Payment Reform Government



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Payment Reform

Government

Representatives

Title

Organization

Status

Office of Mainecare Services*


Michelle Probert

Director of Strategic Initiatives

MaineCare

Confirmed

Center for Disease Control


Christine Zukas


Deputy Director Maine CDC

Department of Health and Human Services

Confirmed

Bureau Of Insurance

Joanne Rawlings-Sekunda

Deputy Director of the Consumer Health

Bureau of Insurance

Confirmed

Legislators

TBD







Outstanding

Medicare

Fran Jensen

SIM Project Officer

Center for Medicare and Medicaid Services

Confirmed

Bill Kassler

Chief Medical Officer, Region 1

Center for Medicare and Medicaid Services

Confirmed

Quality Improvement Organization

Akindele Majekodunmi, MD, MBA

Chief Quality Officer

Northeast Quality Healthcare Foundation (QIO)

Contacted

Office of Continuous Quality Improvement

Jay Yoe

Director of Continuous Quality Improvement

Department of Health and Human Services

Confirmed

Provider/Payer

Recommended Representatives

Title

Organization

Status

Hospital System Reps (3)*



Mark Biscone

Executive Director

Waldo County General Hospital

Confirmed

Chrissi Harding

CFO

MDI Hospital

Confirmed

Jim Kane

President

Central Maine Accountable Care Organization

Contacted

Primary Care Practice/Specialty Practice Reps*


Primary Care:
Edmund Claxton, MD





Central Maine Medical Center Family Medicine

Contacted

Specialist: 
Jamie Kuhn, MD





Maine Orthopedics

Confirmed

Behavioral Health Rep*


Judiann Smith

Director, Regulatory and Legislative Analysis

Spurwink

Confirmed

LTC Provider*


Wanda Pelkey


CFO

First Atlantic Healthcare

Contacted

Health Plan Representation (invite all plans (5))*


Andy Ellis


Regional Director, Provider Engagement and Contracting

Anthem

Confirmed




Dan Dyer





Aetna

Confirmed




Pat Denning

Network Manager

Harvard Pilgrim

Confirmed




Kevin Lewis


CEO

Maine Community Health Options

Contacted




Mark Still


AVP, Contracting

Cigna

Contacted

Community

Recommended Representatives

Title

Organization

Status

Purchasers* (must include MHMC and non-MHMC members)



Tom Hopkins


Director, Compensation and Benefits

University of Maine System (Coalition Member)

Confirmed

Chris McCarthy

Manager, Integrated Health Services

Bath Iron Works (Coalition Member)


Contacted

TBD







Outstanding

Maine Quality Counts*

Ted Rooney

AF4Q Project Director

Maine Quality Counts

Confirmed

Consumer/Advocacy


Cheryl Rust

Owner

Le Garage Restaurant

Confirmed

Ann Woloson

Policy Specialist

Maine Equal Justice Partners

Confirmed

AARP Member - TBD







Outstanding

HealthInfoNet*

Shaun Alfreds

COO

HIN

Confirmed

*Core Members



Data Infrastructure

Government

Representatives

Title

Organization Status

Office of MaineCare Services*



Luke Lazure

MaineCare Financial Manager

Department of Health and Human Services

Confirmed

Center for Disease Control*



Nancy Birkhimer


Director, Public Health Performance Improvement

Department of Health and Human Services

Confirmed

Substance Abuse and Mental Health Services*



Joseph Riddick


Quality Management, Data Manager

Department of Health and Human Services

Confirmed

Office of the State Coordinator*


Dawn Gallagher

Social Services Program Manager

Department of Health and Human Services

Confirmed

Office of Continuous Quality Improvement*


Dana Duncan

Quality Improvement Manager

Department of Health and Human Services

Confirmed

Maine Health Data Organization



Karynlee Harrington


Executive Director




Confirmed

Provider/Payer

Recommended Representatives

Title

Organization




Health System Reps(2)*


Bruce Donlin

Director of Information Services

Mount Desert Island Hospital

Confirmed

Carrie Arsenault

ACO Director of Operations

Eastern Maine Health Services

Contacted

Primary Care Practices*


John Vogt, MD


Family Medicine

Martin's Point


Contacted

N.P. to be nominated by Rhonda Selvin

TBD

TBD




Health Plans

Katherine Pellitreau

TBD

TBD

Confirmed

Behavioral Health*

Margaret Longworth

CEO

OHI

Contacted

Long Term Care

Holly Harmon or Designee

Director of Quality Improvement & Regulatory Affairs

Maine Health Care Association

Contacted

Health System Representation


Ralph Johnson

CIO

Franklin Memorial


Confirmed

Barbara Crowley, MD

Executive Vice-President

MaineGeneral Health

Confirmed

Community

Recommended Representatives

Title

Organization




Maine Health Management Coalition*


Michael DeLorenzo

Interim CEO

MHMC

Confirmed

Purchasers*


Wayne Gregersen,


Director

The Jackson Laboratory

Confirmed

Maine Quality Counts*


Lisa Letourneau, MD

Executive Director

Maine Quality Counts

Confirmed

Consumer/Advocacy (from HINs consumer advisory committee)*


Ann Sullivan

HIN Consumer Advisory Committee Chair




Confirmed

*Core Members

Delivery System Reform

Government

Representatives

Title

Organization

Status

Office of MaineCare Svcs*

Dr. Kevin Flanigan

Medical Director

Department of Health and Human Services

Confirmed

Center for Disease Control*

Dr. Christopher Pezzullo

Division of Population Health Medical Director

Department of Health and Human Services

Confirmed

Substance Abuse and Mental Health Services*

Guy Cousins

Director, SAMHS

Department of Health and Human Services

Confirmed

Office of Aging & Disability Services*

Jim Martin

Associate Director

Department of Health and Human Services

Confirmed

Office of Children and Family Services*

Teresa Barrows

Behavioral Health Program Administrator

Department of Health and Human Services

Confirmed

Legislators

TBD







Outstanding

Maine Quality Forum

KarynLee Harrington

Executive Director




Confirmed

Provider/Payer

Recommended Representatives

Title

Organization

Status

Hospital System *

Vance Brown MD

Chief Medical Officer

MaineHealth

Confirmed

Richard Freeman MD

VP & Chief Transformation Officer

Eastern Maine Health Systems

Confirmed

Jud Knox

CEO

York Hospital

Contacted

Primary Care Practice*

John Patten DO


Primary Care Physician/PCMH member

Penobscot Community Health Care

Contacted

Kathryn Brandt DO

Director Primary Care

Univ New England School of Medicine

Confirmed

Rhonda Selvin, NP


Nurse Practitioner

ME Nurse Practitioners Assn

Confirmed

Specialty Care Physician

Regen Gallagher DO, MBA

Chief Medical Officer

Cary Medical Center

Confirmed

Behavioral Health *

Greg Bowers


CFO

Maine Mental Health Partners

Contacted

Catherine Ryder LCPC, ACS

CEO

Tricounty Mental Health

Confirmed

Emelie vanEeghen

VP Behavioral Health

MaineGeneral Health

Confirmed

Joe Everett

Chief Program Officer

Opportunity Alliance

Contacted

Long Term Care *

Holly Harmon


Director Quality Improvement

Maine Health Care Assoc

Confirmed

Health Plan *

Robert Downs

Senior VP

Aetna

Contacted

Developmental Disability Provider*

David Lawlor

Executive Director

Mobius

Contacted

Community-Based Provider

Gerry Queally

President & CEO

Spectrum Generations

Confirmed

Home Health Care

Julie Shackley

President & CEO

Androscoggin Home Health

Contacted

Community

Recommended Representatives

Title

Organization




Purchasers*

MHMC member



Joanne Abate

Director, Health & Wellness Strategy

Delhaize

Confirmed

Purchasers*

non-MHMC member



Andrew Molloy

Assistant Vice-President for Health Management and Insurance Programs

Unum

Confirmed

HealthInfoNet

Katie Sendze

Program Director

HealthInfoNet

Confirmed

Maine Health Management Coalition

Ellen Schneiter

Program Director

MHMC

Confirmed

Consumer/ Advocacy*

Lydia Richards

Consumer




Confirmed

Consumer*

Betty St Hilaire


Consumer




Confirmed

MeHAF

Becky Hayes Boober

Program Officer

MeHAF

Confirmed

*Core Members




September 24, 2013 Page



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