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Meeting The Challenge of Medicaid Managed Care:
Best Practices for Clinical Care and Teaching

Conference Faculty

 

Keynote Speaker

Lewis Sandy, MD
Dr. Sandy is executive vice president at The Robert Wood Johnson Foundation, the nation's largest health-focused private foundation. His responsibilities include strategic planning, program development and management, and foundation operations. Formerly, Dr. Sandy served as the foundation's vice president, and a senior officer responsible for national programs. In this capacity he was active in workforce initiatives, efforts to track the changing health care system, and programs to improve managed care. An internist, Dr. Sandy received his MD from the University of Michigan and MBA from Stanford University. He continues to practice and teach, and is associate clinical professor of Medicine at the University of Medicine and Dentistry of New Jersey/Robert Wood Johnson Medical School

 

Plenary Presenters

Diane Rowland, ScD, MPA
Dr. Rowland is executive vice president of The Henry J. Kaiser Family Foundation and executive director of The Kaiser Commission on Medicaid and the Uninsured. She is associate professor in the Department of Health Policy and Management at Johns Hopkins University School of Hygiene and Public Health, the president-elect of the Association for Health Services Research, and a Brookdale senior fellow. Dr. Rowland has served on staff of the House Energy and Commerce Subcommittee on Health and the Environment and the Health Care Financing Administration. Dr. Rowland received her MPA from the University of California-Los Angeles, and ScD in health policy and management from Johns Hopkins.

Richard Baron, MD
Dr. Baron is an internist and president and CEO of Healthier Babies, Inc., a collaborative of Medicaid HMOs in the Philadelphia area. He was CMO at Health Partners, a non-profit, provider-sponsored Medicaid HMO, for 9 years, overseeing growth from 10,000 to 100,000 members, and led the organization through NCQA accreditation in 1993. He was project director of a Robert Wood Johnson Foundation- and Center for Health Care Strategies (CHCS)-funded program to foster development of a clinical data collection for pregnant women on Medicaid in counties served by HealthChoices, Pennsylvania's managed care Medicaid program. The grant led to the creation of Healthier Babies, Inc. Dr. Baron received his MD from Yale, and served for three years in the National Health Service in rural Southeast Tennessee.

Robert Master, MD
Dr. Master is an internist with more than 25 years experience in clinical management of patients with advanced chronic illness and disability. He was medical director of the Massachusetts Medicaid program and was chair of the Health Services Department of the Boston University School of Public Health, where he is associate professor of Public Health. He was president and medical director of Community Medical Alliance (CMA), an experimental HMO caring for individuals with severe disabilities and AIDS. Subsequent to CMA's merger with Neighborhood Health Plan in 1996 (a plan serving low-income individuals in Massachusetts), Dr. Master has been CMO of the combined organizations.

Dorothy L. Powell, EdD, RN, FAAN
Dr. Powell is associate dean for Nursing in the College of Pharmacy, Nursing, and Allied Health Sciences at Howard University. She has held teaching and administrative positions at Thomas Nelson Community College, Norfolk State University, George Mason University, and Hampton University. She has worked with underserved populations in the areas of homelessness, environmental health, adolescent pregnancy, and international development. She has served on the National Advisory Councils on Nursing Education and Research Resources, and is a board member of the American Association of Colleges of Nursing, and Fellow of the American Academy of Nursing. Dr. Powell holds an MS in maternal-infant nursing from Catholic University of America, and an EdD in higher education administration from the College of William and Mary.

Robert Hurley, PhD
Dr. Hurley is associate professor of Health Administration at the Medical College of Virginia, Virginia Commonwealth University. He has been teaching courses in managed care for more than a decade and has published more than 50 journal articles, book chapters, and monographs on this topic. He has testified before state legislatures and the US Senate Finance Committee on his research, which includes examining the impact of managed care on community health and human service providers in Philadelphia; tracking the entry and exit of commercial HMOs in the Medicaid; and examining health plan and provider contracting and compensation strategies. Dr. Hurley received his PhD in health policy and administration from the University of North Carolina-Chapel Hill School of Public Health.

Planning Committee Chairs

Gordon T. Moore, MD, MPH
Dr. Moore is an internist and director of Partnerships for Quality Education (PQE), originally funded by The Pew Charitable Trusts and The Robert Wood Johnson Foundation. PQE's goal is to improve training for primary care residents and nurse practitioner students in the skills and competenceis of managing care. Dr. Moore served as health center director, medical director, and COO at Harvard Pilgrim Health Care (HPHC), the country's largest and oldest academically affiliated HMO. He was director of teaching programs at HPHC, where he helped the organization become a major teaching site for Harvard Medical School. He is professor in the Department of Ambulatory Care and Prevention at Harvard Medical School. Dr. Moore received his MD and MPH from Harvard.

Rosalie Phillips, MPH
Ms. Philips has served as executive director of Tufts Managed Care Institute since its inception. The Institute's mission is to help physicians and other health care professionals at all stages of their training and development to practice comfortably and effectively in a high-quality, cost-effective managed health care system. Ms. Phillips' background includes more than 25 years' experience in managed care and academic medical settings, including 10 years as a senior manager at Harvard Community Health Plan. Prior to her current position, she was vice president for Strategy and External Affairs at Tufts-New England Medical Center. She is an assistant clinical professor in the department of Family Medicine and Community Health at TUSM. She received her MPH from the University of Michigan.