2022 All-Star Speakers

Medical Mutual of Ohio

Laura Adams, MBA

Director, Medicare Stars
Decision Point Healthcare Solutions

Saeed Aminzadeh

Chief Executive Officer
SelectHealth

Kim Barrus

Director, Clinical and Outcomes Management
Priority Health

Samantha Bartholomew

Stars Program Specialist
Boston Medical Center HealthNet Plan/Well Sense Health Plan

Molly Bonneville

Senior Market Research Analyst
Icario

Cory Busse

VP, Engagement Strategy & Client Success
Wakely Consulting Group, an HMA Company

Christina Byrne, ASA, MAAA

Consulting Actuary
Brown & Toland Physicians

Dr. Shannon I. Decker, M.Ed., M.Ed., MBA, MBA, PhD.

Vice President, Clinical Performance
Kaiser Permanente Northern California

Lynn Deguzman, Pharm.D., BCGP

Regional Clinical Operations Manager
Commonwealth Care Alliance

Lauren Easton

Vice President of Innovations
Clover Health

Julianne Eckert RN BSN, CCM, CMCN, ACMP

Director of Quality Improvement
Icario

Aanchal Falken

Vice President, Strategy & Business Development
UCare

Jamie Galbreath, PhD, MPH, CHES

Quality Improvement Associate Director
Medical Mutual of Ohio

Mark E Halford, MBA

Senior Government Programs Data Analyst
Amplifon Hearing Health Care

Josh Hoover, CEBS,

Regional Sales Leader
Healthy People

Katharine Iskrant

President
Health Alliance Medical Plans

Haley Kesler

Star Rating Manager
Health Management Associates

Linda Lee

Managing Principal
McKinsey & Company

Monisha Machado-Pereira

Senior Partner
Network Health

Mallory Mueller

Director Quality Health Integration
DUOS Living Inc

Devraj Mukherjee

SVP, Revenue
Healthmine

Dwight Pattison

Vice President of Consulting & Professional Services
Healthmine

Cynthia Pawley-Martin

Senior Consultant
Wakely Consulting Group, an HMA Company

Ann Pogrebitskiy, ASA, MAAA

Associate Actuary
Icario

Sara Ratner

SVP, Government Markets & Strategic Initiatives
Cambia Health Solutions

Francie Shelton

Program Manager, Medicare Quality Incentive Program
Healthmine

Melissa Smith

Executive Vice President, Consulting and Professional Services
Healthmine

Kimberly Swanson

Senior Vice President of Consulting & Professional Services
Rex Wallace Consulting

Rex Wallace

Founding Principal
NationsBenefits

Daniel Weaver

Executive Vice President of Product Operations and Stars Strategy
Network Health

Josh Weisbrod

Vice President Risk Adjustment
Gateway Health

Sarah Winski

Director of Clinical Quality Services for HEDIS
Novillus

Brent Zenobia, Ph.D.

Chief Strategist
Speakers Biographies


Laura Adams, MBA

Director, Medicare Stars
Medical Mutual of Ohio

Laura is Director of Medicare Stars at Medical Mutual of Ohio. She is responsible for the oversight and overall Stars strategic plan to ensure a four plus Star rating. Laura holds an MBA and a Bachelor of Education in Community Health. She has also earned a Six Sigma Black Belt Certificate.

Saeed Aminzadeh

Chief Executive Officer
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.

Kim Barrus

Director, Clinical and Outcomes Management
SelectHealth

Kim is a registered nurse who received her Bachelor of Science in Computer Information Systems from Columbia College of Missouri, and her Bachelor of Science in Nursing and Master of Science in Nursing from Western Governors University. She also maintains a Project Management Professional (PMP) certification from the Project Management Institute (PMI).

Kim Barrus began her career with SelectHealth 26 years ago and has worked in a variety of capacities in that time. She developed the SelectHealth Advanced Primary Care (a.k.a., patient centered medical home) program and supporting department. Kim facilitated the initial pilots of the program in 2010. Today the program has 1,240 participating providers at 222 participating clinics. Kim is currently the Director of Clinical Outcomes Management and has oversight for quality, medical home, NCQA accreditation, HEDIS and CMS Stars.

Mallory Mueller

Director Quality Health Integration
Network Health

Mallory provides clinical leadership in the quality department over various population health and quality programs including condition management, wellness, NCQA, HEDIS, clinical appeals review, and Stars. In addition, Mallory works with the clinical integration team to ensure members are receiving the right care at the right place and the right time.

Mallory graduated from UW-Green Bay and is a registered nurse with background in long term care and nursing administration. She lives in the Fox Valley with her husband and three children. She enjoys reading and spending time watching her kids sporting events

Devraj Mukherjee

SVP, Revenue
DUOS Living Inc

Sarah Winski

Director of Clinical Quality Services for HEDIS
Gateway Health

Brent Zenobia, Ph.D.

Chief Strategist
Novillus

Brent Zenobia is Chief Strategist for Novillus, a Portland-based startup focusing on innovative Risk Adjustment and Stars solutions for healthcare organizations. He has been part of the HL7/FHIR Da Vinci Project since 2018 and serves as a subject matter expert for several Da Vinci implementation guides including Risk Adjustment. Brent has been named as a Da Vinci Community Champion for 2021. He holds a Ph.D. in Systems Science/Engineering Management and MS in Software Engineering with over 37 years of experience in Medicare and ACA risk adjustment, Medicare Stars, quality metrics, value-based payment arrangements, and software engineering. Prior to Novillus he has served as Medicare and ACA business architect for Cambia Health Solutions, process improvement specialist for Sharp Labs and Intel, and taught numerous graduate courses in technology management for OHSU and Portland State University.

His adoption forecast for Da Vinci will be published at the peer reviewed PICMET 2022 conference in August.

Jamie Galbreath, PhD, MPH, CHES

Quality Improvement Associate Director
UCare

Jamie Galbreath is the Quality Improvement Associate Director for UCare where she provides oversight and manages the HEDIS chart abstraction team, NCQA Accreditation (both Health Plan and Health Equity Accreditation), Star Ratings (Medicare, Marketplace and Medicaid), and regulatory quality improvement projects. Additionally, she leads clinical and public health performance improvement projects designed to improve member health outcomes.

Jamie has received her doctorate in Public Health with a specialization in Community Health Promotion and Education from Walden University. She also has her Master’s degree in Public Health from Walden University and Bachelors of Science degree in Community Health Education from the University of Minnesota Duluth. She has completed a certificate program from St. Thomas University in Health Care Management. Further, she is a Certified Health Education Specialist and a member of the Minnesota Society for Public Health Education and the Minnesota Public Health Association. Jamie has almost ten years of health care industry work experience and 18 years of experience working in the mental health and substance use field.

Mark E Halford, MBA

Senior Government Programs Data Analyst
Medical Mutual of Ohio

Mark Halford is the Senior Government Programs Data Analyst at Medical Mutual of Ohio where he works on quality standards and Stars projections and calculations. His past experiences include business intelligence, behavioral analysis, product pricing and design, and strategic modelling in the property & casualty industry as well as the arts. He holds an MBA from Lake Erie College.

Josh Hoover, CEBS

Regional Sales Leader
Amplifon Hearing Health Care

Josh Hoover, CEBS, is the West Coast Regional Sales Leader at Amplifon Hearing Health Care. One of his primary areas of focus is helping health plans transition their hearing coverage from manufacturer- driven “check-the-box” plans to plans that address hearing loss comorbidities and drive member satisfaction. Before joining Amplifon, Josh spent seven years at EPIC Hearing Healthcare, now United Hearing Benefits, as Director of Sales. He earned a BA degree in marketing management from the University of St. Thomas and his Certified Employee Benefit Specialist (CEBS) designation from the Wharton School of Business. A resident of the Minneapolis area, Josh currently serves as Vice President of the Twin Cities Chapter of the International Society of Certified Employee Benefit Specialists (ISCEBS).

Katharine Iskrant

President
Healthy People

Katharine is the President of Healthy People, an NCQA-licensed HEDIS audit firm and CMS Data Validation firm. She is a member of NCQA’s Audit Methodology Panel and NCQA’s HEDIS Data Collection Advisory Panel. Katharine has been a Certified HEDIS® Compliance Auditor since 1998 and has directed more than two thousand HEDIS audits.

Previously, as CEO of the company Acumetrics, Katharine provided consultancy services to NCQA which helped their initial development and eventual launch of the NCQA Measure Certification Program.

Katharine is a frequent speaker at HEDIS conferences, including NCQA’s Healthcare Quality Congress and RISE HEDIS conferences. She is featured on an NCQA podcast, discussing the HEDIS Electronic Clinical Data System Measures: https://blog.ncqa.org/inside-h...

She received her BA from Columbia University and her MPH from UC Berkeley School of Public Health. She is a member of the National Association for Healthcare Quality and is published in the fields of healthcare and public health.

Julianne Eckert RN BSN, CCM, CMCN, ACMP

Director of Quality Improvement
Clover Health

Julianne Eckert is the Director of Quality Improvement at Clover Health, a healthcare company using technology to improve health outcomes, where she is responsible for creating an organizational data driven innovative strategy that breaks the traditional model of healthcare to make it easier for providers and patients to deliver and receive healthcare.

She has spent her life using her personal and career experiences to help drive her mission as a patient advocate by driving health plan quality improvement strategy to prevent vulnerable populations from falling through the cracks by designing data and forward thinking programs that enable patients to easily navigate the complex matrices of healthcare and insurance. As a Registered Nurse (RN), daughter, mother and friend, she has seen first hand how people find it difficult in understanding how to care for themselves in a way that helps optimize their health outcomes or understanding their insurance benefits. She understands and has worked closely in designing strategies that bring care to patients in an easy and consumable format which breaks the traditional model of the patient seeking out the doctor for care. While her focus is on preventative care and ensuring safe and successful transitions through the care continuum, she also heavily focuses on improving patient experience with their health plan, providers and the services that they receive.

She understands that there is no single strategy that works for everyone and may even look different from one county to the next, so she continues to drive herself and her teams using root causal analysis and data driven insights to better understand populations and their unique needs to provide the most comprehensive program that touches every patient, not just “most” patients. She has sweeping subject matter experience in CMS innovation models, Stars program, NCQA HEDIS/CAHPS, health equity, as well as, national and international leadership in driving laser focused strategies to improve health plan performance and member outcomes/experience.
>br> She received her Bachelor’s in Nursing at Barnes Jewish Goldfarb College of Nursing and is currently completing her MBA at University of Texas. She holds multiple certifications in Organizational Change Management, Case Management and also Managed Care. She is an avid mentor and career coach believing it is her mission to develop our next generation of leaders.

Julianne is currently in Austin, Texas where she lives with her husband raising their two young daughters.

Aanchal Falken

Vice President, Strategy & Business Development
Icario

Aanchal Falken is Vice President, Strategy & Business Development at Icario. She leads strategic innovation and collaboration with partners that help health plans to improve, simplify, & humanize the member experience. Prior to Icario, Aanchal was at Change Healthcare & McKesson driving strategic initiatives and partnerships. She also held senior leadership roles responsible for growth across a portfolio of products that serviced 100+ Health system/IDN/ACOs providing SaaS-based solutions for Health Information Exchange (HIE), Patient Engagement, and FHIR-based applications. She has an MBA from Harvard Business School with experiences spanning the financial services industry and various medical device & digital health start-ups technologies.

Lauren Easton

Vice President of Innovations
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.

Haley Kesler

Star Rating Manager
Health Alliance Medical Plans

Haley began her career with the vertically integrated Carle Health system eight years ago after receiving her B.S. in Health Administration from the University of Illinois at Urbana-Champaign. She has experience in data analytics, labor productivity and performance improvement on both the provider and health plan sides of the business.

In her current role, Haley serves as the Star Ratings Manager at Health Alliance Medical Plans, headquartered in central Illinois. She has oversight of the team responsible for developing and deploying innovative strategies that increase member engagement and elevate member experience for 62,000 members in the Midwest, North Carolina and Washington state.

Linda Lee

Managing Principal
Health Management Associates

With a proven track record of increasing quality metrics and improving Medicare stars ratings, Linda Lee ensures operational alignment for health plans – increasing efficiency and compliance and integrating regulatory requirements into day-to-day operations.

Linda has over 20 years of experience in the managed care industry. She joined HMA most recently from L.A. Care Health Plan where she was responsible for analyzing and improving Medicare performance and clinical operations for a Medicare Advantage Special Needs Plan (SNP) and Cal MediConnect duals demonstration project. She led an enterprise-wide program to evaluate and improve Medicare Part C and D star measures. Additionally, she conducted an analysis of performance measures including HEDIS, Consumer Assessment of Health Plan Provider and Systems (CAHPS), and Health Outcomes Survey (HOS) survey results, while identifying priority areas and implementing improvement plans.

With extensive knowledge of health plan clinical operations, Linda developed and implemented an integrated Medicare model of care that incorporated industry best practice care management models to improve member engagement and health outcomes. She oversaw product operations and strategic planning in the areas of Medicare Advantage applications, risk adjustment programs, and rapid cycle improvement projects for Medicare-Medicaid Plan (MMP), including reducing potentially avoidable events, improving long-term care claims timeliness, and reducing readmissions.

During her 12-year tenure at CalOptima, Linda coordinated the integration and communication of all activities associated with CalOptima’s quality improvement efforts. As an internal consultant to the management team, Linda worked collaboratively throughout the organization to promote evaluation and improvement of quality performance and outcomes. She led the organization in achieving its initial health plan accreditation by NCQA, improved HEDIS scores which received high performance recognition by the California Department of Health Care Services, and developed various member and provider quality improvement and incentive programs.

Linda received her master’s degree in public health and a bachelor’s degree in molecular biology from UCLA.

Monisha Machado-Pereira

Senior Partner
McKinsey & Company

Monisha Machado-Pereira is a Senior Partner and leader in McKinsey’s Social, Health, and Public entities practice, based in the Bay Area. She leads the firm’s Payor Practice and has served regional and national health plans, hospital systems, PE, and retail pharmacies across lines of business. Monisha focuses on helping players in the healthcare ecosystem navigate their changing landscape through M&A partnerships, growth, value-based care, and cross-channel innovation

Lynn Deguzman, Pharm.D., BCGP

Regional Clinical Operations Manager
Kaiser Permanente Northern California

Dr. Lynn Deguzman received her BS Chemistry/Biology from St. Mary’s College of California and Pharm.D. from the University of California SF School of Pharmacy. She has served as the Clinical Operations Manager at Kaiser Permanente Northern California since 2011. She leads the Pharmacy Medicare Stars program which includes the Medicare Part D Medication Therapy Management, Medication Adherence, SUPD, Pharmacy New Member and Polypharmacy/ Deprescribing.

She has been an active PQA and AMCP member and is on PQA’s Quality Metric Expert Panel and AMCP’s MTM Advisory Board. She was identified as a Technical Expert for the Center for Medicare Services (CMS) Medication Therapy Management (MTM) Technical Expert Panel (TEP) Member group. She was invited as a subject member expert member for the Lown Institute’s Polypharmacy project. She has collaborated with the Institute Healthcare Improvement (IHI) to share her work in Polypharmacy and Deprescribing.

Samantha Bartholomew

Stars Program Specialist
Priority Health

Sam is a Stars Program Specialist at Priority Health, headquartered in Grand Rapids, Michigan. In her role she is responsible for developing and executing on strategies that increase member engagement and enhance member experience for a population of more than 200k Medicare Advantage members. Sam is passionate about making the complex world of health care engaging and easy-to-understand for beneficiaries. She collaborates with teams across the organization to drive CAHPS scores and help members access the care they need, when and where they need it.

Molly Bonneville

Senior Market Research Analyst
Boston Medical Center HealthNet Plan/Well Sense Health Plan

Molly Bonneville is a seasoned Market Research professional with over 20 years’ experience working with Health Plan survey data. She uses data analytics to provides insight toward process and outcome improvement efforts. Her areas of expertise include Consumer Assessment of Healthcare Providers and Systems (CAHPS), Health Outcomes Survey (HOS), CMS Stars, and Member Satisfaction and NPS Scoring. Molly received her Bachelor of Science in Business Administration from Becker College in Massachusetts.

Cory Busse

VP, Engagement Strategy & Client Success
Icario

Cory Busse is Vice President, Engagement Strategy & Client Success at Icario. With 20 years of healthcare industry experience, Cory helps health plans optimize (and maximize) engagement with hard-to-reach member populations to improve quality, enhance member satisfaction and manage costs. Prior to Icario, Cory was a senior leader at health tech firm DrFirst, where he helped make patient health data more available and actionable for practitioners. He has also held senior leadership positions at Prime Therapeutics, Blue Cross Blue Shield of Minnesota, ARKRAY and MGI Pharma.

Christina Byrne, ASA, MAAA

Consulting Actuary
Wakely Consulting Group, an HMA Company

Christina Byrne works in the Tampa office of Wakely Consulting Group, LLC, an HMA Company. Christina joined Wakely in 2016. She specializes in supporting the submission of Medicare Advantage/Prescription Drug Plan Bids that project medical and pharmacy expenses for pricing and premium development. This includes analyzing detailed claims experience, performing trend analyses, and management of Medicare Plan Benefit Packages (PBPs). Her other experience lies in model development, Employer Group Waiver Plan pricing, evaluation of unpaid claim liabilities, and financial statement filings for managed care entities. Christina’s recent work has been focused on developing and managing Wakely’s suite of HEDIS products along with other internal quality initiatives.

Dr. Shannon I. Decker, M.Ed., M.Ed., MBA, MBA, PhD.

Vice President, Clinical Performance
Brown & Toland Physicians

Dr. Shannon Decker is Vice President of Clinical Performance at Brown and Toland where she leads a department responsible for Clinical Quality Documentation (Risk Adjustment); Clinical Quality, Patient Experience & Population Health; Clinical Oversight, including Appeals & Grievance; Clinical Data Management; and Clinical Assessment & Education. She also serves as Brown & Toland's COVID-19 Taskforce leader. Dr. Decker has more than 20 years of experience in healthcare--15 of which include working with risk adjustment and Medicare. Dr. Decker has a PhD. in Interdisciplinary Studies, dual MBA degrees--in Finance and in Marketing, as well as an M.Ed. in Secondary Education and a M.Ed. in Administration and Leadership. Dr. Decker is on the faculty at Arizona State University and is also an associate professor of Higher Education & Adult Learning (HEAL) and chief methodologist for Walden and Capella Universities where she chairs and oversees the dissertations of doctoral students. An author of two books and several peer-reviewed articles, and a prolific national public speaker, she consults in both the fields of healthcare and education. Her interests include the study of human behavior and how theories on motivation and learning may be brought to bear on population health management.

Rex Wallace

Founding Principal
Rex Wallace Consulting

Rex Wallace is a Medicare Star Ratings expert and the founding principal of Rex Wallace Consulting, LLC (RWC), a firm focused on helping Medicare Advantage health plans achieve higher Star Ratings, operational excellence, and more meaningful engagement with members, providers, and employees

Daniel Weaver

Executive Vice President of Product Operations and Stars Strategy
NationsBenefits,

Daniel Weaver is the Executive Vice President of Product Operations and Stars Strategy at NationsBenefits, with nearly 25 years of experience in Operations and Star Ratings strategy. Daniel most recently served as VP, Government Quality Programs at Gateway Health, where he led the company to its first 4.5 Star Rating and an improved Medicaid NCQA Accreditation rating. In his career, Dan has overseen the development and implementation of many analytics-driven and customer-focused programs, and he advocates for continuous improvement and operational excellence philosophies for sustained success. In his new role with NationsBenefits, Daniel will drive strategic planning, facilitate execution, oversee product financial performance, manage operational performance across all products, and ensure strong internal controls are in place to enable efficiency in the growth of the business. Daniel will also help drive prospective and retrospective investigation into quality outcomes and customer engagement across the company’s distinct benefit management programs while continuing to innovate new solutions for health plan partners focused on growth and strong quality performance.

Josh Weisbrod

Vice President Risk Adjustment
Network Health

Mr. Weisbrod currently serves as the Vice President – Risk Adjustment at Network Health in Menasha, WI. Mr. Weisbrod brings over 20 years of health insurance, healthcare analytic and human service experience to Network Health. Mr. Weisbrod specializes in government programs, health plan operations, risk adjustment and data analytics. Prior to his work at Network Health, Mr. Weisbrod served as Director of Government Programs for a regional Wisconsin health plan serving the state’s Medicare, Medicaid and Marketplace participants. Mr. Weisbrod previously served as the Director of Operations for the Wisconsin Health Insurance Risk-Sharing Plan (HIRSP), the state’s high-risk insurance plan. HIRSP also administered the federal high-risk insurance plan in Wisconsin prior to the implementation of the Affordable Care act.

Mr. Weisbrod has taught part-time at the college level for over 11 years and has extensive experience training health insurance and human service professionals.

Josh lives in Neenah, WI with his wife and three school aged children.

Dwight Pattison

Vice President of Consulting & Professional Services
Healthmine

Dwight Pattison is Vice President of Consulting & Professional Services at Healthmine with over twenty years of healthcare industry experience focused on healthcare quality management, performance improvement, data analytics, and reporting.

Fueled by a strong background in Medicare and Medicaid reporting and regulatory compliance, Dwight has directly led MCOs in achieving significant performance improvement results across numerous markets and product lines. He has consulted dozens of plans on improving their HEDIS® and Star Ratings programs. He has also served as the National Director of HEDIS for a leading organization where he was responsible for HEDIS and CAHPS© performance reporting and analytics, as well as supporting 18 health plans’ Medicaid and special needs plans quality reporting requirements.

Prior to his role as a Consultant, Dwight held numerous positions as a Director of Quality Improvement for multiple markets in the managed care industry. In these roles, he implemented member and provider outreach programs focused on targeting vulnerable populations and providing member engagement tools.

As an integral part of the Healthmine Consulting and Professional Services team, Dwight provides strategic guidance on process improvements for managed care organizations, provider groups, and ancillary services organizations. He continually uses his expertise in reporting, data capture, and analytics to evaluate programs, develop teams, and improve performance in Star Ratings, HEDIS, CAHPS and HOS surveys, and NCQA accreditations. Dwight also routinely performs mock readiness audits of Special Needs Plan Model of Care (SNP-MOC) and Coordinated Care Quality Improvement Program Effectiveness (CCQIPE). 

Cynthia Pawley-Martin

Senior Consultant
Healthmine

Cynthia Pawley-Martin is a Senior Consultant at Healthmine. She brings a wealth of expertise from her long-tenured career as a healthcare quality improvement professional, where she has provided expertise to health plans and provider practices in a wide range of areas including Quality Improvement, the Centers for Medicare & Medicaid Services Quality Bonus Programs, Star Ratings, Quality Rating System (QRS), and Patient Centered Medical Home (PCMH). Cynthia is a Registered Nurse (RN) certified in Healthcare Quality with more than twenty years of experience in the healthcare industry. Her areas of expertise include CMS regulatory requirements (Quality/Star Ratings/Physician Quality Reporting System (PQRS), HEDIS®, CAHPS, HOS, Models of Care (MOCs), and providing support for Patient-Centered Medical Home (PCMH) and PQRS.

Cynthia has consulted with dozens of Medicare Advantage plans on their Star Ratings programs and comes with a solid record of success leading and supporting Quality Improvement programs across healthcare delivery systems, including health plans and large physician practices. Her leadership skills allow her to effectively communicate across all organizational levels and enables those teams to reach consensus among diverse stakeholders to deliver better services for the healthcare clients.

Cynthia has not only guided plans in CMS quality program assessment, implementation, organizational design, and MOC development, she has also supported provider groups in obtaining and maintaining PCMH recognition.

Prior to her consultant roles, Cynthia served as Director of Star Ratings for a leading organization and has held numerous positions in Quality and managing HEDIS® for multiple products in the managed care arena.

Ann Pogrebitskiy, ASA, MAAA

Associate Actuary
Wakely Consulting Group, an HMA Company

Ann Pogrebitskiy is an Associate Actuary with Wakely Consulting Group, LLC, an HMA Company. She is an Associate of the Society of Actuaries and a member of the American Academy of Actuaries. Ann joined Wakely in 2020 and sits in the Denver office. Her work focuses on HEDIS and Stars analytics including member intervention chase-list reporting, HEDIS measure certification, and measure analytics. Ann oversees Wakely’s Medication Adherence engine and works with her team to produce real-time, member level adherence reporting. She leads the Stars analytics pillar of WAHOO (Wakely Analytics Health Operations Optimization), a dashboard based analytics product that provides key executive and operational insights for Medicare plans. Ann also works in ACA individual and small group pricing and Medicaid association representation.

Kimberly Swanson

Senior Vice President of Consulting & Professional Services
Healthmine

Sara Ratner

SVP, Government Markets & Strategic Initiatives
Icario

A proven leader in the healthcare industry, Sara Ratner is the SVP, Government Markets & Strategic Initiatives at Icario. Sara's experience spans diverse business functions in each segment - integrated delivery systems, insurance, clinic management and pharmacy. She previously served as the CEO of HealthEHR, SVP, 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).

Francie Shelton

Program Manager, Medicare Quality Incentive Program
Cambia Health Solutions

Francie Shelton is currently serving as the Program Manager for Quality Incentive Programs at Cambia Health Solutions. Before joining Cambia in April of 2020, Francie was a Manager of Practice Transformation with the National Rural Accountable Care Consortium, a Practice Transformation Network supporting the Transforming Clinical Practice Initiative designed by the CMS Innovation Center. She advised over 75 practices working towards success in MIPs and other alternative payment models. She was previously employed as a Health IT Advisor with the Kentucky Regional Extension Center at the University of Kentucky where she coached practices seeking PCMH and PCSP recognition. Her experience also includes training providers and ambulatory staff at the University of Kentucky during the “go-live” period of their first EHR implementation. She started her career in healthcare in 2005 as a billing/AR Specialist for a group of general surgeons, and she is a certified professional coder. Francie grew up in Kent Ohio and she received her BA in Political Science from Kent State University, and she recently completed her master’s degree in Health Informatics from Northern Kentucky University. Francie moved to Oregon in 2015. She has two grown children who still reside in Kentucky.

Melissa Smith

Executive Vice President, Consulting and Professional Services
Healthmine

Melissa Smith is the Executive Vice President of Consulting and Professional Services at Healthmine, bringing over 25 years of experience in Star Ratings, strategy, sales, and marketing for health plans, providers, pharmacy benefit managers, and industry vendors. Melissa has extensive experience developing strategic and tactical solutions to meet client needs and a strong background of building productive partnerships across internal teams and with external vendors to improve performance on clinical, medication, patient survey, and administrative quality measures.

Most recently, Melissa was Senior Vice President of Sales, Marketing, Strategy and Stars at Gorman Health Group. She is a well-known thought leader and healthcare strategist with proven success developing enterprise-wide solutions to improve Star Ratings, quality performance, health outcomes, and the member experience. Melissa’s team helps clients improve performance within quality ratings systems, evaluate market dynamics and opportunities, optimize distribution channels, and support our clients’ strategic planning needs.

Prior to Gorman Health Group, Melissa served in a leadership capacity at Cigna-HealthSpring. Before working in Medicare Advantage and quality ratings systems, Melissa was an Associate Director at Vanderbilt University Medical Center. Melissa received her degree from Purdue University and began her career at KPMG, LLP. Melissa’s unique background of business process, regulatory compliance, and healthcare quality offers our clients unique access to healthcare strategy, quality performance, revenue optimization, and more.