2025 Board of Directors Bios
REBECCA ADKINS
Rebecca Adkins is currently serving as senior vice president of population health at Jefferson Health. Jefferson includes Jefferson Health Plans, Thomas Jefferson University, and Jefferson Health. Jefferson Health provides over 5.6 million outpatient visits a year in Pennsylvania and New Jersey. Rebecca has over 20 years’ experience in healthcare working in telehealth, quality, community health and value based care. Rebecca received her bachelors and masters of health administration from Indiana University.
HENISH BHANSALI
Dr. Henish Bhansali is a leader in value-based care (VBC), serving as the chief medical officer of Medical Home Network (MHN), where he leads VBC transformation for 350,000+ Medicaid and Medicare patients at FQHCs across eight states. Previously as VP and senior medical director of care navigation at Oak Street Health, he developed specialty and diagnostic care strategies including network sculpting and integrating e-consults for 100,000+ Medicare Advantage (MA) patients, across 22 states. In 2021, he joined Duly as senior VP of MA, managing a $840M budget for 90,000 full-risk MA and REACH patients, focusing on total cost of care, HEDIS/STARS performance, care model design and delivery, population health, and payor relationships. Dr. Bhansali has formal training in VBC from HBS, serves on the NAACOS Education Committee, is a fellow of the American College of Physicians, is a Presidential Leadership Scholar, and holds board certification in internal and obesity medicine. He is also an adjunct professor at the University of Illinois, teaching population health in their MHA program.
SEAN CAVANAUGH
Sean Cavanaugh is Aledade’s chief policy officer. Sean has previously served as the deputy administrator and director of the Center for Medicare at the Centers for Medicare & Medicaid Services. He was responsible for overseeing the regulation and payment of Medicare fee-for-service providers, privately-administered Medicare health plans, and the Medicare prescription drug program. Previously Sean was the deputy director for programs and policy in the Center for Medicare and Medicaid Innovation, where he was responsible for overseeing the development and testing of new payment and service delivery models, including ACOs and medical homes. Prior to that, Sean was director of health care finance at the United Hospital Fund. He has also served in senior positions at Lutheran Healthcare, the New York City Mayor’s Office of Health Insurance Access, and the Maryland Health Services Cost Review Commission. He attended the University of Pennsylvania and the Johns Hopkins School of Hygiene and Public Health.
CLIF GAUS
Clif Gaus, Sc.D. is currently president and CEO of the National Association of ACOs which he helped found in 2012. NAACOS is the only national organization owned and managed by ACOs. It advocates for ACOs on policy and offers shared learning experiences through conferences, webinars, forums and work groups. Dr. Gaus has a diverse background as a public servant, entrepreneur and health executive. He served in senior health positions under Presidents Nixon, Ford, Carter, and Clinton. In the 1970’s and 80’s, as associate administrator of HCFA (now CMS), he directed the development of a broad range of innovations in health care financing and delivery, including the DRG hospital payment system, RBRVS physician payment system, Medicare Hospice Programs and Medicare payment of Physician Assistants. From 1994 to 1997 he was the Administrator of the Agency for Health Care Policy and Research (now AHRQ).
In the late 90’s Dr. Gaus held the position of executive vice president and chief administrative officer of WellPoint Health Networks Inc. Prior to WellPoint, he was senior vice president of the national Kaiser Permanente Health System in Oakland, California. From 2002-10 he served on the Board of Directors of the Lucile Packard Children’s Hospital, Stanford University. In recent years he has consulted for a number of prominent organizations, including a six month engagement with the Administrator of CMS working on the ACO regulations and the start-up of Center for Medicare and Medicaid Innovation (CMMI). He holds a master’s degree in health administration from the University of Michigan and a Doctorate of Science in health care management from The Johns Hopkins University.
MARK GWYNNE
Mark Gwynne is the president of UNC Health Alliance and UNC Senior Alliance. UNC Health Alliance is UNC Health Care’s statewide, physician-led clinically integrated network, and is the primary vehicle created to transform health care delivery and alternative payment models on behalf of more than 5,000 providers, including community-based providers along with those employed by UNC Health Care’s affiliate entities. UNC Senior Alliance is UNC Health Care’s physician-led Medicare accountable care organization (ACO). Dr. Gwynne is also an associate professor of family medicine at the UNC School of Medicine. He is interested in new models of healthcare delivery in the primary care setting, transitions of care between health care settings, quality improvement and innovative models of care within the Patient Centered Medical Home.
MELANIE MATTHEWS
Melanie Matthews is the dynamic, creative and innovative CEO at Physicians of Southwest Washington (PSW) and president at MultiCare Connected Care. She brings more than 20 years of operations, financial, human resources and product marketing experience in health care services for specialty populations. Her passion for public policy and engaging legislatures has propelled her as the “voice” of physician health policies. Since she joined the company in 2016, Ms. Matthews has maintained the core principals in which PSW was founded on and expanded business lines to include MSO services including credentialing, coding and compliance and the implementation of CMMI innovation models such as the Next Generation ACO. Her extensive knowledge in post-acute care provides strategic focus in reducing overall cost of care as well as provider and beneficiary engagement.
Prior to PSW, Ms. Matthews served for three years as vice president of operations for Prestige Care, Inc., where she was responsible for regulatory and financial operations and outcomes for 38 skilled nursing facilities and two Medicare home health agencies in a four-state northwest region. Among her other accomplishments, she serves as co-chair for APG – Risk Evolution Taskforce, was selected by the American Health Care Association as a “National Political Ambassador” in 2013, and was named a national “Future Leader” in 2012. Ms. Matthews holds a master of science, social gerontology, degree from Central Missouri State University and a bachelor’s degree in human development and family studies from Pennsylvania State University.
JEN MOORE
Jennifer Moore is the president of the MaineHealth Accountable Care Organization (MHACO), whose membership includes 10 acute care hospitals and over 1,700 private practice and employed physicians. Jen oversees all activities associated with the Medicare Shared Savings Program and numerous commercial and Medicare Advantage value based contracts, representing over 260,000 Medicare and commercial lives. Jen has significant expertise in value based contracting, ambulatory quality measurement and performance, data analytics, and network management activities. Prior to her current role, she was the Chief Operating Officer for MHACO. Jen has her masters in business administration and over 25 years of experience in accountable care, physician-hospital organizations and health plans.
STEPHEN NUCKOLLS
Stephen Nuckolls is the chief executive officer of Coastal Carolina Health Care, PA, and its ACO, Coastal Carolina Quality Care, Inc. His responsibilities include the direct management of the 60 provider multi-specialty physician-owned medical practice and its ACO. They currently participate in the MSSP’s Enhanced Track and have value-based contracts with Medicare advantage as well as commercial plans. The group has a large primary care base and their operations include an ambulatory surgery center (GI endoscopy), sleep lab, urgent care, and imaging center and 13 other practice locations. Mr. Nuckolls facilitated the formation of the group in 1997 and has served in his current role since that time. Prior to the formation of this organization, Mr. Nuckolls helped guide physicians and integrated hospital organizations in the formation of larger systems. Mr. Nuckolls earned his BA in economics from Davidson College and his MAC from UNC’s Kenan-Flagler Business School. He is a founding member of the National Association of ACOs and served in a number of roles on the executive committee including board chair from 2016-2017. In addition to these responsibilities, he serves on the board of Community Care of NC as well as several advisory boards and committees for the North Carolina Medical Society and is a frequent speaker on ACOs and related topics.
MARGARITA OLLET
Margarita Ollet, RN, MBA, is the chief operating officer of Health Choice Network, Inc. (HCN) and Health Choice Network of Florida (HCNFL) and chief executive officer of Health Choice Care (HCC). Ms. Ollet has more than 25 years of experience in South Florida’s dynamic health care arena. Her extensive and diverse background both as a health care executive and a registered nurse gives her a unique perspective in addressing the health care challenges faced by the neediest members of the communities served by HCN’s member centers. In addition, Ms. Ollet employs her vast expertise in the clinical and managed care arenas to guide her in directing HCN’s managed care activities and the development, oversight and operations of the network’s MSO infrastructure. She has spearheaded several clinical, care management and disease management initiatives designed to improve access to health care and quality of health care services provided to underserved populations. Ms. Ollet joined Health Choice Network in 1996 after serving as vice president of managed care for Jessie Trice Community Health System. Prior to assuming this position, she worked in similar positions at Management Utilization Review Associates and Jackson Memorial Hospital Health Plan, having launched her clinical nursing career by serving as a clinical registered nurse at Jackson Memorial Hospital. Ms. Ollet received an MBA in health services administration from the University of Miami and a bachelor of science in nursing from Florida International University. She is a certified health care risk manager and holds a certificate from the American Board of Quality Assurance and Utilization Review Providers.
ANDREA OSBORNE
Andrea Osborne is the senior vice president of ACO operations and delegated services at VillageMD. Andrea graduated with a master’s of science in therapeutic recreation from Indiana University. She spent the next 16 years working in long term care and has been a licensed nursing home administrator since 2004. Through her career, Andrea has had responsibility for managing performance within Payer contracts and CMMI models. She has managed value-based contracts for multiple entities including hospital systems, employed providers and affiliates.
ARSHAD RAHIM
Arshad Rahim, MD, has worked for Mount Sinai Health System (MSHS) Population Health and the associated CIN for the last six years with the primary goal to help transform health care delivery in the greater New York City and create a model of value-based care excellence. In his current role, he serves as chief medical officer and senior vice president for MSHS Population Health and for the Mount Sinai Clinically Integrated Network, which includes 7,000 employed and community providers. Dr. Rahim has over 20 years of healthcare industry leadership experience at innovative organizations and companies including as vice president of quality for Essence Healthcare and Lumeris, a population health and analytics company. He also served as group vice president of quality improvement and innovation at Healthgrades where he built, led and helped deliver, coast to coast, quality measurement and quality improvement services. They had annual revenues of about $25M a year and impacting physician and provider behavior was a key value proposition of our work. He was also a director at Sg2, a health care intelligence, analytics, and services company for many hospitals and health systems, where he developed his analytic and statistical skills. Dr. Rahim has a BA in economics from Duke University, an MD from the University of North Carolina, and an MBA from Emory University. He completed his internal medicine residency at Yale University and Northwestern University. He is an actively practicing primary care internist and hospitalist at the Mount Sinai Hospital.
JENNY REED
Jenny Reed is the senior vice president of value-based care for Baylor Scott & White Health and the executive administrator for the Baylor Scott & White Quality Alliance (BSWQA), BSWH’s clinically integrated network and accountable care organization. As the leader of the BSWQA’s senior leadership team, Jenny guides the strategy development, long and short-term goals as well as overall alignment and organizational initiatives. She also oversees quality management for government programs as well as value-add contracts for local and national employers. During Jenny’s tenure, BSWQA has generated more than $410 million in savings over the last five years (2018-2022) and is consistently among the top savers in the nation. Jenny is a Louisiana native who earned her bachelor of science degree from the University of Louisiana at Lafayette and holds a master of social work from Louisiana State University.
MEGAN REYNA
Megan Reyna, MSN, RN, ACRN serves as chief operating officer, population health, at Bon Secours Mercy Health. In this role, she is responsible for the performance of our ACOs/CINs, recruiting participating primary care providers and increasing new Medicare lives into our value-based programs. Ms. Reyna is an established clinical health care executive with over 18 years of experience in operations and value-based care. She joined BSMH from Advocate Health (previously known as Advocate Aurora Health), where she served as the group vice president in population health. She was accountable for assisting her organization in achieving national quality and value-based care outcomes. Ms. Reyna received her bachelor’s degree in nursing with honors from Marquette University and a master’s degree in nursing administration with honors from the University of Illinois at Chicago. She currently serves on the board of directors for the National Association of ACOs (NAACOS) and is a pre-rule making committee member on the Partnership for Quality Measurement (Battelle).
ROBERT WATERHOUSE
Robert Waterhouse Jr., MD, MBA, HSM pursued his undergraduate and medical education at Northwestern University in the honors program in medical education. He trained in urology at Case Western University Hospitals of Cleveland for both residency and fellowship. After finishing training, he began as academic director of minimally invasive surgery and the director of quality. He elected to leave Mount Sinai in 1999 to start a private practice of urology as the founding physician of Piedmont Urology. He was the president and managing partner from its onset in 1999 through 2011 until the practice merged with seven other regional urology groups to form a group of over forty providers, named Carolina Urology Partners. As the group’s CMO, he sought additional business education and completed both an MBA and health sector management from Fuqua School of Business at Duke University. In additional roles, he led the organization’s clinical research champion as principal investigator in numerous clinical research trials and led the advanced prostate cancer center which he developed. In 2017, he left clinical practice and joined UnitedHealthcare as the North Carolina chief medical officer working with health systems across the state on value-based care, leading ACO relationships and performance-based contracting. In 2019, he transitioned from UnitedHealth care to a lead medical director role for clinical effectiveness and employer markets at Blue Cross of North Carolina. He is a member of the American Medical Association, the National Medical Association and the American Urology Association as well as a diplomat of the American Board of Urology.
