2019 Roundtable Discussion

New Interventions and Care Delivery Models to Promote Value for Older Adult Beneficiaries
4:30 PM – 5:15 PM

As the population ages, there is a growing need for care delivery models that can provide high quality and lower-cost health care to America’s older adults. There have been innovative projects put forth by CMMI that seek to achieve these duel objectives, including demonstration projects such as the Medicare Coordinated Care Demonstration project and the Value-Based Insurance Design (VBID) model for Medicare Advantage (MA). As the health care industry’s focus shifts to population health, barriers such as transportation, food, and housing insecurity are entering the equation of what it means to be and remain healthy, independent, and mobile. New allowances by MA plan providers offer targeted supplemental benefits, such as transportation and meal delivery, that will enable older adult beneficiaries with chronic conditions to remain at home. This panel will bring together HHS, Administration for Community Living, and care design thought leaders to explore how to incorporate the preferences and needs of older adults into care delivery; what these new programs can learn from the aging network which has been working for decades to help older adults remain in their homes and communities; and public policy solutions to lower out-of-pocket health care spending for older adults.

Sue Peschin, MHS (Moderator)

Susan Peschin, MHS, is president and CEO at the Alliance for Aging Research. The Alliance for Aging Research is dedicated to accelerating the pace of scientific discoveries and their application to vastly improve the universal human experience of aging and health. For more than 30 years, the Alliance has guided efforts to substantially increase funding and focus for aging at the NIH, FDA, AHRQ, and CDC; built influential coalitions to guide groundbreaking regulatory improvements for age-related diseases; and created award-winning, high-impact educational materials to improve the health and well-being of older adults and their family caregivers.

Since 2012, Ms. Peschin has been a driving force in the growth and success of the organization. Under her leadership, the Alliance has remained strong in these priorities and continued to build on its reputation as a forward-thinking public policy and health education organization. As president and CEO, she leads the strategic development and implementation of Alliance initiatives, as well as manages Board governance and organizational operations. As a thought leader on many aging-related issues, she has led the Alliance in efforts to: boost older adult immunization rates; increase NIH Alzheimer’s disease and aging research funding; raise awareness of geriatric cardiac issues; develop a senior patient and family caregiver network through a PCORI engagement grant; and co-organize a first-ever NIH geroscience summit. She participates in major industry and policy symposiums around the country each year, and has published opinion pieces in news outlets nationwide.

Ms. Peschin currently serves on the Board of Heart Valve Voice U.S. and the National Council on Patient Information and Education; on the World Economic Forum’s Council on Human Enhancement; on the National Advisory Council for the National Institute on Aging at the NIH; on the Steering Committee for the Coalition for Imaging & Bioengineering Research; and as a member of the Lifespan Domain Task Force for the Clinical & Translational Science Award program, funded by NCATS at the NIH.

Ms. Peschin earned a B.A. in Sociology from Brandeis University, and a M.H.S. degree in Health Policy from the Johns Hopkins University Bloomberg School of Public Health.

Rhonda Randall, DO

Rhonda Randall is Executive Vice President and Chief Medical Officer at UnitedHealth Group.

Lance Robertson was appointed to serve as Assistant Secretary for Aging and ACL’s Administrator on August 11, 2017.

His vision for ACL focuses on five pillars: supporting families and caregivers, protecting rights and preventing abuse, connecting people to resources, expanding employment opportunities, and strengthening the aging and disability networks.

His leadership in the fields of aging and disability began in Oklahoma, where he served for 10 years as the Director of Aging Services within the state’s Department of Human Services. Prior to that, he spent 12 years at Oklahoma State University, where he co-founded the Gerontology Institute and served as the executive director of the nation’s largest regional gerontology association.

Asst. Sec. Robertson earned his undergraduate degree from Oklahoma State University and a master of public administration degree from the University of Central Oklahoma, and he is a veteran of the United States Army.

Allyson Y. Schwartz, a former member of the U.S. House of Representatives from Pennsylvania who served from 2005-2015, is a nationally recognized leader on health care issues. Throughout her professional life she has worked on issues such as affordability, primary care, coordinated care, and increased access to coverage.

Having worked as a health service executive, Schwartz was elected to the Pennsylvania State Senate in 1990, serving 14 years until her election to Congress. In the state Senate, Schwartz was the driving force behind Pennsylvania’s CHIP program, which was a model for the federal CHIP program five years later.

In Congress, Schwartz was appointed to the powerful Ways and Means committee in her second term and served as a senior member of the Budget Committee. In both capacities, Schwartz was a strong advocate for Medicare. She was the leader in Congress on physician payment reform to encourage value over volume, supported research, innovation, and use of technology to improve quality, efficiency, and contain costs.

Schwartz was instrumental in the passage of landmark health reform legislation, authoring key provisions such as the ban on pre-existing condition exclusions for children and increased access to primary care.

Schwartz serves on the Executive Advisory Board of the Leonard Davis Institute of Health Economics of the University of Pennsylvania, as well as being a member of the Advisory Board, University of Pennsylvania Wharton School “Penn Wharton Budget Model”. Schwartz is a member of the National Hospice and Palliative Care Advisory Board, participates in an advisory group to Avalere Health’s Patient-Perspective Value Framework and serves as a member of RAND’s Technical Expert Panel on the Medicare Advantage Stars Rating System, She is on the Board of Trustees, Einstein Health, Philadelphia and served as Co-Chair of the Health and Housing for Seniors Task Force of the Bipartisan Policy Center, where she also frequently participates in roundtable discussions on the future of Medicare..

Schwartz earned a B.A. from Simmons College, and a Master of Social Service from Bryn Mawr College. She is married, has two grown sons, two daughters-in-law, and a 6-year-old granddaughter.