Reyann leads APM Connect, the learning community built for organizations in mandatory
CMS episode and value-based payment models, and consults with ACOs and MSSP participants through
Value Health Innovations. She opens the series with the economics of an episode in plain terms.
Session 01Host
Justin is a healthcare regulatory attorney who advises health systems and physician
enterprises on collaborative arrangements, gainsharing, and fraud and abuse compliance under
episode payment. He originated this series and has taught the arrangements-and-guardrails material
twice already, most recently for the Care Continuum Alliance.
Session 02Legal guardrails
Anthony brings more than 30 years in healthcare, previously as a Director of Health
Strategy at Navigant Consulting, EVP of Paragon Health, and president of multiple heart hospitals
and centers. He has led hospital–physician and practice alignments, private equity
acquisitions, and service line planning for large systems, and is a Fellow and past president of
the American College of Cardiovascular Administrators.
Session 02Alignment & arrangements
John led network operations for one of North Texas's largest IPAs, overseeing payor
contracting, physician engagement, and value-based care programs for 650+ physicians across 250+
practices. A Fellow of ACHE and the American College of Health Data Management, he serves on the
board of the Texas Association of Accountable Care Organizations and brings fourteen years of
military service to how he runs a transformation.
Session 02Physician engagement
Dr. Lagu works on cost and quality outcomes for ACOs, Medicare Advantage plans, and
health systems, overseeing interpretation of population health analytics with executive and
clinical leadership. Previously a Director and Professor at Northwestern's Center for Health
Services and Outcomes Research, she served as a clinical lead for CMS in developing quality
metrics including Hospital Stars.
Session 03Actuarial & analytics
Brian is the actuary in the room for Session 03: benchmarks, risk adjustment, and
how a target price is actually constructed. Full bio to follow.
Session 03Actuarial & analytics
Dr. Moon leads clinical programs and population health across a national health system,
and brings the care-management view of the episode window: coordination, quality, and
post-acute strategy. Full bio to follow.
Session 04Quality & care management
Physician panel
Session 01. What engagement looks like from the clinician's side. Full bios to follow.
BS
Ben Schwartz, MD, MBA
Orthopedic surgeon · Physician Executive & Senior Advisor, Commons Clinic ·
Clinical Instructor, Harvard Medical School · Medical Director, RightMove Health ·
author of The Surgeon’s Record
CM
Chad Mather, MD
Orthopedic surgeon · Associate Professor of Orthopedic Surgery, Duke University School
of Medicine · Chief Medical Officer, Specialty Care, Optum
One further physician panelist to be announced.