Value Based Care in Dental: Infrastructure and Analytical Needs

In the fourth webinar of the Value-Based Dental series, speakers will address one of the most important competencies for success in value-based care — the development of internal analytics that identify high-value care and steer incentives to providers who deliver that care. Coming from different backgrounds and drawing upon different data — claims, clinical, and practice management — presenters will discuss ways to identify optimal care and develop the processes to reward it. 

Andrea L. Clark

Director, Healthcare Economics

CareQuest Institute for Oral Health

Andrea Clark is a seasoned health economist and data scientist. As Director for Healthcare Economics at CareQuest Institute for Oral Health, Andrea leads the team responsible for designing tools to accelerate and evaluate the adoption of integrated value-based payment models in oral health and advises the Institute’s analytics team on data acquisition, governance, and strategy. Prior to joining the Institute in 2023, Andrea consulted for many years to state Medicaid agencies and health insurance regulators. She lives with her family in Maine, where she enjoys walks, yoga and knitting in her spare time.  

Brian Goetsch

Senior Partner, HealthScape Advisors

Brian Goetsch is a Senior Partner at HealthScape Advisors, a Chartis company, where he advises health plans, specialty health organizations, and private equity investors on strategic, financial, and operational initiatives. His work focuses on helping organizations navigate complex healthcare markets, expand products and services, and identify opportunities for sustainable growth. Brian co-leads HealthScape’s Ancillary Center of Excellence, where he focuses on the dental and vision ecosystems, including managed care organizations, providers, laboratories, and emerging technologies. He also has extensive product experience across supplemental health, financial protection, and lifestyle offerings. Throughout his consulting career, Brian has led engagements on a wide range of healthcare topics, including product expansion and diversification, market and line of business entry, network and cost of care management, partnership strategy and execution, and inorganic growth strategies. Before joining HealthScape, Brian served as a senior executive at EyeMed Vision Care, where he led the development and execution of the company’s partner channel “One Stop Shop” strategy. During his tenure, he led several cross functional initiatives, including EyeMed’s expansion into Medicaid, investments in its Medicare Advantage solution, and the launch of its medical surgical vision solution. He also helped structure and contract multiple strategic partner agreements. Earlier in his career, Brian worked at Huron Consulting Group. He holds both a Bachelor’s and Master’s degree in Accountancy from the University of Illinois and previously held certifications as a Certified Public Accountant and Certified Fraud Examiner.

Michael Urbach

President, New Markets, Fluent

Mike oversees all aspects of driving revenue growth for Fluent's dental analytics business solutions in new markets. Mike has over 20 years of experience in the healthcare informatics space and has developed and successfully sold a variety of informatics solutions to all stakeholders in the healthcare marketplace, including payers, providers, suppliers, and consumers. He has worked at informatics companies large and small, public and private, including HCIA, Solucient, Pharmetrics, and IMS Health. Mike has a BA from Syracuse University, an MBA, and an MHA from the University of Pittsburgh.

Natalia I. Chalmers DDS, MHSc, PhD

Dr. Chalmers is a board-certified pediatric dentist, oral health policy expert, and public health advocate who brings more than 20 years of clinical, research, industry, and regulatory experience to CMS as Chief Dental Officer in the Office of the Administrator. Previously, Dr. Chalmers served as a Dental Officer at the US Food and Drug Administration.

Dr. Chalmers has devoted her career to transforming scientific and healthcare data and information into actionable insights to address equity, improve care, and better inform policy and funding. Dr. Chalmers completed her Doctor of Dental Surgery degree at the Faculty of Dental Medicine of the Medical University of Sofia, a residency in pediatric dentistry at the University of Maryland School of Dentistry, and a Ph.D. in oral microbiology from the Graduate Partnerships Program of the University of Maryland School of Dentistry and the National Institute for Dental and Craniofacial Research at the National Institutes of Health, Post-doctoral Fellowship at the Forsyth Institute, and Clinical Research Fellowship at the National Institute for Dental and Craniofacial Research, National Institutes of Health. 

Dr. Chalmers' research has not only advanced our understanding of oral care but has also led to significant improvements in the field. Her master’s degree in clinical research from Duke Medical University and a Certificate in Drug Development and Regulatory Science from the University of California San Francisco School of Pharmacy have equipped her with the necessary tools to turn her research into action. Her advocacy for health policy that encompasses dental well-being as a crucial aspect of overall care is a testament to her commitment to improving healthcare across the lifespan.