Detailed Agenda


8:15 - 8:30

Welcome & Introductions

DJ Wilson: Host, State of Reform Health Policy Conference  

8:30 - 9:15

Morning Keynote

State of Reform kicks off with a multi-silo executive keynote panel that will pull together disparate players in the San Diego health care system to talk about where they intersect with one another, where they find common alignment, and where obstacles still exist between our system-level ambitions and a modern healthcare system.

Greg Buchert, MD: CEO, Care1st Health Plan

Karis Grounds: VP of Health and Community Impact, 2-1-1 San Diego 

Nick Macchione: Director and Deputy Chief Administrative Officer, San Diego County HHSA

Abby Sears: CEO, OCHIN

9:30 - 10:15

The Challenge of Maintaining San Diego's Behavioral Health System

Building a system to treat behavioral health is hard to do in theory.  It’s even more difficult in practice, requiring alignment between financing, infrastructure, organizations and strategic interests. This panel will discuss what the San Diego area should be keeping in mind as the region modernizes the BH system.

Tanya Dansky: Chief Medical Officer, Care 1st Health Plan

Alfredo Aquirre: Director, Behavioral Health, County of San Diego HHSA

George Scolari: Behavioral Health Program Manager, Community Health Group

9:30 - 10:15

The Next Generation of Health Care Jobs and Workforce

Meeting the consumer demand for health care services will take active development of new pipelines of providers, as well as a reconsideration of how providers are trained and utilized to deliver care today.  This panel of experts will take up the topic and highlight the lessons from across California. 

Diana Shiba, MD: Chief Government Relations Officer, Regional Assistant Medical Director, Southern California Permanente Medical Group

Aaron Byzak: Chief Government and External Affairs Officer, Tri-City Medical Center

Brooke Valle: Vice President, Strategy, Workforce Partnership

9:30 - 10:15

Are We Making Progress on Bending the Cost Curve?

It’s now been 8½ years since passage of the Affordable Care Act.  What progress can we point to demonstrating a reduction in prices?  Has the market done enough to bend the cost curve as a result, or does a more dramatic policy framework need to be developed?  Examine the data and the forward-looking discussion in this session.

Jim Considine: CEO, Health Claim Solutions 

Christopher De Rosa, MBA: President, U.S. Commercial Segments, CIGNA

Michael Lujuan: Market Director, Oscar Health 

10:30 - 11:15

Lessons from the 2018 Elections

The midterm elections appear to be shaping up as a watershed moment in American politics - and potentially California health policy.  This panel will reflect on the lessons and takeaways from this year’s elections, and offer insights into what it may mean for California moving forward.

Gary Cohen: Vice President, Government Affairs, Blue Shield of California

Paul Hegyi: CEO, San Diego County Medical Society

Mohit Ghose: Vice President, Government Relations, Beacon Health Options

10:30 - 11:15

An Update on Medi-Cal Transformation

There are a number of initiatives underway in Medi-Cal that seek to improve the system across the spectrum of quality, cost, and access.  This panel will review the highlights of the progress so far, and discuss where transformation efforts have fallen short, leading to harder conversations for California health policy makers.

Sarah Hesketh: Vice President of External Affairs, California Association of Public Hospitals

Catherine Teare, MPP: Associate Director, High-Value Care, California Health Care Foundation

Angela Rowe: Senior Operations Director, Vista Hill

10:30 - 11:15

Biotech, Miracle Drugs, and the Implications of Innovation

As personalized medicine and genome specific medications come to the market, the promise of innovation in medicine is becoming reality. So, too, are the stark costs associated with them. It’s clear the policy framework to manage the tradeoffs is not yet mature. This session will discuss the full suite of issues, policies and promise ahead.

Bobby Priest, PharmD: General Manager, Walgreens Specialty Pharmacy 

Oliver Rocroi: Senior Director, Government Relations, California Life Sciences Association 

Gilbert Rishton, PhD: Chief Science Officer, Cardax

10:30 - 11:15

Building a Business Model Around the Social Determinants

The idea of addressing the social determinants of health is now a mainstream notion. However, there isn’t yet a clear business model to support addressing them in a sustainable way. This group of experts will take up this challenge, and offer ideas for how to move this issue from conversation to implementation.

Michael Hopkins: CEO, Jewish Family Service

Zara Marselian: CEO, La Maestra

Kitty Bailey: Executive Director, Be There San Diego

11:30 - 12:30

Lunch Keynote: A Conversation with Assemblywoman Lorena Gonzalez Fletcher

Assembly Member Lorena Gonzalez Fletcher is the Chair of the Assembly Appropriations Committee.  She represents California’s 80th LD, the southernmost district in the state.  Prior to being elected to the Assembly, she served as secretary-treasurer and CEO of the San Diego-Imperial Counties Labor Council, AFL-CIO.  In this conversation, Asm. Gonzalez Fletcher will discuss the state of politics in California today, her hopes for the next legislative session, and some key bills to watch in 2019.

Assemblywoman Lorena Gonzalez Fletcher: Chair, Assembly Appropriations Committee

12:45 - 1:30

Sacramento Insiders Look to the 2019 Session

These government relations experts will discuss the topics and issues in health policy - and politics - facing California’s state policy makers in 2019.  They will share their observations regarding policy discussions on the horizon, and where those discussions are likely to lead California in the next legislative session.

Jimmy Jackson: SVP and Chief Policy Officer, BioCom

Stefanie Benvenuto: Director, Public Affairs, San Diego Regional Chamber of Commerce

David Panush: Partner, California Health Policy Strategies

Gary Rotto: SVP, Government & Community Affairs, Borrego Health (moderator) 

12:45 - 1:30

Lessons Learned from Health Homes and Whole Person Care

Now that some counties in California are implementing whole person care pilots and health home models of care, our collective learnings are increasing rapidly.  But, those learnings vary by region and intervention. This session will survey efforts and outcomes from WPC activity across the state.

Lisa Chan-Sawin: Partner, Transform Health

Judi Nightingale, DrPH, RN: Director, Population Health, Riverside University Health System

Luke Bergmann, PhD: Director, Behavioral Helath Services, San Diego County HHSA

12:45 - 1:30

Progress on Universal Coverage in California

This year’s Democratic gubernatorial primary was fought, in part, over health policy.  The proponent of a single payer model of coverage won.  Does that mean the legislature will tee up a model of a new, state government run system or are things getting more complicated? This panel of experts and insiders will weigh in.

Dale Fountain: Chairperson/CEO, Enact Universal Healthcare for CA

Lucien Wulsin: Retired Executive Director, ITUP

Carl Mercurio: Principal, Health Management Associates (moderator) 

12:45 - 1:30

Exploring the Future of California's Delegated Model

California’s model of empowering provider groups through risk-based or capitated contracts appears at a crossroads.  Regulatory action, and resulting lawsuits, have created questions about the future of this long-employed approach to plan-provider relations.  This session will explore what’s next for the delegated model in California’s health care system.

Paul Durr: CEO, Sharp Community Medical Group

Bill Barcellona: Senior Vice President, America's Physician Groups

1:45 - 2:30

Healthcare's Interface with Public Safety

Increasingly, the health care system is learning to integrate with mental health and crisis systems.  This is bringing health care closer to public safety professionals and a system that is truly the last line of a community’s health care system.  This breakout will discuss lessons from the intersection of these two increasingly connected systems.

Glenn Raup, RN, PhD, MBA, MSN, CEN: Executive Director, Emergency Nursing and Behavioral Health Services, Providence St. Joseph Hospital

Officer Reuban Littlejohn: Assistant Chief Probation Officer, San Diego County Probation Department 

Shawn Percival: Community Paramedic, San Diego Resource Access Program, American Medical Response

Anne Jensen: Resource Access Program Manager, San Diego Fire-Rescue Department

1:45 - 2:30

Future Disruptions in Healthcare with Connectivity and Technology

The role of technology as a disruptor has been a long-heralded promise. Now, with artificial intelligence entering the equation, what has been seen as hype may now deliver hope for system change.  This panel of experts will explore what this new horizon looks like.

Dilek Barlow: Senior Director, Government Solutions, Wildflower Health

Ben Yu, MD: VP, Medical Informatics & Genomics, Interpreta

William Maheu: Senior Director, Strategic Development, Qualcomm 

1:45 - 2:30

A Review of Value-Based Care in California

How are payment models in California health care evolving and taking root? From hybrid risk models to shared savings to capitation, value-based payment methodology is spreading and stalling, depending on who you hear from. This session will include a diverse range of perspectives on the topic, offering a broad view of purchasing value in health care.

Patrick Tellez, MD: Chief Medical Officer, North County Health Services

Erik Korolev: Vice President, Provider Network Management & Payment Innovation, Health Net

Stephen Linesch: Principal, Paradigm Group

2:45 - 3:30

Afternoon Keynote: The 2018 Elections and the Impacts on State and Federal Policy

Colm O'Comartun is the former head of the Democratic Governors Association and is co-founder of 50-State, one of Washington DC's leading consultancies on state health policy.  Colm will review the impacts of the 2018 midterm elections at both the national and state level, and draw upon his experience to highlight what this might mean for Democratic states like California.  Colm is as plugged into Democratic governors in the various states as is anyone, so you'll find his observations to be both relevant and unique. 

Colm O'Comartun: Former head of the Democratic Governors Association and Co-Founder of 50 State 

3:30 - 5:00

Hosted Networking Reception by WestPac Wealth Partners

Catch up with folks you missed the opportunity to chat with during the day at our Afternoon Executive Networking Reception. Join us for a hosted cocktail hour sponsored by WestPac Wealth Partners.