HCTTF - Key Persons
Job Titles:
- Member / Vice President, Health Policy, Evolent
As Evolent's Vice President of Health Policy, Ashley is responsible for leading the development and implementation of the firm's health policy and advocacy strategy to drive value-based health care transformation across the country. Ashley brings over 15 years of federal health policy and advocacy experience, having joined Evolent from Bipartisan Policy Center Action where she advocated bipartisan policy solutions to our nation's most pressing health care challenges and advised BPC leaders and staff. She also worked at the Centers for Medicare and Medicaid Services (CMS) Innovation Center (CMMI) to launch and implement national initiatives to reduce preventable hospital readmissions and improve care transitions. Prior to joining CMS, Ashley spent five years as the principal health policy advisor to U.S. Senator Blanche Lincoln, a member of the Senate Finance Committee. In her capacity supporting the Senator, Ashley worked to develop and pass numerous Medicare and health insurance provisions into law. Prior to working in the Senate, Ashley served as a manager of policy and communications for the American Association for Homecare and worked for a non-profit hospice in Arkansas.
Charlotte Burnett is a Director for the Health Care Transformation Task Force. Prior to joining the Task Force, Charlotte worked for Northwestern University where she managed the implementation of an HIV prevention project in collaboration with city and state health departments. Charlotte began her career providing individual case management to individuals with complex medical and behavioral health needs before attending graduate school to make an impact at organizational and policy levels. Throughout graduate school she engaged in research and evaluation work across various populations with the goal of strengthening social services and improving health outcomes.
Charlotte holds Master of Social Work-Master of Public Health degrees from the University of Michigan and a Bachelor of Science from Fordham University.
Job Titles:
- Assistant Professor at the Boston University School of Medicine
- Member / Vice President of Medical Operations, Blue Cross Blue Shield of Massachusetts
Dr. Ashley Yeats joined Blue Cross Blue Shield of Massachusetts in November 2019. His areas of responsibility include clinical partnership innovation, mental health strategy, physician & psychologist utilization review, medical policy administration, care management consultation, clinical appeals, and corporate peer review.
Yeats has practiced in the Boston area for 20 years, following a career in academic emergency medicine at the Ottawa Civic Hospital in Canada. He has held executive and medical leadership positions within system hospitals and the liability captive insurance carrier of the Harvard teaching hospital community. He previously served as Chief Medical Officer and Vice President of Healthcare Quality & Clinical Integration within the Beth Israel Lahey Health System, with operational oversight of hospital-based, non-nursing patient care services, infection control, pharmacy, clinical program development and physician recruitment, graduate medical education, credentialing, and healthcare quality & patient safety. Prior roles include serving as Associate Medical Director of the CRICO Academic Medical Center Patient Safety Organization (AMC PSO) and as Associate Chief of Emergency Medicine at Beth Israel Deaconess Hospital-Milton Hospital and Brigham & Women's Faulkner Hospital.
He completed a dual residency in family medicine and emergency medicine at the University of Ottawa, receiving certification as a patient safety officer from Intermountain in Salt Lake City, Utah and a medical degree from the University of Western Ontario, Canada.
In addition to his current role at Blue Cross, Dr. Yeats is an assistant professor at the Boston University School of Medicine where he teaches on topics of quality and patient safety, also lecturing in the Northeastern University Physician Assistant Program. He sits on the board of directors of the Massachusetts Alliance for Communication & Resolution after Medical Injury and the Health Care Transformation Task Force in Washington, DC.
Job Titles:
- Chief Medical Officer
- Physician
- Board Member for the Integrated Healthcare Association
- Chief Medical Officer at Innovaccer
- Member / Chief Medical Officer, Innovaccer
Dr. David Nace is Chief Medical Officer at Innovaccer, a leading San Francisco-based healthcare IT company dedicated to accelerating innovation in healthcare.
Dr. Nace is a physician executive and national healthcare thought leader who has been involved in healthcare reform and managed care strategies since the early 1990s. He joined Innovaccer in 2017, as an Executive Advisor.
As the company's Chief Medical Officer, Dr. Nace leads a team of nationally known clinician executives who assist the company in enhancing the InnovaccerⓇ Health Cloud and Data Activiation Platform to streamline population health strategies, improve the user experience; and support Innovaccer's customers in developing, implementing, and succeeding with value-based care strategies.
Dr. Nace's executive management experience features senior leadership roles including CMO/VP of Population Health at McKesson Corporation, Chairman of the Board at the Patient-Centered Primary Care Collaborative, and Senior Vice President and Chief Medical Officer roles at both UnitedHealth Group and Aetna. Prior to joining Innovaccer, Dr. Nace served as the Chief Medical Officer at MarkLogic and Lantern.
Dr. Nace has been a board member for the Integrated Healthcare Association, a statewide multi-stakeholder leadership group that promotes quality improvement, accountability, and affordability of healthcare in California; and the Care Continuum Alliance in Washington, DC. He has also served as an adviser to the American Medical Association, National Business Group on Health, World Health Organization, and the International Labor Organization on issues ranging from health promotion and wellness to employer policy and healthcare financing issues.
Job Titles:
- Chief Clinical Officer
- Executive Vice President
- Executive Vice President and Chief Physician Executive at Sentara Healthcare
- Member / Executive Vice President, Chief Clinical Officer, Sentara Health
Dr. Jordan Asher is Executive Vice President and Chief Physician Executive at Sentara Healthcare. His role concentrates on creating innovative models of care delivery as well as providing national thought leadership directed towards the future of health care.
Dr. Asher is dedicated to championing quality, fostering clinical effectiveness and further cultivating a culture of excellence in the delivery of clinical services across the continuum of care. He oversees system-wide Clinical Quality and Safety, Clinical Effectiveness the Clinical Integrated Networks (Sentara Quality Care Network and Sentara Accountable Care Organization), the High-Performance Design process, Health Equity, Clinical Informatics, Research, and Clinical Performance Improvement initiatives.
Job Titles:
- Chief Medical Officer
- Chief Medical Officer for the Washington Health Care Authority
- Member / Chief Medical Officer, Washington State Health Care Authority
Dr. Judy Zerzan-Thul is the Chief Medical Officer for the Washington Health Care Authority (HCA) which administers the state's Medicaid program and the state's Employee, School and Retiree Benefits. Dr. Zerzan-Thul is a general internal medicine physician and began her career as an academic researcher at the University of Colorado. Prior to joining HCA in August 2018, Dr. Zerzan-Thul was Chief Medical Officer for the Colorado Department of Health Care Policy and Financing. She has held leadership positions in the Medicaid Medical Director's Network and served on a number of national committees. She is also currently an adjunct Associate Professor at the University of Washington.
Dr. Zerzan-Thul is a native Oregonian who received her MD degree from Oregon Health and Science University in 1998 and her MPH in Health Policy and Administration from the University of North Carolina in 1999. She completed the Robert Wood Johnson Clinical Scholars Program at the University of Washington/Seattle VA in 2007. She was a 2008-2010 non-residential Health and Aging Policy Fellow in the office of Senator John D. Rockefeller IV of West Virginia working on the Affordable Care Act.
Dr. Zak Ramadan-Jradi is the vice president of network management across the health plan's four-state footprint. Zak has a long and diverse health care background that includes extensive experience in healthcare analytics, clinical and contract performance management, and network development.
Job Titles:
- Chairman / Senior Vice President of Clinical Integration and Physician Services
- Immediate past Chair / Senior Vice President, Clinical Integration and Physician Services, Trinity Health
Emily DuHamel Brower serves as Senior Vice President of Clinical Integration and Physician Services for Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation, serving more than 30 million people across 22 states. In this role, Emily provides leadership and strategic direction within the evolving accountable healthcare environment, with an emphasis on clinical integration and transformation under alternative payment models. Emily joins Trinity Health from Atrius Health in Massachusetts, where she last served as Vice President of Population Health, building and executing the essential capabilities required to achieve strong financial and clinical outcomes within integrated care models under value-based reimbursement, particularly for publicly insured populations. Emily's Medicare ACO team delivered year over year improvement in cost and quality, and the highest per-capita savings in an independent evaluation of the Pioneer model.
Prior to Atrius Health, Emily spent fifteen years in operational, financial, and contracting leadership roles at Urban Medical Group, a Massachusetts non-profit healthcare organization specializing in the care of medically complex, chronically ill populations across a community-based, long-term care continuum. During that time, Emily launched a PACE program and other innovative, capitated contracts for medically complex populations and served as Principal Investigator for a multi-year research project analyzing cost and quality outcomes to support payment reform.
Emily received her BA from Smith College and MBA from the New York University Stern School of Business. She and her family recently moved to Ann Arbor and are thoroughly enjoying their new status as Michiganders.
Job Titles:
- Member / Vice President, Network Strategy and Value - Based Solutions, Aetna, a CVS Health Company
- Vice President, National Network Strategy, Innovation
Eric Fennel serves as the Vice President, National Network Strategy, Innovation and Value Based Solutions at Aetna, a CVS Health company. Eric is responsible for leading a range of initiatives to transform the provider network and deliver greater value to consumers through new partnerships, payment models and technologies. In support of this effort, Eric also maintains responsibility for Aetna's Value-Based Solutions strategy, operations and engagement services across all lines of business.
Eric has more than 25 years of experience across a diverse range of health care organizations. Prior to joining Aetna, Eric oversaw operations nationally for Evolent Health's Value Based Solutions group. In this role, he was accountable for the performance of more than 80 clinicians across 10 states, working locally with patients and providers to execute Evolent's care management programs and deliver more than $30 million in medical cost savings, and guiding the development of Evolent's VBS products and infrastructure.
Prior to joining Evolent, Eric was a senior member of the Policy and Programs Team at the Center for Medicare and Medicaid Innovation (CMMI), which he joined early in its formation, supporting development of CMMI's strategy and leading efforts to build and manage its $10 billion innovation portfolio. In this work, Eric drew upon his earlier experiences in developing new payment and engagement models at Lumenos and WellPoint/Anthem as well as his work at the National Committee for Quality Assurance.
Job Titles:
- UAW Retiree Medical Benefits Trust
Jeff Micklos is the Executive Director of the Health Care Transformation Task Force. An attorney by training, Jeff is the former Executive Vice President, Management, Compliance, & General Counsel of the Federation of American Hospitals, a national trade association representing investor-owned hospitals, and a former Partner in the Health Law Department of the international law firm of Foley & Lardner LLP. Mr. Micklos began his career as a litigator and regulatory counsel for the Health Care Financing Administration, U.S. Department of Health and Human Services, and also served in the Office of General Counsel of the Social Security Administration.
Jeff is a graduate of the Columbus School of Law, The Catholic University of America, and received a Bachelor Arts Degree from Villanova University. He resides in Washington, DC with his wife, Monica, and their four children.
Job Titles:
- CEO of Solutions 4 Community Health
- Secretary and Treasurer / Deputy Executive Officer and Chief Financial Officer, Sun River Health
Mr. Sinkoff is also the CEO of Solutions 4 Community Health. He holds a Master's Deg ree in Business Administration and a Bachelor's Degree in Geography.
Job Titles:
- Chief Executive Officer
- Member / Chief Executive Officer, PSW
PSW's Chief Executive Officer of PSW since 2016, Melanie was also appointed President of MultiCare Care Connected (MCC) in 2019. She has 27+ years of healthcare experience, with a focus on the delivery of value-based care in various medical group settings.
Since she joined PSW in 2016, she has maintained the core principals in which PSW was founded on and expanded business lines to include advisory and management services including credentialing, coding and compliance and the implementation of various CMMI innovation models. Melanie brings extensive knowledge in population health strategies and a strong commitment to value-based care. Prior to PSW, Melanie spent her career overseeing the regulatory and financial operations and outcomes for post-acute continuum of care facilities including skilled nursing facilities, assisted living, home health and hospice.
In 2020, Melanie was awarded a NAACOS Board of Director position to serve as a single-ACO representative. Among her other accomplishments, Melanie is a board member on the Health Care Transformation Task Force, she serves as Co-Chair for APG - Risk Evolution Taskforce, serves on the APG Board of Directors, was selected by the American Health Care Association as a "National Political Ambassador" in 2013, and was named a national "Future Leader" in 2012.
Melanie holds a Master of Science, social gerontology, degree from Central Missouri State University and a bachelor's degree in human development and family studies from Pennsylvania State University.
Job Titles:
- Communications Specialist
Rebecca Smoots is a Communications Specialist at the Health Care Transformation Task Force. Before joining the Task Force, Rebecca worked for Harvest Table Culinary Group, managing marketing and communication strategies for clients at Wake Forest University and Salem Academy and College. Rebecca has an academic background in health and exercise science and has developed her expertise in design and communications throughout her career.
Rebecca earned a Bachelor of Science degree from Appalachian State University.
Job Titles:
- Chief Operating Officer
- Member / Chief Operating Officer, Heritage Provider Network
Richard Lipeles has more than 40 years of experience in leadership positions in healthcare and non for profit and entrepreneurial companies. Lipeles joined PacifiCare in July 1979, and in 1987 he became President of PacifiCare of California. In 1993 he was promoted to Executive Vice President of PacifiCare Health Systems overseeing the corporation's managed health care division which included health plans in California, Florida, Oklahoma, Oregon, Texas, and Washington. Lipeles retired from PacifiCare September 1995.
In June 2002, Rich joined the management team of Heritage Family of Companies as the company's COO. Heritage provides award winning medical care to more than 1,000,000 people in CA, NY and AZ. The medical care is provided through company owned staff model medical groups and IPAs.
Rich has been on multiple Boards of Directors for companies he's invested in through his venture fund. He also is the past President/COB of the Long Beach Jewish Federation, Community Foundation and CCEJ. Lipeles has a Masters of Public Health from the University of California, Los Angeles (UCLA) and a Bachelor of Science in business economics from the University of California, Riverside (UCR).
Job Titles:
- Chief Commercial Officer and Chief Policy Officer at Aledade
- Member / Chief Commercial Officer and Chief Policy Officer
- Vice Chair / Chief Policy Officer, Aledade
Sean Cavanaugh is the Chief Commercial Officer and Chief Policy Officer at Aledade. Founded in 2014, Aledade partners with independent practices, health centers, and clinics to build and lead Accountable Care Organizations (ACOs) anchored in primary care. Through these practice networks, Aledade empowers physicians to stay independent, focus on their patients, and thrive financially by keeping people healthy.
Sean has previously served as the Deputy Administrator and Director of the Center for Medicare at the Centers for Medicare & Medicaid Services. He was responsible for overseeing the regulation and payment of Medicare fee-for-service providers, privately-administered Medicare health plans, and the Medicare prescription drug program. Previously Sean was the Deputy Director for Programs and Policy in the Center for Medicare and Medicaid Innovation, where he was responsible for overseeing the development and testing of new payment and service delivery models, including ACOs and medical homes. Prior to that, Sean was Director of Health Care Finance at the United Hospital Fund. He has also served in senior positions at Lutheran Healthcare, the New York City Mayor's Office of Health Insurance Access, and the Maryland Health Services Cost Review Commission. He attended the University of Pennsylvania and the Johns Hopkins School of Hygiene and Public Health.
Sinsi Hernández-Cancio is a national health and health care equity policy and advocacy thought leader with extensive experience spanning the government, labor, and non-profit arenas, dedicated to advancing equal opportunity for women and families of color and advocating for better health care access and quality for all. Sinsi believes our shared prosperity depends on transforming our health care system to meet the needs of our rapidly evolving nation so that it provides excellent, comprehensive, culturally centered and affordable care for every single person, family and community, which requires dismantling structural racism and other systemic inequities. Born in Puerto Rico, she holds a JD from NYU Law and an AB from Princeton University.
Theresa Dreyer is a Senior Director for the Health Care Transformation Task Force. Prior to joining the Task Force, Theresa led the Value-Based Care (VBC) portfolio at the Association of American Medical Colleges. She draws on previous experience with the Center for Medicare and Medicaid Innovation, where she led the Pennsylvania Rural Health Model, and has also worked in health care consulting. Based on her range of public and private sector expertise, Theresa has developed deep knowledge of how VBC works from a policy perspective, as well as how it plays out on the ground for payers, providers, and patients.
Theresa holds a Master of Public Health and a Bachelor of Arts from the University of Michigan.
Job Titles:
- Chairman / Executive Vice President, Health Care Value, Blue Cross Blue Shield of Michigan
- Member / Senior Vice President, Health Care Value
- Senior Vice President of Health Care Value for Blue Cross Blue Shield of Michigan
Todd Van Tol is the Senior Vice President of Health Care Value for Blue Cross Blue Shield of Michigan (BCBSM). In that role, he has responsibility for provider contracting and network management, medical and pharmacy management, as well as wellness programs and product development across all lines of business for BCBSM. Previously, he led the plan's Commercial Group business with responsibility for the Autos, Key & Large, Middle & Small Group, and Private Exchange lines of business.
Prior to joining BCBSM in July of 2017, Todd served as a Partner and North American practice leader for the Health & Life Sciences business of Oliver Wyman where he led the firm's efforts across Payer and Provider clients. Prior to Oliver Wyman, Todd held senior roles at the Blue Cross Blue Shield Association as well as Bain & Company.
Todd's experience spans a broad range of strategic issues facing health plans and providers including market reform planning, customer strategy, building new value-based payer/provider partnership models, and the development of next generation product offerings. He holds an MBA from the University of Michigan and a BS from Michigan State University.