Tom Aubel is the Director of Medical Payment Strategy and Policy for UPMC Health Plan, one of the fastest growing health plans in the country and part of the UPMC Health System IDFS. In his current role, Tom is responsible for assisting in the development of payment initiatives that continue to move the UPMC Health System from volume to value based reimbursement. In his 25 years of healthcare experience, Tom has worked with various health care organizations on both the provider and payer side. Tom has been responsible for negotiating hospital and physician contracts for two large health systems and overseeing the creation and operation of a successful home host self-funded program at a large community health system. Tom also worked for a risk contracting organization in the late nineties that created what many organizations are working towards today, a fully capitated model. Although that particular organization's vision failed, Tom has always thought that type of forward thinking is needed to fix the United States healthcare system and he is excited to be working for a health care organization that believes the same thing.
Tom graduated from Indiana University of Pennsylvania with a BS in Business Administration and received his MBA from Robert Morris University. Born and raised in Western Pennsylvania, Tom and his wife Lisa still call the Pittsburgh area their home.
In addition to his position as Executive Director for EHNAC, Mr. Barrett is President, CEO of IGI Global Health, a provider of services to HIE's, EMR, Portals and EDI Transactional platforming. He also currently serves as a board trustee on the NJ HITEC Regional Extension Center.
Mr. Barrett has 10 years leading healthcare professional services organizations including PricewaterhouseCoopers, SAIC, Covansys and Virtusa. He has 20 years in senior management roles in payer organizations including: MassMutual, Connecticut Mutual, Travelers and Aetna. He has also lead and grown healthcare and other software/solutions companies including: MultiMate, Barrett Consulting Group, Medical banking Exchange (MBEXX) and Claredi Corp. He has also been in senior leadership for the American Dental Association Business Enterprises Inc. (ADABEI), the for-profit, wholly owned subsidiary of the ADA, a provider organization. He has served as chairman of WEDI, and ASCX12N Insurance Subcommittee and has been on a number of other industry board roles.
He speaks nationally on a variety of e-Health/e-Commerce and industry topics and is involved in a number of industry coalitions promoting the use and implementation of both administrative and clinical transactions, including the development and proliferation of electronic health records (EHR) and "Meaningful Use" including the National Health Information Network (NIHN) and Health Information Exchanges (HIE's).Mr. Barrett continues to work on key e-Health industry initiatives that lay the foundation for health information technology - including support and implementation of the American Reinvestment and Recovery Act (ARRA), Health Insurance Portability and Accountability Act (HIPAA),the Health Information Technology for Economic and Clinical Act (HITECH and Accountable Care Act (ACA).
Jessica Bartlett is the health care reporter for the Boston Business Journal, a role she has held since June 2014. She covers hospitals, health care IT, insurance, health care policy, biotechnology, pharmaceuticals, and medical devices. Prior to her time at the BBJ, she worked at the Boston Globe for four years, working as a general assignment reporter covering the South Shore. Her work has also appeared in South Shore Living.
Wendy is the Director of Provider Relations and Communications at Blue Shield of California. She leads
a statewide team that works directly with network providers to drive best outcomes in the operational
requirements of provider contracts for all lines of business.
One of Provider Relations' responsibilities is the execution of the innovative Partnership in Operational
Excellence and Transparency (POET) program that provides a forum for Blue Shield and providers
to efficiently identify and resolve operational issues. The Provider Relations team also leads the
Comprehensive Provider Relations Strategy, partnering with multiple internal business units to identify
objectives and lead data-driven interactions with providers to achieve operational and quality outcomes.
Wendy is also responsible for managing the access and availability measures and outcomes for all lines
Blue Shield of California's network of hospitals and IPA/medical groups are surveyed annually to assess the effectiveness of the service provided by the team of Provider Relations Representatives. Providers repeatedly rate the team as the best among the health plans for the overall value, quality and professionalism. This is in keeping with tProvider Relations' mission to be the best in class in California in building strong and trusting provider relationships by providing excellent service and root cause issue resolution.
Wendy has been with Blue Shield of California for 17 years. Prior to joining Blue Shield, Wendy was the Regional Director for Contracting and Provider Relations for CareAmerica Heath Plans. Wendy holds a Master's Degree in Public Health from the University of California Los Angeles (UCLA).
Lili Brillstein is the Director of Episodes of Care for the Clinical Innovations division of Horizon Blue Cross Blue Shield of New Jersey. She is responsible for the overall direction, strategy, design and oversight of the Episodes of Care Program. When Lili joined Horizon in January of 2013, the Episodes program was still in pilot and included only total hip and total knee replacement episodes. Under Lili's leadership, the program has grown to include additional orthopaedic episodes, obstetrics, GI, cardiology, oncology, and is the largest commercial Episodes program in the country. Lili also plays a leadership role in the advancement of Horizon's PCMH and ACO models.
Lili serves as an advisor to CMS and other organizations, nationally, on episodes of care and bundled payment development, and is a recognized thought leader in the advancement of the Episodes of Care model as a health care value strategy for specialty care.
Lili's background is in building public health programs, focusing on improving quality and member experience, while reducing overall cost of care. She has 20+ years of experience working with hospitals, physicians, and managed care organizations.
Brenda has over 30 years of experience in revenue cycle and hospital financial management. She joined HCA in 1983 and worked in multiple facilities over a 17 year period as a Business Office Director, Controller and hospital CFO. Brenda is the CEO of the Shared Service Center in the Atlanta area; she has been in this role since 2000. The service center provides revenue cycle management and HIM services for client facilities in California, Nevada, Georgia and South Carolina. Brenda is a cum laude graduate of the University of South Carolina; she holds a BS in Business Administration. Brenda and her family reside in Myrtle Beach, SC and Peachtree Corners, GA.
Tamara is a national revenue cycle consultant and is currently serving as Director, Revenue Cycle at Canton Potsdam Hospital, St. Lawrence Health System who also recently acquired Gouverneur Hospital in New York. She has more than 20 years of experience in the industry and is a known leader in Revenue Cycle continuums for both hospitals and physician practices. She currently has oversight of the Patient Access, Financial Counseling, Patient Accounting/Cash Applications and Patient Financial Services departments. She works closely with the Vice President of Finance & CFO on Managed Care Operations for the two hospitals and article 28 clinics. Tamara is a former board member for the Western NY Chapter of HFMA. She is a current member of HFMA, AAHAM and MGMA. She has successfully led many for-profit and not-for-profit organizations nationally using her expertise in AR Management, Compliance, Denials Management, Payer and Vendor Relations. Tamara is a customer service finance and patient-friendly expert with strong merger and acquisition experience.
Leann DiDomenico, MBA is the administrative director and co-founder of Performance Pediatrics, a primary-care pediatric "micro practice" in Plymouth, Mass. She also writes a monthly blog for Physicians Practice Magazine.
Jay Eisenstock has close to 30 years of management and technology consulting experience along with significant health insurance industry knowledge. He currently heads provider eSolutions at Aetna where his responsibilities include the innovation and deployment of administrative, clinical and financial interactions between Aetna and the provider community. In previous roles at Aetna, Mr. Eisenstock led the company's efforts to achieve HIPAA compliance for electronic transactions.
Prior to joining Aetna, Mr. Eisenstock was vice president of the web development and business intelligence line of business for a technology consulting firm. He also held various leadership and technical positions with Electronic Data Systems Corporation (EDS). He is the current chair of the CAQH Committee on Operating Rules for Information Exchange (CORE) Joint Certification/Enforcement and Testing Subgroup, serves the Workgroup for Electronic Data Interchange (WEDI) as a director, and the Electronic Health Network Accreditation Commission (EHNAC) as a commissioner. He was selected by the Certification Commission for Healthcare Information Technology (CCHIT) to be one of twenty participants in its Health Information Exchange Work Group. Mr. Eisenstock was honored with the Workgroup for Electronic Data Interchange (WEDI) Leadership in Technology award and was a finalist for Aetna's highest employee recognition award. He was also recognized as one of 11 top executives and thought leaders in the healthcare IT industry by eMids Technologies and Healthcare Payer News. Mr. Eisenstock earned a master's degree in business administration from the University of Massachusetts.
Shelley is responsible for oversight and maintaining the integrity of all contracts for Norton Healthcare; including 4 Adult Hospitals, The only free standing Children's Hospital in Kentucky, 5 free standing diagnostic centers, 13 Immediate care centers, 26 Primary Care offices and many specialistis. Also, Shelley is responsible for payor physician credentialing for our employed physician group which is over 800 currently. Born and raised in New Castle, Indiana; Shelley has lived in Jeffersonville Indiana for the past 18 years. Shelley and her husband, Keith, along with their six children: Kea (21), Kevin (15) , Oksana (14), Kyle (14), Maksim (13), Nastia (10). Away from the office Shelley is a fitness enthusiast, including participation in triathlon/IRONMAN competitions and Crossfit!
A C-suite executive with finance and operations executive, Lisa has a broad base of
experience in leading community and academic systems to increased performance in
quality, finance and market share. Lisa thrives in healthcare’s competitive and changing
environment by being to be able to assess and innovate processes while building trust,
value and engagement with key stakeholders across business functions including
physicians, board members, community leaders, and investors.
With broad experience in managing academic affiliations/relationships in clinical enterprises as well as understanding community based physicians and their needs, Lisa is also fluent in revenue cycle enhancement including risk arrangements through to cost containment specializing in labor and physician costs.
Lisa believes that healthcare is an intimate experience and it is through relationships that improved care and engagement occur. She has led her organizations to increase the perception of the brand and patient loyalty, grow market share and build the bottom line by listening to and engaging all levels of the organization.
Craig Hankins is vice president of consumer engagement products at
UnitedHealthcare. In this role, Mr. Hankins oversees the strategy and delivery of
mobile solutions that help all consumers more easily navigate the health system and
improve their well-being. His responsibilities include developing new and innovative
mobile technologies that serve an array of health care stakeholders, including
consumers, health care providers, and employers.
Prior to this position, Mr. Hankins spent nearly a decade helping design and develop UnitedHealthcare's consumer-driven health plans (CDH). As a key member of the organization's product team, Mr. Hankins was responsible for helping improve sales and account management, advising employers and industry participants on trends and best practices related to CDH plans.
Mr. Hankins brings to his current role more than 15 years of experience in management and business strategy consulting. He holds an MBA from New York University's Stern School of Business and a Bachelor of Arts degree from St. Olaf College in Minnesota.
Stuart Hanson leads the healthcare business development strategy and activity for Citi Retail Services. This business unit recently launched Citi's innovative Money2SM for Health patient payment solution. In this role, Stuart works closely with healthcare clients involved in development and adoption of this award winning innovative platform.
Prior to joining Citi, Stuart managed the healthcare banking business at Fifth Third Bank, responsible for overall product strategy, profitability, growth, and business development opportunities. He held similar management positions at JPMorgan Chase, and Bank One Corporation
He is active in numerous governmental and industry initiatives supporting the achievement of "Administrative Simplification" under HIPAA and subsequent legislation, including the Patient Protection and Affordable Care Act of 2010 (aka "Healthcare Reform"). Stuart currently serves as the chair the Healthcare Revenue Cycle Improvement Task Force for the Healthcare Information and Management Systems Society (HIMSS).In 2011, Stuart served as co-chair of CAQH / CORE's Workgroup on EFT & ERA Operating Rules, and speaks frequently on the topic of healthcare payments.
Stuart holds an M.B.A. in finance from the University of Chicago, Booth School of Business and a bachelor's degree in finance from the University of Illinois.
Pam has more than 30 years of health care experience. She was responsible for the successful establishment and growth of two Midwestern hospice operations; has been involved in everything from product development to regulatory implementation to healthcare policy for two of the nation's largest health insurance companies and was directly involved in crafting language for the Patient Protection and Affordability Act. As the Senior Director of Health Business Solutions for HIMSS, Pam oversees the overall management and strategy development for HIMSS Health Business Solutions initiatives, which include Revenue Cycle Improvement, ICD- 10 Implementation/Operationalizing, Administrative Simplification, Fraud and Abuse, and Coding Integrity. Pam is a graduate of Eastern Oregon University with a BS in Politics, Philosophy and Economics.
June has 28 years of Treasury Services product management and customer
service experience. Since 2005, she has helped lead Wells Fargo's solutions
development for the healthcare industry. Currently she is responsible for
Wells Fargo's Revenue Cycle Management - Claims Payment Solution for
Commercial/Government Insurance Payments product strategy and Supplier
Payment Solution, a healthcare provider supply chain management payables
June is a frequent presenter and author on the convergence of healthcare and banking.
Currently she serves as the co-chair of HIMSS/Medical Banking and Financial Systems, Business Edge Task Force committee. She served as Chair of the HIMSS/Medical Banking and Finance Systems Steering Committee from July 2011 through June 2012. She was awarded the Evelyn Casillas Award in February 2012 by HIMSS as recognition of her industry leadership in healthcare financial services.
June holds both graduate and undergraduate degrees from the University of North Florida in Jacksonville, FL.
Charyl Kavner is a Vice President and Senior Healthcare Product Strategy Manager for Fifth Third Bank. She is responsible for developing, executing and launching Treasury Management healthcare products that help providers better manage their revenue cycle. Charyl has over 20 years experience working in the healthcare industry that includes developing products for: health plans, bank card payment networks and financial institutions. Charyl earned a Master of Arts and Education degree from Washington University and a Bachelor of Arts and Education from Arizona State University. She currently resides in Chicago, IL.
William Kocurek, Revenue Integrity Manager with Flagler Hospital Inc. has been in the Healthcare business for over 20 years dealing with all aspects of Revenue Management. This includes RAC audits, Medicare and Medicaid guidelines, Hospital Billing, Claims, Chargemaster management, Managed Care Contract Management and defense auditing. His specialty is Medicare Guidelines in the Facility setting, applying the rules appropriately to remain compliant all the while maximizing reimbursement. He has a BBA in Management with strengths in Project Management.
Mr. Lederman is a Senior Development officer for BNY Mellon’s Electronic Receivables
Payment Services. He manages Electronic Receivables Payment Services’ relationships
in numerous market segments including Banking, Insurance, Utilities, HealthCare and
Mr. Lederman has worked for 27 years in the Financial Services and Payment industries (Infinity Data/First Data Corporation/Western Union Payment Services) managing numerous sales teams and selling ePayment and eBill Presentment solutions.
Mr. Lederman has held numerous Sales and Sales Leadership roles including Product Specialist, National Account Manager, Sales Director and SVP Sales.
Mr. Lederman holds a bachelor’s degree in Business Administration from Ohio University.
Before joining InstaMed, Jeff was an executive in Accenture's Health and Life Sciences practice, where he led several large enterprise projects focused in business strategy and systems integration for multiple Fortune 100 companies. Jeff's experience and expertise include a deep focus in the areas of sales and marketing, product management, business intelligence, project management and operations. Jeff graduated from UCLA with a Bachelor of Science in Microbiology and Molecular Genetics. In his free time Jeff enjoys spending time with his wife and finding hidden dining gems. Jeff earned the Eagle Scout ranking as a Boy Scout and is an avid fan of any sports activity on the beach.
Mr. Maurer joined Apex as their President in May 2008. He is responsible for establishing Apex's product and go-to market strategy and architecting and implementing their award-winning mySuite platform. He a frequent presenter on the impact patient statement messaging and integrated electronic platforms have on patient collections. He currently sits on Apex's Board as well as the Board of two nonprofit organizations.
Prior to joining Apex, Mr. Maurer worked as Executive Vice President and Sr. Operations Officer for SPS Commerce, a SaaS based electronic data interchange (EDI) company, helping large retail organizations improve supply chain efficiency.
Mr. Maurer holds a B.A. in Management, Organizational Leadership from St. John's University (Minnesota) and is a certified Six Sigma Green Belt. Mr. Maurer and his family currently reside outside St. Paul, Minnesota.
Alton R. McKinley, Chief Financial Officer, VA Medical Center at Dallas TX., has 20 years of experience in a wide range of leadership, management and advisory positions. In the role of Chief Financial Officer (CFO), he provides executives with timely and accurate financial information, ongoing budget projections, and oversight over accounting, payroll and finance operations, as well as design and maintenance of the financial reporting structures.
In addition to his accounting and finance oversight responsibilities, Mr. McKinley offers broad management, internal control and strategic advice to management that maintain budgets in excess of $850 million. His Total Quality Management (TQM) experience has greatly accelerated VA North Texas efforts to meet and exceed many of their nation performance measures.
Among his significant previous positions, Mr. McKinley has served as CFO at VA Amarillo, TX, Deputy CFO at VA Temple, TX, and Executive Health System Specialist. Mr. McKinley has also held supervisor and management positions with Citigroup, Inc.
Mr. McKinley holds a Bachelor of Science in Accounting and a Master of Arts in Leadership.
JOHNS HOPKINS HEALTH SYSTEM
Charlie Myers is Director of Operations, Special Programs and Support for the Johns Hopkins Health System. In that role, he has Accounts Receivable responsibility for the psychiatry, substance abuse, and long term care services of JHHS. Charlie is also responsible for the revenue control, cash applications, and customer service functions for 5 of the Hopkins hospitals.
Charlie's previous experiences include positions in hospital, independent laboratory and physician business offices. On the other side of the ledger, he served as Utilization Review Manager at Blue Shield of Maryland, earlier in his career.
In addition to his duties at JHHS, Charlie is the Nominations and Elections Chair for the American Association of Healthcare Administrative Management, (AAHAM) and he is Co-chair of the WEDI Sub-workgroup for the 835 transaction. Recently, Charlie was asked by the AAHAM to be their representative to the WEDI Board of Directors. Charlie agreed and was elected to the WEDI Board.
He is married and has four children. His hobbies include music and sports.
Michael is responsible for Account Management & charter for a structure that redefines the Patient Financial Experience for the largest Provider in Idaho. He has over 20 years' experience in customer management and patient experience working for firms such as Capital One and Hewlett-Packard.
Michael has held various roles across diverse organizations including customer management and insights for Capital One. At Hewlett-Packard, Michael was the Executive responsible for a $2B e-Commerce organization. Within HP, Michael managed Data & Analytics to drive user interface changes that drove significant improvements in performance.
These experiences have led Michael to St. Luke's Health System where he has been tasked with identifying and developing solutions that improve Patient Financial Experience from end to end. This is defined as pre-patient experience through each step of the clinical and non-clinical touch points.
Michael holds a BS in Marketing from the University of Tampa, MBA from Northwest Nazarene University and a dual PhD. in International Business & Decision Sciences from NOVA Southeastern University.
Leslie has over fourteen years of cash management sales and consulting experience, and serves as Director of Healthcare Payments at Commerce Bank. Leslie's team specializes in providing customized payment solutions to the healthcare industry, with an emphasis on helping clients enhance their revenue cycle. Leslie is a Certified Treasury Professional (CTP) and a Certified Revenue Cycle Representative (CRCR). She is a member of the Association for Financial Professionals and the Healthcare Financial Management Association. Leslie graduated Cum Laude from the University of Kansas with dual degrees in Business Administration and Spanish.
Brian G. Rosenberg has over 15 years experience helping healthcare organizations to optimize their procure to pay processes. As a leader in implementation of payment strategies, software implementation, and shared service operations, Brian has helped many of the largest healthcare providers in the country. He is a regular speaker at industry conferences and the Chairman of the Editorial board for Financial Operations Matters magazine.
Before founding InstaMed, Chris was an executive in Accenture's Health and Life Sciences practice. Chris focused on architecting and delivering portal and connectivity solutions at clients such as UnitedHealth Group, WellPoint Health Networks and many regional health plans. Chris has managed large teams of people in multi-project initiatives such as eCommerce development, software application development and operations. Additionally, Chris has been involved in strategic development efforts regarding government health initiatives, consumer-directed health plans and direct connectivity between providers and payers. Chris has certifications and expertise in Programming, Architecture, User Experience, Database Technologies, Networks, Network Architecture, Security and Project Management. Chris is a named inventor of multiple patents and patent applications held by InstaMed. Chris graduated Cum Laude from Harvey Mudd College with a Bachelor of Science in Engineering and a minor in Economics. Chris was also a member of the Tau Beta Pi Engineering Honor Society, captain of varsity water polo and an All-American. Chris is an active board member of the Newport Beach Junior Lifeguard Foundation, and an avid fan of fan of water sports including boating and surfing.
Kempton has been employed in healthcare and healthcare technology for over 30 years. This includes 21 years employment in acute hospital settings for both for-profit and not-for-profit health systems, and twelve years with "top 20" health systems. He also worked as a vendor, supporting technology product design and deployment, analyzing processes and "experiencing" various levels of detail in about 75 healthcare organizations. He currently serves as Vice President of Patient Financial Services in the Regional Services Division for Carolinas HealthCare System (CHS). In this role, Kempton oversees the Patient Access and Patient Accounting operations for eight hospital systems that contract with CHS for Management Services, and advises on strategic and operational matters for 5 other entities within CHS.
Once called a "pioneer" in Revenue Cycle technologies for implementing document management technologies (including Point Of Service Scanning and electronic signature capture) in the early 1990s, Kempton has experience implementing Main Frame Systems, Predictive Dialing Systems, Scheduling Systems, Contract Management Estimation, Claims System, as well as tools and modules supporting EDI Transactions, Customer Service, and Revenue Cycle Decision Support. Kempton has also coordinated mission-critical projects to enhance cash flow for financially distressed organizations. These include implementing Point of Service Collections and Requiring Payments for Non-Emergent Services in the ED, Comprehensive Medicaid Eligibility, Expanded Financial Counseling Services, and Revenue Outreach.
Kempton also served in leadership roles in State and National AAHAM including National President and Board Chairman. He is a contributing author The Patient Accounts Management Handbook published by (Aspen 1997). He has written articles for publications in HFMA, AAHAM, and various regional business journals, and has served on the Editorial Board for Aspens System's Healthcare Collector. Kempton is a graduate of Appalachian State University and native of Goldsboro, NC.
Presentation Overview: Managing in an Environment of Change The speed of change is accelerating. The pressures of Consumerism, Bed-side Registration, Red Flag Rules, HIPPA Privacy, Compliance, and Point of Service Collections seem minor compared to the growth of Consumer Expectations, Changes in Reporting Requirements, Outreach Program Expectations, Realization of EDI Transaction Sets, and New Technology Deployment that looms on the horizon.
These anticipated "uncontrollable" changes interrupt the ability to envision and execute changes departmental leaders would like to implement. to improve internal operations, improve employee morale, and enhance our patients' experiences.
We all know the resulting stress is significant for leadership and staff.
Managing in an Environment of Change will examine the pressures we face, sharing successes and failures experienced by others. This presentation will help participants develop ways of examining changes, understanding the root cause and developing strategies for success. This presentation will be pertinent to both day-to-day management and project leadership.
Currently Ron holds the position of Chief Revenue Officer for Memorial Hermann Health System, in Houston Texas. His responsibilities include; Enterprise Payer relationships and contracting, Government reimbursement and Revenue Cycle Operations.
With about $5 billion in annual revenues, Memorial Hermann Health System is the largest not-for-profit health system in Southeast Texas and has 12 hospitals and numerous specialty programs and services located throughout the Greater Houston area. Memorial Hermann-Texas Medical Center is one of the nation's busiest Level I trauma centers and the primary teaching hospital for The University of Texas Health Science Center at Houston (UTHealth) Medical School. The health system has 5500 aligned physicians with a nationally recognized Accountable Care Organization that holds contracts with CMS and numerous payer organizations.
Originally from Cleveland, Ron was an executive with ProMedica Health System throughout most of his career. Ron started with the organization when it was a single hospital and was part of the management team that expanded it to be the market leader with $2 billion in annual revenue with nine hospitals and 350 employed physicians. During his tenure, he was responsible for revenue cycle, government reimbursement and managed care operations. Ron received his B.B.A. in Accounting and M.B.A. in Management from the University of Toledo.
Brian began his career at Wells Fargo over fourteen years ago, working in Treasury Management the last nine years. In late 2013, Brian transitioned from a Treasury Management Ethnography Market Research Consultant focusing on the healthcare industry to a Healthcare Product Manager. He currently manages the Patient Payment Solution (PPS). PPS is a patient revenue cycle management solution for providers of healthcare services.
Brian is a native of the Bay Area and currently resides in San Francisco. He holds a B.S. in Computer Science with a Minor in Technology Management from the University of California, Davis. He has held the Certified Treasury Profession designation since 2008.
Ms. Wojciechowski is a Healthcare Market Specialist with BNY Mellon's Healthcare Solutions Team. Rose is responsible for executing on the team's strategic direction, solution development and marketing efforts to the healthcare industry.
Ms. Wojciechowski has over 30 years of experience with the organization and, over the course of her career, has held various roles in product management, direct marketing, credit risk, and financial analysis across multiple business lines. Ms. Wojciechowski is a Certified Treasury Professional and holds a bachelor's degree in accounting from Carlow University and a master of business administration degree from Capella University.