Policy Committee Bios

Stephen Nuckolls

Stephen Nuckolls is the chief executive officer of Coastal Carolina Health Care, PA, and their 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, 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 several 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.

Katie Boyer

Katie Boyer is the Director of Policy & Government Affairs at agilon health. In her role, she leads agilon’s advocacy and government affairs strategy as well as policy development and analysis. She serves as agilon’s in-house lobbyist and key contact for outreach to policymakers, regulators and external partners in Washington, DC. Katie has over 13 years of experience in healthcare policy at the federal level. Katie received her BA in Political Science from Butler University in Indianapolis and completed her Master of Public Policy and Administration (MPPA) at Northwestern University.

Travis Broome

Travis Broome is the senior vice-president of policy and economics at Aledade, Inc. He guides Aledade and partner physicians through the policy, strategy and economics of value based health care. Joining Aledade shortly after its start, he worked on nearly every aspect from business development for both practices and payers, to early analytics, to serving as an ACO executive director for Aledade Louisiana ACO. Prior to Aledade, he spent seven years at the Centers for Medicare & Medicaid Services in roles ranging from regulation writing to quality improvement to management. Mr. Broome earned his masters of public health and business administration from the University of Alabama at Birmingham.

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.

Joyce Colton

Joyce Colton, RN, MSN, MPH joined Ascension in 2022, where she currently serves as the national director of government programs. She supports ten MSSP ACO’s and over 80 Primary Care First practices. She continually evaluates CMS Innovation Center programs for Ascension nationally. Ms. Colton graduated from UCLA with a master’s in public health in health services management. She was part of a team that started a medical home program for chronically ill patients of Los Angeles General Medical Center. She served at Kaiser Permanente for several years as a project manager on IT and patient safety improvement initiatives. After Ms. Colton received her MS in nursing from Rush, she spearheaded clinical quality and practice transformation programs at Chicago Family Health Center and Rush University System for Health (RUSH). In 2017 she became manager of VBC at RUSH where she managed participation in the MSSP, oncology care model and bundled payments for care improvement – advanced. There she also served as the ACO compliance official.

Steven Greenspan

Mr. Greenspan holds a Master of Laws (LLM) in health law from The Health Law Institute of Widener University School of Law (Delaware Law School), a Juris Doctor from the same institution, and a Bachelor of Arts in Economics/Sociology from Temple University. He is a member of the bar in Pennsylvania, New Jersey, the United States District Court, District of New Jersey, and the United States Supreme Court.

Mark Gwynne

President and Executive Medical Director for UNC Health Alliance, University of North Carolina’s Clinically Integrated Network of over 6000 employed and independent providers and 14 hospitals, Next Generation and MSSP Accountable Care Organizations, and Population Health Services Organization. Dr. Gwynne brings experience developing high value clinically integrated networks and data driven, value-based care delivery to complex patients across diverse geographic regions which have generated over $100M in new value revenue over the past three years. Dr. Gwynne is particularly interested in new alternative payment models designed to address the key driver of health outcomes, minimize health disparities and control costs across populations. He has significant experience in effectively integrating care between healthcare settings including ambulatory providers, hospital systems, post-acute partners and community-based organizations.

Board-certified in Family Medicine, Dr. Gwynne continues his patient care in the office and hospital and serves as an Associate Professor of Family Medicine at the University of North Carolina School of Medicine. He completed his residency and fellowship in Family Medicine and faculty development at the University of North Carolina at Chapel Hill where he remains on faculty.

Gary Jacobs

Gary Jacobs is the Executive Director of the VillageMD Center for Public Policy. He is a seasoned health care executive with a wide breadth of experience in the government’s market and a concentration on Medicare Advantage, Medicaid, Medicare Supplement, long term care, public and private exchanges, individual products and payer/provider collaborations. He has a successful history of developing, selling, and acquiring health care companies. Recognized for quickly assessing the big picture and implementing workable plans to increase revenue and profitability targets, Gary has a keen understanding of public policy and its role in influencing a program’s profitability and ultimate success.

Natasha Jivani

Natasha Jivani, Director in Population Health is the MSSP lead across the CommonSpirit Health Enterprise. She launched Dignity Health’s three initial MSSP ACOs in 2017 and set up a new ACO for the organization under Pathways. She partners with the Care Coordination, Data Analytics, and Quality teams to manage the operational, and financial ROI of value-based initiatives. In addition, she identifies strategic opportunities in the Medicare and commercial contracting space to deepen CommonSpirit’s participation in value-based payment models.

Prior to her work at CommonSpirit, She was a Manager at Avalere Health, based in Washington, D.C., where she provided strategic and analytical support to a range of clients including health systems, health plans, health technology vendors, and life sciences companies related to the Affordable Care Act and the broader shift to value-based care. At Avalere, she also conducted quantitative and qualitative analyses to inform policy positions for clients on new payment and delivery models (e.g., accountable care organizations, bundled payment), health information technology, exchanges, and Medicare and Medicaid reimbursement and facilitated annual advocacy planning sessions for provider and plan clients, identifying priority issues based on feasibility of change, political environment, and financial impact. Natasha also interned at CMS prior to Avalere, where she served as a member of the national Children’s Health Insurance Program (CHIP) Eligibility Expansion Team, supporting state efforts to update eligibility determination and enrollment processes.

Thomas H Kloos

Thomas H. Kloos, MD, is Vice President Atlantic Health System, President of the Atlantic ACO and executive director of the Atlantic Health MSO, a management services organization which supplies management services to both the Atlantic ACO and Optimus Healthcare Partners ACO. The two ACO’s serve both the MSSP program and commercial relationships and encompass over 76,000 attributed Medicare beneficiaries and over 370,000 commercial attributed beneficiaries Over 30%% of those beneficiaries are in at-risk contracts. Both ACO’s have been in the MSSP programs since inception. He was a NAACOS board member and past chair. He is a board member of Optimus Healthcare Partners, a physician established ACO. He has served as past president and medical director of Vista Health System IPA. Dr. Kloos is a board-certified internal medicine practitioner and has been a NCQA recognized level 3 Patient Centered Medical Home (PCMH). He graduated from the University of Louisville Medical School in 1979 and from Rutgers University in 1975.

Harry Reese Jr.

Harry Reese Jr. serves as VP and CFO for Ochsner Health Network (OHN). In this role, he oversees all finance and accounting activities in support of value-based care delivery within OHN and Ochsner Accountable Care Network (OACN). His responsibilities include contract performance analysis and projections, clinical documentation excellence, program ROI assessments, provider distributions as well as strategic support for key initiatives. From 2016-2021, Mr. Reese served as vice president for post-acute and home care, leading the oversight and strategic planning of post-acute services along with the development of innovative home-based programs. From 2010-2016, he was VP and CFO for Ochsner Medical Center, the flagship campus of Ochsner Health. Prior to his time at Ochsner, Mr. Reese was president and CFO of a home health company in central Florida and spent 17 years with a healthcare system in central Florida, serving as CFO. Mr. Reese earned his BBA from Hofstra University and his MBA from the University of Central Florida. He is a graduate of the Health Management Academy’s CFO fellowship.

Megan Reyna

Megan Reyna is responsible for the value network performance for enterprise population health of Advocate Health. Under her leadership, Ms. Reyna’s team leads the value-based care practice transformation support, government programs, ambulatory quality improvement and condition management and documentation (clinical risk adjustment) teams to assist the organization in achieving national quality and value-based care outcomes across the Enterprise. In her role, she oversees the performance of 2.3 million patients in value-based contracts inclusive of six MSSP ACOs, REACH ACOs, 4 CINs. She has been a featured speaker and panelist on the topic of ACOs and value-based care at numerous national conferences and is the past chair of the NAACOS quality committee. A registered nurse by background, Ms. Reyna received her MSN from the University of Illinois Chicago.

Margaret Senese

Margaret Senese oversees Medicare and Medicaid ACO strategy and operations and all-payer medical expense oversight at Atrius Health. Her public payer ACO portfolio currently includes MSSP, Primary Care First at 25 sites, and MassHealth ACO in partnership with Fallon Health. Prior to joining Atrius Health in 2018, she spent five years in public service at the Massachusetts Health Policy Commission, managing programs investing in care delivery transformation at community hospitals. Ms. Senese holds an MS in health policy and management from the Harvard School of Public Health and a BS in mathematics from Tufts University.

Aaron Sohaski

Aaron Sohaski stands at the forefront of healthcare transformation as the director of contracting and compliance for Mosaic ACO and the Henry Ford Physician Network, two subsidiaries within Henry Ford Health. With nearly a decade of experience in the rapidly evolving field of value-based care, Aaron has become a recognized leader, known for steering multidisciplinary teams to success, influencing transformational healthcare policy and effectively advocating for change that benefits both providers and patients.

Mary D. Strasser

Mary Strasser, MHL, brings over three decades of expertise to the healthcare arena, specializing in managed care programs within health plans and health systems. Currently serving as the senior vice president of population health at Essentia Health, Ms. Strasser is at the forefront of steering the organization towards innovative solutions that not only enhance health and well-being but also effectively manage costs. Her role encompasses the oversight of community health, community relations, payer strategy, care management and telecare strategies.

Dana Strauss

Dana Strauss, PT, DPT, is senior director of government affairs for CVS Health. She serves on the public policy team and is responsible for VBC policy supporting CVS Health’s health care delivery business, especially within Signify Health and Oak Street Health. She’s a Doctor of physical therapy with deep experience in health care delivery, traditional and alternative payment methodologies and VBC implemented all along the care continuum. Ms. Strauss began work in VBC in a newly formed population health department in a NJ health system, building a successful, multi-APM program managing acute episodes of care (both standalone and as a component of TCOC models like MSSP, BPCI, BPCI-A, and CJR) and the culture change inherent in that success. She has built onto and compounded that knowledge and experience in roles in client success and business strategy, and her deep SME in Medicare and VBC policy led to a career shift into full-time work in public policy. At CVS Health, her primary focus is CMS and CMMI alternative payment models and opportunities. She has a longstanding passion for policy and regulatory developments and updates that may improve the care and lives of complex and seriously ill populations through payment incentives. She’s especially excited about VBC opportunities that include post-acute care, home-based care and palliative care.

Kelli Todd

Kelli Todd is the ACO Director of Government Programs for UnityPoint Accountable Care (UAC) ACO. Based in Des Moines, Iowa, Kelli sets the strategic vision for the ACO’s government programs and provides day to day leadership and operational management. She brings over 15 years’ experience in both public and private sectors and an expertise in Medicaid, managed care, rural health, insurance exchanges, long-term services and supports, and global health. Kelli previously served as CEO of the Iowa Chiropractic Society setting the vision for the organization with the board and leading overall business strategy. Kelli also led development efforts for the Iowa Healthcare Collaborative, directing strategic visioning, partnership development, and revenue generation. As Iowa transitioned its Medicaid program to managed care, Kelli led the development of the state’s Medicaid Managed Care Ombudsman program, and successfully updated state rules and regulations and resolved operational issues to better serve the state and Medicaid members. She has experience advising state agencies across the country on health care reform policy implementation relating to state-based health insurance exchanges and Medicaid modernization projects.

Kelli is involved with several local organizations including serving as President for the Iowa Rural Health Association and contributes globally as a health care consultant for the Nepal Ministry of Health and One Heart Worldwide nongovernmental organization. She is a former State Commissioner on the Iowa College Student Aid Commission and has been nationally recognized as a candidate for the White House Fellowship Program, selected as a David A. Winston scholar and has received various state and federal competitive awards.

She holds a Master of Public Health degree in policy from the University of Iowa and a Master of Health Care Delivery Science degree from Dartmouth.

David Walker

Dave Walker serves as a public policy advisor for Corewell Health. In his role, he primarily manages the system’s regulatory policy functions. This includes the often-strategic area of certificate of need, federal payment rules and other state and federal regulations. He also is involved in developing the system’s responses to congressional requests for information. Mr. Walker helped develop regulatory standards to allow for the development of cardiovascular ambulatory surgery centers in Michigan, recognize geographically significant access points for essential clinical care and allow for new medical technology to be approved in the state. Before his time with Corewell Health, Mr. Walker managed a legislative research team at K&L Gates, LLP in Washington, DC, where he also served on the policy and law practice group’s tax and financial services policy teams. He is also a former Michigan legislative staffer, working in both the Michigan Senate and Michigan House of Representatives. Mr. Walker holds a BA in political science from Albion College and an MPA from Grand Valley State University.

Jessica Walradt

Jessica leads advocacy, implementation and performance management for Northwestern Medicine’s Reimbursement Reform Portfolio including all governmental and commercial value based programs and contracts. Prior to this, she led the Association of American Medical Colleges’ policy, advocacy, and data analytic efforts surrounding alternative payment models. She directly supported approximately 60 hospitals’ and provider groups’ efforts to implement Medicare bundled payment programs. Jessica holds an MS in Health Policy and Management from the Harvard School of Public Health and a BA in Political Science from the University of Richmond.

Jill Watson

Jill Watson is the chief executive officer of the Kansas City Metropolitan Physician Association, LLC, an organization of independent Kansas City area physicians that is leading a transformation from volume to value. During her career, Ms. Watson has gained an extensive understanding of health care policy, best practices in medical care and the barriers that keep physicians from achieving them. Prior to joining KCMPA, she was executive director of the Metropolitan Medical Society of Greater Kansas City (Metro Med). She began her career in Washington, DC in public policy for Honda North America, the American Association of Homes and Services for the Aging and the American College of Obstetricians & Gynecologists. Ms. Watson earned a BA degree in political science from Hofstra University and an executive MBA from Washington University in St. Louis.

Spenser Weppler

Spenser Joined OneCare in 2016 and is currently a Senior ACO Policy Administrator. He worked closely with leadership to help begin the transition from the Medicare Shared Savings Program to the Modified Medicare Next Generation ACO program under the Vermont All Payer Model. He also helped coordinate the Readiness Review and operationalization of the Vermont Medicaid Next Generation Program launched in 2017. Additionally given his previous background in Healthcare Regulation working for the State, he helped coordinate the ACO budget and certification submission process as required by Green Mountain Care Board (Vermont’s Health Care Regulatory Body). He monitors and works closely monitoring and tracking the State legislative processes and any policy/legislation that affects ACO’s, in Vermont.

Before joining OneCare Spenser worked for the State of Vermont for 12 years, first at the Banking, Insurance, Securities and Healthcare Administration (BISHCA), and then at the Green Mountain Care Board (GMCB). While at the GMCB he worked with the State Director for Healthcare Reform helping design and implement various healthcare payment reform models including the Shared Savings ACO programs for Medicaid and Commercial Payers in VT, which were launched in 2014. He was involved in the initial stages of development for the Vermont All Payer Model while at the GMCB before joining OneCare.

Spenser was born and raised in Vermont, and holds a BA from Bowdoin College and MPH with a focus on Healthcare Administration from Boston University. He lives in Williston with his wife and his two young daughters. In his free time he spends time outside with his daughters, skiing, biking and swimming.

Hannah Wieshalla

Hannah Wieshalla is the executive director of Central MN ACO and population health at CentraCare. She sets strategy and oversees CentraCare’s population health value-based care operations which includes Central MN ACO, population health analytics and management/operations, outpatient and inpatient clinical documentation integrity, population-based patient engagement strategy, physician compensation and value-based care metrics. In addition, Ms. Wieshalla has had positions at other healthcare organizations in finance, contracting, revenue cycle, and reimbursement. She holds a BS in accounting and an MBA. She serves as a member of the NAACOS policy committee and as the Mayor of Browerville, MN.

Jacob Woods

Jake Woods currently serves as the executive director of ACOs for PSW and NW Momentum Health Partners. Since joining PSW, Mr. Woods has rapidly ascended the ranks, showcasing a strong focus on accountable care models and strategic leadership. In his current capacity, he oversees the strategic growth and operations for PSW’s participation in innovative federal payment models. His experience includes management of the Next Generation ACO Model, Bundled Payment Models, and ACO REACH. He leads PSW’s ACO provider and practice engagement, with a specific focus on education and outcomes to ensure high-quality care for Medicare beneficiaries. Mr. Wood’s achievements are notable, including doubling gross savings to Medicare, achieving a 50% increase in ACO participation and successfully expanding ACO membership into new rural markets across Washington State. Certified by the CHOICE Regional Health Network Leadership Academy, Mr. Woods is a forward-thinking healthcare professional dedicated to driving positive change in the industry. His commitment to excellence and innovative approaches positions him as a valuable leader in the dynamic landscape of accountable care.

Stephen Wolery

Stephen has over 10 years of experience leading, managing and supporting government value-based programming for various provider groups and hospital systems. During his value-based journey, he has taken on progressive leadership roles supporting numerous government value-based programs: MSSP, ACO REACH, QPP encompassing both MIPS and AAPM participation, Oncology Care Model (OCM), Comprehensive Joint Replacement (CJR), Inpatient Quality Reporting (IQR), Promoting Interoperability for Eligible Hospitals (Hospital Meaningful Use), and both Comprehensive Primary Care Initiatives (CPCi & CPCi+) just to name a few. His areas of interest and expertise include healthcare policy and legislation, program administration, performance improvement, regulatory compliance and strategic development. Stephen earned his MHAfrom Xavier University and a BS from Ohio State University.