Board | Education Committee | Policy Committee | Quality Committee
Henish Bhansali
Dr. Henish Bhansali is a leader and executive in VBC, with expertise in care model design and delivery, strategy and operations, data and analytics, and population health management. He is the Chief Medical Officer for Medical Home Network (MHN), caring for 300,000+ Medicaid and Medicare (MSSP, ACO REACH, D-SNP, MA) patients at FQHCs across eight states in both urban and rural geographies. 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+ MA patients, across 22 states. In 2021, he joined Duly as Senior VP of MA, managing a $840M budget for 90K full-risk MA and ACO REACH patients, focusing on total cost of care, STARS performance, and payor relationships. Dr. Bhansali has formal training in VBC from Harvard Business School, serves on the NAACOS Board of Directors and as their Education Committee Chair, is a member of the Payment Technical Advisory Committee reporting to HSS, a Fellow of the American College of Physicians, a Presidential Leadership Scholar, and holds Board Certification in both Internal and Obesity Medicine. He is also an Adjunct Professor at U of I, teaching population health for their MHA program.including OB, for over 2 decades until relocating to Philadelphia in 2022.
Shannon Banks
Shannon Banks is COO at the MaineHealth ACO in Portland, Maine. Prior to joining MaineHealth in 2020, Shannon consulted to health care and social service organizations, providing strategic planning and organization development. She has held senior leadership roles at Martin’s Point Health Care and Central Maine Health Care. Her experience includes strategy development and execution, measurement systems, care variation reduction, change management and healthcare operations. Shannon also teaches at Bates College and the University of Southern Maine.
Shannon holds an M.S. in Organization and Management from Antioch University and a B.A. from Bates College.
Renee Barlev
Renee Barlev, MD, MPH is the Director of Regulatory Operations & Strategy at Vytalize Health. She earned her undergraduate degree from Cornell University, and her medical degree from Stony Brook University School of Medicine. She completed a preliminary year in Internal Medicine at Winthrop University Hospital, followed by residency training in Preventive Medicine at Johns Hopkins University, where she earned her Master of Public Health degree. She additionally participated in the Fellows Program in Implementation Research at the Center for Healthcare Delivery Sciences at Brigham and Women’s Hospital.
Carol Egan-Davis
Carol Egan-Davis, MSW MHA, is a senior manager for Medicare Strategy at Providence Health and Services. She and her colleagues manage Providence’s MSSP ACO, Health Connect Partners—one of the largest MSSP ACOs in the country. In 2022 and 2023 Health Connect Partners generated record levels of savings for CMS. Carol has over 25 years of experience in healthcare that spans clinical care, operations management, IS innovation and implementation, and population health management. At Providence Carol works in partnership with executive and clinical leaders to identify areas of opportunity to refine Providence’s value-based care roadmap. Her superpower is translating performance data into a compelling operational strategy.
Rick Goddard, MS-HSM
Mr. Goddard is the Vice President, Head of Commercialization and Strategy for Lumeris, an operating partnership company, that supports organizations where they are at in the journey to managing value-based care risk. Lumeris’ comprehensive value-based toolkit, experienced human capital, and technology services provide end-to-end support for our partners.
As the Head of Commercialization and Strategy, Mr. Goddard serves in 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 (largest ACO in the U.S.), value-based payment and innovation strategy deployment. In addition, Mr. Goddard 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 Chief Financial Officer where he is involved in financial performance, program execution, analytics, and operations of the organization. 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 Senior Manager of Accountable Care Models at PSW, a population health company located in Washington state. At PSW, Shelby manages the organizations participation in the Medicare Shared Savings Program, as well as other government value-based programs. Prior to joining PSW, Shelby was the Program Manager at MultiCare Connected Care (MCC), a Clinically Integrated Network (CIN) wholly owned by MultiCare Health System. Prior to that, she worked for a CIN in North Idaho as the Operations Manager. Shelby attended the University of Washington and earned a bachelor’s in public health and went on to earn her master’s in healthcare administration from the University of Southern California.
Tiffany Jenkins
Tiffany’s pharmacy career started in high school working as a clerk and pharmacy technician in an independent retail pharmacy. This experience led her to earning her Doctor of Pharmacy degree from Ferris State University’s College of Pharmacy. Following graduation, Tiffany completed an ambulatory-focused pharmacy practice residency providing exposure to a variety of acute and outpatient health care settings.
In her early professional career Tiffany practiced as an embedded ambulatory care pharmacist in multiple primary care locations and served as a pharmacy subject matter expert with responsibility for the ambulatory pharmacy team operations. During this time, she became a board-certified ambulatory care pharmacist (BCACP) via the Board of Pharmacy Specialties.
Tiffany currently serves in a dual role for Trinity Health as the Director of Population Health Pharmacy for Trinity Health Alliance of Michigan, the clinically integrated network (CIN) for the Michigan ministry, and as the CIN System Director of Ambulatory Pharmacy with the national Trinity Health system.
In her current role, she is responsible for strategic development of Trinity Health’s approach to ambulatory clinical pharmacy to positively impact alternative payment model contract performance with an emphasis on development of programming to improve cost, quality, and safety through the appropriate use of medications.
Kimberly Kauffman
Kimberly Kauffman is Sr. Director of Quality Reporting 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, 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+ clinicians 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.
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.
Gabe Orthous
Gabe Orthous, MBA, serves as the Director of Value-Based Services Performance and Analytics at Health Choice Network, where he champions the mission of federally qualified health centers (FQHCs). With over 25 years of progressive experience in health information technology (HIT), he specializes in scaling value-based care initiatives and optimizing complex HIT solutions to maximize impact.
A dedicated educator, Gabe is an adjunct professor in the Informatics Department at Georgia State University and a former adjunct faculty member at Sacred Heart University. Additionally, he contributes as a subject matter expert for the Cummings Graduate Institute for Behavioral Health Studies.
Gabe is currently pursuing a PhD in Global Leadership at Indiana Tech, focusing on driving innovation, leadership development, and strategic transformation in healthcare and beyond.
Melissa Pollock
Melissa Pollock, M.Div, CHC, is the Compliance Strategy Director for Advocate Health and oversees the compliance of all the accountable care organizations across the enterprise. Melissa brings over 10 years of experience in value-based health care compliance and has extensive knowledge related to the formation and management of Medicare ACOs and associated policies. Prior to joining Advocate, Melissa was responsible for compliance, privacy, and security initiatives and policy development at CHESS Health Solutions along with compliance of ACOs. Melissa holds degrees in Mathematics/Economics and Spanish from Furman University and a Master of Divinity from Regent University.
Ann Roemen
Ann Roemen, MBA, FACMPE, is Chief Executive Officer of the ACO Collaborative, a physician-led Medicare Shared Savings Program ACO with participants in South Dakota, California and Nevada. Ms. Roemen is responsible for strategic leadership of the ACO, including developing and managing quality improvement activities, cost reduction strategies and driving change in operational performance in support of population health efforts. Ms. Roemen has worked in positions supporting independent physician practices for most of her career. She has extensive experience in healthcare leadership including managed care contracting, medical practice management, marketing, compliance and population health. Ms. Roemen has been an active volunteer in numerous organizations including Medical Group Management Association (MGMA), Junior Achievement and the United Way. She holds the designation of Fellow in the American College of Medical Practice Executives.
Joann Sciandra
Joann Sciandra MHA, BSN, RN, CCM is the Vice President of Care Coordination and Integration at Geisinger. Joann is accountable for the oversight of Outpatient Care Management, Behavioral Health and Special Needs services.
Joann is charged with managing medical trends, designing, implementing and administering best practice disease and case management programs, collaborating with Geisinger’s Community Medicine and other provider groups in the clinical transformation.
Joann earned her Master of Health Care Administration Degree from Grand Canyon University, and her Bachelor of Science in Nursing Degree from Wilkes University. She is a Certified Case Manager and has been a co-author for several publications. Joann presented nationally in Singapore regarding Medical Home and Case Management.
Eloy Sena
Eloy Sena is the AVP of Value-Based Contracts and Operations at Ardent Health, where he oversees value-based contracting and operational performance for the enterprise portfolio of VBC contracts. He joined Ardent Health Services in 2018. Prior to this role, he served as the Director of Quality and later as the Division Director of Managed Care at Lovelace Health System. Eloy has a diverse background with nearly 20 years of experience in healthcare, including quality management and improvement, population health, network management, managed care contracting, provider engagement, pharmacy, value-based programs, alternative payment models, and medical management initiatives. Before joining Ardent Health, he led statewide provider engagement initiatives for Molina Healthcare of NM. Eloy holds a Bachelor’s degree in Health and Wellness Promotion from New Mexico Highlands University and an MBA with a concentration in Health Services from Keller Graduate School of Management.
Vinod Shenai
Vinod Shenai leads the Medical Economics team at VillageMD. His team provides actionable insights to help Operations and Clinical leaders to drive change to improve patient health and outcomes and enable appropriate cost and utilization. His team develops risk stratification algorithms and Process KPIs to help improve Care Management and Post Discharge processes. Lastly, his team analyzes Specialist performance to identify high performing Specialist providers for Network Management. His team also developed the analytics for MSSP and ACO REACH.
Leslie Southworth
Leslie Southworth is currently the Director of Montana Health Plus. Leslie was born and raised in Central Montana and graduated from Montana State University in 1997 with a Bachelor of Science degree in Community Health. She started her career within a not-for-profit Medicaid Managed Care organization in Southern California. After returning to Montana, she served as the CEO at the Central Montana Community Health Center in Lewistown, MT and then the Community Health Care Center in Great Falls, MT. In 2017, she joined the Montana Primary Care Association on the Health Center Controlled Network Team. She served as the HCCN Project Director in 2018 followed by the Director of Montana Health Plus in 2023. She graduated with a Master Healthcare Administration from The George Washington University in June of 2024. Leslie loves summer and loves spending time camping and walleye fishing with family and friends.
Ahjay Stivland
Ahjay Stivland is a principal 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. Ahjay 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. Ahjay 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 Winkle, MD, is vice president of clinical network transformation at Tandigm Health, a population health management company in SE Pennsylvania. In his current role, he serves as the clinical leader for multi-payer PCP focused VBC initiatives in several regional community health systems, supporting independent and employed PCP practices to drive high value performance in commercial, Medicare Advantage, and multiple ACO contracts including Tandigm Value Partners ACO and Doylestown Health Partners ACO. Prior to joining Tandigm Health, Dr Van Winkle served as the CMO for Affinia Health Network, a clinically integrated network in western Michigan wholly owned by Trinity Health. Dr. Van Winkle is a board certified family physician and practiced the full spectrum of primary care, including OB, for over 2 decades until relocating to Philadelphia in 2022.