Moderator

Michael leads the Healthcare Strategy Practice at Faegre Drinker, an AmLaw Top 50 Law Firm. He spent 15 years at CMS, during which time he held senior management positions setting policy for and overseeing the provider networks of Medicare Advantage and health insurance exchange plans. He also held VP positions at a multi-state health plan that operated Medicare Advantage and managed Medicaid plans. Adelberg’s a recognized thought leader on health plan provider networks. He has: earned foundation grants to examine substance abuse treatment provider access and potential technological fixes to provider data accuracy concerns; spoken on provider network topics at conferences and meetings convened by health plan trade associations; co-led a consortium of regional health plans on provider network innovations; served on a Veterans Administration advisory committee on provider access; and co-authored provider network studies published in Health Affairs and the American Journal of Managed Care.

Chairman at Quest Analytics and Managing Director, Digital Media Head for Vestar Capital Partners

For more than 30 years, Roger has been a transformative force leading healthcare into the digital age, empowering consumers and physicians alike with transparent access to the information they need to make informed decisions. Since 2006, Roger serves as Managing Director at Vestar, where he has led investments in healthcare information services companies, including Quest Analytics, Healthgrades, and Press Ganey. Currently, Roger serves on the Board of Directors of Friday Health Plans, Accanto Health and the Chairman of the board of Quest Analytics.

President, Behavioral Health and Chief Medical Officer, Magellan Health

Dr. Caroline Carney is a board-certified internist and a board-certified psychiatrist. She joined Magellan Health in 2016 and serves as Magellan Health’s President of Behavioral Health and Chief Medical Officer. Her previous experience includes the role of SVP Chief Medical Officer of Magellan Behavioral Health and Magellan Specialty Health. She served as the chief medical officer for regional health plans where she gained experience in Medicaid, Medicare, Exchange, and commercial populations.

She has served as the medical director for the Indiana Office of Medicaid Policy and Planning, helping to launch the Medicaid expansion product as well as the behavioral health transformation for the state’s community mental health services. While in Indiana, she served on the Governor’s Mental Health Commission. She is a frequent speaker about behavioral health services, integrated and collaborative care, and the importance of self-care during the pandemic.

Dr. Carney is a published author and co-author for over 100 peer and non-peer reviewed publications focusing on issues surrounding comorbid medical and behavioral health conditions. She was a tenured associate professor of Internal Medicine and Psychiatry at Indiana University.

She started her medical and academic career at the University of Iowa where she earned her medical degree, as well as a master’s degree, and directed the Med-Psych residency program. She continues to engage in regular clinical work through supporting the behavioral health team at a federally qualified health center.

Senior Telemedicine Consultant

Dr. Bill Lewis is currently a Senior Consultant for Telemedicine for Fortune 500 companies, CDO’s, and Telemedicine companies. He is currently on multiple Advisory Boards and is working with PE and VC entities entering the E-health marketplace.

Through Wellmedcare he contracted with the Office of the CMO in Humana and was involved in the launch and implementation of many of Humana’s Telemedicine programs nationally form 2014 – 2020. He has assisted with TM Product development for provider groups like Optum’s Wellmed and employer programs like ADP. He served as the Chair of the ATA/CHQI Telemedicine Accreditation Committee which was sold to URAC 1/20 after successfully launching and Accrediting most of the top 20 National programs. He served for 2 years as the CMO of GlobalMed a national Telemedicine equipment and infrastructure company with presence around the world until 1/18.

Dr. Lewis served as the Senior Vice President of Medical Operations for Concentra Health Services and within Humana and Select Medical for 20 years and has supervised over 400 physicians in ten states with 140 clinics as well as over 200 Worksite & Wellness clinics in 40 states in this role. He obtained his Boards in Emergency Medicine and practiced emergency medicine and urgent care for twelve years prior to obtaining an MBA and practicing Urgent and Occupational medicine. In his current roles, as Senior Medical Consultant for corporations and practice groups through WellMedcare, he provides strategic and implementation support for Urgent Care, Telemedicine and Wellness products. Dr. Lewis received his medical degree at the Ohio State University and did his emergency medicine residency at the University of Oklahoma.

Director, Network Adequacy and Governance, Humana

Jason Gargotto is the Director of Network Adequacy and Governance at Humana. In his current role he oversees analytics, governance and implementation procedures in support of network build, maintenance and strategy.

Jason has 22 years of Healthcare experience, most of it focused on provider networks. Prior to his current role, Jason led Humana’s Physician Performance Management department, which focused on developing programs to leverage efficiency and effectiveness measures in the provider network space. Jason launched Humana’s Care Highlighttm program, a first of its kind transparency program aimed at the Medicare Advantage population. Jason also has years of experience in direct provider contracting, contract maintenance, contract loading, provider call operations, and financial modelling.

Jason lives in Louisville with his 2 daughters, and his dog Lily.

Chief Executive Officer, Magellan Health

Kenneth J. Fasola is the chief executive officer of Magellan Health, a leader in managing the fastest growing, most complex areas of health, including special populations, complete pharmacy benefits and other specialty areas of healthcare. Mr. Fasola joined the Company as CEO in November 2019. He is responsible for Magellan’s strategic direction and overall growth, as well as the development and operational execution of the Company’s business strategy.

Mr. Fasola has a successful leadership career spanning three decades in the healthcare industry. Most recently, he served as president and chief executive officer of HealthMarkets, Inc., one of the largest health insurance agencies in the U.S., which was acquired earlier this year by UnitedHealth Group. While at HealthMarkets, Mr. Fasola served on the Board of Directors for the Company and was a member of the Executive, Investment, Compliance and Governance Committees of the Board.

Prior to joining HealthMarkets, Mr. Fasola was responsible for overseeing Humana Inc.’s individual major medical, specialty and supplemental insurance operations. He spent 12 years at Humana earlier in his career, holding several executive and senior level management positions, including Chief Operating Officer, Market Operations; Senior Vice President, Office of the Chairman; and Senior Vice President of Sales, Marketing and Business Development. Between his positions with Humana, Mr. Fasola was with UnitedHealth Group, serving as Chief Executive Officer of Secure Horizons, the nation’s largest Medicare Advantage insurer; CEO of UnitedHealth Group’s Central Region; and President of United Healthcare Lines of Business.

Mr. Fasola began his insurance career in sales with Blue Cross of Central Ohio before moving to Community Mutual Blue Cross and Blue Shield in Ohio (now WellPoint) where he served in various sales management positions. Mr. Fasola holds a B.S. in Health Planning and Administration from the Pennsylvania State University. He is an Alumni Fellow and serves on the advisory board of Penn State’s Schreyer Honors College.

Director II & Chief Operating Officer, Amerigroup, TN.

Stephanie has over 30 years of executive-level experience in government-sponsored health programs, and Medicaid managed care. She has expertise in developing initiatives for high-risk minority populations, specifically maternal child health and is a subject matter expert in Health Disparities, Cultural Competency, and Population Health Management SDOH. She has worked with state governments to: develop statewide health disparities initiatives, privatize home and community-based services, plan and design programs for CHIP beneficiaries, and design and launch a statewide chronic disease management program targeting ABD populations.

Before joining Amerigroup of TN, she was the President of a small consulting firm, the Meja Group, a consulting firm supporting managed care organizations, state Medicaid Agencies and International Technical Consulting firms. Throughout her career she worked with law makers to shape Medicaid and health policy. Stephanie’s passion for serving diverse and high-risk populations is best demonstrated during her tenure as Founding President and CEO of the Indiana Minority Health Coalition, succeeded by nine years as Vice President for Centene Corporation where she launched and served as the President of the Centene Foundation for Quality Health Care and moving on to lead as the National VP of Strategic Initiatives to identify and grow minority businesses in the Medicaid space.

Stephanie has an extensive background in program and strategy development to reduce health disparities. Her work in Medicaid includes health plan operations, government relations that included policy analysis, contact management and lobbying. She has managed the daily health plan operations serving over 350,000 members and has consulted on market expansion and program development in Florida, South Carolina, Virginia, Nebraska, Georgia, Louisiana, Illinois, Michigan, and Alabama. She has worked with State Medicaid Agencies and led readiness assessments of managed health plans. She has presented at numerous conferences over her career and featured in Modern Healthcare, for the article “Growing the Ranks in Minority Nurses.” Stephanie is a published author, with several co-authored articles in “CorrectCare” magazine and two published fictional novellas.

She a graduate of Indiana Law Enforcement Academy, Southern Police Institute UofL, Ky and holds numerous certifications. She is the proud mom of six sons and seven grandchildren.

Administrator, Oregon Division of Financial Regulation

TK Keen is the administrator of the Oregon Division of Financial Regulation. A lawyer by training, TK has been with the division in a number of high profile legal, policy, and compliance roles since 2012. TK leads the National Association of Insurance Commissioner’s PBM Subgroup and is heavily involved in the division’s efforts around health equity. TK recently led the division through the process of creating its first Diversity, Equity, and Inclusion plan and is currently involved in operationalizing the plan with a dedicated division committee. Additionally, TK has taken a lead role in the state’s response to COVID-19 and Oregon’s statewide wildfire emergency. TK is a graduate of Lewis & Clark Law School and enjoys spending his free time hiking with his son and daughter on the trails of Oregon.

Co-Founder at Quest Analytics

John has brought visionary solutions to the healthcare market for decades. He pioneered the industry’s first accessibility tools and developed partnerships with federal, state and commercial markets. He has evolved the idea of simple access standards to comprehensive automated network adequacy solutions that connect the dots between network adequacy and data accuracy. His foresight focuses on giving our customers a competitive advantage in the market with new tools and services.

SVP of National Networks, Molina

Karen is a growth leader and change agent with more than twenty years opening new markets and expanding products across the health insurance industry. She is currently leading the enterprise Provider Network Strategies for Molina Healthcare’s Medicaid-Medicare, Medicare Advantage and Special Needs Plans. With a deep understanding of network development, strategy, product expansion, population health and managed care operations, Karen has helped bring healthcare to every state, but one, across the USA.

Karen holds a BA and MBA from Baldwin-Wallace University. In her spare time she volunteers as a Coach for the Special Olympics in Standup Paddle Sports.

Asst General Counsel, DC Exchange

Katie Dzurec is Assistant General Counsel for the DC Health Benefit Exchange Authority. A former regulator, Katie was Senior Advisor to Commissioner Jessica Altman at the Pennsylvania Insurance Department for over four years and served as acting director of the Department’s Bureau of Managed Care as well as acting director of the Health Market Conduct bureau. Focused on healthcare reform and mental health parity, Katie helped lead the Department’s efforts related to health policy and innovation, bringing various state agencies and stakeholders outside of government together to address these critical issues. In addition, Katie directed inter-agency and inter-state collaboration on mental health parity enforcement and compliance efforts. She is regarded as a subject matter expert in the areas of healthcare reform, mental health parity, and health market conduct examinations.

Katie has held various policy and advisory roles across the insurance industry arena, including Vice President of Regulatory and Policy Affairs at Healthsperien, LLC, in Washington, D.C., where she advised national health insurers on policy and business strategy relating to health reform, as well as conducting statutory and regulatory analyses across federal healthcare programs. Prior to that she served as Compliance and Enforcement Division Director, Oversight Group, for the Center for Consumer Information and Insurance Oversight in the federal Department of Health and Human Services. She also served as Compliance and Regulatory Affairs Director for Maine Community Health Options, Communications Director for the Maine Bureau of Insurance, and was an assistant research professor at the Center on Health Insurance Reforms at Georgetown University.

She holds a B.A. degree in linguistics from the University of Oregon, a law degree from the University of Oregon School of Law, and a Master of Public Administration degree from the University of Maine. She is currently engaged in coursework toward Master of Laws in Insurance at the University of Connecticut. Ms. Dzurec commits much of her free time to running with her family members. She currently splits her time between DC and the Harrisburg-area, where she lives with her daughter, and their dogs, Beezus and Dave the Dog, and a COVID rescue cat called Einstein.

Founder and CEO, RJ Mills Enterprises, LLC and Former Healthcare CEO

Rita is an Independent Director serving on the Boards of Brookdale Senior Living, Inc. (BKD) and Quest Analytics LLC. Rita is a former C-suite business to consumer healthcare executive and business unit CEO for UnitedHealthcare and Centene Corporation. Rita’s background and experience include a combined 30 years of federal, state and private industry experience of which 15 years she was directly accountable for profitability of health care organizations. Rita is Founder and CEO, RJMills Enterprises, a Nashville, TN based professional services firm.

Former Humana Executive and Host, B-Time Podcast with Beth Bierbower

Elizabeth is a strategic leader with more than thirty years of executive-level experience in the health insurance industry. With a deep understanding of both traditional managed care and value-based care, Beth spent more than 18 years at Humana in several leadership roles including Segment President and a member of Humana’s Executive Management Team, President of the Group and Specialty Segment, Chief Operating Officer of Humana’s Specialty Benefits division and Enterprise Vice President leading Humana’s Product Development and Innovation teams. She currently serves on the Boards of Quest Analytics, BlueSprig and the American Telemedicine Association.

Happiness Researcher and Speaker, Bestselling Author

Michelle Gielan has spent the past decade researching the link between happiness and success. She is the bestselling author of Broadcasting Happiness: The Science of Igniting and Sustaining Positive Change and was named one of the Top 10 authors on resilience by the Harvard Business Review.

Michelle is an Executive Producer of “The Happiness Advantage” on PBS and a featured professor in Oprah’s Happiness course. She formerly served as anchor of The CBS Morning News, and her research has received attention from dozens of media outlets including The Washington Post, FORBES, and The New York Times.

Michelle holds an advanced degree in positive psychology from the University of Pennsylvania and a B.S. from Tufts University in Computer Engineering.

Colorado Option Director

Kyla Hoskins is the Colorado Option Director at Colorado’s Division of Insurance. In her current role she leads the implementation of the Colorado Option, which is a first in the nation state-based public option program that will offer better coverage at a lower cost for individuals, families and small businesses.

Kyla previously served at AcademyHealth in Washington DC, a nonprofit health services research and policy organization, and at Connect for Health Colorado, the state’s health insurance exchange, as Director of Policy and Research. Kyla has also served as a Board Member for the Colorado Consumer Health Initiative for six years prior to joining the Division. She holds a Masters of Public Health in health policy from The George Washington University, a Masters of Education Leadership from the Broad Center (now at the Yale School of Management), and a Bachelor’s of Science from Creighton University.

Former Majority Leader, U.S. Senate

Senator William H. Frist, MD, is a nationally recognized heart and lung transplant surgeon, former U.S. Senate Majority Leader, founding partner of Frist Cressey Ventures and special partner and chairman of the Executives Council of the health service investment firm Cressey & Company. He is actively engaged in the business as well as the medical, humanitarian, and philanthropic communities.

As a U.S. Senator representing Tennessee from 1994 -2006 (the first practicing physician elected to the Senate since 1928), Dr. Frist was elected Majority Leader of the Senate, having served fewer total years in Congress than any person chosen to lead that body in history. His leadership was instrumental in the passage of the 2003 Medicare Modernization Act that established Medicare Advantage and the historic PEPFAR legislation that provided life-saving treatment globally to 20 million people.

Senator Frist graduated from Princeton University and Harvard Medical School, and completed surgical training at Massachusetts General Hospital and Stanford.  As the founder of the Vanderbilt Multi-Organ Transplant Center, he performed over 150 heart and lung transplants, authored over 100 peer-reviewed medical articles, and published seven books on topics such as bioterrorism, transplantation, and leadership.  He is board certified in both general and heart surgery. He continues to serve as an adjunct professor of surgery at the Vanderbilt University School of Medicine.

As a leading authority on healthcare, Senator Frist speaks nationally on health reform, government policy, global health, and education reform. In 2019, he launched “A Second Opinion” podcast, which addresses challenging healthcare issues of today from three distinct vantage points: policy, medicine, and innovation.

He is Founder & Chairman of community health collaborative NashvilleHealth, the Tennessee-based State Collaborative on Reforming Education (SCORE), and global health non-profit Hope Through Healing Hands, as well as Co-Chair of the Health Project at the Bipartisan Policy Center. His board service includes the Robert Wood Johnson Foundation, The Nature Conservancy, and publicly-traded companies Select Medical, Teladoc Health, Smile Direct Club, and GS Acquisitions Holdings Corp II.  Senator Frist is one of only two individuals to rank in the top ten of each of the five inaugural Modern Healthcare Magazine annual surveys of the most influential people in healthcare in the United States.

Dr. Frist and his wife Tracy live on a farm in Franklin, Tennessee.