The Roadmap launch webinar featured LAN Guiding Committee co-chairs Drs. Mark McClellan from Duke University and Mark Smith from the University of California at Berkeley and the University of California at San Francisco. Dr. Angelo Sinopoli from Prisma Health and Alicia Berkemeyer from Arkansas Blue Cross Blue Shield attended with Roadmap Work Group chair Tom Buckingham from Select Medical who moderated the discussion along with the co-chairs. The panel shared their thoughts on APM design and implementation, with a focus on how the Roadmap tool can help identify promising practices and strategies to help payers address challenges.
Highlights
- Launched the public release of the Roadmap for Driving High Performance in Alternative Payment Models
- Provided attendees with a high-level overview of the Roadmap’s purpose, scope, domains and key findings
- Offered perspectives from the payer and provider communities on the value of the Roadmap tool,and how it can be used to support the design and adoption of alternative payment models
Speaker Bio’s
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Alicia Berkemeyer
Senior Vice President of Provider Network Programs, Arkansas Blue Cross Blue Shield |
Alicia Berkemeyer is responsible for all programs related to primary care and commercial pharmacy for Arkansas Blue Cross and Blue Shield and its affiliates. She also serves as a consultant for the patient-centered medical home program transformation and development. Berkemeyer joined Arkansas Blue Cross in 1989 and has held several positions in the areas of customer service, sales and marketing, and pharmacy. She has more than 27 years of experience in the health care industry with a focus on primary care and pharmacy. She has led and managed the development of patient-centered medical homes, employer clinics and pharmacy programs. Berkemeyer played an instrumental role in Arkansas being chosen as one of only seven regions in the United States to participate in the federal Comprehensive Primary Care Initiative and assisted our state in receiving significant funding from the Centers for Medicare Services Innovation Center in the form of a State Innovation Model grant.
She earned her bachelor’s degree in business management from John Brown University in Siloam Springs. Currently, she is attending the Advanced Executive Global Program at Northwestern University Kellogg School of Management. She is a certified health consultant, a managed health care professional and a Professional in the Academy of Healthcare Management. She is active in many industry-specific organizations. She currently serves on the College of Pharmacy Dean’s Advisory Council, NCQA-PCMH Advisory Council, and CVS Caremark Advisory Board.
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Angelo Sinopoli, MD
Chief Clinical Officer, Prisma Health |
As Chief Clinical Officer, Dr. Angelo Sinopoli drives clinical and quality strategy for Prisma Health its affiliates Greenville Health System and Palmetto Health. He oversees clinical and population health activities; facilitates standardization of care across the organization; leads care model development and contracting strategy to support value-based care; and is responsible for Prisma Health’s two clinically integrated networks encompassing 3,800 providers and spanning 17 counties.
As President, CEO and Founder of the Care Coordination Institute (CCI), a clinical integration, data and analytics, and population health enablement company, Dr. Sinopoli drives quality and value-driven transformations across the networks and delivery systems CCI serves to enable providers in the transformation of health service delivery, management and financing necessary to improve and maintain the health of communities.
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Mark McClellan, MD, Ph.D.
Director, Robert J. Margolis Center for Health Policy |
Mark B. McClellan, MD, PhD, serves as Co-chair of the Health Care Payment Learning & Action Network’s Guiding Committee. He is the Director of the Robert J Margolis Center for Health Policy and a Robert Margolis Professor of Business, Medicine, and Health Policy at Duke University. Previously, he was a senior fellow and Director of the Health Care Innovation and Value Initiative at the Engelberg Center for Health Care Reform at The Brookings Institution. His work focuses on strategies and policy reforms to improve health care, including accountable care, better evidence from real-world practice, and more effective drug and device innovation.
Dr. McClellan also served as Commissioner of the United States Food and Drug Administration (FDA) from 2002 through 2004, where he developed and implemented major reforms in health policy, and subsequently as an administrator of the Centers for Medicare and Medicaid Services (CMS) from 2004 through 2006. During 2001 and 2002, Dr. McClellan served on the President’s Council of Economic Advisers where he advised on domestic economic issues. He also served as a senior policy director for health care and related economic issues for the White House. From 1998-1999, McClellan served as Deputy Assistant Secretary of the Treasury for Economic Policy where he supervised economic analysis and policy development on a wide range of domestic policy issues. In 1997, the Journal of Economics and Management Strategy published his paper, Hospital Reimbursement Incentives: An Empirical Analysis, which served as a review and analysis of provider payment incentives resulting from the Medicare prospective payment system.
After graduating from the University of Texas, he earned his MD degree from the Harvard-MIT Division of Health Sciences and Technology and his PhD in economics from MIT. He also earned a Master of Public Administration degree from the Harvard University Kennedy School of Government. Dr. McClellan completed his residency training in internal medicine at Brigham and Women’s Hospital, and he is board-certified in internal medicine.
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Mark Smith, MD
Visiting Professor, University of California at Berkeley |
Mark D. Smith, MD, MBA, serves as Co-chair of the Health Care Payment Learning & Action Network’s Guiding Committee. He is a Visiting Professor at the University of California at Berkeley, and a Clinical Professor of Medicine at the University of California at San Francisco. He was the Founding President and former Chief Executive Officer of the California HealthCare Foundation (CHCF). While at CHCF, Dr. Smith led the launch of California HealthLine and iHealthBeat, daily electronic publications; the CHCF Center for Healthcare Reporting at USC, which partners with local publications and broadcast outlets throughout California in producing original reporting; the CHCF Innovation Fund; and the CHCF Leadership Fellows Program.
Previously, Dr. Smith was Executive Vice President at the Henry J. Kaiser Family Foundation where he oversaw programs in HIV, reproductive health, and the health care marketplace. Prior to that, he was a faculty member at the Johns Hopkins Schools of Medicine and of Public Health. Dr. Smith was elected a member of the Institute of Medicine (IOM) in 2001 and chaired the IOM’s Committee on the Learning Healthcare System, which produced the 2012 report, Best Care at Lower Cost. He previously served as Associate Director of AIDS services and Assistant Professor of Medicine and of Health Policy and Management at Johns Hopkins University. He has served on the board of the National Business Group on Health, the performance measurement committee of the National Committee for Quality Assurance, and the editorial board of the Annals of Internal Medicine. A nationally recognized health policy expert, Dr. Smith has published over 50 articles in peer-reviewed journals and 25 book chapters and monographs, and he is a frequent keynote speaker. In 2014, he was a Menschel Senior Policy Fellow at the Harvard School of Public Health.
Dr. Smith holds a BA from Harvard College, an MBA from the Wharton School with a concentration in health care administration, and an MD degree from the University of North Carolina, Chapel Hill.
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Thomas Buckingham
President, Allevant Solutions |
Mr. Thomas Buckingham serves as president of Allevant Solutions, working closely with Mayo Clinic’s Dr. Mark Lindsay. Tom also serves as Executive Vice President of Strategy for Select Medical’s 110 long-term acute care (LTAC) hospitals and for its nine rehabilitation hospitals, including Kessler Institute for Rehabilitation in New Jersey, consistently ranked by U.S. News and World Report as one of the top two medical rehabilitation hospitals. In his leadership role, Tom is responsible for hospital strategy, the quality department and government relations. He is also charged with the planning and implementation of Select Medical’s proposed elements of health care reform including Accountable Care Organizations (ACOs), post acute care bundling proposals, and patient experience initiative.
Tom joined Select Medical in 1998 as CEO of Select Specialty Hospital in Mt. Clemens, Michigan and went on to hold positions of increasing leadership responsibility, leading to his appointment as president of Select Medical’s LTAC hospital division. In the president’s role, Tom was responsible for the division’s overall clinical, operational and financial performance.
Tom holds his bachelor’s degree in nursing (BSN) and his MBA from Oakland University in suburban Detroit. As an executive with extensive health care experience in the for-profit, non-profit and faith-based sectors, Tom serves on the board of directors for the Acute Long-Term Hospital Association (ALTHA) in Washington, D.C., as well as NaviHealth in Brentwood, Tennessee.
Purchasers
Enabling Organizations | 
Policy Makers
Community Organizations
Emily DuHamel Brower, M.B.A., is senior vice president of clinical integration and physician services for Trinity Health. Emphasizing clinical integration and payment model transformation, Ms. Brower provides strategic direction related to the evolving accountable healthcare environment with strong results. Her team is currently accountable for $10.4B of medical expense for 1.6M lives in Medicare Accountable Care Organizations (ACOs), Medicare Advantage, and Medicaid and Commercial Alternative Payment Models.
Mr. James Sinkoff is the Deputy Executive Officer and Chief Financial Officer for Sun River Health (formerly known as Hudson River HealthCare), and the Chief Executive Officer of Solutions 4 Community Health (S4CH); an MSO serving FQHCs and private physician practices.
Victor is the Chief Medical Officer for TennCare, Tennessee’s Medicaid Agency. At TennCare, Victor leads the medical office to ensure quality and effective delivery of medical, pharmacy, and dental services to its members. He also leads TennCare’s opioid epidemic strategy, social determinants of health, and practice transformation initiatives across the agency. Prior to joining TennCare, Victor worked at Evolent Health supporting value-based population health care delivery. In 2013, Victor served as a White House Fellow to the Secretary of Health and Human Services. Victor completed his Internal Medicine Residency at Emory University still practices clinically as an internist in the Veteran’s Affairs Health System.
Dr. Brandon G. Wilson, DrPH, MHA (he, him, his) joined Community Catalyst as the Director of the Center for Consumer Engagement in Health Innovation, where he leads the Center in bringing the community’s experience to the forefront of health systems transformation and health reform efforts, in order to deliver better care, better value and better health for every community, particularly vulnerable and historically underserved populations. The Center works directly with community advocates around the country to increase the skills and power they have to establish an effective voice at all levels of the health care system. The Center collaborates with innovative health plans, hospitals and providers to incorporate communities and their lived experience into the design of systems of care. The Center also works with state and federal policymakers to spur change that makes the health system more responsive to communities. And it provides consulting services to health plans, provider groups and other health care organizations to help them create meaningful structures for engagement with their communities.
Tamara Ward is the SVP of Insurance Business Operations at Oscar Health, where she leads the National Network Contracting Strategy and Market Expansion & Readiness. Prior to Oscar she served as VP of Managed Care & Network Operations at TriHealth in Southwest Ohio. With over 15 years of progressive health care experience, she has been instrumental driving collaborative payer provider strategies, improving insurance operations, and building high value networks through her various roles with UHC and other large provider health systems. Her breadth and depth of experience and interest-based approach has allowed her to have success solving some of the most complex issues our industry faces today. Tam is passionate about driving change for marginalized communities, developing Oscar’s Culturally Competent Care Program- reducing healthcare disparities and improving access for the underserved population. Tamara holds a B.A. from the University of Cincinnati’s and M.B.A from Miami University.
Dr. Peter Walsh joined the Colorado Department of Health Care Policy and Financing as the Chief Medical Officer on December 1, 2020. Prior to joining HCPF, Dr. Walsh served as a Hospital Field Representative/Surveyor at the Joint Commission, headquartered in Oakbrook Terrace, Illinois.
