2019 Speakers

SCAN Health Plan

Archie Dey

Director of Customer Experience Insights
Blue Shield of California

Torrie Fields, MPH

Senior Manager, Advanced Illness & Palliative Care, Healthcare Quality & Affordability
Tufts Health Plan Medicare Preferred

Priyanka Jain BDS, MS, MPH

Director, Star Quality Program
SummaCare Health Plan

Tracy Jones

Senior Compliance Coordinator
Cigna

Christine Leo

Vice President, Senior Products
Network Health

Gary Melis

Clinical Pharmacist
UPMC Health Plan

Angela Perri

Vice President, Business Alignment and Transformation, Business Transformation Office
Martin’s Point Health Care

Dawn Peterson

Head of Risk Adjustment
Anthem/CareMore

Scott Rinefort

Senior Director, Product Design
Capital District Physicians’ Health Plan

Michael Spicer

Director of Product Innovation & Research
Clover Health

Khoi Ta

Associate General Counsel
Hyperlift, Inc.

Mick Twomey

President and Chief Operating Officer
Gateway Health

Dan Weaver

Vice President, Formerly Director of Program Management, Government Business, Quality Improvement, Highmark
Speakers Biographies


Archie Dey

Director of Customer Experience Insights
SCAN Health Plan

Dawn Peterson

Head of Risk Adjustment
Martin’s Point Health Care

Dawn Peterson, Director of Risk Adjustment for Martin’s Point Health Care recently joined MPHC after completing fifteen years of service at another industry leading integrated health system on the clinical, hospital, and insurance sides of medicine. Professional positions Dawn has served are various and include communication, auditing, education, and billing, coding and leadership for professional fee for service, risk adjustment, care management and population health.

Mick Twomey

President and Chief Operating Officer
Hyperlift, Inc.

As Hyperlift’s Chief Operating Officer, Mick oversees all aspects of product design and customer experience. His background includes a mix of leadership roles in global management consulting firms and founder roles in entrepreneurial digital ventures. Since Hyperlift’s inception, Mick has been a regular speaker at Medicare Advantage conferences with a focus on Stars improvement. Mick has worked with Stars teams at organizations of all sizes and performance levels. From single contact plans with less than 5,000 members to large multi-state plans with millions of members – Mick’s focus is to collaboratively work with Stars teams to gain a deep understanding of their unique situation and help create an operating model that drives sustainable results. Hyperlift’s position on driving sustainable results in a Stars environment is combining the right internal resources and infrastructure, with the right approach for year-round management, and the tools and technology to support it. Hyperlift offers a technology-enabled approach designed to reduce risk and improve results by combining a sophisticated suite of Stars technology solutions, with leading intervention identification expertise, and the knowledge and expertise of the internal Stars team. The approach is tailored to each plan and facilitated by Hyperlift’s experienced team to enable transparency across the organization and limit the time required for Stars leaders.

Gary Melis

Clinical Pharmacist
Network Health

Gary Melis is a Clinical Pharmacist for the past six years at Network Health, a local health insurance provider in Northeast and Southeast Wisconsin. He is currently one of two pharmacists involved making MTM calls in-house. His responsibilities also involve NCQA, pharmacy appeals, P&T Committee, Member and Provider relations. Gary's also has experience as pharmacy manager for a national long term care company, pharmacy manager for retail pharmacy chain, and Pharmacy Director for a National Health Care provider. He has also been a pharmacy instructor at local medical college family practice clinic.

Torrie Fields, MPH

Senior Manager, Advanced Illness & Palliative Care, Healthcare Quality & Affordability
Blue Shield of California

Torrie leads the development and implementation of programs and processes at Blue Shield of California that work to improve the quality of life for individuals with serious illness and their families.

Torrie has led the development of highly successful palliative care initiatives including benefit design, case management, caregiver support, medical home development, and policy and engagement efforts. Prior to joining Blue Shield, Torrie worked as an applied health services researcher in a variety of settings, including health plans, health delivery systems, local and federal health departments, and in university research laboratories. She has extensive experience in health policy development and implementation. In addition to her work with Blue Shield of California, Torrie acts as a consultant and curriculum developer for The Center to Advance Palliative Care and California State University Palliative Care Institute.

Torrie holds a Master's in Public Health in health management and policy from the Oregon Master of Public Health Program at Oregon Health and Sciences University, a Certificate in Gerontology from Portland Community College, a Bachelor of Science degree in sociology from Portland State University, and a Bachelor of Arts degree in communication theory from University of California, San Diego.

Michael Spicer

Director of Product Innovation & Research
Capital District Physicians’ Health Plan

Priyanka Jain BDS, MS, MPH

Director, Star Quality Program
Tufts Health Plan Medicare Preferred

CHRISTINE LEO

Vice President, Senior Products
Cigna

Ms. Leo oversees the overall performance, strategic direction and product development for Cigna Healthspring's Medicare products. Prior to joining Cigna, she worked for Aetna, where she was most recently was the National Head for Medicare Advantage product and strategy.

Previously, Ms. Leo held leadership roles at Aetna in national contracting, network contracting, operations and dental. She has an MBA from St. Joseph's University and lives in Philadelphia with her husband and daughter.

Harry Merkin

Vice President, Marketing
HealthEdge

Harry Merkin has worked with both payers and providers through many dynamic changes in healthcare for a number of years. He is currently responsible for Marketing at HealthEdge, including product marketing, demand generation and thought leadership. He previously had similar responsibilities at Evariant and NaviNet and has collaborated with many transformative entities across the healthcare landscape. Harry has helped introduce and promote innovative enterprise software solutions that enable payers to improve their competitive effectiveness, as well as perform valuable communications between payers, providers, and consumers. He is a frequent speaker at industry conferences and forums and contributor to the 'Edge Report, the HealthEdge blog.

Tracy Jones

Senior Compliance Coordinator
SummaCare Health Plan

Tracy Jones is a Senior Compliance Coordinator for SummaCare Health Plan in Akron, Ohio. She has been with SummaCare for over 19 years and has a background in database management and operational process evaluation. Tracy is also responsible for the implementation of compliance initiatives such as dashboard reporting, policy management and internal compliance department over-sight.

Angela Perri

Vice President, Business Alignment and Transformation, Business Transformation Office
UPMC Health Plan

Angela Perri oversees the Business Transformation Office, Organizational Performance and Project Management Office, Consumer Innovation, and the Medicare STARs program. She leads business alignment and prioritization initiatives overseeing strategic planning and multidisciplinary approaches for development and growth.

Angela has nearly 20 years of experience in managed health care and managed behavioral health care. Prior to joining UPMC, she served in executive leadership roles for several Fortune 100 organizations including UnitedHealth Group (Optum), Centene Corporation, and Amerigroup (an Anthem Company). She led development, strategic planning, and growth for Medicaid, Medicare Advantage and Special Needs Plans, and Commercial products designing and implementing population health management programs in numerous states.

Ms. Perri is recognized nationally as an expert on models of care for persons with Intellectual and Developmental Disabilities (IDD), Foster Care, Managed Long Term Services and Supports (LTSS) and integrated behavioral health. She also serves on the Board of Directors for Allegheny Family Network.

Scott Rinefort

Senior Director, Product Design
Anthem/CareMore

Scott Rinefort joined CareMore Health in 2013. He received his B.S. in Business from Butler University and MBA from Eastern Illinois University. He began his healthcare career as Director of Research & New Markets for a senior housing/hospital development company. Scott then worked at PacifiCare and United Healthcare in increasingly responsible roles across all lines of business. In his current role as Senior Director, Product Design Scott leads innovation across both plan product development and clinical programs including a focus on Social Determinants of Health. He has a passion for ensuring that CareMore’s business model supports and elevates its clinical delivery and for developing progressive solutions to help our patients access the healthcare system.

Khoi Ta

Associate General Counsel
Clover Health

Khoi Ta is an Associate General Counsel at Clover Health, where he focuses on a variety of regulatory, corporate and transactional areas. At Clover, he provides advice on Medicare Advantage risk adjustment issues, complex regulatory compliance issues, operational matters and the structuring of new lines of business. Prior to Clover, Khoi practiced law at two international law firms, assisting hospital systems on the structuring and negotiation of healthcare transactions. He received his dual JD-MPA degree from UC Berkeley School of Law and Princeton University.

Dan Weaver

Vice President, Stars Quality,
Gateway Health,
Formerly Director of Program Management, Government Business, Quality Improvement,
Highmark

Daniel Weaver is an established leader with extensive experience developing and implementing intervention strategies to improve Medicare Stars performance. With demonstrated success with innovative intervention programs, Daniel's team has consistently delivered market-leading performance and forward-thinking engagement with providers and members.