Members – National MACRA Advisory Council

Members

 

 

 

Learn a little more about the Council members:

SajidAhmed

Chief Information & Innovation Officer (CIIO)
Martin Luther King, Jr. Community Hospital

 

Sajid Ahmed is a true innovator and pioneer in healthcare information systems. He has experience in all aspects health IT, including telehealth to deliver the best quality of medical care to patients, facilitate collaboration among multiple and diverse medical care providers and systems, and increase the efficiency of healthcare environments. He is also a highly respected consultant on innovation, and frequently lectures about entrepreneurship, innovation and health information technology.

Mr. Ahmed is currently the Chief Information and Innovation Officer of Martin Luther King, Jr. Community Hospital in South Los Angeles. Sajid led the new hospital’s over $70 million health information technology initiative and standing up a brand new hospital organization and new inpatient facilities on the 42-acre MLK Medical Center Campus.

Mr. Ahmed was the founder and interim Executive Director of HITEC-LA (Health Information Technology Regional Extension Center for Los Angeles County) for electronic health record adoption and implementation for over 4,000 primary care providers throughout L.A. County.
Before leaving L.A. Care, Mr. Ahmed created and launched eConsult in partnership with the Los Angeles County Department of Health Services. eConsult is an innovative telehealth system that allows for virtual consultations and collaboration with physicians.

Mr. Ahmed has lectured at the University of California, Los Angeles (UCLA) Fielding School of Public Health, and as a guest lecturer at the California Institute of Technology (CalTech), University of Southern California (USC) and CalState LA. He was honored for his teaching at the USC Lloyd Greif Center for Entrepreneurial Studies, and also was a finalist for the Advanced Business League (ABL) Innovative Leadership Award on Healthcare. Sajid continues to serve on various advisory boards for organizations in healthcare and technology.

KenBradberry

CTO and Analytics and Automation Solution Leader (Advanced Technology Solutions)
Conduent (formerly Xerox Healthcare)

 

Ken is a high energy, dynamic, result oriented professional leading Conduent’s Advanced Technology Solutions Analytics and Automation team. Ken’s proven ability to ensure client’s business requirements are successfully met with proper strategic planning and implementation of accelerators and optimizer. Ken has expert knowledge of analytics and automation services environments (technical and process) that drive transformation. Ken successfully communicates and collaborates across all teams supporting the client account and internal Conduent businesses. Ken is responsible to ensure that tools, accelerators, software, application, and best practices are designed and implemented. Ken is leading application tools and best practices effort interlocking with Conduent teams and clients.

MarkStevens
Principal, ARRAHealth Consulting, Inc.
Managing Director, National MACRA Advisory Council
President, Central Pennsylvania HIMSS

 

Since 2010, Mr. Stevens has lead the health IT consulting firm he co-founded, ARRAHealth.  During that time, Mark Stevens also served as a Vice President at Best Practice Partners (BPP), a leader in healthcare training & staffing, where he focuses on strategic partnerships and executive search in health data analytics.  Mr. Stevens also served as President and COO of BPP’s accountable care subsidiary, EnableHealth, which he co-founded in 2013.  Prior to joining BPP, Mr. Stevens was Vice President of Digital Collaboration Solutions, a health IT professional services firm; Senior Director for eHealth Innovation at World Congress, a leader in healthcare conference management; and Executive Director of the Pennsylvania eHealth Initiative (PAeHI), a not-for-profit organization founded in 2005 by Pennsylvania’s leading healthcare stakeholders to promote broader adoption of electronic health records (EHRs) and health information exchange (HIE).

Mr. Stevens currently serves as President of the Healthcare Information Management Systems Society’s (HIMSS) Central Pennsylvania Chapter, which he co-founded, and is Managing Director of the National MACRA Advisory Council and, since January, 2016, has been Contributing Editor for Health IT Leaders & News. His prior professional experience includes a decade each in public sector management and executive search. Mr. Stevens is a graduate of the University of Vermont, and attended graduate school at the University of Massachusetts and Boston University for public affairs and business administration, respectively.

 

 

 

CharlesAunger

Managing Director
Health 2047

 

Seasoned entrepreneurial-spirited, pioneering CTO, Enterprise Architect, Digital Advisor with 20+ years in technology and 15+ years of executive-level experience and success, in global, across geo and partner collaborative disciplines. Encourage innovation and engagement, owning management, and driving business excellence. Passionate about reducing cost, improving process, growing revenue, and implementing strategies that support enterprise business growth. Collaborate with stakeholders, leading innovative teams in Fortune 100 Companies, Mergers and Acquisitions, and Global enterprise. Understands key business driver’s business from experience leading large solutions with accountable operations, transition and successful implementations in the new digital world of big data, mobility, mobile apps and technologies, cloud, social media, open source, allowing companies to scale quickly and recognize value and savings from services in the multiple $ millions.

International thought leader with high performance team focus on prioritizing and sourcing resource allocations that best match in support of the business strategy Communicate that vision to all stakeholders, and positive management to grow business capabilities and recognize return on investment (ROI).

Solution expert in managing P&L for clinical, financial and/or regulatory applications, their selection, implementation, and life cycle support- leading £3 billion technical solution for 300,000++ user project to define critical data, services, technical solutions, and metrics needed to drive growth with critical service solution and brand position.

Proven marketplace wins from business technical and operational needs through Digital, Mobile, ERP, CRM (SaaS), private/public Cloud platforms (AWS, Azure, IaaS, PaaS and DaaS), and platform solutions.

Karen Bell
Karen Bell
Director, Center for Sustainable Health and Care
JBS International

 

Karen Bell, MD, MMS, is Director of the JBS Center for Sustainable Health and Care — an organization devoted to assuring that all components and participants in health care reform have the support and services needed to successfully reach their goals of high quality cost effective care that meets the needs of all patients and clients.

Dr. Bell has extended and varied expertise in health information technology (HIT), quality assurance, clinical practice, and public health in both the private and public sectors.   As recent Chair of the Certification Commission for HIT for 5 years, she lead the development and publication of the ACO/HIT Framework  —   a publically available document that guides organizations through the health care transformation process.   Between 2005 and 2008, Dr. Bell was Director, Office of Health Information Technology Adoption, Office of the National Coordinator (ONC), U.S. Department of Health and Human Services (HHS), and, in 2006, served as Acting Deputy of ONC when the National Coordinator position was under recruitment..  She currently serves on the Massachusetts HIT Council, the governance body which oversees the development of the state’s HIT infrastructure.  She also serves on the boards of Healtinfonet, Maine’s  statewide HIE, and Onpoint Health Data, a data integration and analytics group that creates all payer claims data bases in a number of states.

Prior appointments held by Dr. Bell include Senior Vice President, HIT Services, Masspro, the federally-contracted  Quality Improvement Organization within Massachusetts; Division Director, Quality Improvement Group/Office of Standards and Quality for the Centers for Medicare and Medicaid (CMS) from 2004 to 2005; and Medical Director of Blue Cross Blue Shield (BCBS) of Rhode Island (2004) and of Anthem BCBS of Maine (2001-2004).  She also has served as Associate Medical Director, Partners Community Healthcare, Inc., Boston; Medical Director, BCBS of Massachusetts; Associate Medical Director, Harvard Community Health Plan/Pilgrim Health Care, Boston; and Deputy and Acting Health Director, Monroe County Health Department, Rochester, N.Y.

She received her medical degree from Tufts University School of Medicine, Boston, and her master of medical science degree from Brown University, Providence, R.I.  Dr. Bell has clinical experience as a board certified physician in internal medicine and also was an Associate Professor at the University of Rochester, and Clinical Instructor at Harvard University School of Medicine.

Sri Headshot

Director, Information Services and Chief Information Security Officer
UC Irvine Health

 

Sriram Bharadwaj (Sri) is Director, Information Systems and Security, University of California, Irvine, Healthcare (UCI Health) and has over 25 years of Information Management Systems experience in multiple industries including healthcare. Sri has held many leadership positions in health plans and prior to his current work at UCI Sri consulted with Integrated Delivery Network (IDNs) around ACO, HIE and population health management. Sri has expertise in Applications Development, Enterprise-wide IT Infrastructure and Operations. Sri is well known for his process knowledge delivering performance improvements in multiple industries during his long tenure with Deloitte in various parts of the Americas, Asia Pacific and EMEA region.
Sri is a CPHIMS, PMP, CISSP, Chartered Global Management Accountant (FCGMA)(U.K), Professional, Academy of Healthcare Management (PAHM), and a Six Sigma Black Belt (ASQ). Sri is past committee member for the CIO Healthcare Summits and has delivered many presentations on Healthcare regulations and compliance at various conferences. Sri is the Past Chair, Privacy and Security Committee, National HIMSS. Sri has been on the Southern California HIMSS Board for many years and also is involved with the HIMSS Interoperability and Standards Workgroup, Patient Engagement Workgroup providing thought leadership and opinion on various matters around population health management, patient engagement, interoperability, healthcare legislation, privacy and security.

ChristinaCaraballo

Senior Healthcare Strategist
Get Real Health

Christina lives her passion for health advocacy through her work every day. At Get Real Health, Christina specializes in government strategy, serves as the company’s resident expert and liaison to the health IT industry, and consults with clients on how to best meet regulatory requirements. Her critical thinking and problem solving skills combined with a deep understanding of the industry give Christina the unique ability to identify trends and initiatives and translate their impact, making her an integral part of the business development, marketing and product strategy teams.

Christina is active in initiatives that strive to increase the adoption of health IT, interoperability, access to health information and patient engagement. For example, she serves on the HIMSS Connected Health Committee, the National Association for Trusted Exchange’s Board of Directors, and the Federal Advisory Committee’s 2017 Interoperability Standards Advisory Task Force. Christina was one of seven inaugural recipients of the HIMSS 2016 Most Influential Women in HIT Award.

Christina brings a deep knowledge of healthcare legislation, advocacy and government relations to her post. Prior to joining Get Real Health, she served as Vice President of Government Relations at Capitol Solutions Group in Washington, D.C. She also served as the Director of Health Policy and Advocacy for the Alliance for Patient Advocacy, a national, non-profit organization that works to improve the lives of patients who rely on specialty therapies and Operations Manager for The Alliance for BioTherapeutics.

Christina holds a Bachelor’s in Communications from Penn State, a MBA with a focus in Health Management and Leadership from George Washington University, and an ONC Graduate Certificate in HIT from George Washington University.

Dee Cantrell

President
HIT Consultancy LLC

Dee brings 35 years of healthcare experience, 25 of those years in health information technology strategy, operations, project planning, project execution, workflow optimization and process improvement. She has extensive information technology leadership experience and has received numerous awards and recognitions such Georgia CIO of the Year, CHIME CIO Innovator of the Year, top 50 U.S. Health IT Leaders to know and top 10 Women Executives in Healthcare, among other recognitions. Active professionally, she was recently voted President of the Georgia Chapter of Health Information Management Systems Society for a second term.

She has worked with major academic institutions, not-for-profit health care delivery systems, community providers, large physician practices, managed care and payer organizations as well as federal and state agencies in multiple capacities including, but not limited to, Chief Information Officer roles, strategy development, pre and post merger and acquisition planning, development, integration and operations. Dee has also assisted health systems and physician practices in achieving meaningful use as well as PQRS and other regulatory requirements. She is currently serving as an industry leader in helping with preparing for Medicare Access and CHIP Reauthorization Act (MACRA).

DrexDeFordHeadshot

President, Independent Consultant & Freelance CIO
drexio digital health (drexio, llc)

 

Most recently the founder of drexio digital health, Drex has a history of innovation and leadership at top health-systems across the country.  As an independent consultant, he now shares his experience in the form of advice, guidance and support to health systems, payers, associations, trusted vendor partners and investors.  He is currently a Board Director at Auxillio/CynergisTek (NYSE: AUXO).

Prior to launching his own firm, Drex was co-founder and CEO of NextWave Connect, a healthcare social collaboration solution.  He is formerly the CIO at Steward Healthcare (Boston), Seattle Children’s Hospital and Research Institute, and Scripps Health (San Diego). He has also served as a military officer in various CIO and CTO roles with the United States Air Force during a highly decorated 20-year career.

Drex has led the College of Healthcare Information Management Executives (CHIME) as Board of Trustees Chair, and has been a Healthcare and Information Management Systems Society (HIMSS) National Board Member.  He is currently a fellow in CHIME, HIMSS, and the American College of Healthcare Executives (ACHE).

His mantra: Ask me. I can get it done, or connect you to somebody who can.

Neil Gomes

Senior Vice President for Technology Innovation and Consumer Experience and Chief Digital Officer
Thomas Jefferson University and Jefferson Health System

Neil has worked for the Fortune 500 Tata Group of Companies where he played a
leadership role in building the intrapreneurial startup, Tata Interactive Systems, from 60 employees
to the world’s largest custom e-learning development firm with 650+ employees in less than two
years. Neil left the Tata Group to complete his M.Ed. in Instructional Design at the University of
South Florida (USF) whilst progressively working towards the position of Director of eTeaching and
Technology and then the Director of Instructional Design and Training at USF Health. While at USF, Neil’s leadership
and entrepreneurial acumen helped grow a strategic team of application developers, instructional and multimedia
designers, and project managers that generated over $1.5 million in annual auxiliary revenue from research and
external development projects while growing online student enrollment from approx. 200 enrollments in 2002 to
60,000+ enrollments a semester by 2012. While at USF, Neil also began working toward his Ph.D., is currently a Ph.D.
Candidate (ABD), has authored research articles, a book chapter, and delivered several formal research presentations.
At Jefferson, Neil drives digital innovation in healthcare, consumer experience and engagement, training, and
education via teams of application and web/mobile developers, portal solutions developers, simulation and UI/UX
designers, trainers, documentation and digital consumer experience specialists, instructional designers, e-learning
developers, and IT support specialists. Neil also helps define innovation strategy and design innovation development
programs via Jefferson’s Innovation Team. Recently, he helped secure a $15+ million donor grant from the Bernie
Marcus Foundation to develop a high-tech, consumer-centric, integrative health center at Jefferson and also launched
a pioneering collaboration with the IBM Watson IoT team on developing “cognitive concierges” for hospitals. Neil
serves as Associate Editor of the Journal for Healthcare Transformation and is a contributor toward the book: We CAN
fix Healthcare, the Future is NOW. Neil is also a speaker, agile aficionado, and digital innovation evangelist.

MichaelIlnicki

President
DataGen  (Healthcare Association of New York State)

Michael Ilnicki has more than 25 years of healthcare experience, with demonstrated success serving in senior level positions at several companies providing decision support tools and consulting services to the healthcare field. Mr. Ilnicki was instrumental in the formation of DataGen in 2004.  For more than a decade, the company has been an essential partner to healthcare organizations across the country and has more than 300 clients including state hospital associations, major healthcare systems, and consulting firms.  DataGen simplifies the complexities of healthcare payment change for its clients, drawing upon a deep understanding of healthcare payment policy and sophisticated data analytic modeling capabilities to drive change.  Mr. Ilnicki holds a Master’s degree in Business Administration from Rensselaer Polytechnic Institute and a Bachelor of Science degree in Management and Marketing from Siena College.

David Muntz

Principal
Muntz and Company LLC

David Muntz, Principal and co-Founder at StarBridge Advisors, began his career as a biostatistician, then became CIO, and ultimately rose to the position of CEO at Wadley Research Institute and Blood Bank in Dallas, TX.  He later worked as the SVP & CIO at Texas Health Resources and Baylor Health Care System prior to 2012, when he accepted a White House appointment to serve as the first Principal Deputy National Coordinator, Chief of Staff, and CIO at ONC (Health and Human Services’ Office of the National Coordinator) until 2013.  David returned to the private sector as CIO of GetWellNetwork through 2015 where he now serves as a member of the Board of Directors.  For more than 25 years in a row, he and his teams have received numerous national industry recognitions including CHIME’s Innovator of the Year at 2 different employers, and in 2014, David was recognized by the CHIME Board with its CIO Legacy Award.

Erik Muther

Managing Director
Pennsylvania Health Care Quality Alliance (PHCQA)

Erik Muther is the managing director of the Pennsylvania Health Care Quality Alliance (PHCQA), a multi-stakeholder initiative of the Health Care Improvement Foundation (HCIF). Erik was previously the executive director of PHCQA before it merged to become a part of HCIF in 2015. Erik has over 20 years of health care experience leading a wide range of performance measurement, quality improvement, and value-based incentive programs. Erik has served as program manager and as a subject matter expert on numerous quality improvement and public reporting programs, including ones funded by the Robert Wood Johnson Foundation, the Agency for Health Research & Quality, and the Centers for Medicare and Medicaid Services. He has also served on several national advisory committees for regional and state reporting of health care quality data.

Prior to joining PHCQA in January 2007, Erik was an executive in the health care practice of Accenture, a large global consulting company. During his 12+ years at Accenture, Erik led a variety of major change initiatives and systems integration projects at both provider and payer organizations. Erik’s experience included consulting engagements at Aetna, AstraZeneca, CMS, GE Healthcare, Health Dialog, Humana, Highmark, Independence Blue Cross, INOVA Health System, NovaCare, and United Healthcare.

Erik has a bachelor’s degree in psychology with a concentration in neural and behavioral sciences from Haverford College.

KarenaWeikel1

Vice President, Risk and Revenue Management
Geisinger Health Plan

Karena is directly accountable to the Chief Financial Officer/Chief Actuary for Geisinger Health Plan. She is a risk professional,  responsible for managing our overall cost of care (expense, vendor), trend mitigation, Health Plan data management, vendor relationship management, underwriting, provider impact modeling, risk adjustment operations and performance, operational reporting, payment innovation, rate filing support, and organization-wide analytics (FWA, employer group, regulatory, compliance, government, etc.) for all lines of business (Commercial, Medicare Advantage, Medicaid).  Karena leads a team of 62 highly skilled and experienced staff whom blends math, statistics and business knowledge to develop the analytics and improve revenue and expense that drive GHP’s success.   Her team informs and makes decisions that lead to profits, savings, stability and continued services to our healthcare community and membership.  She provides direct administrative oversight to Certified Professional Coders, Actuaries, Analysts, and Business professionals that support a variety of functional areas (actuarial, underwriting, sales, finance, vendors, employer groups, IT, provider network management, FWA, compliance, operations, etc.).

Karena’s 15 years of healthcare experience includes Director Actuarial Services, Director Actuarial Informatics, and AVP of Clinical Informatics.

She is an Associate of the Society of Actuaries and earned her ASA credential in May 2016.  She is a graduate of Bloomsburg University with a Bachelor of Arts in Mathematics and Statistics Track, and a Bachelor of Science in Secondary Education.  Karena has earned the FAHM and CSFS designations, and is currently pursuing her fellowship certification in the Society of Actuaries.

Raj Lakhanpal

President and CEO
SpectraMedix

Dr. Lakhanpal is the founder and Chief Executive Officer of SpectraMedix. SpectraMedix’s industry leading suite of clinical quality measurement and population health analytics solutions are utilized by a cross-section of  hospitals, health systems, provider organizations and health information exchanges to improve care and transition to new healthcare payment models. Raj brings proven experience developing business intelligence and data analytics solutions to SpectraMedix. Previously he founded HealthAtoZ, a top online wellness and population health management platform with deep analytics capabilities that assisted Health Plans and their Fortune 500 clients to reduce and manage their healthcare costs. HealthAtoZ was acquired by UnitedHealth Group in 2006.

Dr. Lakhanpal is a Member of the Clinical and Business Intelligence Committee of HIMSS, the preeminent healthcare IT association in the United States, and is a Trustee of the University of the Sciences in Philadelphia. A former emergency physician, he is a Fellow of the American College of Emergency Physicians in the US and a Fellow of the Royal College of Physicians and Surgeons in the United Kingdom. He is a noted speaker, having presented on a range of healthcare IT industry topics at nationally recognized events including the Annual HIMSS Conference and Exhibition, the Wharton Health Care Business Conference, Health Datapalooza, the Mid-Atlantic Healthcare Informatics Symposium (presented by the Children’s Hospital of Philadelphia) and the New Jersey Technology Council. Dr. Lakhanpal is also the founding President of TiE NJ-Philadelphia, a not for profit organization that fosters entrepreneurship across the globe, and a lifetime Member of the American Association of Physicians of Indian Origin (AAPI).

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