Medicaid Innovation 2013 Advisory Board

Linda Hamacher, President & CEO,
Genesee Health Plan of Michigan

Senior Consultant,
Health Management Associates
Linda Hamacher, President/CEO, Genesee Health Plan and Senior Consultant, Health Management Associates, is responsible for consumer advocacy and quality review and improvement in underserved populations. Her work includes reduction of re-hospitalizations, network and service development, and government programs, including Medicare and Medicaid. She designed award winning community-based programs including sustainable funding and disease and care management programs to improve access and quality of life.

Thomas L. Johnson
President and CEO

Medicaid Health Plans of America
Thomas L. Johnson has served as President and CEO of the Medicaid Health Plans of America since September 1, 2004. MHPA is a Washington-DC-based trade association representing Medicaid health plans. Mr. Johnson represents the interests of the Medicaid health plan industry before Congress, the Executive Branch, and state governments. Prior to his tenure with MHPA, he served as Vice President of Compliance and External Affairs for DC Chartered Health Plan, a Medicaid health plan located in Washington, DC. He served as Chartered’s lobbyist and legislative liaison with the Federal and State executive and legislative branches of government. Mr. Johnson also created, monitored and implemented Chartered’s compliance program, where he monitored and enforced compliance with federal and state regulations including HIPAA, BBA, and contract compliance. During his tenure at Chartered, Mr. Johnson also served as Chair for two terms of the DC Association of Health Maintenance Organizations, winning the 2003 Leadership Award. Mr. Johnson’s health care lobbying experience also includes serving as President of the DC Hospital Association; and representing the Medical Society of the District of Columbia, which serves as the DC Chapter of the American Medical Association. Mr. Johnson won repeated awards from the AMA for membership increases in DOCPAC, MSDC’s political action committee. Mr. Johnson has also represented regional trade associations on various issues, including but not limited to transportation, land use, taxation, personnel, and procurement issues. Mr. Johnson’s major projects during this tenure included securing regional agreement and funding for the new Woodrow Wilson Bridge, and approval of support for construction of the Verizon Center. Regional groups that he has represented include the Greater Washington Board of Trade (the area’s regional chamber of commerce); the Washington Area New Automobile Dealers Association; the Montgomery County Chamber of Commerce; and the Midtown Business Association (serving as it founder). He is a native and resident of Washington, DC. He is also a graduate of Tufts University and the Howard University Law Center.

David C. Kumpf
CEO Optimetra

Dave is the founder and CEO of Optimetra, Inc. He is a key consultant for the firm, focused on public sector healthcare business development, including strategy development, operational solution planning and development; project management; writing and editing; and independent evaluation of proposal responses. He is also a certified Project Management Professional with extensive experience in planning and managing large-scale business implementation.
Dave’s current and past client projects include:

• Medicaid managed care business development, including proposal leadership,
development and evaluation
• Medicaid Management Information System proposal and project
plan development
• TRICARE proposal leadership and development
• Implementation planning and project management
• Acquisition integration project management
• Development &deployment of healthcare project management
methodologies and training

Dave is resonsible for all aspects of Optimetra’s continued growth and key decision making including: corporate strategy; client relationship building, and hiring decisions.

Prior to founding Optimetra, Dave held positions with Foundation Health Systems, Inc. as Director of Process Engineering and Director of Business Projects. He was also President and co-founder of Lexicon Systems, Inc., a consulting firm focused on information design and development; documentation management; and project management.

Henry W. Osowski
Managing Director
Strategic Health Group LLC

Hank Osowski, a Founding Member of Strategic Health Group, is an experienced health care executive and strategist who has provided leadership to commercial, Medicare and Medicaid health plans for more than 30 years. He currently is the Managing Director of Strategic Health Group, a new boutique strategic and financial advisory firm dedicated to bringing seasoned leadership to enable health care organizations to succeed in a challenging and changing environment. He is an expert in Medicare Advantage and Medicaid long-term care strategies.

Formerly, as Senior Vice President Corporate Development, he was a key member of the senior leadership team that the company from a near death experience to an exceptionally strong financial position. He led SCAN Group’s efforts to expand into seven additional California counties. Hank also led SCAN’s entry into Arizona and served as the initial President of SCAN Health Plan Arizona and SCAN Long Term Care. The service area expansions represent approximately a quarter of SCAN’s membership and added nearly $450 million to SCAN’s revenue. He also led the organization’s strategic planning efforts and initiated an innovation development regimen to seek improvements in care coordination practices and future care outcome protocols.

Prior to SCAN, Hank served as a Principal in a national health care consulting organization providing a range of strategic, financial and development services for health plans, physician groups and hospitals. He began his California career as a member of the senior management team responsible for the turnaround and financial survival of Blue Cross of California. In this capacity, Hank led the financial turnaround of the Individual and Small Group Division and provided leadership to the organization’s strategic planning efforts.

Earlier he served as Vice President International Operations for American Family Life Assurance Corporation where he directed the activities of the company’s Canadian and European operations. In this role he directed the development of start-up operations in the United Kingdom, Germany and Italy, as well as the financial turnaround of the company’s Canadian operations. Earlier, Hank also served as Director of Insurance Consulting Services for Coopers and Lybrand, a predecessor to PriceWaterhouse Coopers.

Throughout his career, he has been a frequent speaker on critical issues and challenges facing the Medicare and Medicaid programs. In 2011, Hank spoke to the Managed Medicaid Congress about principles for structuring effective long term care programs, to the Medicare Market Innovations conference about opportunities for strengthening a plan’s five star quality rating and offered his strategic projections for the future of Medicare. He also spoke to a diverse health care and technology audience at the Healthcare Unbound conference about leveraging the power of technology to improve the quality of health outcomes and care interventions.

Karen Parker
Director, Bureau of Medicaid Financial Management and Administrative Services
State of Michigan

Ms. Parker is the Director of the Bureau of Financial Management and Administrative Services for the Medical Services Administration, Department of Community Health (DCH). In this position, she over sees the development and implementation of reimbursement guidelines for hospitals, clinics and nursing facilities. She also oversees the processing of all provider settlements, Medicaid payments and Third Party Liability activities. Ms. Parker has had management responsibilities in the Provider Relations, Medicaid Integrity Program and Third Party Liability. That experience was invaluable in a number of ways. It required an understanding of the Medicaid program from different perspectives and sensitivity to the challenges faced by Medicaid providers.

Richard Yadon
Conference Chairperson
President
Managed Medicaid Services Host of Medicaid Matters Talk Show

Richard Yadon is President and CEO of Managed Medicaid Services. In this role he is responsible for directing growth initiatives including marketing, sales, customer service and new product development efforts that deliver high-value outcomes for Managed Care Organizations.

Prior to founding Managed Medicaid Services, Yadon held several executive level management positions with insurance companies such as Prudential, Willis, Met Life and AIM Healthcare Services. His background includes 25 years of experience with Medicaid, Medicare, and commercial health plans. His career has focused on business development, strategic planning, operations, and revenue cycle management. Yadon has recruited, managed and built teams with hundreds of field personnel and has had budgetary responsibility in excess of $18,000,000. He has

played key roles in expanding revenue and increasing profitability.

Prior to starting his career in the healthcare industry Yadon served 17 years active and reserve in the U.S. Navy surface and submarine forces. Yadon is the recipient of the Meritorious Service Award, Navy Expeditionary Medal (Lebanon), and Navy Achievement Medal. Yadon is an alumni of Williamson Christian College and the University of North Florida.

In his spare time he has run two marathons, skydived, lived in nine states, traveled to 37 states, visited 10 countries, and refereed high school football. Yadon serves his church as a lay teacher, leadership committee member, Deacon, and as the leader of the men’s ministry department.

Yadon resides in Franklin TN, and has been married for 28 years. He and his wife have two adult children.

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