, Value-Based Care Strategy, Oak Street Health, Chicago, IL
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Daphne Klausner
Plan President, Honest Medical Group, Nashville, TN |

Charlotte L. Kohler, RN, CPA
President, Kohler Healthcare Consulting, Woodstock, MD |

Thomas Kornfield, MPP
Senior Consultant, Avalere Health, Rockville, MD |

Benjamin Kornitzer, MD
Chief Medical Officer, agilon health, Boston, MA |

Robert Lang, FSA, MAAA
Senior Consulting Actuary, Wakely Consulting Group, New York, NY
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Faith Leonard, MPH
Program Associate, Advancing Medicare, The Commonwealth Fund, New York, NY |

Larry Levitt, MPP
Executive Vice President for Health Policy, Kaiser Family Foundation; Former Senior Health Policy Advisor, White House (Clinton), San Francisco, CA |

Mark Mantei, MHSA
CEO, Vancouver Clinic; Former Chief Operating Officer, Everett Clinic, Vancouver, WA |

Mark Miller
Journalist, Author and Podcaster, Expert on Retirement and Aging, Columnist. Reuters Money, Evanston, IL |

Sashi Moodley, MD, MBA
Chief Clinical Officer, Walgreens Health, Los Angeles, CA
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Dianne Munevar, MPP
VP, Health Care Strategy, NORC, University of Chicago, Chicago, IL |

Tim Murray, FSA, MAAA
Principal, Wakely Consulting Group; Former AVP, Pricing & Forecasting, InnovaCare Health, New York, NY |

David B. Muhlestein, PhD, JD
Chief Research Officer, Leavitt Partners; Visiting Fellow, Margolis Center for Health Policy, Washington, DC |

Philip Nelson, FSA, CERA, MAAA
Senior Actuarial Manager, Milliman, Milwaukee, WI |

Steve Neorr, MBA
Chief Operating Officer, Upstream Health, Raleigh, NC
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Raul Montalvo Orsini, MD
President, MSO of Puerto Rico, Ponce, Puerto Rico |

Philip Painter, MD
Chief Medical Officer UnitedHealthcare Medicare and Retirement, UnitedHealth Group, Willowbrook, IL |

Caroline Pearson
Executive Director, Peterson Center on Healthcare, Chicago, IL |

Jerry Penso, MD, MBA
President and CEO, American Medical Group Association, Alexandria, VA |

Cheryl Phillips, MD
President and CEO, SNP Alliance, Washington, DC
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Ann Pogrebitskiy, ASA, MAAA
Associate Actuary, Wakely Consulting Group, New York, NY |

Frank Pyle
State Fraud Investigator, State of Delaware; Vice Chair, Improper Marketing of Health Insurance Working Group, NAIC, Wilmington, DE |

Tyler Rees
Chief Executive Officer, Innovative Financial Group, Wilmington, NC |

Douglas Rodrigues, ASA, MAAA
Associate Actuary, Milliman, Brookfield, WI |

Joyce Chan Russell, MBA
Senior Vice President, Government Markets, Priority Health, Grand Rapids, MI
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Valinda Rutledge, MBA
Chief Corporate Affairs Officer, UpStream Health, Washington, DC |

Allison Silvers, MBA
Chief Health Care Transformation Officer, Center to Advance Palliative Care, New York, NY |

June Simmons, MSW
President and Chief Executive Officer, Partners in Care Foundation, San Fernando, CA |

Hunter Sinclair, MBA
VP, Solution Strategy for Government Markets, Teladoc Health, Memphis, TN |

Melissa Newton Smith
EVP, Consulting & Professional Services, HealthMine, Inc., Brentwood, TN
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Nathan Smith, PhD
Principal Researcher, CareJourney, Kaysville, UT |

Abi Sundaramoorthy, MD, MBA
CMO, Wellinks; Associate Professor, University of South Florida College of Nursing, Wesley Chapel, FL |

John Supra, MS
Chief Data & Analytics Officer, UpStream Health; Former Deputy Director & CIO, SC HHS, Greenville, SC |

Martin Swanson, JD
Deputy Director & GC, Nebraska Department of Insurance; Chair, Improper Marketing of Health Insurance Working Group, NAIC, Lincoln, NE |

Anant Vasudevan, MD, MBA
Chief Medical Officer, Radial Analytics, Boston, MA
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Teresa Wilson, MA
Medicare ACO Specialist, CMS Innovation Center; Former Associate Regional Administrator, CMS, Washington, DC |

Christopher P. Wing
CEO, Alpine Physician Partners, Former President & CEO, SCAN Health Plan, Los Angeles, CA |

Jesse A. Witten, JD
Partner, Faegre Drinker Biddle & Reath LLP; Former Deputy Associate Attorney General & Chief, Civil Fraud Section, US DOJ, Washington, DC |

Melissa A. Wong, JD
Partner, Healthcare & Life Sciences, Holland & Knight LLP, Boston, MA
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