Health Care Speaker Series -- Videos
“Impact of Health Care Reform on Physicians, Hospitals, Insurance and Publicly Funded Programs”
May 27, 2010; 7:00 a.m. to 9:45 a.m.
This program is supported by the California HealthCare Foundation based in Oakland, California.
Speaker bios and videos in order of appearance:
Paul J. Feldstein, PhD
Professor and Robert Gumbiner Chair in Health Care Management
The Paul Merage School of Business, University of California, Irvine.
Paul J. Feldstein is Professor and Robert Gumbiner Chair in Health Care Management at the Paul Merage School of Business, University of California, Irvine since 1987. His previous position was at the University of Michigan as Professor in both the Department of Economics and the School of Public Health. Before that, he was Director of the Division of Research at the American Hospital Association. Professor Feldstein received his Ph.D. from the University of Chicago. Professor Feldstein has written seven books and over 70 articles on health care. His book, Health Policy Issues: An Economic Perspective on Health Reform, 4th edition was published in 2007. The Politics of Health Legislation: An Economic Perspective, 3rd edition, 2006, uses economic analysis to explain the outcome of health legislation in terms of the interest groups affected. His book Health Care Economics, 6th edition, 2005, is one of the most widely used texts on health economics. During several leaves from the University, Professor Feldstein worked at the Office of Management and Budget, Social Security Administration, and the World Health Organization. He has been a consultant to many government and private health agencies, an expert witness on health anti-trust issues, including the case of the FTC v. The AMA, which was decided by the U.S. Supreme Court, as well as serving on the boards of several health care firms, such as Sutter Health, a large not-for-profit health care organization, and Province HealthCare, a for-profit rural hospital company. He is currently on the board of directors of Odyssey Healthcare, a publicly traded hospice company. For more information on Professor Feldstein, please see his website.
Christopher De Rosa (Moderator)
President and General Manager
CIGNA HealthCare of Southern California
Christopher DeRosa is the President and General Manager of CIGNA HealthCare, Southern California. He has overall responsibility for CIGNA's health and welfare programs delivered to all segments of this important market. Christopher began his career with CIGNA in 1992. He excelled in a variety of sales positions and successfully managed several of CIGNA's key accounts, such as The Walt Disney Company, Intel, Cisco, Fluor, and Boeing. He also established strong working partnerships with producers and providers in the Southern California marketplace. In 2002, Chris transitioned to a new national position in CIGNA's Connecticut Headquarters to create advanced customer reporting capabilities, including Benefit Insight. More recently, Chris served as Senior Vice President of the Government and Taft Hartley Segment, where he led the development of this Segment’s business strategies and effectively managed the implementation of initiatives delivering to the market new solutions and capabilities for driving considerable growth. Chris received a BA in Political Science from the University of California, Los Angeles and an MBA from the University of California, Irvine.
Richard F. Afable, MD, MPH
President and CEO
Hoag Memorial Hospital Presbyterian
Richard Afable, MD, MPH, is President and Chief Executive Officer of Hoag Memorial Hospital Presbyterian. Hoag is a 498-bed, not-for-profit, faith-based acute care hospital located in Newport Beach, California. As Orange County’s largest and preeminent independent hospital, Hoag offers a comprehensive mix of healthcare services, including Centers of Excellence in cancer, heart and vascular, orthopedics, neurosciences, and women’s health services. Hoag has over 4,300 employees, more than 1,300 medical staff, almost $750M in annual revenue, and $1.4B in assets. Formerly, Dr. Afable was the Executive Vice President and Chief Medical Officer at Catholic Health East, an East Coast health system comprised of 31 acute care hospitals and 47 long term care facilities. Before joining Catholic Health East, Dr. Afable was the founder and President/CEO of Preferred Physician Partners (PPP), an Ohio-based physician practice management company that supported physician groups and provider networks. He has also served as an Associate Professor of Medicine at Wake Forest University from 1991 to 1996 and as Clinical Assistant Professor of Medicine at Northwestern University from 1983 to 1991. Early in his career, Dr. Afable spent ten years in private practice in Chicago, specializing in internal medicine and geriatrics. Dr. Afable received his BS degree from Loyola University in Chicago and an MD from the Loyola Stritch School of Medicine. He obtained his MPH degree from the University of Illinois School of Public Health and a certificate in business administration from Villanova University.
Jay J Cohen, MD, MBA
President and Chairman
Monarch HealthCare, A Medical Group, Inc.
Jay Cohen is President and Chairman of Monarch HealthCare, A Medical Group, Inc. (Monarch), an Independent Practice Association (IPA) headquartered in Irvine California. Monarch serves over 2,500 physicians who care for approximately 165,000 HMO and PPO members. Prior to co-founding Monarch, Jay served as Vice-President and Medical Director for Pacific Physician Services, Inc., one of the first physician management service organizations to enjoy success in public financial markets. Contemporaneous with his executive responsibilities, Jay served as a clinician for 18 years, initially as an Emergency Physician and most recently as a General Family Practitioner. Jay has served on numerous Governing Boards, including the California Association of Physician Groups (CAPG), Mission Hospital Regional Medical Center, and South County Senior Services Center. Jay is Chairman of the Physician Groups for Coordinated Care (PGCC), and Immediate Past Chairman of the CAPG Board of Directors. He is also a member of UCI’s Health Care Management and Policy Board of Advisors at The Paul Merage School of Business, and a volunteer faculty member at the UCI School of Medicine, where he helps teach Residents and Medical Students about the health care industry. Jay received his Bachelor and Medical degrees from Indiana University and his MBA degree from the University of Phoenix. His Family Practice Residency was at St. Francis Hospital Medical Center in Indianapolis, Indiana. He is Board Certified in Emergency Medicine and as a Physician Executive.
Anthem Blue Cross
Tammy Tucker is the Vice President, Account Management, for Anthem Blue Cross, a subsidiary of WellPoint, based in California. She oversees Large Group Client Management for 4,700 commercial clients, with 3 million members and $4 billion in revenue. Ms. Tucker has over 26 years in the health care industry, developing and managing large sales and account management organizations, with special focus on implementing comprehensive healthcare solutions for Fortune 1000 companies. In addition, she has extensive experience with web technology applications in health care, benefits procurement, disease management and wellness programs. Prior to joining Anthem Blue Cross, Tucker was Vice President, National Accounts for PacifiCare/UHC. She was responsible for managing $2.4 billion in revenue and $300 million in net income for 225 Fortune 500 clients. Prior to UHC, she worked with Health Net for nine years, where she was Senior Vice President, Sales in the Northeast and VP of National Accounts in California. She participated in a financial turnaround from <$8 million> loss in 1998 to $70 million net income in 1999 and managed $2 billion in annualized revenue for Health Net’s Northeast Division, with $144 million in new sales that same year. Prior to her work in New York, Tucker managed $1 billion in annualized premium; through three market segments, including National Accounts, Special Accounts (Fortune 100 clients) and Labor & Trust Taft-Hartley business for Health Net in California. Her team generated $408 million in annualized revenue. From May, 1983 to November, 1988, Tucker was Vice President, National Accounts for Maxicare Health Plans, where she implemented “start-up” HMO operations in four (4) cities. Tucker’s team generated $244 million in new recurring revenue over a 5 year period. She graduated with a BS degree in Business Administration, Southern Nazarene University, Cum Laude, in May, 1980. Her professional affiliations include a seat on the board of the Paul Merage School of Business Center for Healthcare Management and Policy-UC Irvine, a business partner of the Los Angeles Chapter of the National Association of Business Women Owners, Co-Chairperson of the WellPoint Associate Giving Campaign-California Chapter for 2008, WellPAC, WellPoint’s Political Action Committee, The New York Business Group on Health, The Orange County Employee Benefits Council (OCEBC), The National Managed Care Congress, AHIP, The International Foundation for Employee Benefit Plans, The City Club in Los Angeles, The March for Babies, The United Way, The Leukemia Foundation and The National Association for Female Executives (NAFE). She has a passion for women’s health issues, and collaborates routinely with the California Association of Physician Groups (CAPG) on employer issues unique to the managed care delivery model.
Richard Chambers is Chief Executive Officer (CEO) of CalOptima, a County Organized Health System (COHS), which began operations in 1995 to provide health coverage programs in Orange County, California for low-income families, seniors, and persons with disabilities. Today, CalOptima manages an annual budget of more than $1.2 billion and oversees the delivery of health care to approximately 350,000 Medi-Cal beneficiaries, 40,000 Healthy Families Program members, and over 10,000 dual eligibles in OneCare, its Medicare Advantage Special Needs Plan. CalOptima manages the care for more than 4,300 long-term care facility residents, and is a provider of community-based long-term care services in the Multi-Purpose Senior Services Program (MSSP). In January 2007, CalOptima implemented the Healthy Kids program, which provides health insurance coverage to more than 1,000 low-income children who are not eligible for other government-funded health care programs. Before joining CalOptima in 2003, Richard spent more than 27 years working for the Federal Centers for Medicare & Medicaid Services (CMS) in Washington, D.C., Baltimore, and San Francisco. He served as the Director of the Family and Children’s Health Programs Group, where he was responsible for national policy and operational direction of Medicaid and the Children’s Health Insurance Program (CHIP). Richard served as Associate Regional Administrator for Medicaid in CMS’ San Francisco Regional Office and was Director of the Office of Intergovernmental Affairs in Washington, D.C. Richard received his Bachelor of Arts degree from the University of Virginia.
Full Panel Question and Answer Period