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.

Charles DeShazer, MD, Senior Vice President and Chief Medical Officer, Highmark Health Plan, was appointed for a 3-year term that expires in October, 2022. 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 were 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. Grace Terrell, MD, MMM, doctor of internal medicine and CEO, Eventus WholeHealth, was appointed for a 2-year term that expired in October, 2017. She has 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, and Bruce Steinwald, MBA, private consultant, were appointed for a 1-year term that expired in October, 2016 and a 3-year term that expired in October, 2019. They have been reappointed for a 3-year term that expires in October, 2022.

Brief biographies of the appointees are provided below:

Jeffrey Bailet, MD, Committee Chair, 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 Chair, is CEO of Eventus WholeHealth, a company focused on integrated value-based behavioral medicine and primary care in the long-term care space. She is a national thought leader in health care innovation and delivery system reform, and a serial entrepreneur in population health outcomes driven through patient care model design, clinical and information integration, and value-based payment models. She is the former CEO of Cornerstone Health Care, one of the first medical groups to make the “move to value” by lowering the cost of care and improving its quality for the sickest, most vulnerable patients, the founding CEO of CHESS, a population health management company, and the former CEO of Envision Genomics, a company focused on the integration of precision medicine technology into population health frameworks for patients with rare and undiagnosed diseases. Dr. Terrell currently serves on the U.S. DHHS’ Physician-Focused Payment Model Technical Advisory Committee, the board of the AMGA, and is a founding member of the Oliver Wyman Health Innovation Center.

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.

Charles DeShazer, MD, is the Senior Vice President and Chief Medical Officer at Highmark Health Plan, a non-profit healthcare company and integrated delivery network, where he oversees utilization management, physician support for value-based reimbursement, and medical policy strategy, among other responsibilities. He has more than 20 years of experience in medical informatics, including electronic health record optimization and the use of information technology to support clinical care and managed care administration and analytics. Dr. DeShazer is a member of the CommonSpirit board quality subcommittee and the Access Community Health Network board as well as their quality subcommittee. He received his medical degree from the University of Illinois College of Medicine and completed his residency in internal medicine at University of Illinois Hospital.

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.