A Symposium on Health Care Reform

Coralville Marriott Hotel and Conference Center
Tuesday, July 20th, 2010 8:30 AM to 4:30 PM

The University of Iowa hosted a symposium to review and discuss how the recently enacted federal health reforms may affect health policy in Iowa, including the need to address immediate possible impacts in financing and infrastructure. The Health Reform Symposium considered key aspects of health reform, including:

(a) Medicaid Expansion/Iowa Care Provider Network Expansion

(b) Health Insurance Exchanges

(c) Care Coordination

(d) Health Information Technology

The conversation considered how the federal health care reform may intersect with state legislation, including the expansion of Iowa Care coverage in Senate File 2356, report of the Legislative Health Care Commission established pursuant to S.F. 389 and the recommendations of advisory committees established in 2008 by HF 2539. The audience included health system administrators, purchasers and payers, health policy researchers and analysts, public policy leaders, leaders of public interest organizations and representatives of health professional organizations, as well as faculty, staff and students interested in the health reform from a state perspective.

Tuesday, July 20th, 2010
Session Details Speakers
8:30 AM Welcome
  1. Jean Robillard
  2. David Carlyle
  1. Christopher Atchison (Moderator)
9:00 AM Keynotes--Responding to Health Reform
  1. JoAnn Lamphere
  2. Joshua Goldberg
  3. Andrea McGuire
  1. Dean Letendre (Moderator)
10:30 AM Medical Homes, Accountable Care and E-Health
  1. Thomas Evans
  2. Martin Hickey
  3. Tom Newton
  4. Lee Carmen
  1. Dean Johnsen (Moderator)
12:15 PM Lunch: National Perspectives on Health Reform
  1. Ron Pollack
  2. Jim Frogue
  1. Peter Damiano (Moderator)
1:45 PM Assuring Coverage--Medicaid and Exchanges
  1. Charles Krogmeier
  2. Susan Voss
  3. Kristine Hennings
  4. Terry Gardiner
  1. Brian Kaskie (Moderator)
3:00 PM Iowa Policy Perspectives
  1. Kate Walton
  2. Carmine Boal
  3. Jack Hatch
  4. Linda Upmeyer
  1. Stacey Cyphert (Moderator)
  • Carmine Boal

    Policy Director, Governor Branstad 2010

    Carmine Boal is currently serving as Policy Director for the Governor Branstad 2010 campaign. Carmine served in the Iowa General Assembly from 1998 to 2008 and on the Ankeny School Board. Most recently she was the Program and Development Director for the Iowa Alliance for Choice in Education.

  • David Carlyle

    Chair, Legislative Health Care Coverage Commission

    David Carlyle is a Board-Certified Family Physician and Hospice Medical Director in Ames, Iowa, as well as the chair of Iowa’s Legislative Healthcare Coverage Commission. For 15 years, he has served on legislative committees/commissions for the Iowa Academy of Family Physicians, the Iowa Medical Society, and the American Academy of Family Physicians. He was on the Tobacco Use Prevention and Control Commission of the State of Iowa for six year, two as Chair. Dr. Carlyle is also a former Chair of the Board of Directors of the Iowa Prescription Drug Corporation, a non-profit entity that provides medicines to the uninsured and on the Board of Directors of FAMMED Political Action Committee. His honors include the American Academy of Family Physicians’ 1999 Public Health award, and two Iowa Senate Commendations for his children’s insurance and anti-tobacco efforts. He was recently appointed to the United States Advisory Board to the Consumer Operated and Orientated Plan (CO-OP) Program. He received his BA from the university of Notre Dame and his MD from the University of Iowa.

  • Lee Carmen

    Associate Vice President for Information Systems, UI Health Care

    Lee Carmen is the Chief Information Officer and Associate Vice President for Information Technology at University of Iowa Health Care, providing strategic and operational support for information technology services at the University of Iowa Hospitals and Clinics and the Roy J. Carver College of Medicine. In addition, he is an adjunct faculty member in the University Of Iowa College of Public Health. Mr. Carmen has been managing information technology in academic medical centers for over 15 years. Prior to that, he was involved in developing computer systems in cardiovascular research. He has degrees in Microbiology, Mathematics, and Electrical and Computer Engineering.

  • Thomas Evans

    President and CEO, Iowa Medical Home Systems Advisory Council

    Tom Evans, M.D., is the President and CEO of the Iowa Healthcare Collaborative (IHC). The Collaborative focuses provider-led initiatives to promote transparency, improve clinical performance, improve patient safety and reduce cost. Dr. Evans received both BA and MA degrees from Drake University, and his MD from the University of Iowa. He completed his Family Medicine residency at Broadlawns Medical Center. Dr. Evans practiced family medicine for 13 years, and served as Chief Medical Officer for the Iowa Health System from 1999 to 2005. He has served as President of both the Iowa Medical Society and the Iowa Academy of Family Physicians. He has also served on the board for the National Patient Safety Foundation, and on the delegations for both the American Medical Association and the American Academy of Family Physicians. Dr. Evans currently serves as a faculty member with the Institute for Healthcare Improvement, Des Moines University, and the University of Iowa College of Public Health.

  • Jim Frogue

    Vice President and Director of State Policy, Center for Health Transformation

    Jim Frogue’s primary areas of focus are Medicaid, fraud and consumerism. Previously, he served as Director of the Health and Human Services Task Force at the American Legislative Exchange Council to develop and disseminate market-oriented health policies among state legislators from 45 states. Mr. Frogue has served three Members of Congress, most recently as Legislative Director for Congresswoman Kay Granger of Texas. He also spent two years as the healthcare policy analyst at the Heritage Foundation, and was appointed by Speaker William J. Howell to the Virginia Council on Human Resources. Mr. Frogue has appeared on Fox News, the Fox Business Channel, and ABC’s Good Morning America, as well as on countless radio shows. His op-eds have appeared in The Hill, Chicago Sun Times, and the Washington Times, among many others. He is editor of the book Stop Paying the Crooks. Mr. Frogue holds a MA from Cambridge University and a BA from the University of Southern California.

  • Terry Gardiner

    National Policy Director, Small Business Majority

    Terry Gardiner’s public service career of twelve years was centered on election to the Alaska Legislature for five terms. This included many leadership positions - Speaker of the House of Representatives, Judiciary Committee Chairman and Chair of the Alaska Criminal Code Commission. A second, two-decade career was devoted to establishing and growing an innovative startup seafood company. As CEO and Chairman of Silver Lining Seafoods and NorQuest Seafoods, Mr. Gardiner oversaw the expansion of the business that grew to over $100 million in sales, with 1000 employees and markets in twenty-two countries. Since 2004, he has devoted his efforts to comprehensive health care reform. He has worked with state-based health care reform groups in his home states of Alaska and Washington. In 2008, Mr. Gardiner was named National Policy Director of Small Business Majority, which is devoted to building new voices of small business for health care reform in states and nationally.

  • Joshua Goldberg

    Health Policy and Legislative Analyst, National Association of Insurance Commissioners

    Joshua D. Goldberg is Health Policy & Legislative Analyst with the NAIC in Washington, DC, representing the nation’s state insurance regulators before Congress and federal regulators. He has been with the NAIC since February 2006 and provided nonpartisan technical assistance to Congress during the health reform debate. Since adoption of the law, he has been helping to coordinate implementation of the law at the state level and providing assistance to federal regulators as they develop the rules to implement the legislation federally. Prior to joining the NAIC, he worked on state health policy issues at America’s Health Insurance Plans and served as Congressional leadership aide. Mr. Goldberg holds a BA from St. John’s College in Santa Fe, New Mexico.

  • Jack Hatch

    Iowa State Senator

    Senator Jack Hatch is serving his second term in the Iowa Senate. In June 2009, he was appointed Chair of the White House Working Group of State Legislators for Health Reform. He will lead state legislators who are health reform experts from around the country in advising the President on national proposals for health reform. Senator Hatch is an Assistant Majority Leader and chair of the Health & Human Services Budget Subcommittee. He also serves on the Economic Growth, Human Resources, State Government, Labor & Business Relations, and Appropriations committees. He is committed to affordable, quality health care for all Iowans. Since 2007, he has led the Legislature’s comprehensive health care reform effort including a commitment to health care coverage for all Iowa children by 2011. He has received several awards for his work in championing children’s issues, including the 2007 Outstanding Leadership Award by the Polk County Medical Society. Senator Hatch holds BA and MPA degrees from Drake University.

  • Kristine Hennings

    Director, Employee Benefits, Hy-Vee, Inc.

    As the director of Hy-Vee's benefits department, Kristine oversees all employee wellness programs, as well as the administration of medical, dental, disability and life insurance benefits for over 31,000 lives, as well as comprehensive health and wellness program initiatives for more than 50,000 Hy-Vee associates. These initiatives have not only positively impacted employees but have stabilized and/or reduced benefits costs. Ms. Hennings is a graduate of Simpson College. She started with Hy-Vee in its retail operations in 2004 and oversaw management development training programs at the corporate office before moving in to Human Resources. Her experience allows her to create programs that are flexible, convenient and applicable to employees working in a retail environment. Ms. Hennings speaks frequently on the importance of worksite wellness within the industry and is active in the community, serving on the Prevent Blindness IA Board of Directors, the Des Moines Partnership on Health Committee, and on Polk 2020.

  • Martin Hickey

    President/CEO, Alegent Health System

    Martin Hickey is the first President/CEO of Alegent Health Clinic in Omaha, Nebraska, where he built a large multi-specialty group practice for the nine-hospital Alegent Health System in Nebraska and Iowa. Because of impending major ACO competition in Omaha and to access his insurance and ACO experience Dr. Hickey has been named Chief Accountable Care Officer for Alegent Health. Prior to Alegent, Martin served as Senior Vice President of Health Care Affairs at Excellus Blue Cross. 1997-2002, he served as President and CEO of Lovelace Health Systems in Albuquerque, New Mexico. Dr. Hickey began his career on the Navajo Reservation in the Indian Health Service. He moved to the VA and then to the University of New Mexico. He set up pilot rural health programs, was an associate professor of Internal Medicine, developed an office of Managed Care Contracting, and served as Medical Director of the University Physician Associates. He is a graduate of the Rush Medical College in Chicago. He earned his MA in Administrative Medicine from the University of Wisconsin, and completed a residency in Primary Care Internal Medicine at the University of Rochester.

  • Charles Krogmeier

    Director, Iowa Department of Human Services

    Charles J. Krogmeier was appointed Director of the Iowa Department of Human Services (DHS) by Governor Culver and Lt. Governor Judge in 2009. The Iowa DHS serves approximately 832,000 Iowans each year. DHS services include health care through Medicaid and health insurance for children through hawk-I. Among many important functions, DHS is the lead agency for behavioral and mental health care, provides child support collection services, financial assistance, child care, foster care, and long-term care support for the elderly and disabled. Mr. Krogmeier has three decades of experience in state and local government. He previously served as Chief of Staff in the Governor’s Office. He was also Director of Management, First Deputy Secretary of State, and Deputy Attorney General of the State of Iowa. Krogmeier also served two terms as an elected member of the Lee County Board of Supervisors and was in private legal practice in both Polk and Lee Counties. He holds a BA from the University of Iowa and a JD degree from Drake University Law School.

  • JoAnn Lamphere

    AARP, Director, State Government Relations & Advocacy Health & Long-Term Care

    As Director for State Government Relations, Health & Long-term Care, JoAnn Lamphere serves as a main strategy advisor to AARP's fifty-three state offices. Since passage of national health care reform, her priority is to assure the successful implementation of PPACA Act across the states. Previously, Dr. Lamphere worked as a senior consultant with The Lewin Group, where her areas of expertise included public sector financing, state health reform, long-term care policy, and tax credits for health coverage. Prior to that, she served as Senior Policy Advisor for AARP's Public Policy Institute. Her professional experience also includes Senior Associate, Alpha Center, Washington, DC; Administrative Manager, New England Medical Center, Boston; and Health Policy Analyst and Program Director, New York State Department of Health. She holds a PhD in Health Policy and Management from Columbia University. In addition to being a noted author and frequent lecturer, she is a founding member of the Campaign for Effective Patient Care.

  • Andrea McGuire

    Chief Medical Officer, Vice President, Partnership for Better Health

    Dr. Andy McGuire leads the strategic direction for the American Enterprise Group, and clinical oversight of Medical Management, Pharmacy Management, Risk Selection, and Network Management. She is chair of the College of Public Health Board of Advisors at the University of Iowa School of Public Health, and co-chairs the Partnership for Better Health. She is also vice chair of the Initiative to Decrease Unintended Pregnancies, and serves on the Iowa Department of Economic Development Board. Her advocacy for health, woman and children lead her to run for Lt. Governor of Iowa. She previously worked as a nuclear medicine physician at Mercy Radiology and Veterans Hospital in Des Moines. From 1998 to 2002, Dr. McGuire was vice president of medical resource management and medical director at Wellmark Blue Cross/Blue Shield of Iowa and South Dakota. She earned BA and MD degrees at Creighton University in Omaha, and holds an MBA from Kennesaw State University.

  • Tom Newton

    Director, Iowa Department of Public Health

    Tom Newton was appointed Director of the Iowa Department of Public Health (IDPH) by Governor Chet Culver in April 2007. In this role, Director Newton oversees the Department’s six divisions, which include: Acute Disease Prevention and Emergency Response; Administration and Professional Licensure; Behavioral Health; Environmental Health; Health Promotion and Chronic Disease Prevention; and Tobacco Use Prevention and Control. Under his guidance, IDPH has been intimately involved with the health care reform process in Iowa, particularly as it relates to prevention/wellness, chronic care management, medical homes, health IT and health workforce. Director Newton is a Registered Environmental Health Specialist (REHS) and holds a BA and MA from the University of Northern Iowa.

  • Ron Pollack

    Executive Director, Families USA

    Ron Pollack is the Founding Executive Director of Families USA, a national organization that seeks to achieve high quality, affordable health coverage for all Americans. Families USA’s research is often cited by congress, state legislatures, and other policy makers. In 1997, Mr. Pollack was appointed by President Clinton as the sole consumer representative on the Presidential Advisory Commission on Consumer Protection and Quality in the Health Care Industry. He received the “Common Ground” co-award for his work helping ideologically diverse health organizations reach an historic consensus about expanded health coverage for the uninsured. Mr. Pollack has been a guest on The PBS NewsHour, NBC's Today show, and ABC's Good Morning America. He has been named one of the nine top nonprofit lobbyists by The Hill, and one of the 100 Most Powerful People in Health Care by Modern Healthcare. Previously, Mr. Pollack served as Dean of the Antioch School of Law. He received his law degree from New York University.

  • Jean Robillard

    Vice President for Medical Affairs, University of Iowa Health Care

    Jean E. Robillard is vice president for medical affairs for UI Health Care. He is charged with integrating planning and operations for the University of Iowa Hospitals and Clinics; the Carver College of Medicine; and the University of Iowa Physicians, the state’s largest multi-specialty physician group practice. Previously, Dr. Robillard served as dean of the Carver College of Medicine. Before coming to Iowa he was chair and professor of the Department of Pediatrics at the University of Michigan Medical School and physician-in-chief at C.S. Mott Children’s Hospital. Dr. Robillard holds BA and MD degrees from the University of Montreal. He is a pediatric nephrologist and has published more than 220 scientific papers during his career. He is a Fellow of the American Association for the Advancement of Science and in 2006 served as Chair of the Board of Directors of the American Board of Pediatrics.

  • Linda Upmeyer

    Iowa State Representative

    Rep. Linda Upmeyer is completing her fourth term as Iowa State Representative for HD 12. She also works as a Nurse Practitioner, at Mercy Medical Center North Iowa. Upmeyer is the House Minority Whip. Her committee assignments include Human Resources, Legislative Council, and Natural Resources. She also serves on the Economic Development Commission, and works on the Health Reform Commission and on Health IT issues. Nationally, she is on the Board of Directors and as the Public Sector Chair of the Health and Human Resources Task Force of the American Legislative Exchange Council (ALEC). She is a member of the Health Information Technology Champions in the National Council of State Legislators. Upmeyer received her ADN from North Iowa Area Community College, her BSN from the University of Iowa, and her MSN, FNP from Drake University. She is a Toll Fellow, and an Emerging Political Leader at the Darden School of Business, University of Virginia.

  • Susan Voss

    Commissioner, Iowa Insurance Division

    Susan E. Voss is a graduate of Simpson College in Indianola, Iowa and received a J.D. from Gonzaga University in Spokane, Washington. Ms. Voss held a number of different positions with Iowa state government until she was appointed Insurance Commissioner in January 2005. In addition to regulating insurance, the Commissioner also regulates securities, funeral home services, cemeteries and a variety of regulated industries. She is chair of the Iowa Underground Storage Tank Board and is a member of the children’s health insurance s-chip board known as hawk-I. Ms. Voss is the President-Elect of the National Association of Insurance Commissioners (NAIC.)  

  • Kate Walton

    Policy Director, Office of Governor Chet Culver

    Kate Walton serves as the Policy Director for Governor Chet Culver and Lt. Governor Patty Judge. She joined the Governor’s staff in April of 2008, serving as a policy advisor on Health and Human Services issues as well as the Governor’s Office Liaison to the Iowa Senate. She was named Policy Director in August of 2009. Prior to joining the Governor’s staff, Ms. Walton worked as the Legislative Liaison to the Department of Human Services, Vice President of Government and Public Relations at Orchard Place and did consulting work on a number of projects, including the American Medical Association’s Voice for the Uninsured campaign. Her work experience also includes time with the national Democratic Party in Washington, DC, and as a staff member for Senator Tom Harkin.




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