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Advisory committee members
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Market chief medical officer, United Healthcare
Dr. Auerbach serves as the UnitedHealthcare chief medical officer for their commercial line of business in the Pacific Northwest states. She currently works with internal and external stakeholders to develop and implement clinical strategies to help deliver the mission of making the health care system better for everyone. She is accountable for driving superior results for clinical affordability projects, quality, population health, and growth for the health plan.
Prior to joining UnitedHealthcare, she held positions as senior medical director with Group Health (now Kaiser Permanente of Washington) and Molina Healthcare of Washington. Dr. Auerbach earned her BA in biochemistry from Rice University and her MD from University of Texas Southwestern Medical School in Dallas. She received her MBA in 2017 from University of Tennessee Haslam College of Business.
Dr. Auerbach has worked as a practicing clinician in private practice, public health systems, and in an integrated health delivery system. She is board certified in internal medicine and has been practicing medicine for over 28 years. She is a Fellow of the American College of Physicians and continues to see patients in a University of Washington affiliated hospital system.
Chief executive officer, Proliance Surgeons, Inc., P.S.
Mark is a health care executive with extensive leadership experience resulting in the realization of many seven figure medical cost savings and revenue increase initiatives, while simultaneously driving organizations through strategic change.
He began working for Proliance Surgeons in February 2019 as the chief executive officer. Thus far, he has implemented strategic planning and marketing communities to gain further engagement of physician leaders from across the organization and developed strategic plans that are being implemented. Key emphasis in year one is an investment of operational systems and infrastructure to improve operations and efficiency to help all physician shareholders benefit from economies of scale available to one of the largest privately held surgical groups in the country.
Mark received a BSBA with an accounting major from Ohio State University (OSU). He completed the OSU’s Master’s in business administration program in May 2009 and was a finalist in the OSU wide Business Plan Competition. He holds an inactive CPA license in Ohio.
Physician and consultant
Since the beginning of the pandemic, Dr. Crittenden has focused on developing the Equity for Essential Worker Fund that has supported assistance programs in four counties in Washington State. This program is focused on Latino farm workers who are without documentation and need assistance with quarantine and isolation. He has also been a consultant and advisor with tribes and foundations.
Prior to the pandemic, he was Executive in Residence at the Cambia Grove, a program that encourages innovation focused on solving health system problems. He practiced as a family physician for over 37 years in central and southeast Seattle with urban underserved populations, worked for the state Legislature, has been a Robert Wood Johnson Health Policy Fellow with Senator George Mitchell, was special assistant to Governor Gardner for health, and is a Professor Emeritus in the Departments of Family Medicine and Health Services at the University of Washington.
His work on projects at the local, state, and national levels focuses on improving the access and effectiveness of health services for all populations. He was founding executive director of the Herndon Alliance, a coalition of 200 national and local organizations that focused on communications supporting the passage and defense of the Affordable Care Act (ACA).
After that, he served as Governor Jay Inslee’s Senior Health Policy Advisor, where he oversaw the implementation of the ACA in Washington State and the successful Section 1115 Medicaid demonstration waiver, known as the Medicaid Transformation Project. He has also played a key role in initiating the Kids Get Care program, actively participating in rural and urban underserved health systems improvements, and working with insurers, employers, and providers in improving systems of care for chronic conditions.
Dr. Crittenden received his BA in Communications and Public Policy from the University of California, Berkeley and a diploma in Political Theory and Development Economics from Oxford University. He went on to earn his medical degree at the University of Washington School of Medicine and his master’s in Public Health in Health Services from the University of Washington.
Vice president of actuarial services, Kaiser Permanente
William (Bill) Ely has over 35 years of experience in the insurance industry, both in consulting and corporate roles. Bill is currently vice president of actuarial services for Kaiser Permanente. Bill’s responsibilities include overseeing actuarial functions for the Northwest, Washington, and Hawaii regions of Kaiser Permanente. Prior to his recent relocation to Renton, Washington, Bill was also responsible for actuarial functions for individual and small group lines of business nationally.
Prior to joining Kaiser Permanente, he held a variety of positions in the industry, including chief actuary for a 600,000-member blues plan, senior consultant for an international actuarial firm, and chief executive officer and founder of a health care consulting company for over 10 years.
Bill is an active member of the Society of Actuaries professional organization, served on the board of directors for Oregon’s Temporary Reinsurance program and the Oregon Medical Insurance Pool, and has been involved in many internal and external working groups relating to the implementation of the Affordable Care Act and coordinated care organizations.
Professor, Dept. of Health Services, University of Washington
Dr. Paul Fishman is a professor and associate director of health information and health management programs at the University of Washington (UW) where he teaches classes in health economics and health policy – both practice and research.
Before joining the UW full-time in 2015, he was an affiliate faculty member at the School of Public Health during his employment at Group Health where he worked for 23 years as a scientific investigator at the Group Health Research Institute (now the Kaiser Permanente Washington Health Research Institute).
His research experience includes analyses of direct health care costs from social, patient, and payer perspective for a wide range of acute and chronic illnesses. Dr. Fishman also has experience in alternative payment models and in the development and application of risk adjustment tools. He is an expert in the use of health service data from electronic health records and claims for economic analysis.
Dr. Fishman has a PhD in Economics from the UW.
Chief executive officer, Unity Care Northwest
Jodi has extensive experience in improving access to and affordability of health and health care in large and small organizations and multi-system collaborations. At Unity Care Northwest, Jodi oversees the integration of health care services and delivery of innovative, whole-person care that has reduced health care cost growth.
Before working for Unity Care Northwest, Jodi served as the chief quality officer and associate vice chancellor for Quality & Patient Safety at the University of Illinois Hospital & Clinics. In this role, Jodi led a seven-year "improvement journey" that included improving price transparency for patients and achieving large reductions in health care costs. This work was accomplished through implementing key programs that reduced a patient's barriers to access.
Jodi has also served in senior leadership roles at Kaiser Permanente and Portland-based Legacy Health. In addition, she is an inaugural member of Washington State's Bree Collaborative. Jodi earned her MBA at Stanford University’s Graduate School of Business and her BSN at Northwestern University, and served as a Robert Wood Johnson Foundation Executive Nurse Fellow.
Associate professor, Washington State University College of Nursing Vancouver
Dr. Louise Kaplan, an associate professor in the Washington State University College of Nursing, has more than 20 years of academic experience. A family nurse practitioner since 1981, she has extensive primary care clinical experience. Her PhD focused on health policy and she has been actively engaged in legislative and regulatory changes throughout her career.
Dr. Kaplan has conducted research and published on topics including APRN workforce issues, NP education, prescribing of controlled substances, prescriptive authority, and medical marijuana. Active in many professional organizations, she chairs the legislative committee of ARNPs United of Washington State and serves on the organization’s Board of Directors. Dr. Kaplan is also the Washington State representative for the American Association of Nurse Practitioners. She is a member of the Washington State Nurses Association’s Hall of Fame, and a fellow of both the American Association of Nurse Practitioners and the American Academy of Nursing.
She has a BA from Simmons College, Boston, Massachusetts, an MN from the University of Washington, Seattle, Washington, and a PhD from Brandeis University, Waltham, Massachusetts.
Chief finance and strategy officer, Community Health Plan of Washington
Stacy Kessel is the chief finance and strategy officer at Community Health Plan of Washington and Community Health Network of Washington. Stacy has over 32 years of experience as a finance professional and leader in the health care industry, with the last 14 years with her current employer. Her career started with six years at Deloitte & Touche, followed by time at MultiCare Health System, Premera, and First Choice Health.
Stacy earned a Bachelor of Science degree in Accounting from Central Washington University and is a Certified Public Accountant. She has been a member of both the Washington Society of CPAs and the American Institute of CPAs for more than 25 years. She is currently serving on the Board for the Association of Washington Healthcare Plans and previously served as a committee member for the Washington Health Benefit Exchange Advisory Committee.
Vice president of healthcare economics, Premera Blue Cross
Ross is vice president of Healthcare Economics, where he leads several teams that provide actuarial and analytic support for Premera’s provider management and network development activities. Ross provides strategic leadership on topics and trends, including value-based payment initiatives.
Ross joined Premera in 2005. Prior to that he was a principal and consulting actuary, specializing in health care, with the consulting firm of Milliman for 12 years.
Ross is a Fellow of the Society of Actuaries and a member of the American Academy of Actuaries. He holds a Bachelor of Science in mathematics from Pacific Lutheran University.
Vice president and Washington State executive, PacificSource Health Plans
Todd Lovshin is a health care executive with over 20 years of experience in the health insurance and employee benefits industry. He has extensive experience in building collaborative provider partnerships focused on value-based arrangements and broad expertise in market analysis and development of reimbursement models to achieve both cost and quality goals across all lines of business.
Todd serves as the vice president and Washington State executive for PacificSource Health Plans where he has worked since 2012 and is a member of the executive management group. He has overall responsibilities for business development and operations in Washington, serves as the executive leader for Washington issues related to media, legislative, regulatory, business, key provider interactions, and community activities.
On behalf of PacificSource, he has served on boards/committees, such as the Montana Governor’s Healthcare Innovation Task Force, Primary Care MedicalHome Task Force, and the Montana Comprehensive Health Association – High Risk Pool.
Todd studied business administration and political science at the University of Montana.
Executive director, American Indian Health Commission
Vicki Lowe, a descendant of the Jamestown S’Klallam and Bella Coola First Nations, began working in the Jamestown Tribes Health Program and has seen this program through many changes in the world of health care. In July of 2015, Ms. Lowe became the executive director of the American Indian Health Commission (AIHC). Working with the AIHC, she has utilized her vast knowledge of the Indian health care delivery system, state and federal regulations that govern Indian health, to implement statewide strategies supporting Tribal and Urban Indian health programs. Some of these efforts include:
- Developed Tribal Assister Project and Indian Health Care Reform Manual for Washington State.
- Ensure tribal engagement and inclusion in Medicaid Transformation.
- Help with drafting and passage of the Washington Indian Health Improvement Act (2019) and the Washington Indian Behavioral Health Act (2020).
Ms. Lowe is also very involved in the Jamestown S’Klallam Tribal Community. She has been part of the Jamestown Canoe Family since 2009, pulling in the Tribe’s canoe since 2012. She supports singing and drumming, language, weaving classes, and other culture programs. In 2012, she was honored as the Jamestown S’Klallam Tribe’s Volunteer of the Year.
President and chief executive officer, Overlake Hospital and Medical Center
Mike Marsh joined Overlake Medical Center in April 2014 to serve as the organization’s president and chief executive officer. With 36 years of experience in strategy, business development, and operations supporting hospitals and health systems, Marsh has demonstrated success at all levels of management within different markets and across the entire continuum of care.
Prior to joining Overlake, Marsh spent 26 years with Providence Health and Services, with 14 of those years in senior executive positions. In his most recent role, he served as chief administrative officer for Providence’s Western Washington region.
From 2006–2011, Marsh served as both chief operating officer and chief strategic officer for Providence’s Washington/Montana region supporting five markets (1,700 beds, 500 physicians, 25,000 employees) and a full continuum of post-acute services. In this role, he was additionally responsible for information services, communications, advocacy/government relations, strategy/business development and physician services.
Marsh is known and well respected for his proven ability to provide strategic leadership at all levels of the organization and across diverse markets. He is a skilled negotiator and consensus builder who can synthesize complex topics quickly and galvanize commitment in order to consistently achieve desired and targeted results.
Marsh holds a master’s degree in Health Services Administration from the University of Washington.
Vice president of finance and chief financial officer, Behavioral Health Network, MultiCare Health System
Natalia Martinez-Kohler started out in public accounting with Arthur Andersen after graduating from Pacific Lutheran University with her BA in Business Administration (concentrations in accounting and financial resource management), where she quickly started focusing on healthcare clients.
In 1999, she started with MultiCare Health System where she has served for 22 years. In her tenure there, she has supported financial planning and analytics across both system office and operational finance teams. This includes supporting and leading various cost structure improvement opportunities, benchmarking and productivity efforts, and supporting growth efforts, including several certificate of need applications.
She currently serves as the vice president of strategic finance, and chief financial officer for the Behavioral Health Network. In this role, as part of the executive team, she has responsibility for financial results of the Behavioral Health Network.
Natalia has her master’s from University of Colorado, Colorado Springs. She is a licensed CPA and maintains a CHFP certification through HFMA.
Director, Pharmacy Business Services, Virginia Mason Franciscan Health
Dr. McIntyre is currently the director of Pharmacy Business Services at Virginia Mason Franciscan Health. She has 17 years of health care and pharmacist experience spanning clinical, supply chain, lean coaching, revenue cycle, and health plan management. She is an authentic and passionate health care leader, using her clinical business acumen, creativity, and leadership style to deliver results and create space for patients, colleagues, and customers to thrive.
Dr. McIntyre is also a champion for the pharmacy profession, through her leadership on the Washington State Pharmacy Association Board of Directors. She received a Doctor of Pharmacy degree from the University of Montana School of Pharmacy and a Masters of Healthcare Administration from the University of Washington.
Surgeon and medical director, UW Medical Center
Dr. Sinanan is an academic gastrointestinal surgeon at the University of Washington, based in Seattle at the University of Washington Medical Center Montlake. His practice is focused on complex preoperative gastrointestinal surgery, inflammatory bowel disease, colorectal cancer, and complex hernias.
He has served in several administrative roles, including on the Executive Committee of the Washington State Medical Association since 2016, currently as president-elect. He was president of the University of Washington Physicians practice plan from 2008 to 2016. For the past four years, he has worked on value-based care and payer issues with the University of Washington Medicine contracting team in the role of medical director for value-based specialty care.
At the state level, Dr. Sinanan is on the Health Care Authority’s Health Technology Clinical Committee. At the national level, he completed 12 years as a member of the American College of Surgeons (ACS) Board of Governors (BoG), serving the ACS in the last two years as secretary on the Executive Committee of the BoG until 2020.
His experiences working in the operating room and clinic environments and working with the Washington State Medical Association and ACS have instilled in him a keen interest in the costs, efficient resource use, and limitations of our current health care financial model.
Consultant, Teeter Health Strategies
Dorothy Frost Teeter is principal/owner of Teeter Health Strategies consultancy, which specializes in value-based payment reform and related health system transformation. She has over 30 years of public and private health system leadership and executive experience. Prior to establishing her consulting firm, she served as the director of Health Care Authority (HCA).
In her role as agency director, Dorothy oversaw policy, programs, and operations for HCA, and administered an annual health care services budget of over $10 billion for the Medicaid and the Public Employee programs. She led the HCA’s nationally recognized approaches to value-based purchasing and population health reform, including the integration of physical and behavioral health services purchasing and care delivery, and the design/startup funding for Washington's Accountable Communities of Health.
She also chaired the Washington State Health Performance Measures Committee, creating a common set of quality and health measures for the state and other purchasers/plans use in contracting for value. A member of the Governor’s Cabinet, she also served on the board of the Washington Health Benefit Exchange, led the Healthier Washington plan for state-wide health system transformation, and directed the successful implementation of the Affordable Care Act and Medicaid expansion for Washington State.
In her role as agency director, Dorothy played a significant role in securing a $65 million State Innovation Models grant from Center for Medicare & Medicaid Innovation (CMMI) and a $1.3 billion Section 1115 Medicaid demonstration waiver from Centers for Medicare & Medicaid to further Washington State’s transformation goals.
Prior to HCA, Dorothy served as senior advisor for Policy and Programs at CMMI. In this role, Dorothy directed the development, launch, and awarding of CMMI’s initial $1 billion investment in its Health Care Innovation Award program, and served as the liaison to numerous federal health agencies who partnered with CMMI.
Dorothy previously served as director and chief of health operations for Public Health-Seattle and King County, a major metropolitan public health department. She has also served as a senior executive at Group Health Cooperative, where she designed and led its population-based quality of care improvement and care management strategies, and as an administrator at Seattle Children’s Hospital and Medical Center.
Dorothy earned a master’s in health services administration from the University of Washington and serves on the clinical faculty at the School of Public Health in the University of Washington.
Chief financial officer, Molina Healthcare of Washington, Inc.
In March of 2019, James “Wes” Waters joined Molina Healthcare of Washington, Inc. as regional chief financial officer for Washington, Utah, and Idaho ($3.8 billion revenue/980,000 members). With the significant expansion in membership and revenue for Molin ($4 billion revenue and 1 million members), Wes in now focused exclusively on the Washington health plan.
Wes brings over 27 years of broad managed care financial and operational experience in managed care. Between 2015 and 2019, Wes worked for various local and national health care organizations as chief financial officer, helped lead the sale of Advicare (Medicaid managed care organization) to WellCare, helped launch 16 ISNP HMOs in multiple states (AllyAlign), and restructured the financial operations of AmeriGroup – Tennessee.
He earned a BSBA in general business management with concentration in Economics and Computer Information Systems and Quantitative Analysis, as well as a Master’s in business administration with a concentration in healthcare.
Chief financial officer, Health Care Authority (HCA)
Megan served as chief financial officer for HCA from 2005–2008 and rejoined HCA in 2017. She most recently worked as assistant director for budget at the Department of Transportation and has held senior positions for both the Department of Social and Health Services Economic Services Administration and the Senate Ways and Means Committee.
The Financial Services Division manages multiple fiscal needs for HCA, including budget preparation and monitoring, accounting and payroll, forecasting, and rate setting.
Deputy, Enterprise Analytics, Research, and Reporting, Health Care Authority (HCA)
Amanda works for HCA, the largest health care purchaser in Washington State, which serves 2.5 million residents through the Apple Health (Medicaid), Public Employees Benefits Board (PEBB), and School Employees Benefits Board (SEBB) programs. As deputy for Enterprise Analytics, Research, and Reporting, Amanda leads the implementation of the agency’s analytic strategy. She oversees a talented staff team whose analytics and reporting allow for data-informed decision making.
Prior to joining the HCA in 2011, Amanda worked extensively in the nonprofit sector focused on social services and behavioral health. She served as director of programs for Bigs Brothers Big Sisters of Southwest Washington, where she oversaw the operations team implementing high-quality mentoring for youth.
Amanda holds master’s degree in public administration.
Executive director, Revenue Strategy and Analysis, MultiCare Health System
Allison Bailey has over 30 years of experience working in health care delivery system roles, focused on finance and reimbursement. She currently serves as the leader for the Revenue Analytics team at MultiCare Health System, responsible for evaluating existing and emerging revenue and value stream models.
Allison holds a Master of Public Health, with a Health Services concentration, from the University of Washington.
Vice president, Data Analytics and IT Services, Washington State Hospital Association (WSHA)
WSHA represents all the hospitals in Washington State, and works to improve the delivery, quality, accessibility, and affordability of health care. In his role, Jonathan provides leadership and direction for WSHA's Data Analytics Program by leading information synthesis, program management, prioritization of information needs, and analysis of important information practices to ensure staff and members have the value added and necessary information to advance healthcare.
Before working for WSHA, Jonathan held positions with Virginia Mason Medical Center and Pacific Medical Center. Jonathan holds a master’s degree in Healthcare Administration from the University of Washington.
Regional vice president, Operations, Management, and Innovation, Regional VP Operations, Management, and Innovation
Purav has over a decade of experience in multiple segments of the health care industry. He joined the Medical Oncology department at the Everett Clinic in 2017. In his current role, he is accountable for all risk-based MA and DSNP patients and their value-based performance across The Everett Clinic and The Poly Clinic.
He also oversees primary care, complex care, behavioral health, and psychiatry service lines with a core focus on care model strategy, operational excellence, clinical program design, and overall patient access. He holds a Master’s degree in Medical Biotechnology and Engineering and an MBA in Healthcare Management and Economics.
Administrative Services director, Peninsula Community Health Services
Since 2017, Bruce has served as Administrative Services director at Peninsula Community Health Services, a federally qualified health center located on the Kitsap Peninsula.
Prior to this, he acquired 23 years of experience in various technical and managerial roles at several health plan entitie,s including Group Health, KPS Health Plans, and The Regence Group. Bruce also worked for five years in the Health & Welfare consulting practice of Towers Perrin. He has spent time overseas as a visiting lecturer at Thammasat University (Thailand) in the international undergraduate business program.
Bruce earned a BSc in economics from the University of Idaho and his MBA from Seattle University.
Budget assistant, Office of Financial Management (OFM)
Jason has worked with the state of Washington for nine years. His experience has included the Department of Corrections in the Health Care Services Division, Health Care Authority in the Finance Division, and the Human Services Division at OFM.
In that time, he has gained a depth of knowledge of health care data and expenditures as they relate to the Medicaid population in Washington State through his contributions and work with the Medicaid per capita forecast, managing the Medicaid managed care rates, and creating and maintaining the accounting functions for client experience in ProviderOne.
Prior to working for the state of Washington, he worked as a commercial and private banker.
Assistant director, actuarial, Regence Blue Shield (Cambia Health Solutions)
Jared has over 15 years of health care experience working in various health plan roles. He currently leads the Cost of Care Analytics team within Regence. His team has a diverse set of analytics and consulting expertise and includes credentialed actuaries and academics with advanced applied science degrees (statistics, biomedical informatics, quantitative psychology, and other related analytic fields). Jared’s team partners with internal clinicians and business experts to evaluate and measure the cost impact of program interventions (including medical policy changes and vendor proposals), monitor industry, and market trends, and assess emerging claims and utilization patterns.
Jared has experience working in other areas of the actuarial field, including financial reporting, reserve setting, pricing, provider reimbursement and cost analysis, and support for Medicare bids.
Jared is a member of the American Academy of Actuaries (MAAA) and is a Fellow of the Society of Actuaries (FSA), and holds B.S. and M.S. degrees in statistics from Brigham Young University.
Assistant professor, Department of Health Services, University of Washington
Dr. Jerome Dugan is an assistant professor of Health Services and the Leo Greenawalt endowed professor of Health Policy in the School of Public Health at the University of Washington (UW) and an adjunct assistant professor in the Evans School of Public Policy and Governance at UW. He is also the co-director of the Program in Health Economics and Outcomes Research Methodologies (PHEnOM), a joint program between the School of Public Health and the School of Pharmacy at UW.
Dr. Dugan has expertise in modeling the financial and policy impacts of social and medical service interventions, evaluating the efficacy of cost containment strategies employed by payers and providers, and examining the structure and regulation of health care markets. In particular, his research focuses on the prevention and control of major chronic diseases, such as cardiovascular disease and mental health disorders, and diagnoses that require a high level of coordination between individual patients, treating institutions, and insurers to minimize the probability of future acute events.
Dr. Dugan holds an MA and PhD in Economics from Rice University and a BS in Economics from Clemson University.
General counsel and chief strategist, Washington Health Benefit Exchange (HBE)
Leah is the general counsel and chief strategist for the HBE. In this role, she coordinates compliance, security and privacy offices, provides advice to the leadership team and board, and leads strategic planning efforts.
Previously, Leah served in health policy leadership roles at the Washington State Department of Labor and Industries (L&I) and Health Care Authority (HCA). At L&I, she oversaw the office responsible for creating, implementing, disseminating, and enforcing medical policy to ensure high-quality health care for injured workers in Washington State.
At HCA, she was the founding director of Washington’s Health Technology Assessment program, a nationally recognized effort to purchase high-quality health care that is proven safe, effective, and cost-effective. She has also provided regulatory consulting and project management to state Medicaid agencies and the federal Department of Health and Human Services, with a focus on HIPAA and information technology projects, and as a consultant with Fox Systems, Inc.
Leah served as a founding Board of Governor (2010–2018) for Patient Centered Outcomes Research Institute, a national, nonprofit research entity created by the Affordable Care Act. She is passionate about improving quality, safety and access to health care for Washington residents. She received her Juris Doctorate, Magna Cum Laude, at Seattle University School of Law and her Bachelors of Arts from Evergreen State College.
Division director, Payer Analytics and Economics, Virginia Mason Franciscan Health
Scott Juergens is responsible for population health and reimbursement-related analytics for Virginia Mason Franciscan Health hospitals, physicians, and clinically integrated networks. In this work, his team analyzes metrics, evaluates performance, and looks to improve the delivery of health care throughout the organization and beyond.
Chief actuary, Office of the Insurance Commissioner (OIC)
Lichiou Lee works in the Rates, Forms, and Provider Networks division, serving Insurance Commissioner Mike Kreidler. As the chief actuary of OIC, Lichiou also serves as the lead health actuary. Lichiou is a member of American Academy of Actuaries and a qualified actuary as defined under Washington Administrative Code (WAC) 284-05-060.
She has more than 25 years of health actuarial experience. Her responsibilities as the OIC’s lead health actuary include various duties in reviewing and analyzing health care data and the financial examinations in the actuarial area of health carriers. Lichiou grew up in Taiwan and moved to the U.S. for graduate school.
She holds an MA in mathematics from University of Montana and a BA in mathematics from Tunghai University in Taiwan.
Associate professor, Department of Medicine, University of Washington Medical Center
Medical director of Payment Strategy, University of Washington Medical Center
Dr. Liao is a board-certified internal medicine physician and an associate professor in the Department of Medicine in the University of Washington’s School of Medicine (UW Medicine). He is also the medical director of Payment Strategy at UW Medicine. He trained in internal medicine at Brigham and Women’s Hospital where he was also a clinical fellow in medicine at Harvard Medical School. He is an adjunct senior fellow at the Leonard Davis Institute of Health Economics in the Wharton School at the University of Pennsylvania.
Dr. Liao provides health care payment and delivery policy expertise on a national level through service as a commissioner on the U.S. Department of Health and Human Services’ Physician -Focused Payment Model Technical Advisory Committee, and an advisor to the American Medical Associations RVU Update Committee. He also leads a portfolio of scholar work in two related areas: policy initiatives that reform health care payment and delivery, and provider initiatives that use principles from behavioral science to drive performance in those reforms.
Director, Research and Data Analysis (RDA) Division, Department of Social and Health Services (DSHS)
Since 2013, David Mancuso has served as director in the RDA Division, where his work focuses on supporting health and social service interventions and policymaking through data integration, quasi-experimental program evaluation, predictive modeling, and rapid-cycle analytics. He leads teams of analytical and IT staff maintaining the agency’s Integrated Client Databases, a powerful federated data environment linking Medicaid medical, behavioral health, and long-term care data with social service, criminal justice, housing, child welfare, employment, and vital statistics data.
Since joining DSHS in 2002, he co-developed the Predictive Risk Intelligence System (PRISM), a predictive modeling tool supporting medical and behavioral health care management strategies for Medicaid and dual-Medicare and Medicaid beneficiaries.
David earned a BA in economics from California State University at Fullerton and his PhD in Economics from Stanford University.
National director, APM program, UnitedHealthcare
Ms. Morales has over 25 years of highly diversified experience in the fields of accounting, finance, and information technology. Her extensive experience includes internal and external auditing (including Sarbanes-Oxley Section 404), regulatory compliance, tax, and IT auditing. Her public accounting clientele included financial services companies, insurance, health care, lending institutions, and local and state government agencies.
Since joining UnitedHealthcare 12 years ago, Ms. Morales has directed projects that involve data analyses, data reconciliations, and regulatory compliance of state and federal agency deliverables. For the past 10 years, she has overseen the Medical Loss Ratio audits for HHS/CCIIO, Premium Tax Audits for Departments of Insurance (DOIs), and various regulatory audits conducted by the OIG/OPM.
She has also led risk-focused examinations conducted by state DOIs on behalf of UnitedHealth Group’s 80+ regulated entities working across its different business lines and teams, such as pricing/underwriting, actuarial, and claim operations to ensure regulatory accounting and reporting compliance. In 2019, Ms. Morales was appointed to lead UnitedHealthcare’s national APM program to ensure regulatory reporting compliance, data integrity, and accuracy of the cost growth and TME filings.
Ms. Morales is a certified public accountant in the state of California and holds a Bachelor of Science degree in accounting from Chapman University.
Senior forecast and research manager, Office of Financial Management (OFM)
Thea Mounts has over 30 years of experience directing and conducting research and analyses on health and human services programs for the state of Washington. At OFM, she oversees the development of the state’s Medicaid expenditure forecast and recently directed the successful implementation of the Washington All-Payer Claims Database (WA-APCD).
In addition to her work on health-related issues, she has been the director of the Washington State Statistical Analysis Center for criminal and juvenile justice research since 2007. She holds a master’s degree in Sociology/Demography from the University of Washington and a bachelor’s degree in Mathematics from Colgate University.
Senior consultant, HealthTrends
Hunter is a health economics and analytics consultant at HealthTrends providing health care planning, statistical analysis, and financial consulting to many of the health systems in Washington State. In his work, he has prepared quantitative analysis and market research that supports health system strategic decision-making, business plan development, and financial viability. Hunter has extensive experience developing demand and financial forecast models for health services across the continuum of care, actuarial analyses of health insurance benefit utilization and costs, and assisting in the modeling and preparation of expert reports for health law cases.
Hunter also lectures at the University of Washington’s MHA program, teaching a five-week health services data analysis curriculum to graduate students.
Director, Data Management and Analytics, Washington Health Alliance
Mark Pregler has more than 30 years of experience in information technology with an emphasis in health care data warehousing and business intelligence environments. Having developed a passion for data early in his career as a software developer, he has spent the past 25 years focusing on health care data and information. With this experience, Mr. Pregler brings a strong foundation of business, technology, and analytics knowledge to the Alliance.
Prior to joining the Alliance, he served as director of Knowledge Services at Premera Blue Cross where he was responsible for the Data Warehouse and Business Intelligence program. In this capacity, he set the strategic direction of the program and led efforts in the design, development, and implementation of reporting and analytic solutions for a wide variety of internal and external stakeholders. He also held similar roles at Pacific Health Systems in the Actuarial, Finance and Health Care Economics division.