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Peter R.
Kongstvedt, MD, FACP
Principal, P.R. Kongstvedt Company, LLC
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Dr. Peter Kongstvedt is a highly regarded
national authority on the health care industry with
particular expertise in health insurance and managed health
care. Principal of the P.R. Kongstvedt Company, LLC, Dr.
Kongstvedt advises health care executives on strategy,
operations and effective decision-making to optimize
business outcomes. Additionally, Dr. Kongstvedt is a Senior
Health Policy Faculty member in the Department of Health
Administration and Policy, College of Health and Human
Services at George Mason University.
Dr. Kongstvedt’s unique business expertise comes from the
varied roles he has performed over his 30-year career.
Prior to his most recent career as partner and senior
executive in global consulting firms, Dr. Kongstvedt led
premier health plans, as well as managed care and health
insurance organizations. His roots as a practicing
physician give him first-hand understanding of the totality
of the health care profession.
Renowned as the primary author and editor of “the bibles
of managed care,” Dr. Kongstvedt’s books are used by more
than 230 graduate and undergraduate health administration &
policy programs. These books include: The Essentials of
Managed Health Care, 5th Edition. (Jones &
Bartlett; 2007), and Managed Care, What It Is and How It
Works, 3rd Edition (Jones & Bartlett; 2008).
He has recently begun work on the Sixth Edition, expected to
appear in the fall of 2011, and is in the process of
developing an online multimedia training and education
program.
As a health care industry thought leader, Dr. Kongstvedt
has been quoted in dozens of trade publications and presents
frequently at industry conferences and corporate events.
This year, Dr. Kongstvedt has consulted to and made several
appearances on The CBS Evening News with Katie Couric,
as well as on NBC’s Today Show.
A licensed physician, a board-certified internist and a
Fellow in the American College of Physicians, Dr.
Kongstvedt received his BS and MD degrees at the University
of Wisconsin, where he also completed his internal medicine
training & residency.
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Ben Isgur
Director, PricewaterhouseCoopers LLP’s Health Research
Institute
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Benjamin Isgur is the Director of
PricewaterhouseCoopers LLP’s Health Research Institute. As
Director, Mr. Isgur develops national and global thought
leadership and research initiatives for the firm and
clients. HRI is a dedicated research group that provides new
intelligence, perspective, and analysis on major
health-related business issues. He also consults with
healthcare systems, trade associations, and policy groups on
strategic planning, and industry intelligence and trends.
Mr. Isgur has worked extensively with health policy and
industry associations including, American Hospital
Association (AHA), Texas Hospital Association (THA), Indiana
Health and Hospital Association (IHHA), Healthcare Financial
Management Association (HFMA), Assisted Living Federation of
America (ALFA), Pharmaceutical Care Management Association (PCMA),
Texas Institute of Health Policy Research (TIHPR), and the
California Healthcare Foundation (CHCF). Mr. Isgur has
published numerous reports and spoken on health subjects
such as, government health policy, workforce strategies,
hospital charity care and community benefit, consumerism,
and the digital hospital environment. Prior to joining
PricewaterhouseCoopers LLP he worked in government
relations, legislative and regulatory consulting, and policy
analysis in Texas, Washington D.C. and internationally. He
received a Master of Public Affairs from the Lyndon B.
Johnson School of Public Affairs, University of Texas at
Austin and a Bachelor of Arts, Government and Middle Eastern
Studies from the University of Texas at Austin.
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Doug Hastings
Chair of the Board of Directors, Epstein Becker & Green,
P.C.
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Douglas A. Hastings currently serves as
Chair of the Board of Directors of Epstein Becker & Green,
P.C. He is a Member of the Firm's Health Care and Life
Sciences Practice in the Washington, DC office. Mr. Hastings
provides a wide range of health care organizations with
strategic and transactional legal guidance in responding to
the legal challenges and opportunities of the rapidly
changing U.S. health care system.
Mr. Hastings serves on the Board on Health Care Services of
the Institute of Medicine and is a member of the Advisory
Board of the BNA's Health Law Reporter. He served on the
Board of Directors of the American Health Lawyers
Association from 1991 to 2003, and was President of that
organization for 2001-2002.
Mr. Hastings' clients include academic medical centers;
hospitals and health systems; faculty practices, medical
groups and other physician organizations; health plans and
other managed care organizations; long-term care facilities;
investment banks and venture funds; and other health
care-related entities. He focuses on representing these
organizations in mergers, acquisitions, joint ventures,
governance issues, complex contractual arrangements and
other affiliations and collaborative efforts. Mr. Hastings
and his colleagues also provide his clients with a full
range of legal advice and services, including: antitrust
law; Medicare reimbursement and other third party payment
issues; Stark, fraud and abuse, and other health care
compliance issues; tax and tax-exempt counseling; privacy
law; bankruptcy and restructuring; real estate and
construction law; labor and employment law; and liability
and litigation matters.
Mr. Hastings has been named by Best Lawyers as the
"Washington, DC Health Care Lawyer of the Year" for 2010. He
is listed in Chambers USA Leading Lawyers for Business, The
Best Lawyers in America, Washington DC Super Lawyers, and
Who's Who in American Law. In 2006, Mr. Hastings was named
one of the DC Area's Top Life Sciences Attorneys by the
Legal Times. In 2004, Nightingale's Healthcare News listed
him as one of the nation's leading healthcare transaction
lawyers. In 1997, the National Law Journal named him as one
of "40 Health Care Lawyers Who Have Made Their Mark." From
1991 through 1999, he served as Program Chair of the Managed
Care Law Institute of the American Health Lawyers
Association. He is a graduate of Duke University and the
University of Virginia Law School.
Mr. Hastings speaks and publishes regularly on topics
related to health care law, complex health care
transactions, corporate governance, collaborative health
care ventures, legal issues related to quality improvement
and the legal trends influencing the U.S. health care
system.
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Vince Kuraitis, JD, MBA, Principal and Founder, Better
Health Technologies
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Vince Kuraitis JD, MBA is Principal and
founder of Better Health Technologies, LLC (http://e-CareManagement.com). BHT consults to companies in developing strategy,
partnerships and business models for chronic disease
management and eHealth applications delivered in homes,
workplaces, and communities.
BHT’s clients — both established organizations and
early-stage companies — include: Intel Digital Health Group,
Philips Electronics, Amedisys, Joslin Diabetes Center,
Ascension Health System, Samsung Electronics, Siemens
Medical Solutions, Medtronic, Varian Medical Systems,
Disease Management Association of America, and many others.
Vince brings 25 years health care experience in multiple
roles: President, VP Corporate Development, VP operations,
management consultant, and marketing executive. His
consulting and work projects span 100+ different health care
organizations, including hospitals, physician groups,
medical devices, pharma, health plans, disease management,
e-Health, IT, and others.
Vince speaks frequently at industry conferences and
corporate events. He has been the opening keynote speaker at
the Healthcare Unbound conferences between 2004 and 2008 and
has spoken at about 35 conferences in the past 3 years. He
has experience leading strategic planning retreats for
Boards and physicians. Vince’s experience includes:
Principal, Better Health Technologies; President, Health
Choice (medical call center), VP Corporate Development and
VP Specialty Operations, Saint Alphonsus Regional Medical
Center; Regional Director of Marketing, National Medical
Enterprises (hospital chain with 100 facilities); Senior
Consultant, Amherst Associates, national health care
management consulting company. His education includes MBA
and JD degrees from UCLA, and a BS degree in business
administration from USC.
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William DeMarco
President & CEO
Pendulum HealthCare Development Corporation
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William J. DeMarco MA
CMC is the President & Chief Executive Officer of Pendulum
Health Development Corporation, and DeMarco & Associates,
Inc., a national, independent healthcare consulting firm
specializing in healthcare delivery system redesign and
transformation. The firm specializes in research and
strategy development, organization development of successful
provider owned enterprises and marketing management
including product design and promotion. Mr DeMarco is
recognized as a leader in the research, design and
implementation of community based health plans. Since his
involvement in several startup health plans in Minnesota in
the early 1970s Bill and his team of management consultants
clinical specialists and reimbursement analysts have
assisted employers and physicians in developing better
relationships with insurers up to and including developing
local solutions to deliver and finance care.
Using Health Services
Research from its affiliate Pendulum HealthCare Development
Corporation (www.pendulumhealth.com),
DeMarco and Associates assists both provider and employer
clients in addressing prospective payment approaches in
order to build Pay for Performance models to develop direct
employer/provider contracting entities, benchmarking
collaboratives under the new value purchasing legislation as
well as Accountable Care organization development and
management.. Mr. DeMarco is a well-known author having
written or contributed to over a dozen books on managed care
topics. His most recent book Performance Based Medicine
will be released in January 2011. He holds a master’s degree
in organizational development from DePaul University. He a
past faculty member of Loyola Law School’s graduate program
and DePaul University MBA program on entrepreneurial
management.
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Alexander (Sander) Domaszewicz
Principal, Mercer Health & Benefits
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Sander is a Principal and Senior Consultant
housed in the Mercer Health & Benefits Services (Mercer)
Newport Beach, California office. He is Mercer’s National
Practice Leader for Consumerism and leads Engagement efforts
for the Total Health Management group, specializing in
emerging benefits and ways to encourage groups to become
involved and informed around health care cost and quality.
Areas of focus include health care strategy, consumer
directed health care, health and benefits decision support
tools, web health resources, HR portals and online benefits.
Sander’s prior experience includes project management in the
Health & Group Benefits Delivery Services group at a large
multi-national consulting firm for flexible benefits
administration outsourcing. In this capacity he addressed
outsourcing issues, systems integration, design, and testing
as well as database administration and training relating to
flexible benefits. Prior to benefits outsourcing project
management, Sander managed a hearing health care facility in
Southern California, giving him exposure to issues from the
provider perspective. Sander is a frequent presenter at
health care and benefits-related events and has published
articles in Benefits Quarterly, Employee Benefit News, HR
Magazine, Workforce and HR Executive. His consulting
assignments include work with many large and small public
and private organizations in both the benefits and product
development areas. Sander holds a Bachelor of Science degree
in Mechanical Engineering from San Diego State University, a
Masters degree in Business Administration from the
University of Phoenix and a certificate in Human Resources
Management from Cornell.
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Cyndy Nayer, M.A.
President, CEO and co-founder of the Center For Health Value
Innovation
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Cyndy Nayer is a founder of the Center for Health Value Innovation and
serves as its President and Chief Executive Officer. Under her
direction, the Center has grown into the nation’s premier organization
dedicated to sharing the evidence of improved health and economic
outcomes through value-based designs. Nayer is recognized as a thought
leader for value based benefit design, and continues to provide
education, insight and guidance to the Center’s growing membership as
well as government leaders, high-profile media, and other industry
stakeholders. She has tracked the emergence, adoption and change in the
value based designs and their link to consumer-directed health. She is
the co-author of the first book from the Center, Leveraging Health:
improve health status and bend the trend on financial outcomes with
value-based designs. published in 2009. In 2006 she published a consumer
handbook for value-based health decisions, entitled 101 Lifetips for
Personal Health Management, identifying the roadmap for becoming the CEO
of one’s health-wealth portfolio, a concept she has copyrighted. A futurist and health improvement expert, Cyndy has forged multiple
alliances for the Center, aligning its resources to share the business
and academic evidence of improved health status and reduced health cost
trend when consumers have access to affordable prevention, risk
management, and chronic care. With her leadership, the Center is now
supporting efforts in both public and private sectors to make
value-based insurance design an integral component of the health system
transformation. Cyndy also leads River City Partnership on Health, Inc.,
a national employer health strategy company linking employers, health
plans, and providers in improved Total Health Management. As the former
Chair of the Missouri Governor‘s Council on Health, Nayer led the call
to action and strategy for the Office of Women‘s Health.
Cyndy was recently voted one of the emerging leaders on consumer
directed health and a visionary for health transformation. Cyndy was
awarded the CEO Leadership award in Consumer Driven Health by CDHC
Solutions in September 2008. She is the past chair of the Missouri
Governor’s Council on Health and Fitness, an honored Woman of Worth, the
first recipient of the Missouri State Health and Fitness Professional
Award, a graduate of the Missouri Focus on Women‘s Leadership and the
recipient of the American Heart Association Letter of Commendation for
the Aetna Women‘s Health Toolkit. Nayer is a graduate of Washington
University and holds a graduate degree in Gerontology with a special
focus on healthy aging. . She is married and has two daughters.
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Legal, Regulatory & Compliance Issues and
Megatrends for Plans and Providers
