Board | Education Committee | Policy Committee | Quality Committee
Henish Bhansali
Henish Bhansali, MD, is a leader and physician executive in the Medicare Advantage (MA) sector of value-based care. He is a practicing internist and joined Duly Health and Care in 2021 as their senior vice president and medical director of Medicare Advantage. In this role, he is the end-to-end product owner of MA managing a $440M P & L. He oversees care model design and delivery, total cost of care management, physician compensation structure, HEDIS/STARS performance, payor relationships, and risk adjustment. Prior to Duly, Dr. Bhansali led Oak Street Health’s part B risk as the national senior medical director and vice president of care navigation. He joined Oak Street in 2018 as the medical director at their Garfield Park clinic. In 2019, he transitioned to his most recent role at Oak Street where he led clinical strategy and operations for diagnostic and specialty care nationwide, including creating a high performance network (HPN) and RubiconMD’s e-consult integration efforts, serving 90+ clinics and 100,000+ patients across 20 states. He also led Oak Streets institutional partnerships across Chicago at RUSH Hospital System, the University of Illinois at Chicago, Loyola University Medical Center, and the Sinai Health System. Before Oak Street, Dr. Bhansali led primary care education of 50+ internal medicine residents as the associate program director of internal medicine for the University of Chicago for five years. He directed CME for 300+ physicians, organizing 200+ Grand Round conferences during his tenure. He developed and directed NorthShore’s first global medicine and community health programs. Dr. Bhansali trained in internal medicine and was chief resident at Washington University-Barnes Jewish Hospital (WU-BJH) in St. Louis. After his training, he was appointed medical director for the Stay Healthy Outpatient Program at WU-BJH, leading their work in value-based care to reduce readmissions. Dr. Bhansali is a fellow of the American College of Physicians, a member of the AOA Medical Honor Society and is board certified in both internal medicine and obesity medicine.
Tori Bratcher
Tori Bratcher is director of alternative payment models (APMs) for Trinity Health. She is responsible for the strategy and operations of Trinity’s National alternative payment models including being the ACO executive for the Trinity Integrated Care MSSP, one of the nation’s largest ACOs. Within the ACO, she is accountable for compliance, quality reporting, network management, and ACO governance. Ms. Bratcher works collaboratively with system and local physician and business unit leaders to drive population health and clinical integration success with the providers and practices across the system. Prior to her role at Trinity, she was the executive director of population health operations at Indiana University Health where she managed a portfolio of risk contracts and the teams that drove population health success. Ms. Bratcher graduated with a master’s in health administration from University of Illinois Chicago and bachelor’s in biology & pre-med from Indiana Wesleyan University.
Matt Duckworth
Matt Duckworth currently serves as Director of Operations for the Vanderbilt Health Affiliated Network (VHAN) CIN and Connected Care MSSP ACOs. In this capacity, he is charged with leading strategy to reduce inappropriate utilization and total cost of care, providing federal and state policy updates to internal and external stakeholders, as well as identifying innovative solutions for network participants. He has over a dozen years’ experience working in healthcare with roles ranging from being a hospital patient transporter and pharmacy technician to directing health system CMS pay for performance strategy and leading value-based care efforts. Over the past decade he has worked at the University of Mississippi Medical Center, Ochsner Health System and Vanderbilt University Medical Center. Mr. Duckworth received his BA in communications and MS in public relations from the University of Southern Mississippi, his juris doctorate from Mississippi College School of Law and his Doctor of Health Administration degree from the University of Mississippi Medical Center.
Daniel Elliott
Daniel Elliott, MD, is the Executive Director of eBrightHealth ACO and Senior Medical Director of Value-Based Programs and Network Performance at ChristianaCare. In partnership with the growing population health team, he has helped establish the infrastructure and capabilities necessary for success in value-based programs. Through the ACO, he has developed and led a statewide collaboration including health systems, private physicians, and FQHCs to improve the quality and cost of care across the clinical spectrum and remains focused on the fundamental drivers that clinicians and health care systems can do to succeed in population health. Prior to working in these roles, he served as medical director for Christiana Care Quality Partners, a clinical network developed to support the employees and dependents of ChristianaCare. He has served as associate chair for research in the department of medicine at ChristianaCare and was the project co-director and director of evaluation for Bridging the Divides, a $10M grant from the Center for Medicare and Medicaid Innovation that developed a longitudinal care coordination program that was subsequently awarded the John Eisenberg Award for Quality and Safety from AHRQ. Dr. Elliott earned a B.A. in economics and political science from Duke University and his medical degree at Jefferson Medical College as a Delaware Institute for Medical Education and Research scholar. He earned a master’s degree in clinical epidemiology with a concentration in outcomes research from the University of Pennsylvania School of Medicine.
Rick Goddard
Rick Goddard is the vice president commercialization and strategy for Lumeris. In his position he serves as a subject matter expert and utility role across many facets of the business. His current role includes leading partnership strategic alliances, business model expansion, and go-to-market commercialization. Prior to joining Lumeris, Mr. Goddard served as an executive leader at Advocate Physician Partners. He led the clinical innovation department with responsibility for population health analytics, ACO program administration, value-based payment and innovation strategy deployment. In addition, he has several years of consulting leadership experience from his time at GE Healthcare Camden Group. He has also worked in a variety of healthcare provider settings − from physician groups to some of the largest health systems in the country. Mr. Goddard serves as a national thought leader in value-based healthcare strategy and frequently presents to higher education and association organizations.
Taylor Hall
Taylor Hall serves as the vice president of value based performance where he is involved in financial performance, program execution, analytics, and operations of the VBC portfolio. He developed expertise in VBC at an integrated health system where he held financial leadership roles supporting the medical group and VBC entities.
Shelby Harbison
Shelby Harbison is currently the Operations Program Manager at MultiCare Connected Care (MCC), a Clinically Integrated Network in Washington state. At MCC, Shelby manages the network’s Medicare Shared Savings Program (MSSP) ACO, made up of MultiCare Health System and community providers across Washington and North Idaho, as well as other government value-based programs. Prior to joining MCC, Shelby was the Operations Manager at Kootenai Care Network in Coeur d’Alene, ID and oversaw operations of the network’s value-based contract portfolio including MSSP, Medicare Advantage, Commercial, and Medicaid. Prior to that, she worked for a large FQHC in Los Angeles, CA supporting clinical quality programs. Shelby attended the University of Washington and earned a BA in Public Health and went on to earn her Masters in Healthcare Administration from the University of Southern California. In her free time, Shelby enjoys spending time outdoors in the great Pacific Northwest and bringing her French Bulldog along for adventures.
Kimberly Kauffman
Kimberly Kauffman is Vice President of Clinical Performance at Aledade, Inc. In this role, she supports value-based care (VBC) contracts with CMS/CMMI, Medicare Advantage, commercial health plans and Medicaid managed care by working with teams that specialize in clinical documentation integrity, quality reporting, pharmacy, clinical outcomes improvement, patient outreach and post-acute coordination. Prior to joining Aledade, Ms. Kauffman was the chief VBC officer for MaxHealth, a primary care group based in Florida with 120+ providers, and, before that, was chief VBC officer for Summit Medical Group, a primary care group with 300+ providers based in Tennessee. Her background includes a leadership role in a large independent physicians’ association (IPA) in Florida and in a multi-hospital physician hospital organization (PHO). She received her master’s degree from the college of public health at the University of Florida.
Sherri King
Sherri King is ACO program specialist at Northwest Momentum Health Partners ACO. With over 25 years of healthcare experience as a licensed physical therapist assistant, she draws on her experience in acute, sub-acute and post-acute care to engage providers and beneficiaries in understanding of value-based care. She manages the ACO provider network and is the lead for the ACO beneficiary notification and voluntary alignment activities. She has also participated in the specialist engagement learning labs and is instrumental in creation of the NWMHP Health Equity Plan. In her background as a rehabilitation program director, Ms. King has successfully created and implemented evidence-based programs that addressed functional limitations of the community population such as a fall prevention program, vestibular program, and community mobility program. She oversaw the implementation of the Patient Driven Payer Model (PDPM) for rehabilitation services in skilled nursing, ensuring correct coding of the Section GG Patient Functional Assessments and implemented telehealth services during COVID 19 pandemic to ensure access to care.
Jessica Martensen
Jessica Martensen is the Vice President of Population Care Management for Essentia Health. She is responsible for the development and oversight of care management programs for over 180,000 beneficiaries throughout Minnesota, North Dakota, and Wisconsin. She has a broad range of nursing leadership experience spanning ambulatory, public health, and post-acute settings and is passionate about quality, patient safety, and operational efficiency. Growing up in North Dakota, she has a special interest in rural healthcare and promoting health equity. Ms. Martensen graduated with a Bachelor of Science in Nursing and a Bachelor of Art in Spanish from Dickinson State University. She has her master’s in business administration in rural healthcare from the College of St. Scholastica and is a fellow of the American College of Healthcare Executives.
Jennifer Moore
Jennifer Moore is President of the MaineHealth Accountable Care Organization (MHACO), whose membership includes ten acute care hospitals and over 1,700 private practice and employed physicians. She oversees all activities associated with the development and implementation of value-based contracts, which cover approximately 260,000 Medicare and commercial lives. She has her Masters in Business Administration and over 25 years of experience in value-based care, physician-hospital organizations and health plans. She joined the MMC-Physician Hospital Organization (the precursor to MHACO) in 1999. Prior to her current role, she was the chief operating officer of MHACO. She currently serves as a board member for the National Association of Accountable Care Organizations (NAACOs).
Chante Moy
Chante Moy is the lead management engineer for Baptist Health’s population health department where she excels in utilizing data analytics to pinpoint opportunities for enhancing care delivery and patient outcomes. With over a decade in health insurance and four years in healthcare data analysis, she brings a wealth of experience to her role. She is adept at driving successful outcomes to meet contractual quality thresholds, fostering shared savings. Her deep understanding of ACO challenges and opportunities is rooted in her comprehensive expertise in data analytics, healthcare informatics, and performance analysis. Ms. Moy holds a bachelor’s degree in public administration and graduate certificates in healthcare/health services management, leadership, and advanced analytics using SAS. She possesses a solid foundation in healthcare policy, public health, and analytics. Her proficiency lies in employing advanced analytical tools to gather and analyze datasets, identify trends, and make informed business decisions.
Beth Patak
Beth Patak is the Executive Director for Equality Health’s ACO. For the past year, she has been developing and operationalizing Equality Health’s accountable care organization that participates in CMS’ Global and Professional Direct Contracting. In addition to standing up the ACO, she is also managing growth strategies to expand the ACO to communities beyond the current Arizona footprint. Prior to joining Equality Health, she had accumulated over 22 years of healthcare leadership with a broad scope of unique experiences. She most recently designed and managed Bon Secours Mercy Health’s population health strategies across 5 states in the Midwest. She successfully operationalized strategies on three ‘Levers of Success’ in Population Health: Improvements in Quality, Utilization and Risk Score Accuracy. She also directed the government payment programs such as the Comprehensive Primary Care Plus (CPC+), Medicare Shared Savings Programs and the Ohio CPC Program. Ms. Patak has undergraduate degrees in management and marketing and earned a master’s degree in management from Wright State University.
Bob Rauner
Bob Rauner, MD, MPH, splits his time between two jobs, chief medical officer of OneHealth Nebraska ACO and president of Partnership for a Heathy Nebraska, as well as serving on the board of directors Lincoln Public Schools. Dr. Rauner received his undergraduate degree in philosophy at Creighton University, his medical degree at the University of Nebraska Medical Center, his residency training in family medicine at the Lincoln Family Medicine Program, and his master of public health degree at the Johns Hopkins School of Public Health. Prior to his current roles he was a small town family physician including obstetrics and inpatient care in Sidney, Nebraska from 1998 to 2003, then served on the faculty of the Lincoln Family Medicine Program from 2003 to 2010, and then transitioned into health leadership and policy roles after finishing his MPH in 2010. His wife Lisa is also a family physician.
Rebecca Rohrbach
Rebecca Rohrbach, DNP, has been in healthcare for 30 years. She currently serves as the chief population health officer for NOMS ACO, LLC. She was a family nurse practitioner until 7 years ago when she took the role as Vice President of Population Health for NOMS ACO, LLC. Rebecca works closely with the champion physicians of the organization to promote transformation of healthcare delivery at NOMS Healthcare. This role entails oversight of a care management team, development of quality incentive scorecards for physicians and team members, evaluation of programs, quality metric reporting, and development of post-acute care networks and management of the ACO. She is also responsible for the exploration and determining feasibility of implementing other CMS innovation programs. As a result, many of our primary care providers are CPC+ track 2 and the orthopedics’ participation in BPCI-A total lower extremity joint bundle payment programs. Rebecca received her Master of Science in nursing specializing in family practice from the Medical College of Ohio in 2001 and a doctorate in nursing practice from the University of Toledo in collaboration with Wright State University in 2015.
Ahjay Stivland
Ahjay Stivland is a senior healthcare analyst at Bluestone ACO. In collaboration with the executive team, he leads value-based care analytics and medical economics for the ACO. He is responsible for delivering actionable value-based insights using claims, EHR, and ADT data that lead to excellent outcomes for the ACO. Mr. Stivland also manages the actuarial vendor relationship and works closely with that team to forecast annual performance. During his time at Bluestone, the ACO has increased its savings percentage by 5 points each year and in 2022 has the greatest savings PMPY of any ACO in MSSP. He has also been a key player in pioneering a data governance program at Bluestone and developing standards for accessing and using data at the organization in a meaningful way. Mr. Stivland holds a master’s degree in applied mathematics from DePaul University and is currently pursuing an ASA.
Adam Sumrall
Adam Sumrall is the associate director of population health at Privia Health where he directs value-based care efforts which include MSSP ACOs and Medicare Advantage value-based contracts. In his role, he is expected to collaborate with clinicians to develop, implement and execute solutions that improve quality while lowering the total cost of care. He has over a decade of experience working in healthcare and during that time has worked in, or collaborated with, various alternative payment models like BPCI – Advanced and the Oncology Care Model. Mr. Sumrall received his BS in athletic training from the University of Southern Mississippi and his MA in exercise and sports science from the University of North Carolina at Chapel Hill. After working professionally for 5 years, he decided to obtain his MBA from Lipscomb University.
David Van Winkle
David Van WinkleDavid Van Winkle, MD, is vice president of clinical network transformation at Tandigm Health. In his current role, he serves as the clinical leader for Tandigm Value Partners ACO and Doylestown Health Partners ACO, and he also leads specialty integration work for Tandigm Health with a network of over 500 specialists. Prior to joining Tandigm Health, Dr Van Winkle served as the CMO for Affinia Health Network, a clinically integrated network wholly owned by Trinity Health. In that role, he was accountable for improving the quality and efficiency of the network, while developing its capacity to adapt to dramatic changes in the healthcare landscape. Dr. Van Winkle was accountable for clinical integration, physician relations and improving network clinical performance, and in that capacity he oversaw specialty and primary care physician engagement and directed quality, care management and care coordination programs. He was accountable for the clinical programs that supported value-based contracts in Affinia Health Network including the Next Generation Accountable Care Organization, Medicare Advantage programs, CMS BPCIA programs at member hospitals, and commercial and Medicaid accountable systems of care. Dr. Van Winkle is a board certified family physician and practiced the full spectrum of primary care, including OB, for 2 decades. Until relocating to Philadelphia in 2022, he continued to provide patient care on a part time basis.
Jake Woods
Jake Woods is the executive director of ACO at PSW & NW Momentum Health Partners ACO where he oversees the strategic growth and operations for PSW’s participation in innovative federal payment models, including the direct contracting model and ACO REACH model. During his time at PSW, he has helped to double the gross savings to Medicare, increased ACO participation by 50% and expanded ACO membership into new rural markets across Washington State. He leads provider and practice engagement in NW Momentum Health Partners ACO, focusing on education and outcomes to help physicians and organizations provide high quality care to Medicare beneficiaries. Mr. Woods has built upon previous years of experience in driving success for non-profit organizations to develop a robust communication strategy, connecting independent providers, medical groups, and hospitals across the Pacific Northwest. He holds a bachelor’s degree in communications from the University of Washington and certification from the CHOICE Regional Health Network Leadership Academy. He is currently a board member on the Health Care Transformation Task Force.