NY State Health Innovation Plan Governance Materials
INTEGRATED CARE WORKGROUP
Mandate
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Establish eligibility criteria, metrics, and milestones for Advanced Primary Care (APC) model.
Align Medicaid DSRIP projects, PCMH programs, ACO development, SIM initiatives and APC.
Define and develop primary care practice transformation support.
Define value-based payment options and recommend payment models to be adopted across NY-SHIP,
Medicaid, Medicare, and commercial health plans, in support of APC.
Chairpersons
Chair, internal:
Foster Gesten, MD (DOH/OQPS)
Troy Oechsner (DFS)
Chair, external:
Susan Stuard
State team members
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John Powell (DFS)
Lloyd Sederer, MD (OMH)
Jay Carruthers, MD (OMH)
Marcus Friedrich, MD
5. Peggy Chan (DOH/OHIP)
6. Alda Osinaga (DOH/OHIP)
7. Barbara Wallace, MD (DOH/OPH)
Extended work group members
Providers:
1. Tom Mahoney, MD (FLHSA)
2. John Rugge, MD (HHHN)
3. Van Dunn, MD (HHC)
4. Scott Hines, MD (Crystal Run)
5. Steve Rosenthal (Montefiore)
6. Stephens Mundy (CVPH)
Payers:
7. Robert Hinckley (CDPHP)
8. Bob LaPenna (Empire BCBS)
9. Cliff Omstrom (United)
10. Paul Eisenstadt (Excellus)
11. William Gillespie, MD (EmblemHealth)
12. Susan Beane, MD (Health First)
13. Dominick Bizzarro (MVP)
14. Paul Macielak (NYHPA)
15. Sean Doolan (BCBS Association)
Professional Organizations:
16. Sarah Shih (PCIP/NYC DOHMH)
17. Linda Lambert (ACP)
18. Joseph Maldonado, MD (MSSNY)
19. Vito Grasso, MD (AFP)
20. Louise Cohen (PCDC)
Hospitals and Health Systems:
21. Jeffrey Gold (HANYS)
22. Bill Streck (HANYS)
23. Kathleen Shure (GNYHA)
Behavioral Health:
24. Virna Little (HealthConnect)
25. Alan Wilmarth (UHS Binghamton)
Population Health:
26. Anthony Shih (NYAM)
27. Greg Burke (UHF)
FQHC:
28. Diane Ferran, MD (CHCANYS)
Human Service Agencies:
29. Steven Margolies, MD (Fidelis Care)
30. Cathy Saresky (Catholic Family Center)
31. David Woodlock (Institute for Community Living)
32. Erik Geizer (NYSARC)
Business:
33. Jeremy Nobel, MD (NEBGH)
Consumer Representation:
34. Mark Scherzer (HCFANY)
35. Chuck Bell (Consumers Union)
36. Elisabeth Benjamin (CSSNY)
Foundations:
37. David Sandman, PhD (NYS Health Foundation)
As of 3/31/16