Members: Physician-Focused Payment Model Technical Advisory Committee

The terms of the committee members are intended to be staggered, with the first set of appointments for terms of 1, 2, or 3 years. Committee members may be appointed for subsequent 3-year terms.

Angelo Sinopoli, MD, Chief Clinical Officer, Prisma Health; and Jennifer Wiler, MD, MBA, Executive Vice Chair and Professor, Department of Emergency Medicine, University of Colorado School of Medicine are appointed for a 3-year term that expires in October, 2021. Jeffrey Bailet, MD, otolaryngologist and President and Chief Executive Officer of Altais, and Kavita Patel, MD, MSHS, Vice President of Payer and Provider Integration for the Johns Hopkins Health System, were appointed for a 3-year term that expired in October, 2018. They have been reappointed for a 3-year term that expires in October, 2021. Rhonda M. Medows, MD, President of Population Health Management at Providence St. Joseph Health and the CEO of Ayin Health Solutions; Harold D. Miller, President and CEO, Center for Healthcare Quality and Payment Reform; Len M. Nichols, PhD, Director, Center for Health Policy Research and Ethics, George Mason University; and Grace Terrell, MD, MMM, doctor of internal medicine and CEO, Envision Genomics, were appointed for a 2-year term that expired in October, 2017. They have been reappointed for a 3-year term that expires in October, 2020. Paul N. Casale, MD, MPH, interventional cardiologist and Executive Director, NewYork Quality Care; Tim Ferris, MD, MPH, primary care internal medicine physician and Chief Executive Officer of the Massachusetts General Physicians Organization, a multi-specialty medical group; and Bruce Steinwald, MBA, private consultant, were appointed for a 1-year term that expired October, 2016. They have been reappointed for a 3-year term that expires in October, 2019.

Brief biographies of the appointees are provided below:

Jeffrey Bailet, MD, Committee Chairperson, is President and Chief Executive Officer of Altais, a physician services company and wholly owned subsidiary of Blue Shield of California. The new company offers a new range of tools, technology and other healthcare services to support physicians and their patients. Dr. Bailet previously served as executive vice president of Health Care Quality and Affordability at Blue Shield of California, a 4.5 million-member nonprofit health plan that serves the state’s commercial, individual and government markets. Prior to joining Blue Shield, he served as executive vice president at Aurora Health Care and president of Aurora Health Medical Group, which includes 1,800 physicians and 900 advance practice clinicians across 180 clinics and 15 hospitals in Wisconsin and northern Illinois. Dr. Bailet previously served as the chief executive officer at Associated Healthcare Consultants and president of Northwest Specialty Physicians. He previously served as vice chair of the Board of AMGA (formerly the American Medical Group Association). Bailet is a board-certified otolaryngologist and began practicing as an ear, nose and throat specialist and surgeon in 1993. He is a graduate of the University of Washington School of Medicine and completed his residency in Otolaryngology Head and Neck Surgery at UCLA Medical Center. He also holds a MSPH in Environmental Health from the University of Washington School of Public Health and Community Medicine. He is a Fellow of the American Academy of Otolaryngology and the American College of Surgeons

Grace Terrell, MD, MMM, Committee Vice Chairperson, is CEO of Envision Genomics, helping clinicians diagnose rare disease through the integration of genomic data into clinical care. As a leader in health care delivery system reform, Dr. Terrell speaks to health systems, provider groups and professional organizations about the importance of improving population health through patient care model redesign, clinical and information integration, and value-based compensation. In 2013, Dr. Terrell launched CHESS, a company dedicated to helping health systems and other medical groups make the transition to value-based medicine. For over 16 years, Dr. Terrell served as the President and CEO of Cornerstone Health Care. Dr. Terrell currently serves on the Board of Directors of the American Medical Group Association, the American Medical Association’s Integrated Physician section, and the Oliver Wyman Health Innovation Center’s Leadership Alliance. She is also a practicing internist.

Paul N. Casale, MD, MPH, is a cardiologist and Executive Director of NewYork Quality Care, the ACO of New York-Presbyterian, Weill Cornell Medicine and Columbia University Vagelos College of Physicians and Surgeons. He is a Professor of Clinical Medicine, Division of Cardiology at Weill Cornell Medicine and adjunct Professor at Columbia University. He is a Senior Scholar in the Department of Health Policy at Sidney Kimmel Medical College at Thomas Jefferson University. Dr. Casale previously served as a member of the AHRQ National Advisory Council and as Co-Chair of the Brookings-Dartmouth Workgroup on Payment Reform. He is a current member of the National Quality Forum Measure Applications Partnership Clinician Workgroup. Dr. Casale received his medical degree from Weill Cornell Medical College and his master of public health from the Harvard T.H. Chan School of Public Health.

Tim Ferris, MD, MPH, practices primary care internal medicine at Massachusetts General Hospital in Boston, Massachusetts. He is also the Chief Executive Officer of the Massachusetts General Physicians Organization, a multi-specialty medical group. Dr. Ferris previously served as Senior Vice President for Population Health Management at Partners HealthCare, a non-profit hospital and physicians’ network that includes Brigham and Women’s Hospital and Massachusetts General Hospital; Medical Director at the Massachusetts General Physicians Organization; Chair of the National Quality Forum’s Consensus Standards Approval Committee; and a member of the Health Information Technology Policy Committee’s Quality Measures Workgroup. Dr. Ferris received his medical degree from Harvard Medical School.

Rhonda M. Medows, MD, is President of Population Health Management at Providence St. Joseph Health, the 4th largest nonprofit health system in the United States and the CEO of Ayin Health Solutions, a Population Health Management company. She leads Providence’s Medicaid, Medicare, and employer population health strategies, as well as the organization’s value-based care, health plans, population informatics, government programs, care management, contracting, and community health partnerships. Dr. Medows has an extensive background in both the private sector health industry and government health programs including Medicare and Medicaid. Prior to joining Providence, she served as an executive vice president and chief medical officer of UnitedHealth Group. While there, she led quality management and improvement initiatives and provided leadership and oversight of efforts to improve clinical quality and operational excellence. Until March 2010, Dr. Medows served as Commissioner for the Georgia Department of Community Health (DCH) and as the State Health Officer for Georgia, where she oversaw Georgia’s Medicaid and SCHIP programs and ran the state employee benefit plan, public health emergency preparedness and rural health information technology. Dr. Medows also served as Secretary of the Florida Agency for Health Care Administrative (AHCA), the state agency responsible for the Medicaid and SCHIP programs, health facility regulation, managed care quality, health information exchange, and public policy development. She also served as the chief medical officer for the Centers for Medicare & Medicaid Services (CMS) Southeast Region. Dr. Medows holds a Bachelor’s Degree from Cornell University and earned her Medical Degree from Morehouse School of Medicine in Atlanta, GA. She practiced medicine at Mayo Clinic and is Board Certified in Family Medicine. She is also a Fellow of the American Academy of Family Physicians.

Harold D. Miller, is President and CEO of the Center for Healthcare Quality and Payment Reform, a national policy center that develops and encourages implementation of national, state, and local strategies for improving the quality and reducing the cost of healthcare. He also serves as Adjunct Professor of Public Policy and Management at Carnegie Mellon University. He has assisted physician practices, medical specialty societies, hospitals, employers, government agencies, and community collaboratives in more than 40 states and regions to develop better ways of delivering and paying for health care, and he has written a number of widely-used reports on healthcare payment reform. Prior positions include President and CEO of the Network for Regional Healthcare Improvement, President of the Allegheny Conference on Community Development, and Director of the Pennsylvania Governor’s Office of Policy Development. He received a Master of Science degree in Public Policy and Management from Carnegie Mellon University.

Len M. Nichols, PhD, is Director of the Center for Health Policy Research and Ethics and a Professor of Health Policy at George Mason University, in Fairfax, Virginia. He is the Principal Investigator on an evaluation of CareFirst’s Patient-Centered Medical Home Program, and is also directing other projects on payment reform and disparities, efficiency, and population health. He was an Innovation Advisor to the Center for Medicare and Medicaid Innovation at CMS. Dr. Nichols previously served as Vice President of the Center for Studying Health System Change, Principal Research Associate at the Urban Institute, and Senior Advisor for Health Policy at the Office of Management and Budget. He received his PhD in Economics from the University of Illinois at Urbana-Champaign.

Kavita Patel, MD, MSHS, is Vice President of Payer and Provider Integration for the Johns Hopkins Health System. Prior to this role, she practiced internal medicine at Sibley Memorial Hospital in Washington, D.C., and served as a Nonresident Senior Fellow at the Brookings Institution—a think-tank that provides research and policy recommendations and analysis on a range of public policy issues, including healthcare. She previously served as Director of Policy for the White House Office of Intergovernmental Affairs and Public Engagement and Deputy Staff Director for Health for Senator Edward M. Kennedy. Dr. Patel was selected as a Young Global Leader by the World Economic Forum and is a Society of General Internal Medicine Advisory Board Member for the National Commission on Physician Payment Reform. She received her medical degree from the University of Texas Health Science Center.

Angelo Sinopoli, MD, is the Chief Clinical Officer at Prisma Health, an integrated health system in South Carolina, where he oversees care delivery, population health, and the system’s transition to value-based care. In addition, he serves as the President and CEO of the Care Coordination Institute, which provides support services for care transformation and population health to clinically integrated networks, accountable care organizations, integrated delivery systems, and other healthcare providers and organizations. Dr. Sinopoli is a member of the guiding committee of the CMS Health Care Payment Learning and Action Network and serves on the executive committee of the Health Care Transformation Task Force. Dr. Sinopoli received his medical degree from the Medical University of South Carolina. He completed his residency training in internal medicine at the Greenville Hospital System and his fellowship in pulmonary and critical medicine at the University of South Carolina School of Medicine.

Bruce Steinwald, MBA, is a consultant in Washington, D.C., with expertise in health economics, health policy and financing, and Medicare payment issues. Prior positions include Director for Health Care Issues at GAO, Senior Fellow at the National Health Policy Forum, Vice President of Covance Health Economics and Outcomes Services Inc., and Deputy Director of the Prospective Payment Assessment Commission. Mr. Steinwald received his MBA in Hospital Administration from the University of Chicago.

Jennifer Wiler, MD, MBA, is the Executive Vice Chair and Professor in the Department of Emergency Medicine at the University of Colorado School of Medicine in Aurora, CO, as well as a practicing emergency medicine physician. She is the Co-founder and Executive Medical Director of UCHealth CARE Innovation Center, an organization within the University of Colorado health system that is developing, testing, and implementing digital health solutions to improve healthcare. In addition, she is Professor at the University of Colorado Denver School of Business. Dr. Wiler served as Vice Chair of the Professional Liability Insurance Workgroup within the American Medical Association’s Resource-based Relative Value Scale Update Committee and Chair of the Payment Policy Subcommittee within the American College of Emergency Physicians. Dr. Wiler received her medical and business degrees from the University at Buffalo School of Medicine & Biomedical Sciences and the University at Buffalo School of Management, respectively. She completed her residency in emergency medicine at Drexel University College of Medicine.