Hany Abdelaal, D.O.
Michael S. Adelberg
Keshia Bigler, MPH
Catherine Brisland, DO, MBA, FCCP
Dr. Kathy Jo Carstarphen
Dr. Lora Council
Gregory A. Hanley, FACHE, CPHQ
Tejaswita Karve, Ph.D.
Jose Diaz Luna
Henry W. Osowski
Steven R. Peskin, MD, MBA, FACP
Maria Pugo, DrPH, MPH
Dr. Dirk Wales
Hany Abdelaal, D.O.
Dr. Hany Abdelaal serves as President of VNSNY CHOICE Health Plans, the health plans affiliated with the Visiting Nurse Service of New York (VNSNY). VNSNY is the largest nonprofit home and community-based health care organization in the United States, providing acute, rehabilitative, end-of-life, mental health, long-term care services and managed care plans to residents of the five boroughs of New York City, Nassau, Suffolk and Westchester Counties, as well as parts of upstate New York. Dr. Abdelaal joined the plan in March of 2012 as its Chief Medical Officer and was named President in January 2015. Currently, VNSNY CHOICE Health Plan has the largest not for profit MLTSS plan in NYS, MMP (FIDA), FIDESNP, and an HIV Medicaid Special Needs Plan. Dr. Abdelaal has been involved in the duals programs and MLTSS programs for over 20 years. Previously, Dr. Abdelaal served in executive positions as Chief Medical Officer at Elderplan, Executive Director at Homefirst (NYC MLTC HealthPlan), and Associate Medical Director at Maimonides Medical Center. He completed his internship and residency in Primary Care/internal Medicine at Maimonides Medical Center.
D.O., New York College of Osteopathic Medicine
B.A., St. John’s University
Michael S. Adelberg
Mike Adelberg leads the Healthcare Strategy Practice at Faegre Baker Daniels Consulting. He has 25 years progressive healthcare industry and government experience in Medicare, Medicaid and commercial health insurance. Mike spent fifteen years at the Centers for Medicare and Medicaid Services (CMS), including concurrently serving as the director of the Insurance Programs Group and the acting director of the Exchange Policy and Operations Group in the Center for Consumer Information and Insurance Oversight (CCIIO) where he oversaw most of the functions of the federally-run health insurance exchanges; serving as the Director of Medicare Advantage Operations, where he supervised the annual cycle for review and award of Medicare Advantage bids and contracts, developed CMS’s operational policy, and led the monitoring of Medicare Advantage contractors; and serving as the associate regional administrator for Medicare operations (Chicago Region) and the director of education and assistance programs. Mike gained private sector experience as vice president of product development and government affairs for the Universal American Corporation, a multi-state health insurer which operated Medicare Advantage and Medicaid health plans (subsequently acquired by Wellcare).
He has also led or co-led health policy studies published in Health Affairs and The American Journal of Managed Care. Mike speaks and publishes frequently on healthcare topics and has served on numerous advisory committees. He’s been quoted in the Washington Post, New York Times, Modern Healthcare, NPR, and other leading media. In his spare time, Mike is an author. He’s written three novels, a history book, several scholarly journal articles, and over sixty book reviews.
Saeed founded Decision Point with the mission of improving health plan clinical, financial and operational performance through informed, data-driven predictions on strategic decisions. He has more than 25 years of health information technology experience, with a track record of developing innovative approaches to solve complex business problems. He has held key senior management positions at Eliza Corporation, Ingenix (currently Optum), IHCIS and ProVentive, where led high-performing teams focused creative uses of technology for practical problem-solving. Saeed is a graduate of The Johns Hopkins University with a BA in Economics.
Keshia Bigler, MPH
Keshia Bigler is the Population Health Manager for the Columbia Pacific CCO in Oregon. She has extensive experience working in health research doing primary research focused on health disparities and working in the Kaiser Permanente Evidence-based Practice Center (EPC) conducting systematic reviews and meta-analyses to inform clinical guidelines for the USPSTF, APA, and CDC Community Guide. She worked with the Oregon Health Authority to refine the state cervical and breast cancer screening program and co-chairs the Pacific Northwest Community Paramedicine and Mobile Integrated Health Coalition. She has served on state steering committees that informed the state Health Information Technology (HIT) strategy. She has a strong passion for health equity and ensuring all people have equitable access to high quality healthcare regardless of socioeconomic status. Keshia received her MPH from OHSU with a focus in Primary Care and Health Disparities, and completed her Bachelor of Science in Community Health and Human Biology. As a native Oregonian, she enjoys spending time outdoors with her dog, live music, traveling, and cheering on local sports teams - Rip City!
Catherine Brisland, DO, MBA, FCCP
Dr. Catherine Brisland is a Medical Director for Optima Health with expertise in government programs, specifically, Virginia Medicaid Long Term services and Supports (MLTSS). In this role, Dr. Brisland draws from her solid clinical foundation as she works to interface with providers and utilization management to provide high quality and financial management within the framework of the MLTSS Model of Care. Dr. Brisland earned her Doctor of Osteopathic Medicine from Kansas City University of Medicine and Biosciences in 1994 and her Master of Business Administration from Virginia Commonwealth University in 2017. She finished her Internal Medicine and Pulmonary Medicine training at Scott and White Hospital (Texas A&M University) in 1998 and completed her Critical Care Fellowship at the Mayo Clinic in Rochester, Minnesota in 2001. She is board certified in Critical Care Medicine and Internal Medicine and continues to practice medicine as a hospitalist.
April Canetto is the Manager of Cultural and Linguistic Services at Health Net. April has
a graduate degree in Social Work, with an emphasis in Macro practice. April has 10
years' experience in systems design, program development and the application of the
social determinants of health toward improving outcomes. April has designed and led
community mobilization efforts to improve social conditions for vulnerable populations
with expertise in the field of health disparities, school readiness and poverty reduction.
Her skills include the development of comprehensive systems change strategies targeted at the community, neighborhood and institutional level to improve family and individual outcomes. April leads health disparity reduction efforts across Health Net and has been successful in integrating departments toward collective action. April developed a health disparity reduction model, improved the collection of race, ethnicity and language data and has successfully led the organization in decreasing disparities in targeted HEDIS measures. Through her leadership, Health Net has been recognized as a leader in health disparity reduction and received the Disparity Leadership Program Best Overall Project Award and the Innovation in Addressing Health Equity Award from the National Business Group on Health.
Dr. Kathy Jo Carstarphen
Dr Carstarphen is originally from Selma, Alabama and attended Washington University in St Louis with a double major in Biology and African-American Studies. She obtained her medical and public health degrees at the University of Alabama at Birmingham, then completed residency in Internal Medicine at Tulane Hospital in New Orleans.
She has a special interest in complex medical management of vulnerable populations. She created and directs the MedVantage Clinic at Ochsner Health System in New Orleans, Louisiana which integrates primary care with addressing social determinants of health for high-risk patients.
Paul Cotton is the National Committee for Quality Assurance Director of Federal Affairs. He works with Congress, the Administration and other stakeholders to improve health care quality. Previously he was a lobbyist for AARP on Medicare, Medicaid, CHIP, health reform, health IT and quality improvement issues. He has also worked at the Center for Medicare & Medicaid Services as Hearings & Policy Presentation Director in the Office of Legislation, and as a journalist for publications including the Journal of the American Medical Association.
Dr. Lora Council
Lora Council, MD, MPH is a practicing family physician and the Senior Medical Director for Primary Care at Cambridge Health Alliance, a safety-net health system in Massachusetts that excels in care for vulnerable populations. She was previously the Senior Vice President of the Primary Care Service Line for Dartmouth-Hitchcock. She received her medical degree from the University of Massachusetts Medical School and her MPH at the Dartmouth Institute for Health Policy and Clinical Practice. She completed the NH Dartmouth Family Medicine Residency and the Leadership Preventive Medicine Residency at Dartmouth-Hitchcock. She has worked at the Center for Medical Home Improvement and as a medical director for quality and safety. She continues to follow her QuEST (Quality & Safety, Experience, Sustainability, and Teamwork) to improve primary care for patients, families, and teams.
Joseph Crimando leads a team of analysts and technical experts to deliver systems to aid our clinical teams to care for our patients. His focus on clinical data follows his career in data analytics for many different types industries including Finance, Aerospace, and Government/Defense. For Kaiser Permanente, he's develops actionable, automated and analytic systems for chronic disease and prevention management programs. Joseph is a graduate of the State University of New York, College at Fredonia with a BS in Computer Science with a minor in Physics.
Dr. Dapkins graduated from the Sophie Davis School of Biomedical education; a seven year medical school
program that commences right after high school. Dr. Dapkins completed his MD degree at the Mount Sinai School
of Medicine in 2000. He completed a combined internal medicine pediatrics residency at Brown University in
Providence Rhode Island in 2004. He initially worked in the Bronx providing direct care to homeless adults
and children as part of the Care for the Homeless Program but ultimately moved to Bronx Lebanon hospital where
he became an HIV physician as well as the Medical Director of the hospital based Federally Qualified Health Center.
He has 3 beautiful kids and a wonderful wife Rosa who is also a physician.
As of November 2016, FHC appointed Isaac Dapkins, MD as the new Chief Medical Officer. In addition, Dr. Dapkins is the Medical Director of our hospital affiliate’s, NYU Langone Health, Medicaid Clinically Integrated Network and also NYU – Brooklyn’s Performing Provider System (PPS) as part of the State's Delivery System Reform Incentive Payment (DSRIP) Program. As a clinical leader, Dr. Dapkins focus has been quality improvement, provider productivity, and population health management. He has lead change in practice transformation as we move towards telemedicine and integration of new technologies into the health center operations.
- CMO for the FHC at NYU Langone, one of the largest Federally Qualified Health Centers in New York State
- Medical Director of the NYU Langone Performing Provider System, as part of the New York State Delivery System Reform Incentive Payment 1115 waiver program.
- Clinical Assistant Professor of Population Health, NYU School of Medicine
- More than 10 years experience managing FQHC’s and providing care to the underserved, including a role as clinical lead in full-risk Medicaid contracts.
Clay has advised CMS administrators, state Medicaid Directors and a wide range of other clients in the healthcare industry. His unique blend of management consulting, project management, policy making and analytics help deliver on-time, actionable results for a wide array of business challenges.
His experience includes policy making at both the federal and state levels, management consulting for large organizational change initiatives, big data solution sales and implementation and cutting-edge analytics. He currently serves as the Director of Operations for Mostly Medicaid, where he leads key project components related to consultation design, Medicaid subject matter expertise and project management. He has a masters in Health Policy from the Johns Hopkins Bloomberg of School of Public Health and is also a Certified Internal Auditor.
Gregory A. Hanley, FACHE, CPHQ
Greg is the Vice President of Quality Management & Pharmacy for UCare. UCare serves over 400,000 members in Minnesota and Wisconsin. Greg provides oversight and direction for the CMS Star Ratings improvement program, HEDIS, CAHPS, HOS, QRS, QIS, NCQA Accreditation, member complaints, appeals, and grievance process, practitioner credentialing, and Pharmacy. UCare has had an Excellent NCQA Accreditation rating since 2014 and has a 4.5 Star Medicare Advantage plan.
Prior to joining UCare, Greg was the Midwest Regional Director of Quality Improvement at Coventry Health Care in Kansas City, MO. As such, he oversaw Coventry’s credentialing, NCQA Accreditation, CAHPS and quality of care, as well as its quality Committees and all quality improvement projects.
Greg retired from the Army in 2005 after a 21-year career as a Medical Service Corps Officer and in Psychological Operations. Greg is board certified by the American College of Healthcare Executives (ACHE) as a Fellow (FACHE) in health care management and a Certified Professional in Healthcare Quality (CPHQ). He earned a Bachelor of Arts degree from St. Cloud State University and a Master of Business Administration from Portland State University.
Allison Hess is the Associate Vice President of Health and Wellness Programs for Geisinger.
In this role, she is responsible for the oversight of health and wellness programs for commercial,
Medicare and Medicaid populations, community based programming and programming for the
Geisinger employee population.
Ms. Hess earned her bachelor of science in Health Education with a concentration in
Psychology from Bloomsburg University and is currently pursuing her MBA. She is a Certified
Wellness Practitioner (CWP) and has additional certifications in the wellness and health
Ms. Hess has worked for over 15 years in the specialty of community health and worksite wellness. Her most recent work involves community based strategies impacting food insecurity and focusing on social determinants of health and the impact on condition management.
Tejaswita Karve, Ph.D.
Tejaswita Karve, Ph.D. is an accomplished healthcare executive with an expertise in Population Health Management and Quality Ratings Programs, specifically, Medicare Star Ratings. With background in biomedical research, she earned her Doctoral degree in Biomedical Sciences from Georgetown University, Washington, D.C., where her work focused on the identification of prognostic biomarkers for cancer with potential for commercialization.
Her healthcare experience spans across industries from Health Analytics Consulting (at Accenture, LLC), to PBM (at CVS Health) and several Integrated Delivery Systems such as Presbyterian Healthcare Services, UPMC Health Plan and currently at Johns Hopkins HealthCare, LLC. Tejaswita’ s primary focus has been developing data-driven strategies, reporting and analytics capabilities and driving execution efforts to consistently deliver impactful results. Most recently, these approaches have successfully resulted in achieving 4.5 Stars performance on 2 of 3 contracts accounting for 75% of all Medicare lives at the UPMC Health Plan. She is passionate about promoting advocacy positions supporting whole person care models geared towards understanding and integrating social determinants of health in care delivery and achieving desired outcomes.
Jose Diaz Luna
Jose Diaz-Luna is the Corporate Director of Pharmacy at Trusted Health Plan in Washington, DC. He received his pharmacy degree from St. John’s University College of Pharmacy and Allied Health Professions. Jose is a proud veteran of the US Army Medical Corps. During his career Jose has worked in both clinical and managerial positions as Pharmacist in Charge, Pharmacy District Manager, and Director of Pharmacy. Jose has practice pharmacy in a varied setting including hospital, retail, long term care, compounding and managed care. Jose is also Adjunct Faculty at Howard University College of Pharmacy. Jose was selected as the Howard University Administrative APPE Preceptor of the year in 2015 and received the Washington DC Pharmacy Association Excellence in Innovation award in October 2015. Jose is an active member of the Academy of Managed Care Pharmacy and the American Society of Consultant Pharmacies.
Jim Milanowski has over 22 years experience in the management of mental health, substance abuse, behavioral health managed care and medical care coverage programs. Mr. Milanowski currently serves as the President and Chief Executive Officer of the Genesee Health Plan (GHP), administering a community based indigent health care plan. The health plan has covered over 70,000 Genesee County residents since 2001. Since the start of enrollment into Affordable Care Act in 2013, GHP has conducted outreach and enrollment sessions with over 15,000 Genesee County residents. The health plan received the 2015 Pinnacle Award from the Michigan Association of Health Plans for this effort.
As a strong advocate, his expertise includes working to reduce racial disparities, uncompensated care, and the impact of chronic disease. During his leadership, Genesee Health Plan has received the national quality award from URAC for Best Practices in Patient Empowerment and Protection, the Greater Flint Labor Council's Community Partnership Award and the Robert M. Pestronk Excellence in Public Health Award. He is a founding member of the Health Net Collaborative, and a member of the Greater Flint Health Coalition Access, Dental and Medical Group Visit Committees. He is the Treasurer of the Michigan Association of County Health Plans and is on the Board of Directors for the Genesee Community Health Center.
Mr. Milanowski received his Bachelor of Arts degree in Psychology from Spring Arbor University and his Master's of Science degree in Clinical Psychology from Eastern Michigan University. He is a limited-licensed psychologist in the state of Michigan, and has extensive counseling experience with adult, child, and adolescent populations.
Henry W. Osowski
Hank Osowski, a Founding Member of Strategic Health Group, is an experienced health care executive and strategist who has provided leadership to commercial, Medicare and Medicaid health plans for more than 30 years. He currently is the Managing Director of Strategic Health Group, a new boutique strategic and financial advisory firm dedicated to bringing seasoned leadership to enable health care organizations to succeed in a challenging and changing environment. He is an expert in Medicare Advantage and Medicaid long-term care strategies.
Formerly, as Senior Vice President Corporate Development, he was a key member of the senior leadership team that the company from a near death experience to an exceptionally strong financial position. He led SCAN Group's efforts to expand into seven additional California counties. Hank also led SCAN's entry into Arizona and served as the initial President of SCAN Health Plan Arizona and SCAN Long Term Care. The service area expansions represent approximately a quarter of SCAN's membership and added nearly $450 million to SCAN's revenue. He also led the organization's strategic planning efforts and initiated an innovation development regimen to seek improvements in care coordination practices and future care outcome protocols.
Prior to SCAN, Hank served as a Principal in a national health care consulting organization providing a range of strategic, financial and development services for health plans, physician groups and hospitals. He began his California career as a member of the senior management team responsible for the turnaround and financial survival of Blue Cross of California. In this capacity, Hank led the financial turnaround of the Individual and Small Group Division and provided leadership to the organization's strategic planning efforts.
Earlier he served as Vice President International Operations for American Family Life Assurance Corporation where he directed the activities of the company's Canadian and European operations. In this role he directed the development of start-up operations in the United Kingdom, Germany and Italy, as well as the financial turnaround of the company's Canadian operations. Earlier, Hank also served as Director of Insurance Consulting Services for Coopers and Lybrand, a predecessor to PriceWaterhouse Coopers.
Throughout his career, he has been a frequent speaker on critical issues and challenges facing the Medicare and Medicaid programs. In 2011, Hank spoke to the Managed Medicaid Congress about principles for structuring effective long term care programs, to the Medicare Market Innovations conference about opportunities for strengthening a plan's five star quality rating and offered his strategic projections for the future of Medicare. He also spoke to a diverse health care and technology audience at the Healthcare Unbound conference about leveraging the power of technology to improve the quality of health outcomes and care interventions.
Steven R. Peskin, MD, MBA, FACP
Steven R. Peskin, MD is the Executive Medical Director Population Health at Horizon Blue Cross Blue Shield of New Jersey. His expertise encompasses physician leadership, medical delivery management, performance improvement in health care, contracting; applications in technology include mobile/social media, clinical/scientific communications for health care professional and consumer audiences.
Dr. Peskin is the former Executive Vice President and Chief Medical Officer for MediMedia USA, CEO of Pharmaceutical Research Plus, President/COO of Nelson Managed Solutions and has worked in multiple executive positions in health plans at PacifiCare Health Systems, CIGNA Healthcare, and John Hancock. Dr. Peskin has authored industry and scientific articles, book chapters and spoken at various conferences and events about physician leadership, the medical home, mobile health and social media.
Dr. Peskin is an Associate Clinical Professor in the Department of Medicine at Rutgers Robert Wood Johnson Medical School. He is a clinical preceptor at The Eric B, Chandler Clinic for interns and residents in Internal Medicine. Dr. Peskin assists with the Population Health and business of medicine training for the Rutgers RWJ Internal Medicine physicians in training.
Dr. Peskin is a Diplomat of the American Board of Internal Medicine and a Fellow of the American College of Physicians, serves as Governor for the Southern Region of the ACP in New Jersey, Board of Trustees for Friends of the National Library of Medicine, editorial advisory boards of The Journal of Population Health Management and Managed Care and is a Senior Scholar in the School of Population Health at Thomas Jefferson University. His community service includes the Boards of the Greater Donnelley Neighborhood Initiative and Young Audiences of New Jersey.
Dr. Peskin received a bachelor’s degree from The University of North Carolina Chapel Hill and a medical degree from Emory University School of Medicine. He completed residency at Saint Elizabeth’s Medical Center in Boston and holds an MBA from the Sloan School of Management at Massachusetts Institute of Technology.
Maria Pugo, DrPH, MPH
Dr. Maria Pugo is an accomplished public health professional with extensive involvement across several sectors in healthcare administration. As a lead for numerous access-to-healthcare initiatives, Dr. Pugo has been an integral part in the collaborative efforts in bridging the gap of health equity across the region. At Inland Empire Health Plan (IEHP), a not-for-profit Medi-Cal and Medicare health plan and one of the fastest-growing health plans in the nation, Dr. Pugo provides leadership in research and evaluation. Alongside a team of healthcare data analysts and doctoral fellows, she delivers analytical and programmatic support to the organization. Originally from Los Angeles, Dr. Pugo’s educational career has provided her residence across California – San Bernardino, San Diego, and San Francisco exposing her to the diversity of public health and adding to her appreciation of resource-based collaborative efforts and research focused on disease prevention. She has a Doctoral Degree in Public Health with a focus on Healthcare Policy and Leadership from Loma Linda University.
Konark is healthcare executive with 15 plus years of experience
in healthcare strategy, creating clinical, member centric solutions
which helps organizations to increase revenue, decrease costs
and improving operational effectiveness by addressing people,
processes and technology across every aspect of the healthcare
Currently as a Director of Product Strategy and Development within Gateway Healthplan he focuses on strategizing, designing and implementing innovative and transformative programs that support Gateway’s members throughout their journey to self reliance while positioning Gateway to be at forefront in the industry. He and his team contributes to support growth, value based payments, clinical and quality (HEDIS, Stars) programs and outcomes.
Dr. Harry Saag is a Hospitalist at NYU Langone Health and serves as the Medical Director for Network Integration and Ambulatory Quality across NYULH’s 200 sites consisting of an Academic-based Faculty Group Practice as well as a Network of Federally Qualified Health Centers working to improve quality, reduce costs, and increase patient and staff satisfaction. In this role, he helps design ambulatory quality metrics for the enterprise as well as assists in strategizing how NYULH will optimize its performance in a hybrid value-based and fee-for service environment. Specifically, he serves as one of the clinical leads partnering with operational teams focused on population health management, quality, care coordination, and data analytics.
He was born and raised in Birmingham, Alabama, and received an Economics Degree from The University of Georgia. He then returned to his native Alabama where he received his medical degree from The University of Alabama – Birmingham before moving to New York where he completed his residency training in internal medicine at NYU School of Medicine and subsequently served as a Chief Resident.
He is passionate about population health management and value-based contracts, where incentives are aligned between payer, provider, and patient as well as using data to inform decisions with the goal of keeping patients healthy, happy, and at home. His work has been published in JAMA, JAMA Internal Medicine, and the Journal of General Internal Medicine among others.
Kimberly Smathers is a Managing Consultant at The Lewin Group. Her area of focus is solutions for health and social challenges affecting vulnerable populations at the individual, community, and system level. Under contract with CMS, Kimberly works with providers, health plans, advocates, and other subject matter experts to identify and disseminate promising practices and actionable tools to integrate and coordinate care for beneficiaries dually eligible for Medicare and Medicaid. Previously, Kimberly worked with CMS to produce state and national profiles of dually eligible populations and to assess the impact of Medicaid crossover payment policies on QMB access to care. For the MacArthur Foundation, Kimberly led cost benefit analyses of onsite services for low-income older adults residing in HUD properties. From her prior role as Vice President of Business Development at Heartland Health Centers (a Chicago-area federally qualified health center), she has a deep understanding of the financial, operational, and clinical challenges of providing comprehensive, integrated health care to complex populations. Kimberly holds an MBA from Northwestern University Kellogg School of Management with a focus in Health Enterprise Management and Strategy and a Bachelor’s Degree from Northwestern University in Sociology and Quantitative Methodology. Kimberly enjoys live music, yoga, and trying to keep up with her energetic four-year old.
Dr. Swayze is the AVP Clinical Affairs | Community Support Services for the UPMC Health Plan in Pittsburgh, PA. He has won several state and national awards for his pioneering work in transforming emergency medical services to better address the holistic needs of our most vulnerable patients. He has more than 20 years of experience as a healthcare executive within UPMC, one of the largest healthcare integrated finance and delivery systems in the country.
For over fifteen years, Matt Wallaert has been applying behavioral science to practical problems, from startup exits to the Fortune 500 to an array of pro-social side projects. He’s given hundreds of talks on the science of behavior change and is currently the healthcare industry’s first Chief Behavioral Officer at Clover Health, a Medicare Advantage plan changing the model of insurance by changing behavior.
Tricia Beckmann, JD, Director at Faegre (FAY-GREE) Baker Consulting, helps clients throughout the health care industry, particularly health plans, navigate state and federal regulatory issues. She applies a pragmatic approach to health policy and reform and helps plans navigate both policy and business opportunities and challenges as the Medicare and Medicaid programs continue to evolve. She spent four years with the Centers for Medicare and Medicaid Services (CMS), where she reported directly to agency leadership responsible for the health insurance Marketplaces and private insurance market reforms that are at the center of the Affordable Care Act (ACA). Prior to joining Faegre, Tricia served as an in-house attorney for a population health company that supports hospital and physician organizations in their adoption of value-based care and population health management. Tricia also has prior in-house government relations experience working for a not-for-profit managed care health plan in California.