Community Care Hub Workgroup Co-Chairs
Christopher Swigon, MSW
Director, Strategic Initiatives – Social Impact, HOO
Elevance Health
Ester Sefilyan, MSG
Vice President, STSS and HUB
Partners in Care Foundation
Ester Sefilyan has been with the Partners in Care Foundation (Partners) since 2008. She has a Masters’ in Gerontology from the University of Southern California (USC). As Vice President of STSS and Hub at Partners, Ester oversees startup and operations of multiple contracts and programs with hospitals, health plans, and medical providers in providing an array of services to ensure successful outcomes around readmission reductions, care coordination and total cost of care. Ester is responsible for sales, implementation, contract management and infrastructure to support the Community Care Hub, a network of CBO agencies who provide specialty services and regional coverage. She manages all functions of the Hub and over 20 short-term care management/care transitions contracts focused on identifying Health Related Social Needs and putting safeguards in place to close those identified gaps. She has extensive experience with Long Term Services and Supports and is fully knowledgeable of Medicare, Medi-Cal, and commercial lines of business. These lines of business have grown significantly during Ester’s tenure. She is also an active member of the Partnership to Align Social Care and the Gravity Project. With her experience, she brings innovation, passion, and dedication to the Partners team.
Maureen Pike, MPH, MBA, RN
Director, Social and Clinical Care Integration
Community Health and Well-Being
Trinity Health
Maureen Pike builds bridges between sectors and systematizes innovations to address the social determinants of health, with a special focus on serving people experiencing poverty and other vulnerabilities. She currently serves as the Director of Social and Clinical Care Integration for Trinity Health, a non-profit, multi-institution healthcare delivery system spanning 26 states, and was formerly a chronic disease programming leader at the YMCA of the USA, the Y’s national resource office. She began her career as a critical care nurse and has since led work on health policy, healthcare-community partnerships, organizational change, disease prevention programming, health care access, value-based care, and social care integration at a variety of organizations at local, state, and national levels. Maureen received a BS in Nursing from Kent State University, Master of Public Health from the Johns Hopkins Bloomberg School of Public Health, and a Master of Business Administration from the Kellogg School of Management at Northwestern University.
Contracting Workgroup Co-Chairs
Jennifer Raymond, JD, MBA
Chief Strategy Officer
AgeSpan
Jennifer is the Chief Strategy Officer for AgeSpan, an Area Agency on Aging and Aging Disability Resource Center located in Lawrence, Massachusetts. AgeSpan is dedicated to helping people across northeast Massachusetts maintain high levels of independence, health, and safety as they age. At AgeSpan, Jennifer builds cross-sector partnerships, creates shared alignment around a vision, and translates that vision into action. An experienced strategic thinker, coalition builder, and change leader, Raymond is driven by the desire to create healthy communities for all. She takes pride in aligning social missions with business acumen and providing the best approaches to sustainability possible. Jennifer earned a juris doctorate and a Master’s in Business Administration with a focus on Leadership Development. She serves on the Executive Committee of the Massachusetts Healthy Aging Collaborative, a co-chair of the Massachusetts Coalition to Build Community and End Loneliness, and is a member of Food is Medicine Massachusetts Older Adults steering committee. Jennifer has also been recognized by the John A. Hartford Foundation as a national practice change leader.
Mark Humowiecki, JD
General Counsel & Senior Director, National Center for Complex Health and Social Needs
Camden Coalition
Mark Humowiecki leads the National Center for Complex Health and Social Needs at the Camden Coalition of Healthcare Providers (National Center). The Camden Coalition’s mission is to improve the health and well-being of people with complex needs by demonstrating and advancing equitable ecosystems of care. The National Center convenes and collaborates with organizations across the country to advance the field of complex care, and provides training, technical assistance, and best practice resources for healthcare and social care practitioners and leaders. Prior to joining the Coalition, Mark served in executive roles in New York State government and was a public interest lawyer for six years. Mark is a graduate of Yale College and Yale Law School.
Marc Rosen, MPH
System Director, Community Impact, Operations, and Partnerships
Community Health
CommonSpirit Health
Marc Rosen is the System Director of Community Impact and Partnerships at CommonSpirit Health, a non-profit health system with 142 hospitals and more than 2,200 care sites across 24 states. In his role, he leads strategies that address the social needs of older adults through community-based partnerships. Through community-based, vendor, and health system roles, Marc has spent the past fifteen years working on clinic-to-community partnerships focused on patient’s chronic diseases and social needs. While in the SDoH vendor field, Marc led efforts to establish performance measurement frameworks for social care networks as well as efforts to evaluate the impact of those networks. His time in the community-based sector includes nearly seven years at YMCA of the USA, where as Director of Healthcare Integration he helped broker cross-sector partnerships that integrated Y’s into care delivery models. In his free time, Marc enjoys traveling, watching Chicago sports, and volunteering as a Spanish language medical interpreter at a free healthcare clinic in Chicago. He holds a Bachelor of Arts from the University of Wisconsin-Madison in Latin American Studies and Spanish and a Master of Public Health in Health Policy and Administration from the University of Illinois-Chicago.
Billing/Coding Workgroup Co-Chairs
Bonnie Ewald, MA
Managing Director, Center for Health and Social Care Integration
Manager of Strategic Development and Policy, Social Work and Community Health
Assistant Professor, Department of Social Work – College of Health Sciences
Rush University Medical Center
Bonnie Ewald (she/her) is the Managing Director of the Center for Health and Social Care Integration (CHaSCI) within the Social Work and Community Health department at Rush University Medical Center in Chicago, IL. In this role, she collaborates with internal and external partners to advance several care innovation, training, and policy advocacy initiatives to expand access to social care and mental health care at Rush and externally – such as managing the Coalition for Social Work and Health with over forty national partners working to leverage and amplify the impact of social workers in improving our nation’s health. She serves as adjunct faculty in Rush College of Health Science’s Departments of Social Work and of Health Systems Management; serves on the Public Policy committee and the Chicagoland Regional Planning Council for the American Society on Aging; and teaches aging policy for the Department of Social Work at the University of Wisconsin – Whitewater. Bonnie has her master’s degree in public policy studies from the University of Chicago (2018), a post-graduate certificate in Sustainable Urban Design from Archeworks (2013), and a bachelor’s in mathematics and geography from the University of Wisconsin (2011).
Matt Longjohn, MD MPH
Epiphany Heath Consulting
Clinical Assistant Professor of Family and Community Medicine,
WMU Homer Stryker MD School of Medicine
Dr. Longjohn is a nationally recognized leader in public health and health systems innovation, and has served as a co-chair of the Billing and Coding Workgroup since the formation of the P2ASC. Throughout most of the last 25 years he has served in non-profit executive roles, leading organizations large and small to successfully integrate community organizations and resources into equitable, effective, and sustained population health interventions. His leadership has produced historic community health successes, such as the certification of cost-savings to Medicare for the YMCA’s Diabetes Prevention Program, and in 2016 he was identified by the Obama Administration as one of the top 100 health innovators in the country. Epiphany, his consulting company, serves local, state, and national level non-profit organizations as well as government agencies. He currently serves as a faculty member at the Western Michigan University Homer Stryker MD School of Medicine (WMed), where he co-directs the Engagement and Discovery course for ~170 medical students and is responsible for the implementation of grants related to anti-racism and other social drivers of health.
Tim McNeill, RN, MPH
CEO, Freedman’s Health Consulting
Partnership Co-Chair
Timothy McNeill has 30 years of professional experience in healthcare, first in the United States Navy and then in hospitals and healthcare centers. As founder and CEO of Freedmen’s Health Consulting (FHC), McNeill leads the firm’s efforts specializing in the implementation of innovative models of care and serving groups including the U.S. Department of Health and Human Services (HHS), U.S. Administration on Aging (AoA)/Administration for Community Living (ACL), and various foundations and national non-profit organizations. Under HHS/ACL contract, McNeill is the lead TA provider to establish and support integrated networks to deliver new models of care that address medical risks and social determinants of health supporting value-based contracting in twenty-six states.