About the Faculty
Marilyn Lamar,
Esq., has over 20 years of experience in corporate and IT
law, including HIPAA privacy and security issues, health
information exchanges (HIEs), personal health records, and cloud
computing. Her practice includes a broad range of regulatory
advice, outsourcing, licensing, and other technology transactions
for various health care entities and technology companies.
Ms. Lamar co-authored and edited the
HIPAA Privacy Special Member Briefing and the HIPAA Security
Special Member Briefing, published by the American Health Lawyers
Association (AHLA). She's spoken at national forums on HIPAA
privacy and security changes, financial incentives, and meaningful
use criteria under the HITECH Act. She serves as the subject matter
expert on privacy for the Upper Midwest HIE Consortium in Illinois
and is co-authoring the chapter on HIPAA and related information
technology in a forthcoming AHLA book on ACOs.
Previously, while a capital partner at
McDermott Will & Emery, LLP, Ms. Lamar chaired the health law
IT practice group and co-chaired its HIPAA practice group. She also
chaired the health information and technology practice group of the
AHLA from 2002 to 2005. Ms. Lamar currently serves on the board of
directors of the AHLA and chairs its Quality Council.
Combining her regulatory and
transactional experience, Ms. Lamar frequently assists clients in
acquiring EHR systems, structuring HIEs, and developing policy to
address regulatory and liability issues. She co-edited the AHLA's
member briefing regarding legal issues in establishing HIEs (The
Quest for Interoperable Electronic Health Records: A Guide to Legal
Issues in Establishing Health Information Networks). She also
authored the AHLA's Annotated Guide to the Stark Exceptions for
Electronic Prescribing and Electronic Health Record and chapters on
EHR contracts and HITECH changes to HIPAA privacy and security for
the Thomson West Health Law Handbook.
She is a frequent speaker on legal issues
involving HIPAA, EHRs, cloud computing, and outsourcing, including
presentations at AHIMA's legal EHR conferences, AHLA annual
meetings, HIMSS annual conferences, the ABA Emerging Issues health
law seminar, the HIPAA summit, and the Blue Plan Legal Department
Cooperative annual conference. She teaches legal, ethical and
social issues in medical informatics at Northwestern University's
Master of Science in Medical Informatics program.
Ms. Lamar previously served as a law
clerk for the Honorable Richard Cudahy, U.S. Court of Appeals for
the Seventh Circuit. She's a member of AHIMA, the Illinois State
Bar association addition, the HIMSS, and the AHLA.
Harold Miller,
executive director, Center for Healthcare Quality and Payment
Reform (CHQPR) and president and CEO of the Network for Regional
Healthcare Improvement, has been working at the regional and
national levels to improve the quality of services and change the
fundamental structure of payment systems. Miller also serves as
adjunct professor of public policy and management at Carnegie
Mellon University's Heinz School of Public Policy and Management,
where he was Associate Dean from 1987 to 1992.
Miller organized the Network for Regional
Healthcare Improvement's national summits on health care payment
reform in 2007 and 2008. His report, Creating Payment Systems to
Accelerate Value-Driven Health Care: Issues and Options for Policy
Reform, was prepared for the 2007 summit and published by the
Commonwealth Fund that same year. He authored From Volume to Value:
Transforming Healthcare Payment and Delivery Systems to Improve
Quality and Reduce Costs, published in 2008 by NRHI and the Robert
Wood Johnson Foundation. His paper "From Volume to Value: Better
Ways to Pay for Healthcare" appeared in the September 2009 issue of
Health Affairs. He also authored the CHQPR reports, How to Create
Accountable Care Organizations and Transitioning to Accountable
Care: Incremental Payment Reforms to Support Higher Quality, More
Affordable Health Care, the Massachusetts Hospital Association's
report Creating Accountable Care Organizations in Massachusetts,
and the AMA report, Pathways for Physician Success Under Healthcare
Payment and Delivery Reforms.
Miller's work with the Pittsburgh
Regional Health Initiative (PRHI), demonstrating the significant
financial penalties that hospitals can face if they reduce
hospital-acquired infections, was featured in Modern Healthcare in
December 2007. He designed and led a multiyear PRHI initiative to
reduce preventable hospital admissions and readmissions through
improved care for chronic disease patients. From 2007 to 2008, he
was a facilitator for the Minnesota Health Care Transformation Task
Force, which prepared recommendations that led to passage of
Minnesota's pioneering health care reform legislation in May 2008.
He's currently helping regional health improvement collaboratives
and several state governments to design and implement payment and
delivery system reforms.
Susan Pantely,
principal and consulting actuary, Milliman, provides actuarial and
consulting services to a broad range of clients, including Blue
Cross/Blue Shield, HMOs, commercial insurers, government agencies,
and health care providers. Her work encompasses rate development,
provider contract review, reserve certification, capitation
development, Medicare risk feasibility studies, HMO start-ups, HMO
due diligence, and development of risk sharing and reimbursement
arrangements for physician groups, PHOs, ACOs, and other integrated
delivery systems.
Ms. Pantely has expertise in valuation,
financial analysis, and projection of health care services for
several state public health insurance (Medicaid) programs. Prior to
rejoining Milliman, She worked at Andersen, LLP, and Ernst &
Young, LLP.
She is a member of the Society of Actuaries' Education and
Examination Committee, the American Academy of Actuaries' Health
Care Quality Workgroup, the American Academy of Actuaries' Medicaid
Workgroup, and the former chair of the Health Section Council of
the Society of Actuaries.
Patricia Wagner,
JD, health care and life sciences, Epstein, Becker &
Green, PC. has experience representing a wide range of health care
clients in all aspects of antitrust counseling and has worked with
clients to develop general strategies to achieve corporate
antitrust compliance in their business processes, including
advising clients on antitrust issues that arise in contracting or
other business ventures.
In addition, Ms. Wagner has extensive
experience representing clients in front of the Federal Trade
Commission (FTC) and the Department of Justice (DOJ). She recently
participated on a panel hosted by the FTC related to the proposed
statement on antitrust compliance for accountable care
organizations participating in the Medicare Shared Savings Program
(MSSP). Currently, she's working with a number of organizations as
they work through issues related to clinical integration outside of
the MSSP and as part of that program.
Rong Yi, PhD,
senior consultant, Milliman, has expertise in risk adjustment and
predictive modeling for health care, workers' compensation, and
other fields. Having worked with private insurers, providers,
employers, government agencies, and researchers in the United
States and other parts of the world, she's a frequent speaker at
professional and academic conferences.
Dr. Yi has done pioneering work in the
areas of workers' compensation, uninsured populations, provider
profiling, small group underwriting, and models for
patient-centered medical homes. She also led the adoption of
diagnosis-based risk adjustment in recent German health reforms,
and is assisting foreign government organizations in research and
strategy for other health reforms.
Before joining Milliman in 2009, Dr. Yi
was a major contributor to commercial and governmental risk
adjustment systems that are widely used today. Her affiliations
include the International Health Economics Association and the
American Society of Health Economists. She was a visiting research
fellow at the National Health Economics Institute at the Ministry
of Health in China earned her PhD in Economics from Boston
University.
