Population Health Archives - Health Management Associates

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.

Gina Lasky

Gina Lasky is a licensed psychologist with expertise in public sector behavioral health system design and programming including integration of behavioral health and primary care. She evaluates organizational readiness for integration and guides development and implementation of new models of collaborative care for delivery systems, county health systems, community behavioral health centers, and state corrections agencies.

She has examined state policy and administrative barriers to integrated care and has published work on leadership and team development in integrated care with the Center for Integrated Health Solutions and the American Psychiatric Association. She is co-editor of Integrated Care: A Guide to Effective Implementation for the American Psychiatric Association.

Gina has provided direct clinical care for numerous non-profit organizations, a public hospital, and a state hospital where she specialized in serious mental illness and working with individuals who were aggressive towards themselves and others. Gina has had leadership responsibility for an acute treatment unit, a detox program, crisis services, outpatient mental health clinics, and substance use treatment programs in community behavioral health. She has been responsible for clinical program development, quality improvement, and directly supervised clinical managers and therapists.

Gina is skilled in the culture change required to advance system transformation, such as integration. Her specialties include strategic planning, leadership models, team development and change management. Gina also works in partnership with HMA Community Strategies on building multi-sector and community-based solutions to promote integration at the system level and to engage organizations addressing the social determinants of health. She has experience in community organizing, group facilitation and partnership development.

Gina earned her doctorate in counseling psychology from the University of Denver and a master’s degree in public leadership with a specialization in multi-sector management from George Washington University. Gina is the past President of the College of Behavioral Health Leadership.

Gina lives in the mountains in Colorado and is an avid hiker and wildlife photographer.

Art Jones

Art Jones, MD, has 27 years of experience as a primary care physician and chief executive officer (CEO) at a Chicago area community health center. The health center has taken a population health approach from its beginning, addressing the social drivers of health, as well as the medical needs of the community it serves. Dr. Jones lived in this resource-challenged community for 34 years. The health center was an early adopter of managed care, successfully operating under a partial capitation payment system for all ambulatory and emergency room services and shared savings for inpatient services since the early 1990s. Starting with the Medicaid population, similar contractual arrangements were later extended to the Medicare and commercial populations. He was the architect for the first capitated federally qualified health center (FQHC) alternative payment methodology in the country in 2001. The health center earned recognition as a high performer under these advanced alternative payment models (APM), consistently scoring in the 99th percentile nationally when managed care margin with a uniformed data system metric.

Dr. Jones was one of the founders and continues to serve as the chief medical officer for Medical Home Network (MHN) accountable care organization comprised of thirteen FQHCs and three health systems serving 176,000 Chicago area Medicaid recipients. MHN is completely delegated for care management and is successfully operating under a shared risk arrangement for total cost of care. MHN supports 52 FQHCs in seven states in the CMS ACO REACH Program, serving approximately 50,000 Medicare insured individuals. His role at MHN includes assisting the CEO in proposing and negotiating advanced APMs with payers. MHN has generated $103 million in profits over their initial six years of operation. They outscore every Medicaid managed care organization in Illinois on the 21-metric quality score card composite.

Dr. Jones is a principal at HMA where he focuses on advancing clinically and financially integrated provider organizations. He helps them transition to outcomes-based payment and reap some of the downstream financial benefits from operating as a well-functioning patient-centered medical homes and integrated delivery systems. He is a sought-after national expert in creating FQHC APMs. He was part of the HMA team who worked with the State of Idaho Medicaid Agency to develop their shared savings program. He consulted with several other primary care associations, other FQHC integrated delivery systems, and individual FQHCs nationally to negotiate alternative payment methodologies with managed care health plans, including shared savings and to improve performance on those value-based payment arrangements. He worked with health systems and private physician independent practice associations to develop their value-based payment contracting strategy.

Dr. Jones is a graduate of the University of Illinois Medical School and completed his internal medicine residency, chief residency, and a cardiology fellowship at the University of Chicago.

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.

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Bren Manaugh