2019 Speakers

Priority Health

Jennifer Cobb

Manager 5-Star Quality
Tufts Health Plan

Debra A Corbett

Program Director, Senior Products Clinical Services Strategy
Johns Hopkins HealthCare

Damien Doyle, MD/CMD/FAAFP

Medical Director, Medicare Advantage MD / USFHP
Commonwealth Care Alliance

Lauren Easton

Senior Director, Behavioral Health
Harvard Pilgrim Health Care

Noreen Hurley

Program Manager, Star Quality & Performance
Florida Blue

Aldiana Krizanovic, MPH, CPH

Senior Health Policy Consultant for Federal Government Relations
Martin’s Point Health Care

KAREN MANNING

Director Strategic Quality Programs, Interim Director Medicare Revenue Operations
RxAnte

Kerri Petrin

Vice President, Client Services
Priority Health

Reva Sheehan

Sr. Improvement Specialist – Medicare Quality
UCare

Rachel Sterner

Stars Program Manager
SCAN Health Plan

Donna Sutton

Healthcare Informatics, Director of Medicare Star Quality Programs
Gateway Health, Highmark

Dan Weaver

Vice President, Stars Quality, Formerly Director of Program Management, Government Business, Quality Improvement
Speakers Biographies


Saeed Aminzadeh

CEO
Decision Point Healthcare Solutions

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.

Damien Doyle, MD/CMD/FAAFP

Medical Director, Medicare Advantage MD / USFHP
Johns Hopkins HealthCare

Dr. Doyle is a board certified Family Practice and Geriatrics physician. He completed his undergraduate and medical school training at the University of Wisconsin – Madison before pursuing a Family Medicine residency at the University of North Carolina Chapel Hill program in Greensboro and a Geriatrics Fellowship at Wake Forest University in Winston-Salem, North Carolina. After moving to the Washington DC area in 2001, he was in private practice in Northern Virginia for several years before moving to the Hebrew Home of Greater Washington in 2003. He directed the outpatient clinics and assisted living facility at Hebrew Home until 2008 when he assumed the role of Medical Director of the Hebrew Home campus. In 2011 he became Medical Director of Evercare MidAtlantic (now Optum Health) overseeing care of enrollees in over 65 facilities in Maryland, Washington DC and Virginia in addition to a large and growing community based program. In September of 2015 he moved to Johns Hopkins HealthCare LLC to help implement and oversee the new Medicare Advantage MD program. He continues to see geriatrics patients at the Landow House Assisted Living Facility of Hebrew Home.

Dr. Doyle has been involved in numerous advanced care protocols and has served on the regional boards of the American Geriatrics Society and the American Medical Directors Association. He has been involved in numerous state-wide initiatives including the Governor’s task force on Health Information Exchange, the Maryland Medical Orders for Life Sustaining Treatments and the Transitions in Care Initiative. He was a clinical professor of Geriatrics at both Georgetown University and the George Washington School of Medicine and actively involved in the training of Geriatrics professionals. His main areas of interest include Geriatric Psychiatry issues, quality of life measures and improvement in transitions of care outcomes.

Noreen Hurley

Program Manager, Star Quality & Performance
Harvard Pilgrim Health Care

Noreen has spent her career in the healthcare arena. She blends operational, strategic and technology perspectives as well as payer and provider expertise to lead major initiatives and strategies. She started in hospital operations and was Director of the Admitting & Registration department in the New England Deaconess Hospital, a Harvard teaching hospital in Boston. Transitioning to IT, she implemented the EMPI (Enterprise Master Patient Index) when the Deaconess merged with the Beth Israel Hospital to form what is now the Beth Israel Deaconess Medical Center. From there she moved to the vendor world and ran implementations of EMPI's, HL7 integrations and HIPAA EDI transactions for SeeBeyond Technologies.
Most recently, she has focused on the payer space. She started and oversaw the Star program at Tufts Health Plan, as well as working in IT, developing a senior products PMO and managing the member call center. Moving back to technology, she developed data driven solutions in the healthcare space while working at Informatica. Her current role is developing the Star program at Harvard Pilgrim Health Care, which has recently re-entered the Medicare Advantage market. As a leader in the Clinical Informatics Division, the program focuses on leveraging non-traditional data and analytics to craft targeted initiatives to improve performance in the Star program and the Harvard Pilgrim Stride product

Reva Sheehan

Sr. Improvement Specialist – Medicare Quality
Priority Health

Reva Sheehan, Sr. Improvement Specialist in Medicare Quality at Priority Health. With over 10 years in healthcare, Reva has overseen operations of several long term care pharmacies and compound labs prior to joining the Senior Markets team at Priority Health where she transitioned from Part D Pharmacy Operations to Medicare Quality.

Rachel Sterner

Stars Program Manager
UCare

Rachel Sterner, MPH has almost 10 years of extensive knowledge and experience working in Minnesota’s quality landscape, both on the government and payer side. She has experience improving health outcomes for individuals in a variety of insurance types including Medicare, Medicaid, Dual- Eligible, and Special Needs. As the Stars Program Manager at UCare, Rachel has responsibility for the facilitation and coordination of the Star Ratings program for UCare’s five Medicare Advantage and Dual Eligible products.

In addition, she plays a significant role in working with UCare’s provider network on joint ventures aimed towards increasing ratings. UCare’s Medicare offerings include: UCare Medicare (Medicare Advantage), Minnesota Senior Health Options (MSHO) which is a D-SNP plan combining Medicare and Medical Assistance benefits/services to low income seniors, EssentiaCare (Medicare Advantage) between Essentia Health (local care system) and UCare, Connect + Medicare (Special Needs Basic Care) combines benefits /services of Medicare and Medical Assistance for individuals with certified disabilities aged 18 to 64, and UCare Medicare with Fairview and North Memorial (Medicare Advantage) between UCare and two local care systems. Rachel has been a key contributor in increasing UCare’s MSHO Star Rating to 4 Stars and maintaining 4.5 for UCare Medicare.

Lauren Easton

Senior Director, Behavioral Health
Commonwealth Care Alliance

For over a decade, Lauren Easton, LICSW, has served as a Behavioral Health leader for Commonwealth Care Alliance (CCA). Over the years and in various roles, Lauren has been largely responsible for developing CCA's behavioral health integration across its care models, for creating a responsive network, and for creating many innovative programs, including CCA’s Crisis Stabilization Units. Lauren embraced the integration of behavioral health and medical care long before the concept became "trendy." She has made behavioral health integration a hallmark of program development throughout her professional life.
In her current role, Lauren is responsible for the oversight of CCA's behavioral health services, delivered through its network of behavioral health providers and internal behavioral health specialists to CCA's 22,000+ members. She is responsible for assisting clinical leadership in improving the level of integration of Primary Care and behavioral health services for CCA members and for guiding network development, cost management, and quality improvement activities. She oversees the Behavioral Health development and expansion of the One Care program and Senior Care Option Program, paying particular attention to the significant mental health needs of this population.
Lauren holds a master's degree from Simmons College School of Social Work. She also attended Boston University and the University of Massachusetts, where she completed a double Major in psychology and education.

Donna Sutton

Healthcare Informatics, Director of Medicare Star Quality Programs
SCAN Health Plan

Donna received her MBA from the University of Southern California (USC) and is a Certified Master Black Belt in Six Sigma. She has over 14 years of experience managing and conducting process improvement projects. Her most recent experience prior to SCAN includes various process improvement roles at OptumInsight and OptumRx. Her responsibilities at SCAN include managing the deployment of and providing oversight over SCAN's 5 Star programs and interventions.

Jennifer Cobb

Manager 5-Star Quality
Priority Health

Masters-level professional working in managed care for over 10 years. I’m a motivated, annoyingly positive, loyal and hardworking collaborator at heart. I’m passionate about building business acumen and helping my peers learn while continuing my own education. Bringing out the best in others is what brings out the best in me!

Debra A Corbett

Program Director, Senior Products Clinical Services Strategy
Tufts Health Plan

Debra A Corbett is the Program Director for Senior Products Clinical Services Strategy for Tufts Health Plan, a multi-year 5 CMS Star Plan. In that capacity, she manages a number of Clinical Stars Quality Improvement Campaigns as well as the Chronic Care Improvement Program (CCIP), Performance Improvement Projects (PIP) and Quality Improvement Projects (QIP) and the Dual Special Needs Program (SNP) Model of Care. Ms. Corbett has more than 20 years of experience in the managed care industry; serving predominately as senior administrator for quality and/or care management in several Health Plans. She has also provided consultation services for more than 10 years.

Dan Weaver

Vice President, Stars Quality,
Gateway Health,
Formerly Director of Program Management, Government Business, Quality Improvement,
Highmark

Daniel Weaver is an established leader with extensive experience developing and implementing intervention strategies to improve Medicare Stars performance. With demonstrated success with innovative intervention programs, Daniel's team has consistently delivered market-leading performance and forward-thinking engagement with providers and members.

Karen Manning

Director Strategic Quality Programs, Interim Director Medicare Revenue Operations
Martin’s Point Health Care

Karen Manning is the Director Strategic Quality Programs and Medicare Revenue Operations for Martin’s Point Health Care in Portland Maine. She is a Registered Nurse with 20 years of healthcare experience, spending the last 8 years working in managed care. Her responsibilities include Quality Improvement, HEDIS, Stars, Accreditation, Quality of Care and Delegation Oversight. She is also responsible for Medicare Revenue work, including Retrospective, Prospective, Quality and Compliance. This has presented an opportunity to create strategic integration between quality and revenue functions in the organization.

Karen has experience with Medicare, USFHP, Medicaid, SNP and Commercial lines of business. Her interest is in developing high performing teams and implementing quality improvement initiatives for key performance indicators. This work has resulted in the achievement of a 5 Star Rating from CMS and Excellent Accreditation from NCQA.

Kerri Petrin

Vice President, Client Services
RxAnte

Ms. Petrin handles the strategic management of RxAnte’s portfolio of client accounts, serving as an expert on client issues; she leads a team focused on the development and deployment of RxAnte’s products and services.

Ms. Petrin previously worked as a Project Officer for the Beacon Community Program at the Office of the National Coordinator for Health IT, leading a data and performance measurement program. She also held roles at The Brookings Institution and the Puget Sound Health Alliance.

Ms. Petrin holds a Master of Public Health degree from the University of Washington and a Bachelor of Science from Duke University.

Aldiana Krizanovic, MPH, CPH

Senior Health Policy Consultant for Federal Government Relations
Florida Blue

Aldiana Krizanovic is the Senior Health Policy Consultant for Federal Government Relations at Florida Blue. In her prior role she served as a Health Policy Analyst for the Florida Blue Center for Health Policy. She holds a Master's in Public Health with a concentration in Health Policy from the University of North Florida. She specializes in Medicare regulation, with a focus on Medicare Advantage and Part D. In her role she monitors and analyzes Medicare regulatory changes and their impact to the business. Aldiana is passionate about advancing development of health policy that improves access to care for vulnerable populations, decreases cost of care, and improves individual's quality of life. She serves as an advisor to the Age-Friendly Public Health System Advisory Committee led by Trust for America's Health and the John A. Hartford Foundation.