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Ignatius Bau, J.D.
Mr. Bau joined the California
Endowment in 2003 and is currently Director of Culturally Competent Health
Systems there. In his current capacity, he is responsible for the program
planning, grant making, and budget for the foundation’s Cultural Competence and
Work Force Diversity programs. Prior to joining the Endowment, Mr. Bau served
for seven years in a number of capacities with the Asian and Pacific Islander
American Health Forum, a national health policy advocacy organization
headquartered in San Francisco. His most recent position there was deputy
director for Policy and Programs. Mr. Bau, a San Francisco resident, received
his J.D. from the Boalt Hall School of Law at the University of California,
Berkeley.
Christine A. Bechtel
Ms. Bechtel is Vice President of
Government Affairs for the American Health Quality Association (AHQA) where she
represents the interests of AHQA’s members before Congress and the
Administration. Prior to joining AHQA, Ms. Bechtel served as Senior Research
Advisor at AARP and as the Director of Community Development for Louisiana’s
Medicare Quality Improvement Organization. Ms. Bechtel also worked for United
States Senator Barbara A. Mikulski (D-MD).
Robert
Berenson, M.D.
Dr. Berenson is a Senior Fellow
at the Urban Institute. From 1998-2000, he was in charge of Medicare payment
policy and managed care contracting in the Health Care Financing Administration.
Dr. Berenson is a board-certified internist who practiced for 20 years. He
recently co-authored with Rick Mayes Medicare Payment Policy and the Shaping
of U.S. Health Care. His current research focuses on modernization of the
Medicare program to improve efficiency and the quality of care provided to
beneficiaries.
Sheila C. Blackstock, R.N., B.S.N., J.D.
Ms. Blackstock received her
B.S.N. from Texas Woman’s University in 1985 and her J.D. from the University of
Houston Law Center in 1999. She served 9 ½ years in the United States Air Force
Nurse Corps and rejoined the uniformed services as an officer in the United
States Public Health Service in 2002. She is currently a Division Director in
the Quality Improvement Group (QIG) of the Centers for Medicare & Medicaid’s
Office of Clinical Standards and Quality. QIG is responsible for implementing
the QIO program, including the beneficiary complaint response program.
Chad Boult,
M.D., M.P.H., M.B.A.
A geriatrician by training, Dr.
Boult has extensive experience in developing, implementing, and evaluating the
outcomes of new models of health care for older populations. His current
research includes Guided Care, a new model of primary care for older people with
multiple chronic conditions. At Johns Hopkins University, he directs the Lipitz
Center for Integrated Health Care.
Eric Carlson,
Esq.
Mr. Carlson is an attorney for
the National Senior Citizens Law Center. He is the author of Long Term Care
Advocacy, the leading legal treatise on long-term care issues, and two
recent publications for consumers: 20 Common Nursing Home Problems, and How
to Resolve Them and (with Katharine Hsiao) The Baby Boomer’s Guide to
Nursing Home Care.
Alfred J.
Chiplin, Jr., Esq. (Steering Committee)
Mr. Chiplin is a Senior Policy
Attorney and managing attorney in the Washington, D.C. office of the Center for
Medicare Advocacy, Inc. He specializes in Medicare beneficiary coverage and
appeals, with an emphasis on access to home health care, discharge planning and
transitional care services, and assuring and assessing the quality of care.
With Judith A. Stein, Esq., Mr. Chiplin is Editor-in-Chief of the Medicare
Handbook, Aspen Publishers (8th Edition, January 2007). He is a
member (and past chairperson) of the Public Advisory Group on Health Care
Quality, Joint Commission on Accreditation of Healthcare Organizations (JCAHO),
a Fellow in the National Academy of Elder Law Attorneys (NAELA), and a member of
the National Academy of Social Insurance (NASI).
Mike Connors
Over the last 30 years, Mr.
Connors has worked for and helped establish advocacy organizations that fight to
prevent neglect and abuse of nursing home residents and others needing long-term
care. He currently works for California Advocates for Nursing Home Reform (CANHR)
as a member of its advocacy team.
Paul Cotton
Mr. Cotton is a Senior
Legislative Representative at AARP, lobbying Congress and the Administration on
Medicare and Medicaid issues. He worked for several years as a reporter for
publications including the Journal of the American Medical Association. He also
was Director of Hearings and Policy Presentation at the Centers for Medicare and
Medicaid Services.
Carol Cronin,
M.S.W., M.S.G.
Ms. Cronin has over twenty years
experience working on health care and aging issues – with a particular interest
in consumer health information and Medicare. Since 2000, she has worked as a
consultant and advisor to a number of non-profit organizations, foundations and
government agencies. These include the California Endowment, AARP, and the
Delmarva Foundation.
Kenneth
Dardick, M.D.
Dr. Dardick is a family
physician and a member of a five-physician group practice, which he founded in
1976. His patients include infants, children, and adults of all ages. Dr.
Dardick’s interests include public health and health policy. He has served as
Director of Health and is currently the Medical Adviser to a local health
district in Connecticut. He has been a Councilor to the Connecticut State
Medical Society and was instrumental in the passage of Connecticut's Seat Belt
Law as President of the Connecticut Safety Belt Coalition.
Joyce Dubow
(Steering Committee)
Ms. Dubow is Senior Advisor in
AARP’s Office of Policy and Strategy where she has responsibility for a broad
health portfolio related to AARP’s health care reform initiatives. She has had a
special focus on private health plans in the Medicare program, health care
quality and health literacy. Ms. Dubow recently completed two terms on the
Standards Committee of the National Committee for Quality Assurance (NCQA) and
serves on the NCQA Geriatrics Measurement Panel as well as its Consumer Council.
She is also a member of the National Quality Forum Review Committee on
Standardizing Ambulatory Care Performance Measures; the Personal Health
Technology Council of the Markle Foundation; and the Public Advisory Group on
Health Care Quality of JCAHO.
Toby S.
Edelman, J.D. (Steering Committee)
Ms. Edelman is a Senior Policy
Attorney with the Washington, D.C. office of the Center for Medicare Advocacy,
Inc. Since 1977, she has focused on long-term care, particularly issues
involving quality of care, the public regulatory system, and various legal
aspects of residents' rights. She has written a monthly mailing on nursing home
enforcement issues since 1999.
Sue Felt-Lisk,
M.P.A.
Ms. Felt-Lisk is a senior health
researcher at Mathematica Policy Research who has led many studies of quality
improvement initiatives for the Centers for Medicare & Medicaid Services
and foundations including hospital case studies to identify ways the Quality
Improvement Organizations could better support transformational change, and the
evaluation of a health plan collaborative pay-for-performance program in
Medicaid. She is currently studying the implementation of pay-for-performance
for small physician practices under Medicare through the Medicare Care
Management Performance Demonstration.
Vicki Gottlich,
J.D., L.L.M.
Ms. Gottlich has been an
attorney at the Center for Medicare Advocacy, Inc. since 2000, when she helped
open the Washington, D.C. office. Previously, she was a staff attorney at the
National Senior Citizens Law Center for 13 years. She has focused on
Medicare-related work including policy, research, and education regarding the
importance of Medicare as a social insurance program. She is a member of the
National Academy of Social Insurance. Ms. Gottlich received her J.D. from New
York University and her L.L.M. from George Washington University.
Stuart Guterman,
Ph.D.
Dr. Guterman directs the
Commonwealth Fund’s Program on Medicare’s Future. Previously, he led the Office
of Research, Development, and Information at the Centers for Medicare & Medicaid
Services, and was Deputy Director at the Medicare Payment Advisory Commission
and its predecessor, the Prospective Payment Assessment Commission.
Leif Wellington
Haase
Mr. Haase, Senior Program
Officer and Health Care Fellow at the Century Foundation, was staff director of
the foundation’s Task Force on Medicare Reform and co-author of its final
report, Medicare Tomorrow. He is also the author of A New Deal for
Health, a universal health coverage proposal for the United States.
Sally Hart,
J.D., M.B.T. (Steering Committee)
Ms. Hart is consulting counsel
to the Center for Medicare Advocacy, Inc. in Willimantic, Connecticut. She
graduated from Stanford University and Boston University School of Law (cum
laude), and received a Masters in Business Taxation from U.S.C. Ms. Hart
specializes in health benefits law and has represented Medicare beneficiaries in
numerous class-action lawsuits that expanded rights to procedural protections
when health services are denied.
Diane E.
Hoffmann, J.D., M.S. (Steering Committee)
Professor Hoffmann is Professor
of Law, Associate Dean for Academic Programs and Director of the Law & Health
Care Program at the University of Maryland School of Law. She
received her law degree from Harvard Law School and her Master’s degree from
Harvard School of Public Health. Prior to joining the faculty at Maryland in
1987, she practiced with the firm of Dewey, Ballantine in Washington, D.C. From
June 1994 to May 1995, while on leave from the Law School, she served as the
Acting Staff Director of the Senate Subcommittee on Aging, reporting to Senator
Barbara Mikulski.
Peter A.
Hollmann, M.D. (Steering Committee)
Dr. Hollmann is a physician
practicing in general internal medicine and geriatrics in Rhode Island. He is
also a senior medical director for Blue Cross and Blue Shield of RI. He has been
a medical director of a hospital for chronic diseases, a home care agency, a
nursing facility and a Medicare Advantage health plan. Dr. Hollmann has served
on the board of the Rhode Island QIO and his professional focus has been quality
improvement. He is also vice chair of the American Geriatrics Society Public
Policy Advisory Group.
Carol Jimenez,
Esq.
Ms. Jimenez represents
consumers’ interests with respect to the health care system. She has been
Director of Litigation and Supervising Attorney for the Center for Health Care
Rights in Los Angeles and is Legal Counsel to California Health Advocates
(representing the interests of California’s Medicare population). Since 1997,
she has been in practice in Long Beach, California. She has successfully
litigated numerous cases involving Medicare and managed care issues.
Eleanor Kinney,
J.D., M.P.H.
Professor Kinney is the Hall
Render Professor of Law and founding director of the William S. and Christine S.
Hall Center for Law and Health at Indiana University School of Law –
Indianapolis. She is also an adjunct professor in the Schools of Medicine and
Public and Environmental Affairs. A widely published author and respected
lecturer on the subjects of America’s health care system, medical malpractice,
health coverage for the poor, and issues in administrative law, Professor Kinney
is author or co-author of numerous law review articles, book chapters, and book
reviews.
Wendy A.
Kronmiller, Esq.
Ms. Kronmiller, appointed in
April 2006 as Director of the Office of Health Care Quality (OHCQ), within the
Maryland Department of Health and Mental Hygiene. As Director, she is
responsible for managing federal and State regulatory activities in Maryland’s
8,000 health care and community residential programs including nursing homes,
hospitals, HMOs, and group homes.
Patricia Kurtz
Ms. Kurtz serves as the Director
of Federal Relations for the Joint Commission on Accreditation of Healthcare
Organizations (JCAHO). In that role, she is responsible for a range of
activities that foster productive relationships with healthcare policy makers,
federal agency officials, and key health care legislators. She strives to ensure
that those who influence and set national health care policy understand how a
voluntary program of standard setting and health care provider evaluation
benefits the public interest.
Yvonne Y. Lee
For over three decades, Ms. Lee has been a community advocate for civil
rights for Asian Americans and Pacific Islanders, promoting awareness and
relations between AAPI and other communities. She currently heads Lee Asian
Community Affairs, a San Francisco-based public policy and media relations
consulting business. She also writes an opinion column for a major Chinese
language magazine. In 1995, Ms. Lee was appointed by President Clinton to serve
on the U.S. Commission on Civil Rights, a bipartisan fact finding federal agency
with a statutory responsibility to monitor and investigate civil rights
violations and concerns.
Keith D. Lind
Mr. Lind is a Senior Policy Advisor in AARP’s Public Policy Institute. He
provides analysis and advice regarding a variety of health policy issues
with particular emphasis on Medicare reform, long term care, home health care,
chronic care, and rehabilitation therapy issues. His work involves Medicare
coverage and reimbursement issues, including prospective payment systems, fee
schedules and cost-based reimbursement for hospitals, skilled nursing
facilities, home health agencies, physicians, and supplies. Mr. Lind
monitors and assesses the implications of legislative and regulatory changes on
the Medicare program, its policies and beneficiaries.
Sarah Lock,
Esq.
Ms. Lock is a Senior
Attorney/Manager with AARP Foundation Litigation, advocating in court on behalf
of older Americans. She specializes in health care impact litigation,
particularly on Medicare, Medicaid, managed care, and prescription drug issues.
Formerly, Ms. Lock was a Department of Justice trial attorney.
Patricia
Nemore, Esq.
Ms. Nemore is a senior policy
attorney with the Center for Medicare Advocacy, Inc. She has been an advocate
for people seeking health care for nearly thirty years. Her practice has focused
on Medicare, Medicaid and long-term care, with special emphasis on issues of
importance to those dually eligible for Medicare and Medicaid. She has engaged
in individual advocacy, class action litigation and legislative and
administrative advocacy at the national level.
Diane F.
Paulson, Esq.
Ms. Paulson is a Senior Attorney
for the Medicare Advocacy Project of Greater Boston Legal Services (GBLS) in
Boston, Massachusetts, a program which assists Massachusetts Medicare
beneficiaries to obtain the coverage to which they are entitled. She has
practiced elder law since 1982 and has specialized in health law since 1986. She
writes and speaks extensively on Medicare and Medicare-related health issues.
Lisa A. Robin
Ms. Robin is Vice President of Government
Relations, Policy, and Education with the Federation of State Medical Boards (FSMB),
a national non-profit association of the 70 medical licensing and disciplinary
boards in the United States and territories. She oversees FSMB’s government
relations, public policy analysis and development, education services, and
Internet Clearinghouse. Ms. Robin earned a Bachelor of Science degree from Texas
Christian University.
Virginia
Rowthorn, Esq. (Steering Committee)
Ms. Rowthorn joined the
University of Maryland School of Law in 2006 as Director of Health Law
Externships and Coordinator of the nationally recognized Law & Health Care
Program. In that role, she advises students pursuing the certificate of
concentration in health law, administers the Health Law Practicum and Externship
Program, acts as liaison with the Student Health Law Organization, and teaches
the Health Law Practice Workshop. Before joining the School of Law, Ms. Rowthorn
was an attorney in the Legislative Division of the Office of General Counsel at
the Department of Health and Human Services.
Michael Rubin
Mr. Rubin is a project assistant
with the Center for Medicare Advocacy, Inc. Previously, he was a research
assistant at the New York State Psychiatric Institute, where he supervised the
execution of psychopharmacological research protocols. Mr. Rubin graduated from
Columbia University in 2004.
David G.
Schulke
Mr. Schulke is the Executive
Vice President for the American Health Quality Association. He worked for both
Democratic and Republican Members of the U.S. Senate and House of
Representatives from 1983-1995, conducting congressional investigations of the
quality of health care products and services in hospitals, physician offices,
nursing homes, and dialysis clinics. From 1978 to 1983 he led a community-based
organization that vigorously advocated the interests of long-term care
facilities, focusing on quality and access problems.
Chad E.
Shearer, J.D., M.H.A.
Mr. Shearer serves as
Legislative Director for Congressman Pete Stark (D-CA), Chairman of the Ways and
Means Subcommittee on Health. He handles healthcare, tax, trade, labor,
financial services, and agriculture policy for the Congressman. He also acts as
professional staff for the Subcommittee on Health. Prior to joining Rep. Stark’s
staff, Mr. Shearer was a David A. Winston Health Policy Fellow with the Ways and
Means Subcommittee on Health. Mr. Shearer earned J.D. and Master of Health
Administration degrees from the University of Iowa, and holds a B.A. in
Political Science from Coe College.
Sharon Sprenger,
R.H.I.A., C.P.H.Q., M.P.A.
Ms. Sprenger is the Project
Director, Group on Core Performance Measurement in the Division of Research at
the Joint Commission on Accreditation of Healthcare Organizations, Oakbrook
Terrace, Illinois. In this position, she is responsible for performance measure
identification, evaluation, pilot testing and implementation activities for core
measures, and international initiatives as applicable to all Joint Commission
accreditation programs/settings. In her current position she has been a primary
interface with CMS and her respective QIO to create the common measure
specifications for shared measure sets in the 7th and 8th
Scope of Work.
Judith A.
Stein, Esq. (Steering Committee)
Ms. Stein founded the Center for
Medicare Advocacy, Inc. in 1986 where she is currently the Executive Director.
Ms. Stein has focused on legal representation of the elderly since beginning her
legal career in 1975. From 1977 until 1986, Ms. Stein was the Co-Director of
Legal Assistance to Medicare Patients (LAMP) where she managed the first
Medicare advocacy program in the country. She has extensive experience in
developing and administering Medicare advocacy projects, representing Medicare
beneficiaries, producing educational materials, teaching and consulting. She has
been lead or co-counsel in federal class action and individual cases challenging
improper Medicare policies and denials.
Barry M.
Straube, M.D.
Dr.
Straube is currently the Acting Director of the Office of Clinical Standards and
Quality (OCSQ) and Acting Chief Medical Officer (CMO) at the Centers for
Medicare & Medicaid Services (CMS). In his OCSQ role, Dr. Straube oversees
several major elements of the CMS quality and clinical policy portfolio,
including the development of national coverage policies and quality standards
for Medicare and Medicaid providers; quality measurement and public reporting
initiatives; and manages the Quality Improvement Organization (QIO) program. As
Acting Chief Medical Officer, Dr. Straube serves as a senior advisor to the
Administrator on clinical and scientific policy.
Julie K.
Taitsman, M.D., J.D.
Dr. Taitsman is currently
Special Counsel for Health and Science on the U.S. Senate Finance Committee. She
previously worked as senior counsel in the Industry Guidance Branch of the
Department of Health and Human Services’ Office of Inspector General where she
drafted advisory opinions on the anti-kickback statute. Prior to that, Dr.
Taitsman worked as an associate with Arnold & Porter in the Health Care and
Food, Drug and Medical Device Practice Group. She graduated from Harvard Law
School and the Brown University School of Medicine.
Ho Luong Tran,
M.D., M.P.H.
Dr. Tran is President/CEO of the
Asian & Pacific Islander American Health Forum (APIAHF), a national advocacy
organization dedicated to promoting and researching efforts to improve the
health and well-being of the Asian and Pacific Islander communities.
Janet Wells
Ms. Wells is the Director of
Public Policy at the National Citizens’ Coalition for Nursing Home Reform (NCCNHR),
which provides information and leadership on federal, state regulatory and
legislative policy development. NCCNHR also creates models and strategies to
improve care for residents of nursing homes and other long-term care
facilities.
Jackson
Williams
Mr. Williams is a
Senior Policy Advisor in AARP’s Public Policy Institute. He provides
analysis and advice regarding a variety of health policy issues.
Mark R. Yessian,
Ph.D.
Dr. Yessian is an independent
consultant. He retired from the Office of Inspector General, U.S. Department of
Health and Human Services in December 2005. There he oversaw many evaluations of
the Medicare program, including the 1995 report entitled “The Beneficiary
Complaint Process of the Medicare Peer Review Organizations.” |