Performance Improvement Archives - Health Management Associates

Caryn Swartz

With a strong background in solution identification, development and implementation, Caryn Swartz provides clients with analytical insight based on her wide-ranging experience with state Medicaid programs, including health information technology (HIT) programs, managed long-term services and supports (MLTSS) and home and community based services (HCBS). Caryn possesses a unique ability to clearly align operational and technical perspectives and build consensus among diverse stakeholders.

A skilled project manager, Caryn has prepared complex business reviews, monitored operational flows and implemented change management to increase efficiencies. She has spent over nine years working in both the private and public sector within various areas of Pennsylvania’s Medicaid programs, primarily focusing on HCBS waivers. Most recently Caryn administered Pennsylvania’s Independent Enrollment Broker contract with the Department of Human Services which provides enrollment and eligibility services for the Department’s HCBS waivers, including the Aging waiver. She was integrally involved in the development of the MLTSS program implementation plan and facilitated community outreach and education initiatives to program stakeholders, consumers and advocacy groups. She also provided budgetary oversight, staff management and program development.

As the audit lead on Pennsylvania’s Electronic Health Record (EHR) Incentive Program, Caryn designed and carried out audit strategies for the incentive program, identifying risk and a mitigation process. Additionally, Caryn assisted with the monitoring and development of the Medical Assistance Health Information Technology initiative.

Caryn previously served as a systems implementation project manager and business analyst with MAXIMUS, Inc. In these roles, Caryn exercised her analytical skills and reported on all business functions for the Statewide Medicaid Waiver Enrollment Broker project. She also served as the systems liaison and operational design lead in the roll out of a new technical solution.

Rounding out her healthcare experience, Caryn spent the earlier part of her career working in long term care facilities in Vermont, Kentucky, and Pennsylvania as a social worker, admissions director, and discharge planner. She also managed a pre-vocational day program in Missouri. This hands-on exposure to several state healthcare systems inspired her interest in policy, program structure and innovative solutions.

Caryn earned her MBA in health administration and her bachelor’s degree in psychology from Eastern University.

Meggan Christman Schilkie

Meggan Christman Schilkie has a track record of success in healthcare innovation, program development, financing, policy and strategy with an emphasis on behavioral and public health.

Prior to joining HMA, Meggan served as Chief Program Officer for Mental Health at the New York City Department of Health and Mental Hygiene where she oversaw a $200 million portfolio of services including care coordination, crisis services, vocational and rehabilitative programs, housing, and peer support. During her tenure she increased efficiency, tapped into new revenue streams and secured millions of dollars in federal, state, city and private funding to drive innovation, pilot new ideas and expand effective programs including a Healthcare Innovations Grant from the Centers for Medicare and Medicaid Innovation (CMMI) to develop a revolutionary new continuum of services for people experiencing psychiatric crisis.

Meggan played a leadership role in Medicaid reform implementation in New York City, including overseeing the conversion of targeted case management services for people with serious mental illness into Health Home Care Coordination services. She also provided education and training for managed care companies planning the integration of behavioral health services into newly developed integrated health and behavioral health managed care products.

During her tenure, Meggan managed the quality improvement of contracted behavioral health and social services as well as an expansion of thousands of units of supportive housing for individuals and families with mental health and substance use issues. She represented mental health system interests in a range of city and state task forces charged with improving criminal justice, law enforcement, and homeless services.

Meggan previously served in a variety of roles managing intergovernmental and legislative affairs around mental hygiene for New York City. She served as senior advisor to the Executive Deputy Commissioner for Mental Hygiene responsible for the oversight of the NYC service systems for individuals with developmental disabilities, substance use and mental illness as well as early intervention for children. She served as a policy advocate for the Coalition of Behavioral Health Agencies a non-profit trade organization representing over 100 community behavioral health providers, where she worked to increase funding for individuals suffering the psychological effects of 9/11 as well as to advocate for system improvements for mental health providers.

Meggan has a bachelor’s degree from Fordham University and a master’s degree in business administration from Columbia University.

In her spare time, Meggan considers herself an amateur chef and foodie – two hobbies she shares with her husband in Astoria, New York.

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.

Gail Mayeaux

Gail Mayeaux has nearly two decades of senior healthcare experience, with 12 years’ experience as Chief Executive Officer of a rural, two-county Federally Qualified Health Center (FQHC) in Western New York. In that role, Gail was the architect of the clinic’s financial turnaround strategy, transforming a struggling Article 28 Diagnostic and Treatment Center with significant debt to a FQHC Look-Alike in 2009, and to a fully-funded FQHC in 2012. She did this while eliminating all of the clinic’s long-term debt. In 2016, the clinic received its second FQHC award and has received numerous expansion, capital and state grant awards. She also oversaw three building projects, including the clinic’s recent de novo expansion which included purchasing and renovating the site.

Gail oversaw the clinic’s transformation into a data-driven, quality-focused organization that won the Health Resources and Services Administration (HRSA) National Quality Leader Award in each of the four years it has been awarded, making the clinic one of only two in New York to continuously receive the award. The award is given out to the top 5% of all health centers across the country. Additionally, during her tenure, the clinic doubled in patient size, added a fourth site, a dental program, an integrated behavioral health program and a care management program, ultimately tripling its operations in just five short years.

Gail has significant operational expertise in primary care, FQHCs, system transformation, and clinical integration. She enjoys working with community-based organizations, primary care and behavioral health providers, and integrated delivery systems to improve operations, create financial stability, and build data integrity processes to establish quality benchmarking. At HMA, Gail’s focus is on primary care delivery systems, with an emphasis on value-based payment, clinical transformation, and financial sustainability.

Gail is also a professional writer. She earned her bachelor’s degree in journalism from The Ohio State University. In 2014, she completed the Health Fellows Leadership course, sponsored by the Health Foundation of Western and Central New York.

She and her husband, Darryl, live in Allegany, N.Y.

Bren Manaugh

Bren Manaugh is a seasoned healthcare leader and specialist in organizational and systems transformation. Bren has expertise in innovative strategies for serving the safety net and complex care populations, with extensive experience with the justice system. She effectively engages stakeholders across systems to develop and drive person-centered, culturally responsive, and trauma-informed care to optimize outcomes and reduce costs.

Bren currently directs HMA’s projects in California and Illinois supporting implementation of evidence-based addiction treatment in more than 50 counties. She has provided consultation support to jails, counties, providers and health systems in multiple counties and states supporting implementation of evidence-based clinical treatment and services for persons with behavioral health and complex conditions. Her work has included providing practice transformation technical assistance and coaching to behavioral health and primary care providers as a clinical subject matter expert and coach expanding access to substance use disorder treatment, including medication assisted treatment (MAT) for opioid use disorder. She brings together community providers, hospitals, peer supports and the criminal justice system to improve service delivery and coordination and quality. Bren is at the leading edge of community innovations to improve law enforcement and emergency response to people challenged by these issues. She conducted an analysis and created a report and community guide for Arnold Ventures for communities developing BH crisis and law enforcement diversion solutions. Her work with community systems of care includes engaging stakeholders, formulating common aims and implementation plans and developing data sharing and evaluation structures.

Prior to joining HMA, Bren was vice president of adult services at a large public BH agency in San Antonio where she developed and administered programs in the nationally recognized Bexar County Restoration Center and Diversion Program partnering with multiple hospitals, city and county leadership, and the criminal justice system. She oversaw operations across a continuum of mental health and substance use disorder services, and in partnership with the Sheriff, Police Department, County and Courts, across the entire sequential intercept map.

Bren’s approach engages multiple stakeholders and decision makers to generate innovative strategies that produce results. She is a licensed clinical social worker and certified clinical supervisor and a certified clinical trauma specialist.

Cathy Homkey

Cathy Homkey is a health system transformation expert with direct knowledge and experience in rural health. She specializes in designing, implementing, and refining service delivery innovations, including value-based payments and Delivery System Reform Incentive Payment (DSRIP) programs.

Cathy guides her clients every step of the way by identifying strategies, developing a plan, cultivating strong alliances among partners, creating governance structures, building sustainable financing models, designing systems across providers, developing infrastructure, implementing system changes, and creating performance measurement mechanisms. She effectively engages hospitals, physician practices, behavioral health providers, community-based organizations, government, patients, and payers aligning strategies and solutions across partners to achieve long-term success.

An accomplished leader in improving healthcare systems, Cathy served six years as chief executive officer for the Adirondack Health Institute (AHI), a nonprofit joint venture including four hospitals and a federally qualified health center, focused on reforming the delivery system within the rural nine-county Adirondack region in upstate New York. In collaboration with Medicaid, Medicare, and seven commercial payers, Cathy launched the Adirondack Medical Home Pilot, one of eight nationally recognized as a Multi-Payer Advanced Primary Care Practice Demonstration. The pilot successfully elevated the quality of care, improved the patient experience, reduced costs, and paved the way for a new clinically integrated accountable care organization (ACO) and the New York State Health Home Care Management Initiative.

Focused on population health management, Cathy transitioned the AHI clinical and rural health network to a performing provider system, doubling unique partners within one year to 1,400. She secured a $2.1 million DSRIP planning grant and $187 million in DSRIP funding over five years to convene stakeholders, overhaul governance, and establish a leadership and operational framework that ensures both system accountability and partner-level performance.

Cathy restructured and nurtured the growth of AHI, executing a progressive five-year strategic plan resulting in expansion of board membership; a focused and balanced portfolio in three programmatic areas – community health services, health systems transformation, and administrative services; and growth in annual revenue by more than $7 million.

Cathy earned her bachelor’s degree in accounting from Trinity College. She served on the New York Rural Health Council, New York State Health Foundation Community Advisory Committee, and Adirondack’s ACO board of directors.

Cara Henley

A policy expert in insurance, managed care and value-based purchasing, Cara Henley provides leadership and guidance on the impact of state and federal statutory and regulatory activity on operational decision making. She offers clients detailed knowledge of Medicaid reform, the Delivery System Reform Incentive Payment program, Medicare payment requirements, and requirements for Medicaid managed care organizations.

In over 8 years with the Healthcare Association of New York State (HANYS), Cara evaluated the rules impacting contractual entities and providers, including accountable care organizations, independent practice associations, health plans, hospitals and physicians. She led the analysis on the Medicaid Managed Care final rule and directed the implementation and roll-out of the Medicaid Redesign Team’s Care Management for All initiative – including the transition of behavioral health and long-term care populations from Medicaid fee-for-service to managed care programs. Cara provided hospitals and health systems with operational and financial support, including strategic team building on denials management, revenue cycle management, contracting, regulatory compliance, and other best practices related to relationships with managed care entities.

Cara significantly contributed to strategic activities, including education, analysis and interpretation of value-based purchasing requirements tied to New York’s Medicaid reform. She has fostered strong relationships with key stakeholders including representatives from government agencies, health plans and healthcare institutions throughout New York State.

A frequent speaker on topics related to reimbursement, managed care, health reform and policy changes, Cara has experience facilitating education sessions in diverse healthcare settings for both small and large teams, including clinical teams and hospital boards.

Prior to joining HANYS, Cara worked for the New York State Senate and provided regulatory support to law practices. She is a member of the Healthcare Financial Management Association.

Cara received her bachelor’s degree in political science from the University at Albany. She earned a certificate in healthcare leadership and advancement from Cornell University and is certified in Lean and Continuous Improvement.

Cara lives in the Saratoga area with her husband and daughter and enjoys cooking with ingredients found at the local farmer’s market.

Jean Glossa

Dr. Jean Glossa is an experienced physician and business leader whose career has focused on improving access to healthcare for underserved and low-income populations. She has a broad background of clinical and leadership roles in a variety of practice settings throughout the safety net including primary care, public health department and community clinics, migrant clinics, Medicaid managed care, graduate medical education and private practice.

Having worked as a primary care physician for many years in remote areas and underserved communities, Dr. Glossa understands their unique challenges to delivering quality health care for all and seeks solutions to address these needs. Therefore, her work at HMA has included projects regarding bidirectional integration of primary care and behavioral health, implementation of technology solutions such as telehealth and digital solutions and strengthening the best practices of team-based care and care management.

Dr. Glossa appreciates the opportunities to work directly with clinicians at the practice level to assess and improve systems of care through customized technical assistance unique to each client. Currently, Dr. Glossa is using her clinical and leadership practice transformation experience to work with HMA colleagues on projects focused on the response to the opioid epidemic. This complex crisis requires multidimensional solutions, so the approach includes education and collaboration of stakeholders across the system: primary care and behavioral health, hospitals and emergency departments, first responders, corrections, payers, health departments and state and local governments working together to combat the epidemic in their communities.

Dr. Glossa’s business leadership and experience has been augmented by furthering her education with an executive MBA from Auburn University. She completed medical school and her internal medicine residency at the University of South Florida. Dr. Glossa has been continuously certified through the American Board of Internal Medicine.

Ann Filiault

Ann Filiault specializes in strategic and financial planning, transaction support, turnaround analysis and implementation, regulatory compliance, and operational improvement. She has served clients including hospitals, academic medical centers and health systems; for more than 30 years, Ann has assisted providers and payers to face the challenges of an evolving regulatory landscape. She provides strategic facilitation to boards, executive leaders and medical staff in making decisions regarding strategic direction and operational configuration.

Since joining HMA in 2016, Ann has led projects of various sizes for a wide range of providers, payers, and non-profit organizations. She has assisted providers and payers with implementation of significant programmatic changes and helped provider organizations understand and implement operational changes for revenue cycle impacts of federal and state reimbursement changes.

Ann integrates data analytics to improve processes across a broad range of healthcare issues including work on an integrated large-scale data analysis into market and utilization forecasting, transactional due diligence, and third-party reimbursement. Additionally, she has also worked on analyzing Medicare and Medicaid third-party reimbursement opportunities.

Ann’s work has supported the development of managed care procurement strategies and drafting request for proposal (RFP) responses and policies to comply with state Medicaid requirements. She assists clients with reviewing and redesigning compliance policies and procedures, including organizational structure and resources; datamining; and information technology support. She has also helped clients with the prioritization of annual compliance work plans as well as developed program strategies and assisted with grant writing and submission for various opportunities.

For the prior three decades, Ann served as a director at PricewaterhouseCoopers, in both New York City and Albany, NY, where she delivered large, multi-workstream engagements and acted as account director for relationships at several health systems. Some of her most significant accomplishments included leading development and implementation of strategic and operational turnaround plans for inner-city distressed health systems, including engagement with regulators, rating agencies, and bond issuing authorities.

She also facilitated the reconfiguration of clinical service lines across campuses, post-merger, for an academic medical center. She led the board of a large visiting nurse association in the definition and assessments of strategic options around partnering, and she developed compliance analysis to identify and assist hospitals with short-stay concerns around the implementation of the two-midnight rule and Office of the Inspector General initiatives.

Ann received a Master of Business Administration from Union College and her bachelor’s degree from Dartmouth College. She has served as a board member with the Helena Ptochia Foundation since 2010 and supports the Spoon Foundation, which provides nutritional supplements and staff education to institutionalized children primarily in Kazakhstan.

Ann travelled halfway around the world to Kazakhstan to adopt her beloved daughter. She enjoys multi-cultural cuisine and has recorded several classical a cappella CDs.

Melissa Corrado

Melissa Corrado offers a powerful blend of program development, training and implementation expertise to HMA clients.

Prior to joining HMA, Melissa served as a director of performance improvement for the Primary Care Development Corporation – a nonprofit organization dedicated to expanding and transforming primary care in underserved communities. A key member of the leadership team, Melissa was directly responsible for new projects and product lines including a primary care emergency preparedness initiative, a care model training program for the Health Resources and Services Administration, strategic planning for federally qualified health centers, and other quality improvement initiatives. She also managed a team of professionals to implement patient-centered medical home transformation services and a health information technology service line for clients, supporting electronic medical records adoption and health information exchange infrastructure services.

Melissa was director of planning and program development for the AMDeC Foundation – a consortium of 39 medical schools and teaching hospitals established to promote collaboration among biomedical researchers and grow the state’s biotechnology sector. Melissa started her career as a research assistant at the Greater New York Hospital Association.

Melissa earned her MBA in health care administration from the City University of New York and her bachelor’s degree from Rutgers College.

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Caryn Swartz