Ms. Veltri has extensive legal experience in health care advocacy and in legislative policy and she lectures frequently at colleges, universities conferences on Connecticut’s health care initiatives. Opening Plenary: Keynote Address from Massachusetts Governor Charlie Baker and State Leaders’ Respond with a Snapshot of their Efforts to Address Health Care Costs, Access, and Delivery, Tuesday Plenary: State Health Policy Meets the Pandemic: Forging the Path Forward, Wednesday Plenary: Legislatures Confront the Pandemic’s Aftershock – High Unemployment, Less Revenue, and Ongoing Health Threats. An experienced researcher, project manager, and data translator, she works closely with data, research, and funding partners to pursue and communicate the CDN’s transdisciplinary research agenda, inform childrens’ programs/policies, and build the capacity of government agencies to make better use of their own data. Navigating the Road Ahead: Supporting and Sustaining Recovery. Dr. Dusetzina’s work focuses on prescription drug prices and affordability for consumers, with a special focus on high-priced or complex drugs. (The cruel irony of the chargemaster is that the uninsured are the most likely to be billed chargemaster rates because they are not represented by a payer. Jones has responsibility for the day-to-day strategy and operations of the Plan, working closely with the State Treasurer and the Plan’s Board of Trustees to monitor the financial condition of the Plan, implement quality improvements and maintain cost-effective programs for Plan members. … In addition to her work at Kaiser Permanente, Eileen is a founding member of District 1199 NW/SEIU Hospital and Health Care Employees Union. Building on the roadmap, this toolkit provides additional concrete resources for states. Ms. Ledbetter serves on the National Association of Health Data Organizations (NAHDO) board of directors. from Johns Hopkins, and a B.A. She worked with a broad coalition to pass health reform legislation. Melissa Jordan has worked at the Florida Department of Health, primarily in the field of applied epidemiology, since 2003. Dean Rosen has played a leading role in developing and advancing health policy for more than 20 years. Building on the roadmap, this toolkit provides additional concrete resources for states. Hospitals are aware of the limitations of chargemaster documents. Tim has over 20 years of experience implementing state government systems, including end-to-end management of the entire software development lifecycle from contract negotiations and project initiation, through implementation, certification, and post-production operations. She led Maine’s Governor’s Office of Health Policy and Finance, and was Federal liaison during the ACA deliberations. Kevin graduated with a B.A. She is a member of the RSG Steering Committee and serves on the Executive Committee for NCSL. From 1993 to 2003, she served as Assistant Director and a lead researcher on maternal and child health policy at the Center for Health Policy Research (now housed in the Department of Health Policy) at The George Washington University. PURSUANT TO THE Iowa Small Hospital Improvement Program (SHIP) Grant FY 17, IA Contract #5888SH01 and the Georgia Small Hospital Improvement Grant FY 17 WEBINAR ETIQUETTE Hospital Transformation Consortium •All attendees are in “Listen Only” mode Chargemaster 101: Breaking it Down A hospital charge description master, also known as a chargemaster or CDM, … She earned her undergraduate degree from the University of Houston Honors College and her Masters in Public Health at the Richard Fairbanks School of Public Health at Indiana University. Some hospitals made web pages with prices in tables, while others published a downloadable spreadsheet. Alletto holds a master’s degree in public administration from the Maxwell School of Citizenship and Public Affairs at Syracuse University. Hospital Consolidation. TennCare. Mr. Cardenas previously worked as a research intern at the Health Benefits Exchange and the Johns Hopkins Bloomberg School of Public Health. The rule, issued by the federal Centers for Medicare and Medicaid Services, states only that hospitals must “make available a list of their current standard charges via the internet in a machine readable format.” That list can be the hospital’s “chargemaster” — a standard industry price list document — or any other document of the hospital’s choice. Barbara received her Bachelor’s degree from Bowling Green State University in Child and Family Community Services and her Master’s degree in Social Science Administration from Case Western Reserve University in Cleveland, Ohio. State Representative, from Dartmouth College. She is the recipient of many civic, social work, and professional honors. After graduating from high school, Eileen earned an Associate’s degree in nursing from the College of Saint Mary and a Bachelor of Science degree in nursing from Creighton University. She served on the Kaiser Commission on Medicaid and the Uninsured, and was a member of MACPAC, an Institute of Medicine’s Subcommittee and served on the Board of the NCQA. The Latest State Actions to Tackle Rx Prices, And What’s Next? She also works as an analyst on several projects that utilize data from the CO ACPD, including the support for HB19-1174 Surprise Medical Billing legislation. Dee holds an M.B.A./Accounting degree from the University of Phoenix and B.A. She is an active member of the California Health Information Association (CHIA), and the American Health Information Management Association (AHIMA). is the Director of the Health Policy and Analytics Division for the Oregon Health Authority, which is responsible for developing and implementing the state’s vision for health reform. Dee Jones is the Executive Director of the North Carolina State Health Plan, which provides health care coverage to more than 725,000 teachers, state employees, retirees and their dependents. In this role, Mr. Money was a the vice-chair of the National Association of Community Health Center Primary Care Association Leadership Committee, the Chair of the Southeast Health Care Consortium, a member of the boards of the NC Institute of Medicine, the NC Health Care Quality Alliance, the NC Health Information Exchange Advisory Board, the NC Safety-net Advisory Council, the Care Share Health Alliance and the public health practice advisory committees for both the East Carolina Brody School of Medicine and the Gillings School of Global Public Health at the University of North Carolina at Chapel Hill. He led the Governor’s health and related strategic vision, goals and policy initiatives, including long term care. She also has state and national public health experience having worked at the North Dakota Department of Health and for the Association of State and Territorial Health Officials (ASTHO). Office of Governor Jay Inslee. Julia Wacloff, is the Dental Director for the Arizona Department of Health Services. He then used these tools to dramatically expand the percentage of individuals receiving services in their own home. Office of Child and Family Services, Department of Health and Human Services. Ashley Harrell is the Senior Program Advisor in the Behavioral Health Division at the Virginia Department of Medical Assistance Services. Project Manager National Association of Health Data Organizations, Bridging Data and Policy: Utilizing Data as a Tool for Driving Policy Change (Joint Session planned by NASHP and NAHDO). She joined ADPH in January 2011, and served as Assistant State Health Officer for Disease Control and Prevention and State Epidemiologist before taking her current position. Professor She holds a master’s of public health degree in research epidemiology and global health from Loma Linda University and a bachelor’s degree in biological sciences from The University of California Irvine. After serving as an Orthopaedic Surgeon in the Navy, she spent a year as the Louis A. Goldstein Fellow of Spinal … Patti Killingsworth is an Assistant Commissioner for TennCare and the Chief of Long-Term Services & Supports (LTSS). Deputy Cabinet Secretary She has been active and has served in leadership roles in many local, state, and national pediatric, public health and preventive medicine organizations. He is nationally known on the topic of program integrity and has presented at numerous national conferences on this subject. Department of Health Care Finance, Primary Care and Prevention: The Limits and Potential of Telehealth. A former public school teacher and attorney, Heather now owns and runs Rising Tide Brewing Company with her husband, Nathan, in Portland. Why Palliative Care Is Important for States, Children and Youth with Special Health Care Needs, The RAISE Family Caregiver Resource and Dissemination Center, Physical and Behavioral Health Integration, Healthy Child Development State Resource Center, Primary Care/Patient-Centered/Health Home, Chronic Disease Prevention and Management, https://www.nashp.org/wp-content/uploads/2019/09/Cost-Payment-and-Delivery-Reform-1.jpg, https://www.nashp.org/wp-content/uploads/2019/06/NASHP-Logo.png. Chris Taylor is the Chief Inclusion Officer for the state of Minnesota. In addition, she plays a lead role in the agency’s value-based payment and social determinants of health work. This includes delivering care as a private practitioner. Founding Director Dr. Smith spent the last 7 years focused on Managed Medicaid implementation and systems transformation in the public behavioral health system in NYC. His background is in chronic disease epidemiology with areas of focus on conducting research using electronic health record and administrative data. Her interests include treating whole families with a special focus on preventative health care, group visits, and medication-assisted treatment for opioid use disorder. An Offer You Can’t Refuse…or Can you? Chan School of Public Health and then at the Clinton Health Access Initiative. Office of the Attorney General. The Office is legislatively mandated as the state coordinating body for suicide prevention, intervention and postvention efforts. Ellie Hartman, Ph.D., BCBA-D, graduated from the University of Minnesota in Educational Psychology with a concentration in special education where she taught Behavior Analysis and Classroom Management and became a Board Certified Behavior Analyst – Doctorate (BCBA-D). Iowa offers majors, minors, and certificates in more than 200 areas of study. offers a roadmap to help policymakers identify state-specific opportunities, areas of alignment, and ideas to aid future planning. Tim led the development of Montana’s modularity replacement strategy that resulted in the Modularity Blueprint for the replacement of the remaining legacy components supporting the Montana Healthcare Programs. She earned her Medical Doctorate at Indiana University School of Medicine and is board certified in Emergency Medicine and Pediatrics. comply with a new Trump administration rule. Prior to OHCS, he worked in a homeless shelter as a housing case manager, for elected officials, and in various levels of government working in different capacities at the nexus of health and housing. Tsai was appointed in January 2015 by Governor Charlie Baker to oversee the state’s $16 billion Medicaid program, which covers over one in four residents in the Commonwealth. Alfred has served in various staff and management capacities in private industry, county and state government serving vulnerable populations since 1996. Written with support from NASHP’s Health Systems Cost Project funded by Arnold Ventures. New analyst - revenue integrity / chargemaster careers are added daily on SimplyHired.com. Sudders has held leadership roles across the public and private sectors, including serving as the Massachusetts Commissioner of Mental Health, a non-profit CEO, and associate professor and program chair at Boston College School of Social Work, a top ten nationally-ranked program. The University of Iowa was the only public institution to make the list, joining universities such as Harvard, Yale, Duke, and Princeton. CentraCare Health System. Molly Voris (pronouns she/her) is the Senior Policy Advisor for Public Health and Health Care for Washington Governor Jay Inslee. Dr. McIntyre received her B.S. NASHP will be exploring this issue in in future work.). CaroMont Health . • What is all the fuss about ‘charge … He oversees the maintenance and reform of payment methodologies for inpatient and outpatient hospitals, Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and pharmaceuticals. In November 2001, Governor Jeb Bush appointed Mr. DeCerchio as Deputy Director for Treatment to the Florida Office of Drug Control, and in 2004 he was appointed by Secretary Tommy Thompson to serve on CSAT´s National Advisory Council. Jennifer Sullivan, M.D., M.P.H. What insurers and consumers actually pay for health care; How those payments compare to what is paid for the same service and, Perhaps most importantly, how that amount varies across providers and payers. Sarah Finne, DMD, MPH brings over 30 years of experience from both private practice dentistry and public health supervision of a large school-based dental program in New Hampshire to her work in Dental Medicaid. She is a small business owner/operator of a Sports Bar and a Fitness Center and operates a small farm operation. John Hickenlooper and has an extensive history of public service. Originally from Baltimore, Maryland, Mike graduated from University of Oregon with a BS in Business Administration. He trained in family medicine at Case, and he then practiced broad-spectrum family medicine in rural Alaska for 2 years before joining the UVA Department of Family Medicine in 1998. He earned his Doctorate degree in Educational Leadership from the Simmons School of Education and Human Development at Southern Methodist University, Dallas, Texas, in 2018. Dr. Straus is a primary care pediatrician and the founding director of the Massachusetts Child Psychiatry Access Program (MCPAP). She conducts empirical research into issues at the intersection of law, ethics, and health policy. She completed her Masters in Public Policy from Harvard University and received her Bachelor of Science in Policy Analysis and Management, concentrating in Health Care Policy, from Cornell University. Prior to joining The Source, she was co-founder and Director of Technology at Nidaan Inc., a cancer diagnostics company working to develop technologies designed to detect biomarker signatures for aggressive prostate cancer. Dr. Landry holds a Bachelor’s degree in Chemistry from Lamar University, Beaumont, Texas and a Master’s degree in Business Administration (MBA) from the Cox School of Business at Southern Methodist University, Dallas, Texas. Former member of the PA Supreme Court Elder Law Task Force and Advisory Council on Elder Justice in the Courts, and current member of the PA Judicial Conduct Board. Posted: (5 days ago) Posted: (5 days ago) Job Description Job Summary The Chargemaster Analyst supports the vision of the Total Healing Environment and the values of respect, integrity, accountability, commitment and quality by being responsible for managing and maintaining the YRMC and YRMCPC Charge Services module … Ms. Dickerson has over 30 years of experience in the field of public health and strategic policy development. Dr. Oliver is the State Health Commissioner at the Virginia Department of Health. Tom Curtis serves as the manager of Quality Improvement and Program Development for Medicaid managed care at the Michigan Department of Health and Human Services (MDHHS). Previously Pam served as a Commissioner with the Washington Health Services Commission implementing the Health Services Act. Jane Wishner is New Mexico Governor Michelle Lujan Grisham’s Executive Policy Advisor for Health and Human Services. His service has spanned critical times during the deep recession to implementing the Affordable Care Act that has resulted in expanded Medicaid and exchange health coverage to over 800,000 people in Washington. The state concluded that what the hospitals listed as chargemaster rates for all payers would cover between 192 to 384 percent of the hospitals’ actual costs. Leann has 25 years of leadership experience developing equity, diversity and inclusion programs. Heather Korbulic is the Executive Director of the Silver State Health Insurance Exchange, Nevada’s state agency that runs and operates the online health insurance marketplace known as Nevada Health Link. Center for Improving Value in Health Care Department of State Health Services. Prior to her appointment as General Counsel, Ms. Schell-Guy served OASAS as Deputy Counsel for 5 years and as Associate Counsel for 5 years. Sabrina Corlette is a Research Professor at the Center on Health Insurance Reforms (CHIR) at Georgetown University. Each hospital is still required to annually submit a copy of its chargemaster and an estimate of the percentage change in the hospital’s gross revenue due to any price change during the 12-month period beginning with the effective date of the previous chargemaster filed. Barbara Paulson is the DC Department of Behavioral Health Deputy Director, Child and Youth Services. He helped lead Governor Northam’s successful Medicaid expansion efforts that included strategic planning, policy design, fiscal analysis, stakeholder engagement, legislative negotiations, and communications. Policymakers interested in transparency would do well to focus policy efforts on the following rather than looking at chargemaster rates: Until policymakers move away from focusing primarily on chargemasters, payers will be no better off than car buyers who struggle to figure out what the MSRP sticker price really means. But the list also has another service, “TREAT FINGER FRACTURE.EACH,” that costs $8,121. Dr. Hartman is currently a Senior Scientist at the University of Wisconsin, Stout Vocational Rehabilitation Institute (SVRI) and is the Project Manager for Wisconsin PROMISE. Member of NY Academy of Medicine, National Academy for State Health Policy, Reforming States Group, NYC Bar Association, and NY Civil Liberties Union. Under Mike’s leadership, millions of tax dollars were recovered and ultimately were used to fund needed services for Oregonians. The Latest State Actions to Tackle Rx Prices, and What’s Next? Under Heather’s leadership, Rising Tide has created two dozen jobs and helped spur the revitalization of the East Bayside neighborhood of Portland. She is currently completing her 20th year in the South Dakota State Legislature serving in both House and Senate. After leaving the Hill, Ms. Corlette served as an attorney at the law firm Hogan Lovells, where she advised clients on health care law and policy relating to HIPAA, Medicare and Medicaid, and the Food, Drug and Cosmetic Act. She currently is Vice Chair of House Appropriations and Chair of the Interim Rules Committee. This role includes supporting the department’s Health Equity, Social Determinants of Health, Payment Reform, and Behavioral/Physical Health Integration policy efforts in the Medicaid managed care program. VP of Data Analytics In addition, her private sector senior leadership experience across strategic operations and financial roles includes 11 years with Time Warner Cable and six years at Siemens Energy & Automation. Compiled information from a state-operated facility to inform interventions for super-utilizer groups in Chicago. She began her work in the health insurance arena in law school with research on the impact of discriminatory health insurance benefit design on marginalized populations. For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Richard has a bachelor’s degree in education from Louisiana State University. David drafted the resulting Oklahoma Medical Marijuana and Patient Protection Act, which created a regulatory framework for the program, as well as various other pieces of legislation relating to medical marijuana. She completed a Pediatric residency at Johns Hopkins Hospital and a General Preventive Medicine/Public Health Residency at the University of North Carolina – Chapel Hill and is board certified in both fields. Heather has a Master of Social Work degree from the University of Hawaii and over 20 years of experience working at the Hawaii Department of Health Immunization Branch. MQF is responsible for improving health care quality in the state. She provides support to families, advocates and service providers on family driven care, systems advocacy, and family empowerment. Prior to his work with Aging and People with Disabilities, Mike led the Department’s Office of Rates, Contracting and Research. She assists the Directorate, Administration and State Legislature in determining program direction consistent with legislative intent and consults with the Director and State Medicaid Director on issues of significant policy impact involving both Medi-Cal and CHIP. Bachelor of Applied Studies (BAS) With the BAS you complete an interdisciplinary curriculum in distribution areas you select. Prior to beginning her public health career, she served in various roles at the Alabama Medicaid Agency for 14 years. Her research and policy project findings have informed state, Tribal, and Federal health policy. The new role will work closely with the Hospital and Physician Chargemaster (CDM) Senior Financial Analysts, as well as the Director of Revenue & Reimbursement and other UI Health Care staff to update and maintain the Hospital and … As a senior, he successfully defended his thesis paper, “Concussions in sports: How educated are athletes about this diagnosis?” In 2012, he graduated from the University of Maryland Eastern Shore, with a M.S. "Price transparency in health care is one of the biggest priorities for CMS and the Trump administration," Verma said. His publications include over 125 peer-reviewed articles and commentaries on the role of evidence in the health care system, and the book No Margin, No Mission: Health Care Organizations and the Quest for Ethical Excellence, published by Oxford University Press. Dena Stoner, Director of Innovation Strategy for the Texas Health and Human Services Commission’s Intellectual and Developmental Disabilities / Behavioral Health Division, has over 40 years of policy, design and implementation experience, including long term services, acute medical care, managed healthcare and behavioral health. Her policy experience includes long term care facilities, home health, reimbursement and electronic visit verification. Costs to patients on Medicare, Medicaid, or Veterans Affairs health care are capped by law. For the past several years, Tim has serves as the project manager for Montana Program for Automating and Transforming Healthcare (MPATH) initiative. Deputy Secretary of Finance Mr. Cardenas also manages agency relationships with state and federal legislators and regulatory industries; oversees the implementation and administration of the State Reinsurance Program; and provides end-to-end management and oversight of carrier relationships ranging from consumer enrollment to experience. The University of Iowa is organized into 12 colleges offering more than 200 areas of study and seven professional degrees. Ashley is also the Project Director for Virginia’s Section 1003 Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act. With over 25 years of experience in long-term services and supports, she currently serves as an appointed member of the National Academy for State Health Policy, an advisor to the AARP’s Public Policy Institute in Washington DC and a consultant to the Department of Justice regarding community options for older adults and people with disabilities. Begun in 2004, MCPAP was the first statewide program designed to address the shortage of child psychiatrists. Joe was appointed Deputy Secretary of Finance in January 2018. Institute for Clinical and Economic Review, State-Only Summit on New Prescriptions to Lower Rx Costs. Leann is a qualified administrator for the Intercultural Development Inventory and holds a master’s degree in Industrial/Organizational Psychology with focus in Multicultural Organizational Development and Indigenous Psychology. Rachel Sachs is an Associate Professor of Law at Washington University in St. Louis. In these roles he is reshaping the state’s long term care system to reduce its reliance on institutional care in favor of home and community-based service options and reforming those supports. She was until recently Commissioner of the Kentucky Department of Workforce Investment, collaborating with many partners in a system of Kentucky Career Centers providing employment, vocational rehabilitation, veterans, and other workforce services to employer and individual customers. Doug is passionate about prevention and early intervention and integrating prevention efforts into systems to produce lasting outcomes to reduce risk and increase the well-being of individuals, families, and communities. Prior to MassHealth, Tara served as the founding Administrative Director for the Kraft Center for Community Health Leadership at Partners HealthCare, a then-new entity focused on improving access to high quality healthcare in traditionally underserved communities by strengthening the workforce in community health centers. But the problem, advocates say, is that the prices listed are essentially irrelevant. Executive Director Her work in the private sector includes working in public affairs for a national health care provider covering 14 states. He has been proud to sit on the board for the Maricopa County Reentry Program and was a member of the Coconino County Criminal Justice Coordinating Council. She is most proud of being a wife and mother to four amazing adults and a grandmother to three. Jaime S. King is the Bion M. Gregory Chair of Business Law and a Professor of Law at the University of California Hastings College of the Law. Prior to this, Ashley managed the Maternal and Child Health Division at the Medicaid agency to improve access to and enhance services for women and children eligible for Medicaid. Hieb is an Iowa native and attended Grinnell College and the University of Iowa. He has worked in both urban and rural settings and previously oversaw County services implementing evidence-based service delivery models; expanding prevention, treatment and recovery support services in rural Utah including work with tribal government. This population remains a priority for the Illinois team. Maryland Health Services Cost Review Commission, Curbing Costs to Achieve Affordability in the Health Care System. Iowa's all about the two things employers value most: communication and collaboration. She has served ten years on Joint Appropriations Committee serving as the Senate Chair. She handled a broad variety of cases on behalf of the United States, its agencies and employees. In 2019, Dr. Straus designed the Massachusetts Consultation Service for Treatment of Addiction and Pain (MCSTAP) to assist adult PCPs with their patients with SUD and chronic pain issues. Prior to starting at CMS in 2010, Mr. Precht was the Policy Director for the Medicare Rights Center, a nonprofit advocacy and service organization based in New York. Improving Assisted Living. Her background is in infectious disease epidemiology with experience in decision modeling and cost effectiveness analyses. Alfred has served the Division of Quality in a variety of roles, Assisted Living Surveyor, Assisted Living Regional Director, Director of the Bureau of Technology, Licensing and Education and currently Director of the Bureau of Assisted Living. Colleen Sonosky, JD is the Associate Director of the Division of Children’s Health Services in the Health Care Delivery Management Administration in the District of Columbia’s Department of Health Care Finance (DHCF). From Plain to Supreme, a Children’s Coverage Menu. Subsequently, he worked on landmark cost containment legislation in MA, which has also become a model of success for many states. Kierra S. 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