Rise

Dr. Lilian Alevato Medical Director of Clinical Services

Innovacare

Dr. Lilian Alevato brings over 40 years’ experience as a healthcare provider in the fields of Internal Medicine, Cardiology & Geriatrics with additional specializations in Compliance, Quality, Utilization Management, Case Management, and Population Health.

Just after completing her Residency studies, she became a Hospital Director of a Community Hospital leading a group of over 80 physicians in Rio de Janeiro for 12 years until she decided to continue her studies in Healthcare Administration in the U.S.A. to continue her career in Managed Care Administration.

Dr. Alevato completed her master’s in business healthcare administration at COPPEAD – Federal University of Rio de Janeiro with extension program at John Hopkins School of Medicine. She also completed her master’s in public health at the Brazilian Army in the last year practicing in Brazil.

In the year 2000, Dr Alevato decided to move to United States to continue her studies in Quality, Compliance and Utilization Management.

Dr. Alevato holds several certifications with the American Institute of Healthcare Compliance (AIHC); National Committee of Quality Assurance (NCQA) PCMH-CCE; she is Board Certified Physician Advisor by the American Board of Quality and Utilization Review Physicians in the subspecialties of Transitions of care, Managed Care and Physician Advisor.

Dr Alevato was also selected as a Peer Leader Speaker for the CMMI Centers of Medicare and Medicaid Innovation on the BPCI Advance program in the year 2021, for the best Care Plan Design selected by CMS.

Dr Alevato’s passion for value-based care continues to drive her efforts in developing new programs to educate physicians, case managers and health care professionals to work as a team to improve patient’s quality of life and better utilization outcomes.

Relevant Awards:
2000 – Personality of The Medicine – Brazil’s Government November 2000
2012 – PCMH – Excellence is Innovation and Transformation – Family Physician’s Group
2017 – Microsoft Health - Innovation Awards – Engage with your Patients
2018- Business Awards – Focus Orlando – international Brazilian Press Award

Wade A. Brosius Chief Medical Officer

PMSI

Wade A. Brosius, D.O. is the Chief Medical Officer for PMSI, a vertically integrated multi-specialty group in suburban Philadelphia.  He has held this position for the past year.  He is also a family physician at Springford Family Practice, a division of PMSI, located in Royersford, PA.  He has been in practice for 29 years at this location.  Dr. Brosius is also Medical Director for Accurate Coding and Education for Tandigm Health in Conshohocken, PA.  Dr. Brosius also serves as Medical Director of Suncrest Hospice, Philadelphia.

Dr. Brosius earned his Bachelor of Arts degree in Biology (1988) at La Salle University.  Dr Brosius received his medical degree at Philadelphia College of Osteopathic Medicine (1992).  He completed his internship and family medicine residency at the Hospital of the Philadelphia College of Osteopathic Medicine where he served as Chief Resident (1995). 

Dr. Brosius has expertise in risk adjustment coding and documentation as well as population health management.  He has lectured extensively on these topics locally and regionally. 

Dr. Brosius is very active in the medical community.  He sits on the Executive Committee of PMSI.  He also serves as the Chairperson of the Quality Committee as well as Diabetes Committee and sits on the Medical Records Committee for PMSI.  Dr. Brosius is the past Chairperson for the Department of Family Medicine at Pottstown Memorial Medical Center where he also served on the Medical Executive Committee for many years.  

Dr. Brosius also is active in the community where he lives.  He is the team and school physician for Pottsgrove School District.  He is also the school physician for Springford School District and Pope John Paul II High School.  He attends mass regularly at Sacred Heart parish in Royersford, PA, where he serves on numerous committees.

Dr. Brosius is married to Gretchen Ann Brosius for thirty two years.  They are the proud parents of two sons,  Michael (27) and Jack (22). 

Michael J. Brown Vice President, Risk Accuracy

Tandigm

Shannon Decker Risk Adjustment Expert

VBC One

Dr. Shannon Decker is principal at VBC One, a consulting firm assisting physician groups, health plans and vendors maximize the performance of their value based contracts and offerings.  Dr. Decker has more than 20 years experience in health care and most recently led teams in risk, quality, data and analytics, telehealth, COVID response and delegation compliance.  Of her more than 20 years of experience in healthcare--15 include working with risk adjustment, quality and Medicare. Dr. Decker has a PhD. in Interdisciplinary Studies, dual MBA degrees--in Finance and in Marketing, as well as an M.Ed. in Secondary Education and a M.Ed. in Administration and Leadership. Dr. Decker is on the faculty at Arizona State University and is also an associate professor of Higher Education & Adult Learning (HEAL) and chief methodologist for Walden and Capella Universities where she chairs and oversees the dissertations of doctoral students. An author of two books and several peer-reviewed articles, and a prolific national public speaker, her interests include the study of human behavior and how theories on motivation and learning may be brought to bear on population health management.

Mrugank Dhone Manager, Business Intelligence Development

Southwestern Health Resources

A dynamic professional with a passion for driving excellence in healthcare through strategic Business Intelligence, Data Analytics and Data Integration. With a proven track record in value-based care and Risk Adjustment, I specialize in leveraging data-driven insights to optimize processes and enhance patient outcomes.

As a dedicated leader, I thrive on cultivating high-performing teams and fostering a culture of innovation. My expertise lies in identifying opportunities for process improvement and implementing solutions that drive tangible results to generate better patient outcomes within value based care organization by leveraging power of data mining and data analysis.

With in-depth knowledge of business intelligence tool set and utilizing strategic methods, I have built teams that support our organization to be proactive then reactive in this fast paced and ever changing value based care arena.

Lance Donkerbrook Chief Executive Officer

Commonwealth Primary Care ACO

Carolina Espinoza-Strelec Program Director of Population Health and Clinical Integration

Ascension Medical Group Texas & Seton Health Alliance

Carolina Espinoza-Strelec, MPH, CMQ, CPHQ, currently serves as the Program Director for the Ascension Seton Health Alliance (SHA) and the Ascension Medical Group, Texas (AMGTX). In the SHA, Carolina is responsible for population health, clinical integration, and payor contracting. SHA is the largest clinically integrated network in Central Texas with over 4,000 providers, managing over 230,000 value-based lives through two Medicare Shared Savings Programs, multiple commercial models and a direct-to-employer model. In AMGTX, Carolina oversees quality, patient safety, and performance improvement for approximately 190 multidisciplinary clinics across Central Texas. Before joining Ascension Seton, Carolina spent 10 years in acute care infection prevention as System Director for the Memorial Hermann Healthcare System in Houston, Texas. 

Carolina is passionate about implementing clinical quality, prevention, and population health management strategies that improve patient care, outcomes, and experience while finding ways to reduce the overall cost of healthcare. Carolina is also passionate about providing clinicians and staff with resources and tools that assist in improving efficiency to allow for more meaningful patient-clinician relationships. 

Carolina holds a Bachelor of Arts in Biology from the University of Texas at Austin and a Master of Public Health Epidemiology from the University of Texas Health Science Center in Houston. 

Ava Johnson Associate Director, Ambulatory CDQI

Mount Sinai Hospital, NYC

Ava Johnson is the Associate Director of the Outpatient Clinical Documentation Quality Improvement department at Mount Sinai Hospital in NYC. Ava is a seasoned coding instructor, physician educator, multispecialty coder, CDI specialist and public speaker with a focus on executive leadership and career development.

Tanya Kapka Senior Medical Director, NYC

Oak Street Health

Tanya Kapka, MD, MPH is a leader in health care transformation for evidence-based, patient-centered primary care in service of the Quadruple (Quintuple) Aim. Her clinical and research experience and collaborative approach to implementation of high-impact, data-informed projects via multidisciplinary teams are where she is most effective. Her professional life for over two decades has prioritized leading and teaching innovative, patient-centered care delivery for publicly-insured patients and families facing social and structural barriers.

In Oregon for most of her career, she held Medical Director leadership positions at Virginia Garcia Memorial Health Center and at CareOregon, with a focus on innovative care delivery in value-based payment models for Medicaid and Medicare D-SNP. Since returning to her home state of New York a few years ago, she served as D-SNP Medical Director at Cityblock Health and then, until recently, as Population Health Medical Director at Mount Sinai Health System.

Still a practicing board-certified physician, Dr Kapka is now Senior Medical Director in NYC at Oak Street Health. A Fellow of the American Academy of Family Physicians, she also serves on the Public Health Commission of the NY State Academy of Family Physicians. Her MD is from Oregon Health and Science University and MPH from Harvard School of Public Health.

Inna Karyeva Chief Operating Officer, National Products

Better Health Group

Inna Karyeva is the COO of National Products at Better Health Group. Since joining the organization in 2022, Inna has led the Medicare ACO (MSSP and ACO REACH), Commercial, and Medicaid risk products for the organization. Inna has over a decade of experience in managed care working across provider and payer organizations to drive better outcomes for patient populations. Inna started her career at Evolent Health driving provider led health plan development and operations with health systems across markets. Most recently, Inna spent 5 years at Optum Health, part of broader Unitedhealth Group organization where she led new valued based market development with newly acquired provider organizations. Inna holds a BS from Carnegie Mellon University and an MBA in Health Care Management from The Wharton School. Inna enjoys travel, outdoor activities and trying new restaurants with her husband and baby daughter.

Suneksha KC Executive Director, ACO Strategy & Operations

Netrin Primary Care ACO, LLC

Suneksha KC is a Health Information Manager with 5 years of experience in the value based care industry. Her career started as a Biomedical Engineer in the United States Patent and Trademark Office. Over the years, she has worked in various capacities in multiple value based programs to improve patient experience, drive organizational change and increase program impact. She currently serves as the Executive Director of Strategy & Operations at Netrin Health leading cross functional efforts to bring new technology, innovative strategy and improve operational efficiency for primary care providers to deliver the best patient care.  She has played an integral role in the rapid rollout of Remote Patient Monitoring, Netrin Point of Care tool and enhancing the current state of the technology platform.

Scott Kitchen Vice President, Clinical and Business Intelligence Catholic Health System

Catholic Medical Partners

Donna Malone Director Risk Capture, Population Health Management

Mass General Brigham

Donna Malone, CPC, CRC, AAPC Approved Instructor, AHCCA, RAP, RISE Fellow: Director Risk Adjustment with Mass General Brigham in MA, Adjunct Professor with MassBay Community College, Chair of the RISE Risk Adjustment Academy HCC Coding Faculty Advisory Group as well as content developer RISE designations and workshops, and 2022-2025 AAPC National Advisory Board. Donna has over 28 years’ experience (Payer, Provider System and Vendor) in healthcare with primary focus on Value-Based Care.

Donna has also served as President of the Watertown AAPC Chapter (2017-2022) and Education officer (2016)

Donna speaks nationally for RISE, AAPC and AHIMA

She also received the 2021 MaHIMA Champion Award

Arumani Manisundaram Founder & CEO

Netrin Primary Care ACO, LLC

Arumani Manisundaram, CEO of Netrin Health, is a widely respected leader in the healthcare industry with considerable experience in emerging payment models. As the founding Director for the Center for Connected Health at Adventist HealthCare, Manisundaram played an instrumental role in the implementation of Ambulatory Electronic Health Record systems, Health Information Exchanges, Accountable Care Organizations, Clinical Integration Networks and overall Population Health Management strategies and implementation.

Under Manisundaram’s leadership, Netrin Health is pioneering new approaches to population health to blend the latest innovations in healthcare IT with the people, processes, and insights needed to achieve new heights in clinical and financial outcomes. Central to this effort is a strong emphasis on partnering with the country’s best providers and empowering them with unmatched industry insights. As the head of the management team, Manisundaram leads Netrin Health’s commitment to its customers to deliver solutions that improve the care process, deliver value, and drive innovation.

Michelle Mirkovič Program Director, Regulatory and Value-Based Care Medical Economics

Southwestern Health Resources

Michelle is a physical therapist by profession and holds a master’s degree in healthcare administration.  She spent most of her clinical career treating geriatric patients.  Since joining SWHR, Michelle has held several positions responsible for the quality and financial outcomes for ACO beneficiaries as well as the ensuring the model regulatory and compliance requirements are met. 

Margaret Paroski President and Chief Executive Officer

Catholic Medical Partners

Dr. Paroski is the is the President & CEO and Chief Medical Officer of Catholic Medical Partners, an independent practice association with almost 900 physician members. A board certified neurologist, Dr. Paroski has held various administrative positions including Medical Director at Erie County Medical Center; Senior Associate Dean of Academic Affairs & Admissions and Interim Vice President of Health Affairs and Interim Dean at the Jacobs School of Medicine and Biomedical Sciences, University at Buffalo; and Executive Vice President and Chief Medical Officer at Kaleida Health.

She began her medical career at the Buffalo VA Medical Center and held hospital appointments at the Buffalo Psychiatric Center, Roswell Park Cancer Institute, Kaleida Health, and Erie County Medical Center. In addition to her clinical and leadership roles, Dr. Paroski has been a faculty member in the Neurology department at the Jacobs School of Medicine and Biomedical Sciences for the past 40 years.

As President & CEO and Chief Medical Officer of Catholic Medical Partners, Dr. Paroski leads clinical integration and standardization efforts and physician relations among the organization’s medical and specialty practices. She is also responsible for engaging physician members in population health initiatives and value based payment model adaptation. 

Kenneth Persaud CEO

White-Wilson Medical Center

Dr. Kenneth Persaud is nationally recognized thought leader and change agent with over two decades of experience with increasing responsibility across healthcare sectors, in creating, scaling and operating businesses to achieve optimized healthcare outcomes. Ken is a healthcare executive with a history of setting strategic direction and bringing together high caliber teams to execute on business growth, while maintaining focus on people first corporate cultures. Ken entered health administration after practicing as a primary care provider, this combination of a provider perspective with business acumen have provided vision, unique insight and problem-solving advantages beneficial in today’s rapidly evolving healthcare arena.  Ken earned a BS from the Rochester Institute of Technology, and his medical degree from the University of Mexico Medical College. During his free time Ken can be found enjoying the outdoors alongside his wife of 18 yrs or courtside cheering on their son or daughter.

Kim Prendergrast Vice President of Policy

Community Care Cooperative

Kim Prendergast is Vice President for Policy for Community Care Cooperative (C3). a Federally Qualified Health Center-led Accountable Care Organization (ACO). In this role, she leads the ACO’s strategic and policy initiatives to support FQHCs across six states and the District of Columbia to leverage value-based payments and address social drivers of health to improve health equity and health outcomes.  Kim joined the organization in 2019 and has been the architect of C3’s work to identify and address health-related social needs through partnerships across the healthcare and social services sectors. She designed and implemented C3’s $25M Medicaid-funded Flexible Services program in Massachusetts which improves health outcomes and reduces health care costs. Kim is passionate about sharing these successful approaches to value-based care, partnerships and social health programs to expand primary care to advance health equity.

Prior to joining C3, Kim spent two decades addressing food insecurity and health with Feeding America through roles in public policy, nutrition programs, and healthcare partnership consulting. Kim is a Registered Dietitian Nutritionist with a BS in Dietetics from Purdue University and has a Master of Public Policy from the University of Chicago.  She lives in the Boston area.

Syed M. Rizvi Director Risk Adjustment & Vendor Operations

Southwestern Health Resources

Syed Rizvi, MHA, CPC – Syed is a dedicated healthcare leader focused on the ever-evolving value based care landscape for over 10 years. He has worked with large provider groups and payors to help increase quality and mitigate costs, giving him a unique and comprehensive approach to managing care. By utilizing data to tell a clear story and provide insights for innovation, Syed has built strategies to tackle some of the most complex healthcare topics including risk adjustment, hospital contracting, HEDIS Quality improvement, and provider/vendor relations. Syed is currently serving as Director of Risk Adjustment submissions at Southwestern Health Resources, and has also lead teams around strategy, quality, and provider network.

Michelle Robinson ACO Executive, IPA, ACO & PCF Director of Operations

Innovacare

Value-Based Healthcare expert who builds and leads high-performing Care teams who assist in delivering exceptional patient care to 235K value-based patients with organizational success for 650 providers, 600k patients, 3000 staff members, and 250+ locations.

My greatest achievement is 9 consecutive years of being a nationally recognized Accountable Care Organization which has generated over $230 million in shared savings throughout the program by maximizing our Risk Adjustment and 98% Quality scores.

Athena Santos Executive Director, Quality Performance and Value

AdventHealth Primary Care Network

After 24 years serving in the U.S. Coast Guard as a Medical Administrator, Independent Duty Corpsman and Educator, she commenced work in 2014 in the civilian sector at a Florida based Clinically Integrated Network, focused on value-based care delivery models and population health. Now as the Executive Director of Quality Performance and Value in the newly formed Primary Care Network, Athena is leading a team focused on capturing all aspects of quality and value to improve population health and patient experience, while reducing the cost of care through efficiencies in workflows. As an educator and public speaker, Athena consults with a variety of customers on optimizing workflows to maximize revenue while improving consumer and provider experience.

Athena has earned a Master of Public Health, along with a Master of Psychology and a Master of Management and Organizational Leadership. She recently concluded a Harvard course in Global Health Delivery, is an MBTI and PPS practitioner, AAPC certified in CPC, CRC and CDEO, and is an ordained minister. She has two adult children, two grandchildren, five cats and a dog and makes her home now in Florida.

Laura Sheriff Risk Adjustment Industry Expert

Laura Sheriff, RN, MSN, is currently working as a consultant with physician groups and health plans to capitalize on risk adjustment performance and operations.  Laura is an MSN with >12 years’ experience in Medicare, Medicaid, and Marketplace Managed Care and has led teams in risk, quality, telehealth, and population health analytics.  Laura demonstrates effective leadership, innovative problem-solving techniques, and goal-oriented focus to execute business objectives and meet performance metrics.  Laura designed and coordinated activities including provider education, training, auditing, data mining, and data analysis to direct program success and achieve all risk goals.  Laura is also a certified professional coder and a certified risk coder. 

Susan Waterman Director, Risk Adjustment, AHIMA ICD-10-CM/PCS Trainer

Baylor Scott & White Health Plan

As Director of Risk Adjustment, Susan Waterman has been empowered to plan, design and oversee business and strategic objectives in creating and optimizing a Risk Adjustment Department responsible for ensuring the accuracy of risk adjustment payments while successfully managing all activities related to Medicare Advantage, ACA and Exchange Risk Adjusted lines of business. In that capacity Susan directed department changes that resulted in multi-million dollar gains in Risk Adjustment, brought all chart review activity in-house, and partnered with the hospital CDI/Quality Physicians to create an Outpatient CDI Department focused on documentation quality, Risk Adjustment activities and clinic training.

A proven leader in her field, Susan’s professional experience includes coding and compliance management, auditing and provider training, system management, and consulting services.