TAHP Medical + Pharmacy Directors Forum
Full agenda coming soon! These forums offer our health plan Medical and Pharmacy Directors the unique opportunity to interface with their peers and hear from state and national experts as they discuss common challenges and best practices. This a private meeting and is not open to general attendance.
Texas Administrative Offices – Ascension Seton
1345 Philomena St., Austin, TX 78723
Mar 27, 2024
9:30 am - 3:30 pm
9:30 AM - 10:15 AM
Improving Value for Underserved Populations with a Community-Based Intervention
- Learn how a scalable peer to peer based solution is building trust and restoring the community fabric across the U.S.
- Learn how that solution is moving the needle for folks enrolled in Medicaid and reducing cost whilst improving quality.
- See the rigorous scientific approach behind those published results.
- Bill Friedman, Vice President of Payer and Provider Engagement, Wider Circle
- Claude Pinnock MD, MPH, Chief Medical Officer, Wider Circle
10:20 AM - 11:05 AM
Why Heart Health Matters & Successes in Achieving Sustained Behavior Change and Health Outcomes
Clinical leaders from Hello Heart will discuss the importance of addressing heart health and implementing proven solutions. Topics will include how Hello Heart’s digital solution drives validated clinical and financial outcomes and works within existing health plan ecosystems.
Joel Brill, MD, Executive Medical Director, Hello Heart
11:10 AM - 11:55 AM
Harbor Health: An Integrated Practice Approach to Liberating Clinicians and Reducing Waste
Harbor Health is determined to make healthcare finally work for its consumers. Harbor’s Co-Founder and Chief Clinical Officer will walk attendees through Harbor’s journey to transform care, moving away from standard fee for service models to allow clinicians and consumers to make informed decisions about healthcare while achieving better health outcomes and reducing wasteful healthcare spend.
- Clay Johnson, CMO & Co-founder, Harbor Health
- Luci Leykum, Chief Clinical Officer, Harbor Health
11:55 AM - 12:30 AM
12:30 PM - 1:15 PM
Presentation by Babson Diagnostics
Vice President of Payer and Provider Engagement, Wider Circle
Bill has deep expertise in selling and marketing digital health engagement solutions to payers and providers with an intimate knowledge of the health payer landscape. Most recently, Bill led payer sales at Carrot Fertility, a global provider of fertility benefits. Prior to Carrot, Bill led all sales and lead generation for Zipari, a SaaS-based consumer engagement solution for health insurers. His team was instrumental in the company’s growth from startup to scale and eventual acquisition by Thoma Bravo, a leading private equity firm. Additionally, he was Senior Vice President and Chief Sales Officer for Health Republic Insurance of New York, the largest CO-OP health insurance carrier in the nation, leading sales operations, broker relations, strategic sales planning, and marketing growing the company from startup to 220,000 members in less than three years. Prior to joining Health Republic, Bill served as Senior Vice President of Sales at Easy Choice Health Plan of New York, where he was vital in launching the company’s Medicare Advantage products, and Atlantis Health Plan, a provider-owned HMO focused on the commercial health insurance space.
Mr. Friedman’s recent speaking engagements include AHIP and The RISE Summit on Social Determinants of Health.
In his spare time, Bill enjoys live music, playing guitar, the NY Yankees, and he is currently studying for his private pilot’s license. He lives in New York’s lower Hudson Valley with his wife, Lisa, four children, and two poodles.×
Claude Pinnock MD, MPH
Chief Medical Officer, Wider Circle
Dr. Pinnock is a healthcare industry veteran with deep clinical strategy and digital health experience and brings a strong passion for improving access and quality to -elevate health for all with a focus on social determinants of health (SDOH).
As Chief Medical Officer at Wider Circle, Dr. Pinnock is responsible for crafting, directing, and overseeing the execution of the company’s clinical and business development strategy for expanding its Medicare and Medicaid business. In addition, he leads research, and supports the senior leadership team in their efforts to further shape and grow the organization, including collaborating closely with Wider Circle’s product, marketing, and sales teams.
Dr. Pinnock began his clinical career in the United Kingdom, earning his Bachelor of Medicine, Bachelor of Surgery (BMBS) at the University of Nottingham and his master’s in public health from Cambridge University. While he began his career as a practicing physician in rural Cambridgeshire, a personal interest in driving the adoption of value-based healthcare in EMEA eventually led to a position at International Consortium for Health Outcomes Measurement (ICHOM). Following a move to the United States, he held leadership positions addressing service redesign, quality improvement, and strategy in public and private health sectors (Stanford University School of Medicine, Clarify Health Solutions). Most recently, he managed global strategic partnerships in health at Meta, Facebook’s parent company, and led their health partnerships innovation team driving global adoption of vaccines.×
Joe Brill, MD FACP
Executive Medical Director, Hello Heart
Joel V. Brill, MD FACP is an executive clinician with over 35 years of experience providing strategic leadership and medical oversight to data-driven health organizations. He is skilled in strategy, development and implementation of innovative health programs, products and payment systems, with extensive experience in clinical practice, reimbursement, quality improvement, data analysis, and value-based care. Board Certified in Internal Medicine and Gastroenterology, Dr. Brill is an Assistant Clinical Professor of Medicine at the University of Arizona College of Medicine, and has been a CPT Advisor for over 25 years. Dr. Brill co-Chaired the Part D medication measures Technical Expert Panel for CMS, has published on episode and bundled payment methodologies, and developed and submitted advanced payment models to the HHS Physician Focused Payment Model Technical Advisory Committee. Dr. Brill received his undergraduate A.B. Biology at the University of California, Los Angeles, and graduated from the Rosalind Franklin University of Medicine and Science – Chicago Medical School. He completed his Internship and Residency in Internal Medicine at the UCLA – San Fernando Valley Program, a fellowship in Gastroenterology at Los Angeles County – USC Medical Center, and the Management Program for Health Care Organizations at the UCLA School of Public Health.×
Luci Leykum, MD
Chief Clinical Officer, Harbor Health
Dr. Luci Leykum leads the primary care team at Harbor Health. When she works with people on their health needs and goals, she is determined to not only work with them to create a care plan, but also develop real
strategies that help accomplish that plan within the context of their unique lives. She goes in-depth to understand people’s health priorities, including what’s happening in their lives that influences their ability to
meet health goals.
Dr. Leykum has focused her career on improving healthcare systems to better meet people’s needs. Her research has studied how to improve relationships between people, their caregivers and families, and their care
teams, so that the best care plans are created for each person. She is an Affiliate Professor at the University of Texas at Austin Dell Medical School. She leads the Elizabeth Dole Center of Excellence for Veteran and
Caregiver Research. She is active in national professional societies and has held leadership positions in the Society of General Internal Medicine and Society of Hospital Medicine, and is a Fellow of the American College
Clay Johnston, MD
CMO and Co-Founder, Harbor Health
Clay Johnston is the Co-Founder and Chief Medical Officer of Harbor Health, a vertically integrated health delivery system that launched 2022 in Austin, Texas. Harbor is working with employers and Medicare to redesign benefits and care to focus on achieving the best health possible while reducing cost. From 2014 to 2021, he was the inaugural Dean of the Dell Medical School at The University of Texas at Austin. Clay specializes in stroke care and research with a focus on identifying risk factors and secondary prevention treatments after TIA and ischemic stroke. He was formerly at the University of California, San Francisco, where he served as Director of the Clinical and Translational Science Institute, Associate Vice Chancellor of Research, and founding director of the Center for Healthcare Value. Clay is a graduate of Amherst College, completed medical school at Harvard University and received a PhD in epidemiology from the University of California, Berkeley.×