Malik Abdur-Razzaq Director, Marketing and Enrollment
Partners Health Plan
Native New Yorker, entrepreneur and health care executive with more than 30 years in the healthcare industry. Malik has extensive expertise in Medicare, Managed Care, Healthcare Delivery Systems, The Affordable Care Act, Practice Management, Consulting, Contracting, Business Development, Sales and Marketing. Currently Director of Marketing and Enrollment for Partners Health Plan, Malik overseas 9 counties in New York State between Rockland and Suffolk counties. Under his leadership, Partners Health Plan recently became the largest FIDA plan in New York.
Malik has an MPH from Columbia School of Public Health in Healthcare Policy and Management.
Malik has been:
· Consultant and Market Segment Manager for EmblemHealth. He spearheaded a new strategy that ultimately revamped EmblemHealth’s Marketing Department, hired 55 new people and generated 55,000 new enrollments on NY States Healthcare Marketplace. Malik developed new sites within his territory and led a sales region to become the #1 Sales Team in Government Programs at EmblemHealth. Members of that team are still amongst the top producers in ther company.
· Managing Partner of Mosaic Business Group. A NY based consulting company that provided contracting and marketing consulting to NY area health plans.
· Assistant Commissioner of Managed Care for Westchester County. In charge of the first countywide Medicaid managed care program in NY Statem
· Assistant Vice President for Managed Care for New York City’s Health and Hospitals Corporation. In charge of managed care contracting and marketing for NY City’s public hospital system.
· Adjunct professor for a few NY schools. Having taught graduate courses in managed care, undergraduate classes in strategic planning, healthcare informatics and quality improvement. Schools: Columbia, The New School, Long Island University, NYU, and Monroe College.
Malik has consulted for health plans, nonprofit businesses and various types of medical practices in capacities ranging from practice management to marketing and new business development.
Jason Allen Stars Market Operations West Region Director
Jason Allen is the Medicare Stars Market Operations Director for the West Region at Cigna, who is responsible for Stars performance in Arizona, Colorado, and Texas.
He started with Cigna four years ago managing the stars performance of Texas; a plan that has earned 4.5 stars for 2 straight years. Prior to Cigna, Jason spent twelve years in Customer Service and Wellness Engagement at Blue Cross Blue Shield of Michigan, where he worked his way up from the mailroom to the Manager of the Engagement Center—a call center aimed with working with members to close gaps in care and enrolling in various case management and disease management programs. Jason enjoys working with physicians and internal matrix partners to deliver exceptional results and creating positive member experiences. He has an amazing support system at home in Houston with his wife, Ivonne, and two boys, Cole (8) and Chase (5) and enjoys spending time with them traveling, camping, and playing various sports.
Senior Director of Operations, Government Programs
Timothy Brown Executive Director, Chief Medicare Officer
Tim is the Chief Medicare Officer for the Pacific Northwest and Mountain states for CVS Aetna Medicare Solutions. Tim has over 20 years Healthcare experience and held a variety of leadership roles spanning Sales, Network Development, Contracting, Operations and Health plan Management.
Luis Cerda Stars Market Operations Northeast Region Director
Luis Cerda has a master’s degree in economics and has been working in the healthcare industry since 2011. In 2013 he began working with the Star Ratings Program at MCS Classicare in Puerto Rico where he led the strategies that helped the company achieve 4.5 Stars in Stars 2019. Luis has been working with Cigna Medicare since 2018 as the director for the Star Ratings Program in the northeast region and helped move their PA and MA contracts to 4 and 3.5 stars respectively for Stars 2020. Luis’ areas of interest within Stars are Part D and Analytics.
Karen W. Connolly, RN
Senior VP/Quality Improvement and Accreditation Services
Karen W. Connolly, RN Senior VP/Quality Improvement and Accreditation Services
HealthSun Health Plans, Inc
Karen Connolly, RN, a health care professional, has over 35 years of extensive experiences in operational leadership in health care quality delivery and management including quality management and improvement in health care. She has been involved in nursing and hospital administration, managed health care, health information, contract administration, risk management and strategic planning. She has also provided consultative services within the Michigan Department of Corrections at maximum security prisons that included health care quality assessment and evaluation of the potential for a risk based managed care model for prison care services including inpatient care. Her expertise and experiences in quality improvement activities have included activities in both the hospital and ambulatory settings and interfacing with a number of external agencies in the promotion of quality and in the use of data to increase access to care and to increase the quality of health care delivery systems. She has facilitated strategic planning sessions and performed analytical evaluation, database management, and quality improvement of key performance indicators that have resulted in statistically significant improvements impacting health outcomes particularly focused in the managed care setting. Ms. Connolly has worked with organizations throughout the country in the achievement and continued compliance with accreditation with AAAHC, TJC, and NCQA.
Ms. Connolly has been an AAAHC surveyor since 1998 and serves as faculty for AAAHC educational programs. Ms. Connolly serves as the Chair of AAAHC’s Health Plan Advisory Committee and is a member of AAAHC’s Standards and Survey Process Committee. She has served on a number of other committees, workgroups and task forces for AAAHC that have included the Medical Home Advisory Committee, the Task Force on Quality Improvement, the Task Force for Primary Care, and workgroups for Patient Center Medical Home and Scoring Methodology. She is an under graduate of DePauw University School of Nursing in Indiana and did her graduate studies at Oakland University and University of Michigan in Michigan.
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.
Ryan Davis PAHM Manager, Pharmacy Medicare Programs
Kaiser Health Plan
Ryan Davis is a Medicare aficionado with over eleven years of managed care period. For the past five years he has held the role of Manager of Pharmacy Medicare Programs within the Washington region of Kaiser Permanente. In this role he provides oversight of benefit implementation, the medication therapy management program, and opioid management. His past experience in Government Programs is vast as he has held Medicare centric roles for some large industry players such as CVS Health & Express Scripts
As Managing Director of Engagys, Kathleen brings the best of consumer marketing and data-driven methodologies to healthcare to motivate better health decisions. Engagys is a healthcare consultancy lasered focused on consumer engagement and experience. Prior to founding Engagys, Kathleen led the consumer engagement consulting practice for Silverlink for 12 years leveraging Silverlink's data repository of over a billion consumer health interactions, the best of behavioral economics and the latest in clinical research to help health plans and PBMs close the last mile of consumer engagement.
Kathleen is an award-winning, high energy, engagement expert with over twenty-five years of experience. She speaks regularly on the national stage on many topics including: driving consumer health engagement, creating better consumer experience in healthcare, motivating and inspiring consumers, and using data to drive consumer behavior. She has been recently named as a consultant to the first ever FDA Patient Engagement Advisory Committee (PEAC).
Kathleen is frequently quoted in both national and trade press. Her bylines have appeared in Executive Insights, Predictive Modeling News, and AHIP Smart Brief. She recently received two Stevie awards, Maverick of the Year, Silver 2015 and Innovator of the Year, Bronze, 2016, for highlighting the greatest challenges and opportunities for improving the lives of people who are afflicted with chronic conditions.
Kathleen spent the first twenty years of her career in brand marketing at leading consumer marketing organizations, including General Mills and P&G. Additionally, Kathleen was a Vice President at Digitas, one of the leading direct marketing firms in the country. She also spent many years in marketing at various consumer, technology and media companies throughout the Boston area. Kathleen has an undergraduate degree from the University of New Hampshire and an MBA from the Kellogg School at Northwestern.
Jeff joined Revel in early 2017 to define and lead the next strategic leap of the company. An experienced, innovation-centric CEO, Jeff leverages experience in health care and financial services technology to help the company meet the market where it is and where it is likely to be. Jeff is credited with several growth technology successes including the foundation of Storyworks1 (now Insite Software) and Evolution1 (now WEX Health), one of the first and most successful organizations to introduce consumer-driven healthcare account technology based on a software-as-a-service model. Jeff is passionate about customer experience methodologies, XaaS, population health initiatives, and modern software technologies. He holds a Bachelor of Science degree in Finance and Management from Drake University. A Minnesota native and Eagle Scout, Jeff and his family are enthusiastic about connecting with nature, outdoor sports, travel and great food.
Kena Hahn Director Medicare Stars & Health Improvement
Health Alliance Medical Plans
Kena Hahn is the Director of Medicare Stars and Outpatient Care Coordination for Health Alliance, a vertically integrated health system with Carle that provides coverage to Illinois, Indiana, Iowa, and parts of Washington. Prior to this Kena served in a variety of roles in ambulatory clinic operations with a focus on process improvement and overall patient experience. She brings over 15 years of experience in the healthcare field with focus on patient/member experience and process improvement. In her current role, Kena has responsibility for the facilitation and coordination of the Star Ratings program for Health Alliance’s Medicare Advantage products as well as oversight for all Outpatient Care Coordination teams at the health plan. In addition to her Bachelor of Science degrees in Biology and Marketing, Kena also has her Master’s in Health Administration degree. The ultimate vision she has for the Stars program is to utilize predictive analytics in conjunction with collaboration from the entire health plan organization and provider partners to reach and sustain a five star rating for our Medicare Advantage products.
Ana Handshuh, Principal at CAT5 Strategies, is a government programs executive with expertise in creating and implementing corporate programs for the healthcare industry. Her background includes Quality, Core Measures, Care Management, Benefit Design and Bid Submission, Accreditation, Regulatory Compliance, Revenue Management, Communications, Community-based Care Management Programs and Technology Integration. Ms. Handshuh currently serves on the Board of the Resource Initiative and Society for Education (RISE), the preeminent national professional association dedicated to managed and accountable care financing and delivery. She is a sought after speaker on the national healthcare circuit in the areas of Quality, Star Ratings, Care Management, Member and Provider Engagement, and Revenue Management. Her recent consultancy roles have included assisting organizations create programs to address the unmet care management needs in the highest risk strata of membership, document their processes and procedures, achieve accreditation status, design and submit government program bids, institute corporate-wide programs and create communications strategies and materials. She possesses sophisticated business acumen with the ability to build consensus with cross-functional groups to accomplish corporate goals. Ms. Handshuh served as the Vice President of Managed Care Services at Central Florida Inpatient Medicine (CFIM). In this role, she provided leadership and strategy on CFIM projects and collaborations with physicians, risk entities, hospital health care systems, and health plans. CFIM is the largest Hospitalist group in Central Florida, with 70 providers discharging over 50,000 patients annually from multiple hospitals across two health care delivery systems and 24 skilled nursing facilities. At CFIM Ms. Handshuh previously served as the Vice President of Operations. Prior to those assignments, she worked with Precision Healthcare Systems as their Vice President of Quality Improvement. In that capacity, she led the IPA’s Quality efforts and collaborated with payers on implementing programs to move the needle on Quality and Star Rating initiatives. Ms. Handshuh also served as the Director of Corporate Program Development at Physicians United Plan. In this role, she led the Quality Management and Corporate Communications departments and spearheaded the development of innovative integrated technology solutions to drive business excellence and Star Rating achievement initiatives. For the past fifteen years Ms. Handshuh has taken an active role in redefining and implementing changes that have led to improvements and greater efficiency within Government programs and healthcare delivery. Prior to joining Physicians United Plan Ms. Handshuh was the founder of I-Six Creative. Under Ms. Handshuh’s vision and leadership, I-Six Creative provided expertise in the areas of managed Medicare benefit design, MSO/IPA operations, provider network strategy, new market launches, technology integration, corporate communications and quality improvement.
Sara Hansen is the Manager of Risk Adjustment Clinical Operations for Avera Health Plans in Sioux Falls, S.D. Drawing from her background in Psychology and Health Education, Sara aims to align Risk Adjustment initiatives to support quality improvement, care management, and member engagement. Prior to joining Avera Health Plans in 2016, Sara spent 8 years as a Health Educator at Avera McKennan Hospital & University Health Center, focusing on a whole-person approach to Population Health. Sara enjoys working with providers and members alike to tackle care gaps as a team. In addition to a Bachelor's degree in Psychology, Sara holds a Master's degree in Exercise Science. In her free time, Sara enjoys spending time with her husband of 15 years, Chad, and their sons, Isaac (13), Cayden (11), and Easton (8), and one daughter, Grace (6).
MA, Executive VP of Enterprise Accounts and Strategic Partnerships
Kent Holdcroft MA, Executive VP of Enterprise Accounts and Strategic Partnerships
Kent joined AdhereHealth in 2013, bringing over a decade of operational, consulting, and business development experience for the healthcare technology industry. Kent’s leadership at AdhereHealth includes business development, strategic partnerships and product strategy.
Kent came to AdhereHealth following multiple successes with AIM Healthcare (now a part of Optum, a United Health Group, Inc. company), rising to National Director as it expanded into new markets. Kent was a key player in Optum’s growth strategy representing solutions for both providers, managed care and government entities.
Actively involved in the community, Kent currently serves on the Board of Directors at BrightStone, Inc., and as a Stephen Minister. Kent holds a BA in Psychology from the Miami University and a MA in Counseling from The University of Toledo.
Sharalee Johnson has over 19 years of healthcare experience, including eight years of management experience in HEDIS®/Risk Adjustment operations with a large, multi-state health plan. Sharalee began her career in a clinical setting, which then transitioned into Quality Management roles with experience in Medicaid, Medicare, and Commercial populations.
Prior to joining Pulse8, Sharalee’s most recent role included direct oversight for HEDIS®/Retrospective Risk Adjustment data collection, year-round Interventions, and strategic planning for Molina Health Care of Utah and Molina Healthcare, Inc. During her role with Molina Healthcare, Inc., she oversaw the development and implementation of the internal risk adjustment coding platform and chart retrieval repository for the Risk Adjustment and Quality Departments.
Sharalee is a Registered Nurse, with extensive training in Women’s Health and Quality Management, including HEDIS®, STARS, Interventions, and Risk Adjustment. Sharalee earned a BS in Nursing from Brigham Young University.
Tamara Matos Stars Market Operations South Region Director
Cigna-HealthSpring of Florida
I have been working in the health care industry since 2005. I have had exposure to numerous operational and administrative positions. These prior experiences was a great preparation that leads me to focus on my passion that is Star Ratings, HEDIS and Quality Improvement. I have been lucky enough to work in this field since 2011. My mission is to support and lead operational activities to reflect the true of the excellent quality of care we provide. I have been dedicated to increase our organization’s overall Star Ratings to the Medicare’s highest rating (5 Stars) and the Part C and D Star Ratings measures to above average and excellent levels by strongly focusing on the members’ needs and controlling aspects of care within our control.
Kevin Mowll is responsible for building and driving the RISE association, creating a better value for members, creating education and training, industry collaboration, as well as expanding and enhancing our conference offerings.
Prior to joining RISE, Kevin was Vice President for Senior Products with the Tufts Health Plan in Boston. He was responsible for sales, marketing, product development, business performance and strategic planning for the strategic business unit that had annual revenues of $1 B. Kevin has a diverse background and an expertise in Medicare health plans. His expertise centers on: • Consumer‐driven product design and value segmentation • Growth‐oriented product development and implementation • Market‐based sales strategy and execution • Strategic planning and business development • Optimization of sales channel distribution models
Earlier, Kevin was the Vice President, Medicare Products, for Capital District Physicians’ Health Plan in Albany, New York, when the Medicare Advantage membership grew from 12,000 to 30,000, including both individual and group retiree business. This growth was achieved through product portfolio and geographic expansion, development of the sales and distribution system and other strategic initiatives. Originally, from Southern California, Kevin worked for both PacifiCare Health Plans and CIGNA Healthplans. At PacifiCare (acquired in 2005 by United Healthcare), Kevin led the development and launch of multiple products and conducted service area expansions for health plans, led a multi‐functional national franchise team for start‐up Medicare health plans, and ran the California business unit provider network management department. At CIGNA, Kevin was the healthcare center administrator of staff model offices in Long Beach and Torrance, California, as well as regional manager, and Regional Director for IPA model plan development. A speaker at national conferences on Medicare Advantage business themes, Kevin has also chaired several events. He founded a professional social networking group on LinkedIn called Medicare Advantage Healthplan Colleagues, focused on educating and sharing best practices by developing a virtual community with shared interests and concerns. The group attracted over 18,000 members from across the country.
Kevin is married and has three adult children, and now lives in the Santa Barbara area in California.
SVP, Government Programs and Strategic Initiatives
Sara Ratner SVP, Government Programs and Strategic Initiatives
Sara is currently the Senior Vice President, Government Programs and Strategic Initiatives at Revel Health. Previously, Sara was the CEO of HealthEHR where she helped venture-backed organizations develop Medicare and Medicaid program strategies for emerging markets leveraging CMS and state frameworks to generate opportunities for program development and expansion. Sara has also served as Senior Vice President, Corporate Systems and Compliance at RedBrick Health, President of NeoPath Health, and as General Counsel, VP of Strategic Partnerships and Human Resources at CVS CareMark (MinuteClinic division). Sara serves on several Boards of Directors, including Proximal Health, a venture-backed health insurance company that she co-founded; she has also previously served on other for-profit and nonprofit Boards of Directors. Throughout her career Sara has received notable awards such as the Business Journal Top 25 Women to Watch, Top 40 under 40, and was named part of Twin Cities Business Real Power 50. She earned a B.A, cum laude, from Washington University in St. Louis, and her J.D. from St. Louis University graduating magna cum laude.
Jim Techtmann Senior Vice President, Entertainment Health Team Jim has over 20 years’ experience in developing customer engagement solutions that help clients drive valued behavior and engagement with their brands. He has spent the last 10 years honing his expertise in healthcare and designing solutions that reward prevention and wellness activities.
Jim partners with clients, in multiple verticals, to understand their member lifecycle and build solutions that support their goals. His solutions are fueled by Entertainment®’s best-in-class offers, which are selected based on the lifestyles, geographies and demographics of the target audience. Jim helps shape these offers into print, online, and mobile programs for acquisition, loyalty, retention and to reward desired behaviors.
Our primary focus is helping plans support their members to take more ownership and make better decisions on their health and wellness. In the Medicare space, our team focuses on offers and delivery methods that work best with the senior demographic. Jim has helped Medicare Advantage companies reach a variety of goals, including strategically rewarding wellness visits and preventative screenings. Improvements like these can lead to higher Star Ratings and increased bonus payments & rebates for clients, and healthier lifestyles and program satisfaction for their members.
Dr. Ally Thomas is the Director of Medicare STARs within the Business Transformation Office. Utilizing her expertise in data analytics, measurement and accountability systems, she aims to drive quality improvement in Medicare to achieve a 4.5 STAR rating for the UPMC Health Plan and influence healthcare policy decisions for CMS STAR rating programs. Although new to the healthcare industry, Dr. Thomas brings a unique skill set from her experience as a measurement scientist and researcher in education and psychology. Most recently, in her role at the Learning Research and Development Center at the University of Pittsburgh, she worked with a team of researchers and the Tennessee Department of Education to develop a measurement system to drive math instructional improvement across the state of Tennessee. Dr. Thomas continues her academic work at the University of Pittsburgh as an instructor in the Ed.D. program where she teaches students how to use data analytics to drive improvement in their organization. Dr. Thomas received her Ph.D. in Educational Psychology with a specialization in Quantitative Methods in Education and Psychological Research from the Graduate Center, CUNY. As well as her M.A. in Psychology from San Diego State University and her B.A. in Psychology from Biola University.
Kurt Waltenbaugh is a serial entrepreneur with a career focused on the consumer: using data to predict and influence behavior. Understanding consumer behavior, Kurt has built successful analytic solutions, products and companies in the health care, retail, education, and credentialing industries.
His previous companies were sold to Oracle and Pearson Education. Most recently, Kurt was responsible for product strategy at Optum, Inc. (UnitedHealth Group), building data analytic businesses for the provider, payer and employer markets.
When not working with customers, Kurt is with his wife, guiding their three children toward adulthood, and planning their next winter camping trek into Minnesota's Boundary Waters (BWCAW).
Daniel Weaver is an established leader with extensive experience developing and implementing intervention strategies to improve Medicare Stars performance. With demonstrated success through innovative programs, Daniel led a Stars Quality team at Highmark for 6 years where they consistently delivered market-leading performance and forward-thinking engagement with providers and members. Daniel moved to Gateway Health Plan to helpan underperformingDSNP planachieve4 Stars, boost Quality Improvement performance across multiple State pay for performanceprograms, andexpand Risk Adjustment programs.
Ashby Wolfe Chief Medical Officer, Regions VIII, IX & X
CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS)
Dr. Ashby Wolfe is a board-certified family physician and servesas co-Chief Medical Officer for Regions 8, 9 and 10 of the Centers for Medicare & Medicaid Services (CMS). Dr. Wolfehas been based in the San Francisco Regional Office since 2015, and now also supports the Denver and Seattle Regions in her focus on the implementation of Medicare and Medicaid policy across the Western States and the Pacific Territories (AK, ID, OR, WA, AZ, CA, HI, NV, CO, MT, ND, SD, UT, WY, Guam, American Samoa, and the Commonwealth of the Northern Mariana Islands). As a senior medical advisor for CMS programs in the Western Region, she provides clinical expertise to the divisions of Medicare and Medicaid payment policy, quality improvement, survey & certification, contracted health plans and serves as the principle liaison with the clinical community.
Dr. Wolfe completed her medical degree at Stony Brook School of Medicine in New York, and her residency training at the UC Davis Medical Center in Sacramento, California. She also holds a Masters of Public Policy and a Masters of Public Health from the University of California, Berkeley. Dr. Wolfehas practiced broad-scope family medicine in academic, integrated and community clinical settings over the course of her career and holds a particular interest in improving the quality and equity of care for underserved and low-income populations. She has published multiple articles on Medicare and Medicaid policy, and is a contributing author of the public health text, Prevention is Primary (Jossey-Bass).