Tailored Plan Design for Underserved Populations in Medicare Advantage

Andy Higgins VP of Product Development at Clever Care

Andy Higgins is the Vice President of Product Development at Clever Care Health Plan, a unique Medicare Advantage carrier delivering culturally sensitive options that combine the healing therapies of Eastern medicine with the innovative practices of Western medicine. He has a passion for building products and services that help patients of all backgrounds improve their health and well-being. With over 20 years of healthcare experience, Andy has held a variety of leadership roles at Aetna, CVS Health, and Highmark Blue Cross Blue Shield. Prior to joining Clever Care, he led product strategy for the 8th largest MA plan in the U.S., launching dozens of new Medicare Advantage plans and innovative supplemental benefits for seniors. Prior to that, he managed a $50M portfolio of clinical programs at CVS Health, where he was awarded two Breakthrough Awards for innovation and selected for CVS’s high potential leadership training program. Andy earned an M.B.A. from the University of Massachusetts and a B.A. in Economics from Westfield State University.

Sachin Jain, MD, MBA, FACP

CEO of SCAN Group and SCAN Health Plan

Sachin H. Jain, MD, MBA is CEO of SCAN Group and SCAN Health Plan, one of the nation’s largest not-for-profit Medicare Advantage plans, which serves more than 300,000 members across California, Nevada, Arizona, Texas and New Mexico.

Previously, Dr. Jain was President and CEO of CareMore and Aspire Health, which served 200,000 Medicare and Medicaid patients in 32 states. He also served as Chief Medical Information & Innovation Officer at Merck & Co., was Senior Advisor to the Administrator of the Centers for Medicare & Medicaid Services (CMS) and was the first Deputy Director for policy and programs at the Center for Medicare and Medicaid Innovation (CMMI).

Dr. Jain graduated from Harvard College and earned his MD from Harvard Medical School and MBA from Harvard Business School. He is Adjunct Professor at the Stanford University School of Medicine and is a member of the boards of America's Health Insurance Plans (AHIP), Advantage Healthcare Services, and The Paul & Daisy Soros Fellowships for New Americans.

Mark Meiselbach, PhD, Assistant Professor, Johns Hopkins University

Mark K. Meiselbach, PhD, is a health economist and Assistant Professor in the Department of Health Policy and Management at the Johns Hopkins University Bloomberg School of Public Health. His research focuses, first, on the policy and market conditions that influence what insurers offer in privately managed insurance markets, including employer-sponsored insurance, Medicare Advantage, and Medicaid-managed care. Further, his research seeks to understand the potential downstream consequences of those decisions on enrollees, with a particular focus on access to treatments for mental health and substance use disorders. His work has been published in leading economics, health policy, and medical journals, including the Journal of Health Economics, American Journal of Health Economics, Health Affairs, and JAMA-Internal Medicine.

Casey Schwarz, Senior Counsel for Federal Policy

Casey Schwarz joined the Medicare Rights Center in 2011 as Client Services Counsel. Today, as Senior Counsel for Education & Federal Policy, she helps deliver accessible and accurate education materials to Medicare beneficiaries and the professionals who serve them. She also advances Medicare Rights’ policy goals through the administrative rule-making process and supports Medicare Rights’ close working relationship with legislators and their staff. When Casey is not working, she enjoys exploring in the outdoors with her children and knitting without them. She is personally and professionally committed to reducing inequity and injustice.

Casey earned her law degree, magna cum laude, from New York University School of Law, where she was elected to Order of the Coif. She earned her B.A. in Biomedical Ethics from Brown University. She is admitted to the Bars of New York and Maine.

Andrew Anderson, Assistant Professor, Johns Hopkins University