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Sponsored
by The Robert Wood Johnson Foundation's State Coverage Initiatives
Program
Conducted by AcademyHealth

Jeremy
J. Alberga
Jeremy
Alberga is an Associate at AcademyHealthHealth and primarily works
on The Robert Wood Johnson Foundation's State Coverage Initiatives
(SCI) program. His responsibilities include providing technical
assistance to state policymakers on health policy reform, specifically
expanding and maintaining health insurance coverage; disseminating
state models of expansion through the program's written products;
convening workshops and small group consultations for policymakers;
and assisting in the development of technical assistance documents.
Mr. Alberga recently has authored a case study of Wisconsin's BadgerCare
program, titled "Wisconsin's BadgerCare Program Offers Innovative
Approach for Family Coverage."
Mr.
Alberga came to AcademyHealth in April 1999. Before that he worked
for a private firm providing research to hospital emergency departments
and ambulatory care facilities. Mr. Alberga received his MA in international
health from the George Washington University and his BA from McGill
University, Montreal.
Cheryl Austein Casnoff
Cheryl
Austein Casnoff is currently the Director, Division of Benefits,
Coverage and Payment in the Centers for Medicare and Medicaid Services
(CMS). She is also acting as the Director for the State Children's
Health Insurance Program. She was also responsible for designing
and implementing the State Children's Health Insurance Program (SCHIP),
a $40 billion program to provide insurance for low-income children.
Prior to coming to CMS, Ms. Austein Casnoff was the Director for
Public Health Policy in the Office of the Assistant Secretary for
Planning and Evaluation (ASPE). She also served as a member of the
President's Task Force for Health Care Reform. In 1992, she was
selected as a Senior Legislative Fellow for health policy and served
in the Office of Senator Dave Durenberger. Ms. Austein Casnoff received
her Masters of Public Health in Health Services Administration from
Yale Medical School, Department of Epidemiology and Public Health
and her Bachelor of Arts in Biological Sciences from Northwestern
University.
Kate
Brewster
Kate
Brewster is the Manager of the Employer Contact Unit (ECU) at the
Rhode Island Department of Human Services. The ECU is a newly created
unit responsible for recruiting and enrolling employers into RIte
Share, the state's new premium assistance program. Ms. Brewster
is also a part-time instructor for the Case Management Institute
at the Rhode Island College School of Social Work.
Prior
to her current position, Ms. Brewster was the Assistant Director
of the Poverty Institute, a policy advocacy organization promoting
economic security for low-income Rhode Islanders. Ms. Brewster was
also a Project Manager for the RIte Care Statewide Outreach Project
where she trained and coordinated the efforts of 16 community-based
outreach workers who were responsible for enrolling uninsured children
and families into RIte Care, Rhode Island's Medicaid Managed Care
program.
Ms.
Brewster has served as an advocate for victims of domestic violence,
as a research interviewer for the Medical and Health Research Association
of New York City, and as a case manager for several non-profit organizations
in Rhode Island. She also completed internships with the RI Campaign
to Eliminate Childhood Poverty, the Directorate of Women's Affairs
in Antigua, and the Rhode Island Senate Fiscal and Policy Office.
Ms. Brewster received a Bachelor of Arts degree in Sociology from
the University of Rhode Island in 1994 and a Master of Social Work
degree from Rhode Island College in 1998.
Leigh
A. Cheatham
Leigh
Cheatham was appointed in September of 1998, to the position of
Executive Director for the Healthcare Group and Premium Sharing
Programs at Arizona Health Care Cost Containment System. During
the prior five years Ms. Cheatham was the Deputy Director and Chief
Tax Policy Officer with the Arizona Department of Revenue. She had
also served in a number of administrative capacities within DOR
during the prior sixteen years, serving as the Legislative Liaison
for over ten years and also as Manager of Taxpayer Information Services.
During her twenty-six years of State service, in addition to the
Department of Revenue, she worked for the Arizona Department of
Transportation, Motor Vehicle Division, and in the Attorney General's
Office, Tax Division.
Ms.
Cheatham's extensive knowledge of Arizona State government processes
and her experience with the Legislature was instrumental in guiding
these two healthcare programs through recent transitions. Premium
Sharing will become a permanent state funded program as of October
1, 2001, and Healthcare Group has received continuing legislative
financial support to protect the participating health plans while
a restructuring of the program is underway.
Deborah
Chollet, Ph.D.
Deborah
Chollet is a Senior Fellow at Mathematica Policy Research in Washington,
D.C., where she leads a number of research projects analyzing private
health insurance markets and state and federal health care financing
programs. Dr. Chollet also works with AcademyHealthHealth as part
of its technical support team for The Robert Wood Johnson Foundation's
State Coverage Initiatives program, providing technical assistance
to states for designing and implementing major reforms that promote
access to health care. Before joining Mathematica Policy Research,
Dr. Chollet was a Vice President of AcademyHealth (formerly the
Alpha Center). Previously, she directed the Center for Risk Management
and Insurance Research at Georgia State University, where she also
served as an Associate Professor of Risk Management and Insurance.
She has been a Senior Research Associate at the Employee Benefit
Research Institute (EBRI) in Washington, D.C., and has served in
federal government as Executive Director of the Advisory Council
on Social Security and as a senior health policy researcher in the
U.S. Department of Health and Human Services. She is a founding
member of the National Academy of Social Insurance. Dr. Chollet
earned a B.S. in Economics at the University of Missouri at St.
Louis, and M.A. and Ph.D. degrees in Economics at the Maxwell School,
Syracuse University.
Charles
P. Cook
Charles
Cook is the Director of Benefit Coordination and Recovery operations
for the Massachusetts Division of Medical Assistance. His unit cost
avoids or recovers over $1.4 billion annually. Over the last four
years, the Massachusetts' Medicaid program has moved from purchasing
cost-effective health insurance for otherwise eligible MassHealth
members to offering private insurance subsidies as the actual MassHealth
benefit for certain income groups. At full implementation, the State
estimates that as many as 100,000 new members might become eligible
through the Premium Assistance and Insurance Partnership Programs.
These two approaches address the fear of crowd-out while maximizing
the federal revenue match available through Titles XIX and XXI.
Mr.
Cook has worked for the Division of Medical Assistance for the last
twenty-eight years. During that time he has become an expert on
disability, eligibility, and revenue enhancement issues. Mr. Cook
completed his undergraduate work at the University of Massachusetts
and pursued graduate work at both the University of Rhode Island
and Suffolk University.
Richard
Curtis
Richard
Curtis, president of the Institute for Health Policy Solutions,
an independent not-for-profit founded in early 1992) has an extensive
background in health insurance strategies and issues. Areas of expertise
include: developing policy approaches and private initiatives that
are both in the public interest and viable in the private market,
restructuring the health insurance market, designing consumer choice
pooled purchasing strategies, and developing approaches to cover
uninsured workers and children.
Specific
IHPS analysis, development and technical assistance work currently
includes helping states design public-private measures to extend
job-based coverage to uninsured workers and children, and designing
purchasing pools that give small firms' employees choice of competing
health plans, and that can facilitate the use of multiple public
and private funding sources for job-based coverage of the uninsured.
Other projects include policy development and analyses on a broad
range of health insurance structures and coverage issues.
Previous
positions Mr. Curtis has held include: Director of the Department
of Policy Development and Research, Health Insurance Association
of America; founding Executive Director, National Academy for State
Health Policy; and Director of Health Policy Studies, National Governors'
Association (NGA). Other roles have included serving as an expert
resource at the U.S. Senate Republican retreat on health care reform
(Summer 1993) and earlier (Spring) that year chairing a technical
working group for preliminary health system reform work for the
White House Task Force. More recent roles have included participation
in the (1999 and 2000) Health Sector Assembly of 50 leaders from
diverse organizations on coverage of the uninsured. During his tenure
at NGA in the 80's he served as Director of the Project on the Medically
Indigent for AcademyHealth for State and Local Government and was
a contributing editor to Business and Health magazine.
Pamela
S. Dickson
Pamela
S. Dickson is a Senior Program Officer at The Robert Wood Johnson
Foundation. Her program activities at the Foundation focus on increasing
access to care for all Americans with a particular emphasis on reducing
racial and ethnic disparities in access to care. Before joining
the Foundation, Ms. Dickson held several senior positions at the
New Jersey Department of Health. As Assistant Commissioner from
1988 through 1994, she supervised the all-payer hospital rate-setting
system and the health planning program. As Director of Health Care
Reform Initiatives, she coordinated efforts among the Governor's
Office, The Department of Health, The Department of Human Services
and The Department of Insurance to implement New Jersey's 1993 Health
Care and Insurance Reform Legislation.
Ms.
Dickson has held positions as a member of the Board of Directors
of the National Association of Health Data Organizations and of
the Access for the Uninsured Steering Committee of The National
Academy for State Health Policy. She holds an M.B.A. in Health Care
Administration from the Wharton School of Business.
Dennis
Doderer
Dennis
Doderer has been with the New Jersey Medicaid/Family Care Program
for 25 years. His management duties have ranged from supervising
various field office operations throughout the state to Coordinator
of Fiscal Agent Contractors overseeing all claims processing operations.
He was instrumental in developing the first state run Medicaid HMO
in New Jersey in 1985, The Garden State Health Plan, and managed
several of the first Medicaid Managed Care contracts with Commercial
HMOs.
In
1989 Mr. Doderer was appointed to a Fiscal Agent Task Force that
developed and implemented a new MMIS with Unisys Corporation, which
is still in operation today. He was appointed Deputy Assistant Director
for beneficiary and provider services in 1995 responsible for Provider
Enrollment, Field Operations and Customer Services.
In
1999 Mr. Doderer assumed additional responsibility for the development
of the New Jersey Family Care - Premium Support Program and has
managed the design, development and implementation of the Program
to date.
Jon
Gabel
Jon
Gabel is the Vice President of Health Systems Studies at the Health
Research and Educational Trust. Mr. Gabel is responsible for conducting
studies and surveys that track changes in health benefits and the
health care delivery system. His clients include research foundations,
government agencies, health plans and employers. He formerly was
Director of the Center for Survey Research for KPMG Peat Marwick
LLP. Mr. Gabel has served as Director of Research for the American
Association of Health Plans and the Health Insurance Association
of America, industry trade associations representing HMOs and health
insurance companies. He was also an economist at the Centers for
Medicare and Medicaid Services and the National Center for Health
Services Research. Mr. Gabel is the author of 80 published articles
in scholarly journals and serves on the editorial boards of a number
of journals. He is a frequent speaker at business and professional
meetings, and has appeared on many major national television news
networks. Often quoted in the trade and popular press on trends
in the health care system, he holds degrees in economics from the
College of William and Mary and Arizona State University.
Vickie
Gates
Vickie
Gates is a Vice President of AcademyHealth and serves as Director
of the State Coverage Initiatives Program. Previously, Ms. Gates
was the Director of the Department of Support Services of Multnomah
County, Oregon. She was responsible for central services including
finance, human resources, information technology, organizational
development, central research and evaluation, and support of the
county's quality initiative. Ms. Gates also served on the Board
of Directors of the Northwest Health Foundation, Oregon Health Decisions,
and the Oregon Coalition of Health Care Purchasers. She currently
serves on the Oregon Health Forum Board of Directors.
Ms.
Gates has a wide variety of experience in health care and human
services. She was the Oregon Health Plan Administrator, responsible
to the Governor and the Legislature for oversight and coordination
of Oregon's health care reform and health policy development. Prior
to this, Ms. Gates served for a number of years in the Oregon Department
of Human Resources, including positions as the Deputy Director,
and the Director of Program and Finance. Other governmental experience
includes the Oregon Legislative Fiscal Office and the Children's
Services Division of the Department of Human Resources. Ms. Gates
received her B.A. from the University of North Carolina and has
pursued graduate studies in history and financial management.
Anne
K. Gauthier
Anne
Gauthier is Vice President at AcademyHealth, which was formed in
June 2000 following the merger of the Alpha Center and the Association
for Health Services Research (AHSR). Since joining the Alpha Center
in January 1989, Ms. Gauthier has directed a wide range of health
policy and demonstration projects concerned with health care financing
and delivery issues of national significance.
She
serves as Program Director for The Robert Wood Johnson Foundation's
Changes in Health Care Financing and Organization (HCFO) Initiative
and as Senior Advisor for the Foundation's State Coverage Initiatives
(SCI) program. She is also responsible for developing new Academy
programs for research/policy syntheses and information services.
Prior to joining the Alpha Center, Ms. Gauthier was Senior Researcher
for the National Leadership Commission on Health Care and, for over
six years, served the Congress of the United States in its Office
of Technology Assessment. A graduate of Princeton University, Ms.
Gauthier earned her M.S. in Health Administration at the University
of Massachusetts (Amherst) School of Public Health.
W.
David Helms, Ph.D.
David
Helms is President and CEO of the AcademyHealth. The Academy was
formed on June 19, 2000 from the merger of the Alpha Center and
the Association for Health Services Research (AHSR). The purpose
of this Academy is to improve health and health care by generating
new knowledge and moving knowledge into action. The Academy and
its programs are dedicated to stimulating the development, understanding,
and use of the best available health services research and health
policy information by public and private decision makers.
In
addition to leading the development of this new Academy, Dr. Helms
serves as the program director for The Robert Wood Johnson Foundation's
(RWJF) State Coverage Initiatives, a national demonstration program
to support state efforts to expand health insurance coverage. He
also serves as project director for AcademyHealth's contract with
the Agency for Healthcare Research and Quality (AHRQ) to conduct
workshops and prepare research reviews for state and local government
officials.
Dr.
Helms founded and directed the Alpha Center from 1976-2000. Through
these 25 years Alpha was known as a non-partisan, non-profit health
policy center that provided expert technical assistance, objective
analysis and research, and comprehensive education and facilitation
services. Dr. Helms received his doctorate in public administration
and economics in 1979 from the Maxwell School of Citizenship and
Public Affairs, Syracuse University.
Barbara
Ladon
Barbara
Ladon is currently Director of the Office of Child Health Plan Plus
in the Colorado Department of Health Care Policy and Financing.
The Colorado program is a non-Medicaid expansion, which has enrolled
over 30,000 children. Ms. Ladon has extensive experience nationally
in public-sector health care development with primary accomplishments
in business development, program innovation and evaluation, management,
and marketing. Ms. Ladon was Vice President of Public Sector Program
Development for United HealthCare and was principal owner of HealthPro,
Inc. in Worcester, Massachusetts, a company specializing in public
sector utilization and data management. Previously, Ms. Ladon had
an extensive consulting practice, working with providers entering
the managed care arena, managed care companies, and public sector
organizations.
Len
M. Nichols, Ph.D.
Len
Nichols is an economist and Principal Research Associate at the
Urban Institute who studies private health insurance markets and
how they work in response to decisions by employers, individuals,
regulators, and public insurance programs. He has written extensively
on these and other issues under the general rubric of health reform.
Dr. Nichols is currently a member of both the Competitive Pricing
Advisory Commission (CPAC) for the U.S. Medicare program and the
Technical Review Panel for the Medicare Trustees Reports. He was
the Senior Advisor for Health Policy at the Office of Management
and Budget (OMB) during the development of and debate over the Clinton
health reform proposals of 1993-94. Prior to OMB, Dr. Nichols was
a visiting Public Health Service Fellow at the Agency for Health
Care Policy and Research, and prior to that he was an Associate
Professor and Economics Department Chair at Wellesley College. He
received his Ph.D. in economics from the University of Illinois
in 1980.
Mark
E. Reynolds
Mark
Reynolds is the Deputy Commissioner of the Tennessee Department
of Finance and Administration and Director of TennCare (the Tennessee
Medicaid program). TennCare serves one out of every four Tennesseans.
Mr. Reynolds has served in this capacity for the past year. Until
last year, he was the Acting Commissioner of the Massachusetts Division
of Medical Assistance. Mr. Reynolds has worked on state Medicaid
and health care policy since 1989. Before becoming Acting Commissioner
he served as Deputy Commissioner for three years. He also served
as Budget Director for the Massachusetts Executive Office of Health
and Human Services and Assistant Director of the Massachusetts Budget
Bureau. Mr. Reynolds has a B.A. from Swarthmore College and has
done graduate work at the Massachusetts Institute of Technology.
Ree
Sailors
Ree
Sailors brings more than 25 years of experience in the health and
human services arenas. She presently serves as the Executive Health
Policy Advisor to Governor Locke of Washington State. Prior to that,
she served as the Public Policy Coordinator for the Community Health
Purchasing Alliances of Florida. Ms. Sailors managed the Commercial
HMO regulatory functions within the Agency for Health Care Administration
which included quality certification of HMOs, supervision of external
review panels, and consumer assistance hotlines. She was the President
and CEO of the Florida Health Access Corporation, the country's
first operational government-sponsored health purchasing alliance
for small businesses. Ms. Sailors has extensive background in public
policy analysis and consensus-building techniques having served
as Executive Director of numerous gubernatorial and legislative
blue ribbon task forces examining issues such as: competition and
consumer choice in health care, medical malpractice, indigent care
financing, and regulatory programs like certificate of need and
hospital revenue assessments. Ms. Sailors is a graduate of Florida
State University, where she received a Master's degree in Social
Work with emphasis in Planning and Administration.
John
Santa, M.D.
John
Santa is currently the Administrator of the Office for Oregon Health
Plan Policy and Research. Dr. Santa is a general internist with
experience in a diverse array of clinical, administrative, community,
and research activities. Dr. Santa attended Stanford University,
Tufts Medical School, and is now pursuing a Master's degree in Public
Health at Oregon Health Sciences University. He practiced medicine
for thirteen years in solo, group, and employed settings. He has
worked in administrative positions for hospitals, insurers, medical
groups, and now the State of Oregon. Dr. Santa's activities have
often involved implementation of health policy initiatives.
Donald
Schneider
Don
Schneider has worked for the Wisconsin Department of Health and
Family Services for the past 25 years. Since 1997, he has been the
Chief of the Coordination of Benefits Section in the Division of
Health Care Financing. Mr. Schneider also worked on the development
of Wisconsin's BadgerCare Program and in 1999 assumed responsibility
for managing the BadgerCare HIPP program. Wisconsin's BadgerCare
HIPP Program purchases employer-sponsored health insurance for low-income
working families. Prior to 1997, Mr. Schneider was the Field Operations
Manager of the Department's program for state licensing and Medicare
and Medicaid Certification of health care providers.
James
Schwartz
James
Schwartz is Executive Director of Alliance Employee Health Access,
a not-for-profit organization based in Topeka, Kansas. Alliance's
mission is to expand the incidence of health insurance among workers
in small Kansas businesses. In particular, Alliance develops pooled
purchasing arrangements that offer small groups individual choice
of multiple health-plan types.
Before
taking on his current position in 1999, Mr. Schwartz was, for 14
years, Executive Director of the Kansas Employer Coalition on Health,
a statewide membership organization of larger businesses who shared
concerns about employee health issues. Near the end of that tenure,
Mr. Schwartz was the inspiration behind successful Kansas legislation
providing a tax credit for first-time health insurance purchasers
within the small business community.
Sandra
Shewry
Sandra
Shewry is the Executive Director of the Managed Risk Medical Insurance
Board (MRMIB). The Board has the broad mission of increasing and
improving affordable, accessible, quality health care coverage for
all Californians. The Board administers three health care purchasing
programs - a high risk pool for uninsurable individuals (MRMIP),
a subsidized pregnancy and infant care program (AIM), and the state's
Title XXI children's health insurance program (Healthy Families).
Prior to July 1999, the Board administered the Health Insurance
Plan of California, a small employer purchasing cooperative.
Ms.
Shewry has a Master's degree in Public Health and a Master's degree
in Social Welfare from the University of California at Berkeley.
Ms. Shewry is a member of the Commonwealth Fund's Task Force on
the Future of Health Insurance for Working Americans, a Steering
Committee Member of the National Medicaid and S-CHIP Purchasing
Institute, and a Steering Committee Member for the National Academy
for State Health Policy.
Benjamin
P. Wheatley
Ben
Wheatley serves as a Senior Associate at AcademyHealth, having joined
the organization in May 1997. He works primarily on The Robert Wood
Johnson Foundation's State Coverage Initiatives program, assisting
state officials in developing and implementing strategies to expand
health insurance coverage through public programs. He has authored
technical assistance products focusing on state children's health
coverage programs and efforts to promote more seamless insurance
coverage for low-income families. He has also worked with states
in developing and implementing coordinated health care purchasing
strategies. Prior to joining AcademyHealth, Mr. Wheatley worked
as a researcher at the National Rehabilitation Hospital Research
Center where he analyzed the impact of managed care on post-acute
providers and the consolidation of the rehabilitation hospital industry
through mergers and acquisitions. Prior to that, he worked as an
analyst in the Business Development office of the University of
California at San Diego Medical Center. Mr. Wheatley is a graduate
of Georgetown University, where he received a Master's Degree in
Public Policy with an emphasis in health care policy.
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