Community-based care and SDOH Archives - Health Management Associates

Madeleine (Maddy) Shea

Maddy Shea has a passion for health equity and the federal, state and local cross-sectoral expertise to guide community health improvement measurement and action. She understands how to identify opportunities in healthcare transformation to deliver better care, more efficiently, and with better health outcomes. Throughout her career, Maddy has joined forces with housing, planning, energy, food systems, community development, academic and criminal justice organizations to accelerate progress on community health goals.

Maddy joins HMA Community Strategies (HMACS) with decades of health policy and program experience. Maddy has worked together with culturally, racially, and socio-economically diverse communities to assess needs and priorities, design culturally accessible programs and to evaluate “what matters.” She worked with supportive housing residents to develop meaningful evaluation measures, HIV infected homeless men to connect others to supports, and persons with physical disabilities to prioritize options to increase the physical accessibility of healthcare facilities.

Maddy’s approach to evaluation and performance measurement is participatory with a focus on broad accountability, program improvement, and equity. She is seen by her peers as never shying away from big problems and new challenges, particularly when she can work collaboratively in high need communities.

At the CMS Office of Minority Health, Maddy led the development, implementation, and evaluation of the CMS Equity Plan initiatives and innovations. She analyzed CMS regulations, policies, and standards to identify disparities and to increase beneficiary and partner engagement to meet the needs of minorities and rural populations. She consulted on the design of new models addressing social health determinants and technical assistance approaches to support grantees in meeting their equity goals.

Prior to CMS, Maddy supported Quality Improvement Organizations (QIO) by providing customized reports on disparities in chronic disease, adverse drug events, readmissions, and nursing home quality by race, ethnicity, gender, age, geography, dual eligibility status, and poverty. She then coached QIO staff in evidence-based approaches to reduce these disparities.

Maddy led Maryland and Baltimore public health efforts in population health, environmental health, chronic disease, and infectious disease and has participated in emergency preparations and response.

She was the Maryland Health Department’s first Office of Population Health Improvement director where she developed the measurement and action framework to guide healthcare transformation in Maryland’s 24 jurisdictions and across state government. These same performance measures are now part of the state’s Medicare waiver program. In Baltimore, she developed the first U.S. city healthy homes division to reduce asthma, injury, lead poisoning, malnutrition, and infant deaths in low-income, racial, and ethnic minority communities where she developed an asthma home visiting program that saved Medicaid hospital costs. Her progressively accountable roles at the Maryland AIDS Administration included evaluation, prevention, training, housing assistance, and care community engagement and leadership.

Maddy earned her PhD in public policy from the University of Maryland Baltimore County, her master’s degree in management from Johns Hopkins University, and her bachelor’s degree in economics from Trinity College in Washington.

For 30 years, Maddy has been married to her Peace Corps Liberia heart throb who pulls her into crazy world adventures and green building projects at their West Virginia hilltop oasis when they are not out and about enjoying Baltimore.

Missy Garrity

A diversified and experienced project manager and healthcare leader, Missy Garrity has helped clients, including states, health plans, and other healthcare and nonprofit organizations, succeed in a variety of projects and programs. She has successfully led large, strategic projects related to delivery system and payment reforms including new health plan start-ups, systems implementation and replacements, operational process improvements, and clinical program implementation.

Since joining HMA in 2016, Missy has supported clients on a diverse collection of complex projects. Her project portfolio includes implementation of a new Medicaid long-term services and supports (LTSS) health plan in Florida where her oversight extended to credentialing, network development, information technology (IT) systems, member eligibility, claims payments, and care management programs.

She has also led teams to successfully gain accreditation by AAAHC, Centers for Medicare & Medicaid Services (CMS) Dual Eligible Special Needs Plans (D-SNP) application approval, and contract award as a Medicaid Managed Care Plan.

Missy works closely with clients, maintaining close and careful communication to ensure a high-quality deliverable suitable for public release including a Delaware strategic planning project for the State Innovation Model (SIM) grant under CMS oversight. She works with all levels of project staff to assure controls are in place to quickly remove barriers to progress, preventing schedule slippage and keeping projects within budget.

Before joining HMA, Missy was senior director of the Enterprise Project Management Office at the Commonwealth Care Alliance, a leading health plan for members with dual eligibility for Medicare and Medicaid. Prior to the Commonwealth Care Alliance, she led the Blue Cross and Blue Shield of Massachusetts Health Services Division redesign, a two-year project for which she implemented system replacement and redesign, care management systems, operations process improvement, care management functions, and program redesign.

As an independent consultant, Missy also guided initiatives for local health plans and for state government that involved the implementation of care management systems, quality and cost trend reporting systems, all-payer claims data bases, strategic planning, and organizational redesign.

She earned master’s degree in business administration from Northeastern University, and a bachelor’s degree in biology from Regis College. Missy is former chair of the Hallmark Health Patient and Family Advisory Council, a member of the Project Management Institute’s local Mass Bay Chapter, and former president of the Women in Health Care Management board of directors. She is certified as a project management professional by the Project Management Institute.

Liddy Garcia-Bunuel

Liddy Garcia-Buñuel has the vision, passion and expertise to effect organizational and systematic change. She takes a collaborative approach. She unites health systems, hospitals, providers, government and social service agencies around common goals and innovative programs to elevate whole community health and quality of life. She delivers evidence-based solutions that breakdown barriers, mitigate disparities and address upstream social determinants of health, including access to healthy food, safe walkable communities, transportation, housing and workplace wellness.

As executive director for a nonprofit community health advocacy organization in Maryland, Liddy introduced the first health plan in the nation to couple access to primary and specialty care with mandatory coaching. The HHS innovation award-winning model measures members’ health upon plan enrollment and provides care coordination after each primary care appointment and face-to-face health coaching.

Liddy oversaw a local health improvement coalition, bringing together 40 local organizations to collectively impact positive change in behavioral health, access to care, healthy weight and healthy aging. She directed a transitional care coordination initiative which hired community health workers and nurses to reduce hospital admissions and readmissions among high-risk high-utilizers, and through her leadership, introduced an advanced primary care collaborative to provide coaching around practice transformation. She engaged faith-based organizations in empowering congregants to live healthier lives.

On her path to HMA, Liddy helped launch the first insurance cooperative in Maryland, including both individual and small group products. As COO, she oversaw IT, vendor management, communications and marketing, operations and member services. She supervised universal HIV education and testing at 66 hospitals in the Chicago area. She employed culturally competent community advocates in 12 ethnic neighborhoods across Seattle to enroll children in Medicaid. She was the executive director of a main street revitalization program in Maryland, and she recruited and trained community health workers in rural El Salvador.

Liddy is seen by her peers as the chief implementer. Problem solving is her expertise, and her solutions are data driven. To optimize resources and results, Liddy employs the technique of “hot spotting” to identify communities and populations of greatest need. She is skilled in data collection and program evaluation.

A lifelong learner, Liddy is certified emergency medical technician, has studied maternal and child health at the John Hopkins Bloomberg School of Public Health, and earned her bachelor’s degree in biology from The College of Wooster in Ohio.

Once a triathlete, now a chilled out yogi, Liddy enjoys her life in Baltimore with her husband and two boys, surrounded by restored sailcloth mills and micro-breweries.

Rob Buchanan

Rob Buchanan is a strategic leader and systems thinker with 20 years of experience working to make health care and social services more accessible, equitable, and effective. He works with state agencies, hospitals, health plans, providers, and community-based organizations on projects spanning health policy and program analysis, financial and cost modeling, and quality improvement.

Rob’s expertise in organizational development includes strategic and operational planning, leadership development, stakeholder engagement and facilitation, board/management relations, operational dashboards, and business process transformation. He also has deep expertise in Medicaid policy, value-based care models, population health management, and data analytics.

Rob’s professional experience includes a focus on high-need populations, including helping clients develop measures and processes to assess health care disparities across social risk factors and health-related social needs. Rob also helped behavioral health providers assess barriers to care and improved processes to identify and triage individuals for urgent and crisis services.

Prior to joining HMA, Rob was program director for performance incentives at Mass General Brigham, Massachusetts’ largest integrated healthcare delivery system. He administered value-based financial incentives across payers.

During Rob’s tenure with the Massachusetts Medicaid program, he managed key financial components of the Commonwealth’s health reform effort. As budget director, he developed federal financing strategies and hospital payment methodologies.

Rob also served on the Board of Trustees for Cambridge Health Alliance, a safety net hospital system that serves multiple Boston-area communities. He served as chairperson of several board committees and provided board-level leadership and guidance on development of the organization’s five-year strategic plan.

Rob earned his master’s degree in public policy from Harvard’s Kennedy School of Government and his bachelor’s degree from the University of Wisconsin, Madison.

Ellen Breslin

A seasoned consultant, Ellen Breslin draws upon her nearly 30 years of experience and expertise in health policy, with a commitment to payment and delivery reform and to improving outcomes for persons with disabilities.

As an independent consultant for nearly 10 years, Ellen provided extensive financing and policy expertise to an array of clients including states, health plans, and providers on major state and federal payment and delivery reforms including the Medicare-Medicaid Capitated Financial Alignment Initiative. Her portfolio of work also includes development of the financing model for a State Innovation Models (SIM) Initiative grant applicant, and creation of the state-required funds flow model for a New York organization as part of the Delivery System Reform Incentive Payment (DSRIP) Program.

Previously, she spent nearly two decades of her career in health policy positions for state and federal government with a focus on helping to improve access and care for persons with disabilities. At the state level, Ellen was the first director of managed care reimbursement and analysis for MassHealth, the Massachusetts Medicaid program. At the federal level, Ellen was a principal analyst for the U.S. Congressional Budget Office, where she worked on national health care reform and wrote analytic reports and testimony for Congress.

She is the co-author of several publicly-available reports for the Massachusetts Center for Health Information and Analysis (CHIA), the Massachusetts Medicaid Policy Institute (MMPI), the Massachusetts Disability Policy Consortium and the Mongan Institute for Health Policy, the Association for Community Affiliated Plans (ACAP), and Community Catalyst.

Ellen received her master’s degree in public policy from Duke University.

Ellen is a true Bostonian, with a deep love for her children, her mother, and her many siblings.

Jaimie Bern

Jaimie Hammerling Bern has more than 18 years of health policy and management experience, specializing in health reform implementation, Medicaid managed care and patient-centered medical homes. Jaimie works with states, health plans and foundations to analyze and plan for health care reform. She also supports local and national health plans with preparation for state Medicaid managed care procurements including those for dual eligibles.

Jaimie came to HMA from the Massachusetts Office of Medicaid, where she served as the project manager of the Patient-Centered Medical Home Initiative (PCMHI). She was responsible for the development and statewide implementation of PCMHI, including procurement of primary care practices, engaging public and private payers in program design and payment reform, overseeing a statewide advisory council, and working with providers to transform their practices.

Jaimie was the assistant director of Commonwealth Care at the Massachusetts Health Connector. She led the design and implementation of eligibility, enrollment and appeals policies for the new insurance program and collaborated with health plans to support their implementation Jaimie also served in leadership positions for the Massachusetts Office of Medicaid, providing operational guidance, strategic planning and quality improvement oversight for the Medicaid managed care program.

Jaimie earned her master’s degree in public health from Columbia University, master’s degree in nursing from Massachusetts General Hospital Institute of Health Professions, and her bachelor’s degree from the University of Michigan.

Heidi Arthur

Heidi Arthur has over 20 years of experience in delivery system redesign to promote community-based access to health and human services for those receiving publicly financed care. Her projects have focused on expanding access to integrated care, enhancing clinical models that maximize new financing options, and supporting community-based organizations to facilitate meaningful engagement in delivery reform. She has supported behavioral health providers in preparing for managed care, value-based payment, health homes, and new Medicaid funded services. Her successful government grant proposals have expanded and enhanced supporting housing, re-entry services, care access for those in the criminal justice system, child welfare and foster care programming, trauma treatment, services for veterans, health homes for those with serious mental illness, and more.

Prior to joining HMA, Heidi was the vice president of a behavioral health consulting firm for 10 years. She has held multiple grants management positions for the New York City Department of Health, the New York State Office of Mental Health, and various community-based human service providers in New York City and Virginia.

She is co-editor and author of the book, “Service Delivery for Vulnerable Populations: New Directions in Behavioral Health.” She is a frequent conference presenter and an adjunct lecturer and field instructor for the Columbia University School of Social Work.

Heidi earned her master’s degree in social work from the Columbia University School of Social Work. She lives in Manhattan with her husband, musician Ben Arthur, and their two daughters, ages 10 and 12.

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Madeleine (Maddy) Shea