Mr. Fox is a Senior Fellow at the Jefferson School of Population Health in Philadelphia and a frequent speaker on topics of healthcare fraud, compliance and quality. He has also served as a tactical strength and conditioning consultant to the U.S. Navy SEALs.

LexisNexis Risk Healthcare Solutions develops and implements innovative data driven technology solutions across the healthcare continuum with a focus on identity management/HIE, predictive analytics, fraud, waste and abuse detection and prevention, and disease management.
  

Rong Yi, PhD is a senior consultant with the Boston office of Milliman. She joined the firm in 2009. Dr. Yi has extensive experience in risk adjustment and predictive modeling for healthcare, workers compensation, and other fields. She has worked with private insurers, providers, employers, government agencies, and researchers in the U.S. and other parts of the world. She is a frequent speaker at professional and academic conferences.

Dr. Yi’s expertise includes risk adjustment for public programs and health reforms, and predictive modeling for risk management. She pioneered in the areas of workers compensation predictive modeling, risk adjustment for the uninsured population, risk based provider profiling, risk adjustment for small group underwriting, and models supporting the Patient-Centered Medical Home. She also led the adoption of diagnosis based risk adjustment in the recent German health reforms, and is assisting foreign government organizations in their research and strategy for their future health reforms.  Most recently, Rong received a grant from the Robert Wood Johnson Foundation to develop risk adjustment implementation guidelines for state health insurance exchanges.

Before joining Milliman, Dr. Yi was a major contributor to commercial and governmental risk adjustment systems in wide use today. She holds a Ph.D. in Economics from Boston University and a B.S. degree from Peking University, Beijing, China, 1995
 

Howard Brill is the Director of Health Informatics at the Monroe Plan for Medical Care, an IPA focused on Medicaid and Public Programs in Western New York. In 2008, the Monroe Plan’s program was rated the third best Managed Care Medicaid Plan by NCQA. The Health Informatics Department at the Monroe Plan develops information systems and supports the evaluation of clinical programs.

Dr. Brill was the Senior Director of Physician Management Systems at HCIA, a major health informatics company, where he was responsible for the development of physician profiling software. He has publications in medical sociology, statistical methodology, labor market studies, and immigration law research.

Dr. Brill has made several presentations on predictive modeling at national conferences. He is a member of the IEEE Computer Society, AcademyHealth, American Health Information Management Association and the Health Information and Management Systems Society. He chairs the Rochester chapter of the IEEE Computer Society.

Dr. Brill received his Bachelor of Science degree in Microbiology from Cornell University, Ithaca, New York in 1981. He received his Doctor of Philosophy degree in Sociology from Binghamton University in 1994


 

Cheryl Duva is a Principal/Vice President with the Ingenix Consulting healthcare practice. Cheryl has over 15 years leadership experience in all aspects of health care strategy, product & program development, financial and operational performance improvement, with direct experience in government sponsored programs to include Medicare and Medicaid.

Prior to joining Ingenix Consulting, Cheryl held leadership positions within Accenture world-wide consulting where she served regional, national, and international clients, and was a National Senior Director at Medco, responsible for Medco's senior market strategy.

During her tenure in the health care industry Cheryl successfully developed and launched industry-proclaimed “cutting edge” Pharmacy Overpayment, Anti-Fraud, Waste and Abuse products and services and is a recognized leader in the health care industry.

Cheryl graduated from Cornell University with a B.S, Program Policy, Planning and Development.
 

Mo Masud
Senior Manager, Actuarial & Insurance Solutions, Advanced Quantitative, Services, Deloitte Consulting
 

His areas of expertise include: technical implementation and integration of predictive modeling applications across multiple industries, database design and data warehousing, business intelligence and reporting, project management, healthcare predictive modeling for private and public sector insurance, and development of decision support and expert systems.

Mr. Masud has led numerous engagements of the implementation of large-scale predictive modeling, data warehousing, business intelligence and custom technical applications for commercial P&C insurance companies, integrated healthcare delivery networks and health insurers.

 
Russell A. Jackson
Editor, Predictive Modeling News

Russell A. Jackson is a twenty-five-year veteran editor and writer on a variety of health care topics including Disease Management, Managed Care and Pharmaceutical Benefits.

His work has appeared in the Los Angeles Business Journal, the Atlanta Business Chronicle, Managed Care Outlook, Clinical Trials Advisor, The Nexus, and more than fifty other newsletters, magazines, and newspapers throughout the United States.

Russell has served as Editor for Predictive Modeling News since the newsletter's inception in late 2007.