Carol Raphael, Chair – Manatt Health Solutions

Carol Raphael is a Senior Advisor at Manatt Health Solutions. She served as President and Chief Executive Officer of the Visiting Nurse Service of New York (VNSNY), the largest nonprofit home health agency in the United States from 1989 to 2011. Ms. Raphael expanded the organization’s services and launched innovative models of care for complex populations with chronic illness and functional impairments. Prior to joining VNSNY, Ms. Raphael held executive positions at Mt. Sinai Medical Center and in New York City government. In 2013, Ms. Raphael was appointed by President Obama to the Bipartisan Commission on Long Term Care. In 2012, Ms. Raphael was an Advanced Leadership Fellow at Harvard University.

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 She is chair of the New York eHealth Collaborative, a public-private partnership to advance the adoption of health information technology and of the Long Term Quality Alliance. Ms Raphael is a member of the National Quality Forum Coordinating Committee where she chairs its Post Acute, Long Term Care and Hospice Workgroup. She served on numerous commissions including MedPAC , the New York State Hospital Review and Planning Council and several Institute of Medicine Committees. She was a member of New York State Governor Cuomo’s Medicaid Redesign Team. In 2012 and 2013, Ms. Raphael was involved in a Commonwealth Fund Project to spur the development of high-performing integrated health plans for dual eligibles. She was recently elected Chair of the AARP Board and serves on the boards of Henry Schein, Inc., the Primary Care Development Corporation, Pace University and the Medicare Rights Center. She co-edited the book “Home Based Care for a New Century” and was a Visiting Fellow at the Kings Fund in the United Kingdom.

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Bruce Chernof – The SCAN Foundation

Bruce Allen Chernof, MD, FACP, currently serves as the President and CEO of The SCAN Foundation whose mission is to advance the development of a sustainable continuum of care for seniors. The SCAN Foundation is one of the largest foundations in the United States focused entirely on improving the quality of health and life for seniors.

Previously, Dr. Chernof served as the Director and Chief Medical Officer for the Los Angeles County Department of Health Services. Dr. Chernof has also served as a Regional Medical Director for Medicaid and SCHIP programs at Health Net, a network model HMO.

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In 2013, Dr. Chernof served as the Chair of the federal Commission on Long-Term Care, which produced a bipartisan report to Congress recommending reforms for our nation’s long-term care financing, delivery system, and workforce needs.

Dr. Chernof completed his residency and chief residency in Internal Medicine as well as a Fellowship in Medical Education at UCLA. He earned his medical degree from UCLA and completed his undergraduate work at Harvard University. Currently, Dr. Chernof is an Adjunct Professor of Medicine at UCLA.

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Merrill Friedman – Anthem

Merrill Friedman leads the Disability Policy Engagement and advocacy efforts for WellPoint. She works closely with consumers, advocates and stakeholders to ensure the diverse needs and preferences of people with disabilities and aging adults are addressed in Medicaid and Medicaid/Medicare managed care programs.

Ms. Friedman oversees the integration of the independent living philosophy, principles of self-determination and the National Advisory Board’s six foundational principles throughout the programs, interactions and practices.

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Currently, Ms. Friedman serves on the board of directors for the American Association of People with Disabilities (AAPD), TASH, Family Voices, the Long-Term Quality Alliance and also serves on the Virginia Department of Health and Human Resources Secretary’s Blueprint for Livable Communities Citizen Advisory Group.

Ms. Friedman has held a number of leadership positions in the child and adolescent services field, including foster care, behavioral health, intellectual and developmental disabilities and juvenile justice, and has extensive experience in program development, new business growth, and operations management of home and community-based services and facilities.

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Gail Hunt – National Alliance for Caregiving

Gail Hunt is President and Chief Executive Officer of the National Alliance for Caregiving, a non-profit coalition dedicated to conducting research and developing national programs for family caregivers and the professionals who serve them. Prior to heading NAC, Ms. Hunt was President of her own aging services consulting firm for 14 years. She conducted corporate eldercare research for the National Institute on Aging and the Social Security Administration, developed training for caregivers with AARP and the American Occupational Therapy Association, and designed a corporate eldercare program for EAPs with the Employee Assistance Professional Association.

Prior to having her own firm, she was Senior Manager in charge of human services for the Washington, DC, office of KPMG Peat Marwick. Ms. Hunt attended Vassar College and graduated from Columbia University.

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As a national expert in family caregiving and long-term care, Ms. Hunt served on the Policy Committee for the 2005 White House Conference on Aging, as well as on the CMS Advisory Panel on Medicare Education. She is chair of the National Center on Senior Transportation. Ms. Hunt is also a commissioner for the Center for Aging Services Technology (CAST) and on the Board of the Long-Term Quality Alliance. Ms. Hunt is a member of the Multiple Chronic Conditions Workforce Technical Expert Workgroup. She co-chairs the NQF MAP Person and Family-Centered Care task force. Additionally, Ms. Hunt is on the Governing Board of the Patient-Centered Outcomes Research Institute (PCORI).

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Randall Krakauer – Aetna

Dr. Randall Krakauer graduated from Albany Medical College in 1972 and is Board Certified in Internal Medicine and Rheumatology. He received training in Internal Medicine at the University of Minnesota Hospitals and in Rheumatology at the National Institutes of Health and Massachusetts General Hospital/Harvard Medical School, and received an MBA from Rutgers. He is a fellow of the American College of Physicians and the American College of Rheumatology and Professor of Medicine at Seton Hall University Graduate School of Medicine. He is past chairman of the American College of Managed Care Medicine.
Dr. Krakauer has more than 30 years of experience in medicine and medical management, has held senior medical management positions in several major organizations. He is responsible for medical management planning and implementation nationally for Aetna Medicare members, including program development and administration.


Mark McClellan – Duke Margolis Center for Health Policy

Mark B. McClellan, MD, PhD, is a doctor and an economist whose work has addressed a wide range of strategies and policy reforms to improve health care, including payment reforms to promote better outcomes and lower costs, methods for development and use of real-world evidence, and approaches for more effective drug and device innovation. Dr. McClellan is a former administrator of the Centers for Medicare & Medicaid Services (CMS) and former commissioner of the U.S. Food and Drug Administration (FDA), where he developed and implemented major reforms in health policy.

Dr. McClellan has served as a member of the President’s Council of Economic Advisors and as Deputy Assistant Secretary of the Treasury for Economic Policy. He was also a Senior Fellow at the Brookings Institution and a professor of economics and medicine at Stanford University where he directed the Program on Health Outcomes Research.


Tracey Moorhead – VNAA

Tracey Moorhead is President and Chief Executive Officer of the Visiting Nurse Associations of America (VNAA). In this role, she spearheads VNAA’s strategic vision and growth in collaboration with the VNAA Board of Directors. She effectively directs quality improvement programs, policy formulation and strategic advocacy activities and represents the non-profit home health, hospice and health promotion community before the media, allied organizations and constituents, and Federal policy makers. Ms. Moorhead is recognized as a leading health care advocate with considerable experience in public policy and coalition development and outreach. She previously served as President and CEO of the Care Continuum Alliance, an industry organization advancing population health management interventions through health and wellness promotion, disease management and care coordination. Prior roles also include Executive Director of the Alliance to Improve Medicare (AIM), a bipartisan coalition advocating comprehensive Medicare improvements through the Medicare Modernization Act of 2003 and Vice President, Government Relations for the Healthcare Leadership Council (HLC).


Michael Monson – Centene Corporation

Michael Monson is the Vice President of Long Term Care & Dual Eligibles at Centene Corporation. Operating in 21 states and with revenue of $15 billion, Centene Corporation, a Fortune 500 company, is a leading multi-line healthcare enterprise that provides programs and related services to the rising number of under-insured and uninsured individuals. Many receive benefits provided under Medicaid, including the State Children’s Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long-term Care (LTC), in addition to other state-sponsored/hybrid programs, and Medicare (Special Needs Plans). Mr. Monson provides corporate leadership for Centene’s Medicaid Managed Long Term Care products and its Medicare-Medicaid Plans (CMS Dual Demonstration).

Previously, Mr. Monson was the Chief Administrative Officer & Vice President of Residential Services at Village Care of New York, an integrated health system with more than $200M in revenue. Mr. Monson joined Village Care after having spent more than eight years working at the Visiting Nurse Service of New York (VNSNY) as the Senior Vice President of Performance & Innovation. He has also worked for McKinsey & Company and for then Congressman Robert Menedez’s campaign. Mr. Monson has a Masters in Public Policy from Harvard’s Kennedy School and a BA from the University of Pennsylvania.


Mary Naylor – University of Pennsylvania School of Nursing

Mary D. Naylor, PhD, FAAN, RN, is the Marian S. Ware Professor in Gerontology and Director of the NewCourtland Center for Transitions and Health at the University of Pennsylvania School of Nursing. Since 1989, Dr. Naylor has led an interdisciplinary program of research designed to improve the quality of care, decrease unnecessary hospitalizations, and reduce health care costs for vulnerable community-based elders. Dr. Naylor is also the National Program Director for the Robert Wood Johnson Foundation program, Interdisciplinary Nursing Quality Research Initiative, aimed at generating, disseminating, and translating research to understand how nurses contribute to quality patient care. She was elected to the National Academy of Sciences, Institute of Medicine in 2005. She also is a member of the RAND Health Board, the National Quality Forum Board of Directors and the immediate past-chair of the Board of the Long-Term Quality Alliance. She was appointed to the Medicare Payment Advisory Commission in 2010.


Terrence O’Malley – Partners HealthCare

Dr. O’Malley is an internist/geriatrician who specializes in the care of nursing home patients. He graduated from Amherst College and Cornell University Medical College followed by training in Primary Care Medicine at the Massachusetts General Hospital. He is on the teaching faculty at MGH and Harvard Medical School, where he provides clinical care and supervises medical students, house staff and fellows in geriatrics.

He was formerly the Medical Director of Non-Acute Care Services for Partners HealthCare System, an integrated network and Pioneer ACO, where he provides network oversight of efforts to improve transitions of care and the exchange of clinical information at transitions. Through an ONC Challenge Grant, IMPACT (Improving Massachusetts Post Acute Care Transitions), he is conducting research to measure the impact of the electronic exchange of essential clinical data at the time of a care transition on the utilization of healthcare services

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He co-chairs the Long Term and Post Acute Care Sub-workgroup within the Standards and Interoperability Framework at the Office of the National Coordinator for Health Information Technology (ONC) and is one of the Leads of the Longitudinal Coordination of Care Workgroup which are creating a standard national data set for transitions of care to be part of Meaningful Use Stage 3 and the framework for the exchange of a longitudinal care plan. He is a member of the NQF Care Coordination Measures Steering Committee.

He has published numerous articles on transitions of care and quality measurement, and lectures frequently on these topics at the local, regional, and national levels.

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Susan Reinhard – AARP

Susan Reinhard, RN, PhD, is a Senior Vice President at AARP, directing its Public Policy Institute, the focal point for public policy research and analysis at the state, federal and international levels. She also serves as the Chief Strategist for the Center to Champion Nursing in America at AARP, a national resource and technical assistance center created to ensure that America has the nurses it needs to provide care both now and in the future.

Dr. Reinhard is a nationally recognized expert in health and long-term care policy, with extensive experience in conducting, directing and translating research to promote policy change. Prior to AARP, Dr. Reinhard served as a Professor and Co-Director of Rutgers Center for State Health Policy where she directed several national initiatives to work with states to help people with disabilities of all ages live in their homes and communities. Previously, she served three governors as Deputy Commissioner of the New Jersey Department of Health and Senior Services, where she led the development of health policies and nationally recognized programs for family caregiving, consumer choice and control in health and supportive care, assisted living and other community-based care options, quality improvement, state pharmacy assistance, and medication safety. She also co-founded the Institute for the Future of Aging Services in Washington, DC and served as its Executive Director of the Center for Medicare Education.


Martha Roherty – NASUAD

Martha Roherty is the Executive Director of NASUAD—the National Association of States United for Aging and Disabilities. Martha actually strongly dislikes the official title of the association and only uses the acronym when speaking; she has no one to blame but herself though, since she was the director when the name was adopted.

After dropping out of nursing school and changing her major 13 times in college, Martha applied on a whim for an internship with the NYS legislature her junior year in college, and thus began her 30-year career working for state governments and their associations, including: the National Conference of State Legislatures, the National Association of State Budget Officers, the National Governors Association, and the National Association of Medicaid Directors (where she served as director). Martha’s early work in state budgeting, coupled with her Master’s in Public Policy Finance, has propelled her to work with states to drive innovation and improve quality, while lowering the costs of programs.

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Martha is one of the 66 million Americans serving as a family caregiver for a husband with Early Onset Alzheimer’s and an adult son with Autism. When the opportunity to lead an organization with a mission to help states improve the lives of seniors and people with disabilities came her way in 2008, she jumped. She and her team spend their time educating Congress, the Administration, and advocacy groups on important realities, such as the fact that 10,000 Americans turn 65 every day, but the funding to support the Older Americans Act is not increasing; Medicare does not cover long term supports and services; and Medicaid is the program that covers home and community based services, but only if you qualify. She and her team also facilitate the exchange of information and promising practices between states.

Martha is a football fanatic, having started her affair with the game in high school, where she served as the manager of her team. Out of necessity, Martha gave up on her hometown Bills and today is a proud Cheesehead. This fall 2015 Martha dropped off her youngest of five children at college and became an empty nester.

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Ronald Shumacher – Optum

Ronald J. Shumacher, MD, FACP, CMD currently serves as Chief Medical Officer for Optum Complex Care Management,one of the nation’s largest care delivery and care coordination companies for chronically ill, medically complex and post-acute care patients. Dr. Shumacher previously served as Executive Director and Senior Medical Director for Evercare of the Mid-Atlantic, and Medical Director and Vice President of Clinical Delivery for UnitedHealthcare Medicare & Retirement, responsible for the business operations and clinical programs for Medicare Advantage Special Needs Plans for dual eligible, chronically ill, and institutionalized Medicare beneficiaries. Prior to his position within United Health Group, Dr. Shumacher practiced Internal Medicine and Geriatrics in Montgomery County, Maryland and served as the Medical Director of the Trinity Senior Living Community in Burtonsville, Maryland. He has extensive experience as a clinician and Medical Director in post-acute and long term care . Dr. Shumacher is board certified in Internal Medicine, is a fellow of the American College of Physicians, a member of the American College of Physician Executives and AMDA, The Society for Post-Acute and Long-Term Care Medicine. He is a Certified Medical Director in Long Term Care. He received his B.A. from Stanford University, his M.D. from the George Washington University School of Medicine and Health Sciences, and completed his training in Internal Medicine at the Georgetown University Hospital in Washington, D.C.


Katie Smith Sloan – LeadingAge

Katie Smith Sloan is president and CEO of LeadingAge, formerly the Association of American Homes and Services for the Aging (AAHSA). Sloan also serves as the executive director of the International Association of Homes and Services for the Ageing (IAHSA), a global network of ageing services organizations committed to quality of life for people as they age.

At LeadingAge, Sloan is responsible for the overall management and leadership of the organization’s activities. Working closely with the Board of Directors, Sloan focuses on the continued development and implementation of LeadingAge’s strategic vision and plan, and the public policies and programs to advance the interests of its members. Sloan works to build an accurate and positive image of the important role LeadingAge members play within our society. She joined LeadingAge in April 2002, after having served in a number of key leadership positions at AARP. As a member of AARP’s senior leadership team, Sloan was responsible for major social marketing initiatives to carry out the association’s strategic priorities in health and wellness, economic security, and consumer protection.

Sloan has a strong commitment to the consumer movement, and serves as secretary-treasurer of the Consumer Federation of America and a member of the Board of the Center for the Study of Services/Consumer Checkbook. She also serves on the Board of Directors of HelpAge USA and ValueFirst, a group purchasing company serving the aging services field. Sloan has a master’s degree from the George Washington University and a bachelor’s degree from Middlebury College.