Financial Solvency Standards Board Members

 

Larry deGhetaldi, M.D.

Family Physician, Palo Alto Medical Foundation
Chair of the Financial Solvency Standards Board

Larry deGetaldi, M.D., Palo Alto Medical FoundationLarry deGhetaldi, M.D., is a family physician who leads the Santa Cruz Division of the Palo Alto Medical Foundation.

deGhetaldi is also a trustee on the California Medical Association’s board representing physicians in group practices. deGhetaldi participates in many other professional activities and has been a licensed physician in California since 1984.

 

 


Paul Durr

CEO, Sharp Community Medical Group

Paul Durr, Sharp Community Medical GroupPaul Durr, is CEO of Sharp Community Medical Group, where he leads a team that provides care for more than 350,000 lives, in San Diego County.

Durr joined Sharp Community Medical Group in 1992 and served as the Chief Financial Officer for 12 years. Most recently, Durr served as Vice President of Physician Network Development at Sharp HealthCare, focused on the launch of Sharp Care Physicians, Inc., a network of Sharp-affiliated physicians in San Diego County.

Paul received his Bachelor’s Degree in Business Administration from the University of San Diego in 1986 and his CPA certificate in 1990.
 


Scott Coffin

CEO, Alameda Alliance for Health

Scott Coffin, Alameda Alliance

Scott Coffin is the Chief Executive Officer for the Alameda Alliance for Health, a public Medi-Cal managed care health plan serving nearly 300,000 children and adults in Alameda County. Alameda Alliance employs nearly 400 clinical and administrative professionals, and generates annual revenues of $1.3 billion dollars. 

Mr. Coffin has worked in health care administration for more than 26 years and dedicated his career to further integrate Medicare and Medicaid services for older adults, and development of community-based models of care to serve the highest-need children and adults. Mr. Coffin was appointed as the CEO to Alameda Alliance in 2015, and during his tenure, the organization has completed a successful turnaround and partnerships have been formed with local community health leaders to address health disparities and to reform the integration of health services. Areas of expertise include public and private hospital operations, value-based & risk arrangements, revenue cycle management, actuarial rate development, and cost containment. Mr. Coffin serves on several Boards, such as the First 5 Alameda County, Integrated Health Care Association, Local Health Plans of California, and the Association for Community Affiliated Plans.  


Abbi Coursolle

Senior Attorney, National Health Law Program

Abbi Coursolle, National Health Law ProgramAbigail (Abbi) Coursolle is a Senior Attorney in the National Health Law Program’s Los Angeles offices. Abbi provides technical assistance, advocate training, and litigation support on a range of issues, with a special focus on access to care Medicaid managed care, prescription drug access, behavioral health access, LGBTQ health equity, and children’s health issues. 

Before joining the National Health Law Program, Abbi was the Greenberg Traurig Equal Justice Works staff attorney at the Western Center on Law & Poverty. Abbi received a B.A. with honors in Chinese language and literature from Yale University, a J.D. with honors from the UCLA School of Law, and a Masters in Public Policy with honors from the UCLA School of Public Affairs. 


Mark Kogan, M.D.

Gastroenterologist

Mark Kogan, M.D.Mark H. Kogan, M.D. is a gastroenterologist in private practice in Berkeley and San Pablo, California since 1987. Caring for an ethnically diverse population of patients, he also spends time seeing patients and teaching at Contra Costa Regional Medical Center.  
 
Kogan has served on the California Medical Association (CMA) for 9 years and is a prior president of the Alameda Contra Costa Medical Association, and a member of the California delegation to the American Medical Association. He is a prior regional medical director of the Alta Bates Medical Group IPA and has served on the Clinical Practice Committee of the American Gastroenterological Association. He is prior Chief of Staff of Doctors Medical Center in San Pablo and served on the faculty of University of California at San Francisco as well as Touro University California. 

 


Jeff Rideout, M.D.

President and Chief Executive Officer, Integrated Healthcare Association (IHA)

Jeff Rideout, M.D., Integrated Health CareJeff Rideout, M.D., is President and Chief Executive Officer of the Integrated Healthcare Association (IHA).

Prior to joining IHA, he was the Senior Medical Advisor for Covered California. Dr. Rideout also served as the Senior Vice President, Chief Medical Officer for TriZetto Group, the global leader of the healthcare division for Cisco Systems Internet Business Solutions Group, and as the Chief Medical Officer and Senior Vice President for Blue Shield of California. Rideout has extensive experience in performance measurement, payment innovation initiatives and the use of technology to improve the healthcare system.

He completed his residency training in internal medicine at University of California, San Francisco and is a Fellow of the American College of Physicians. He received his medical degree from Harvard Medical School and his undergraduate degree from Stanford University.
 


Mary Watanabe

​ Director, Department of Managed Health Care

Mary WataDirector - Mary Watanabenabe, is the Director of the Department of Managed Health Care. As Director, she convenes the Financial Solvency Standards Board (FSSB) to advise the DMHC on matters of financial solvency that affect the delivery of health care services and to recommend solvency requirements and standards.  

Mary joined the Department in 2015 as the Deputy Director for Health Policy and Stakeholder Relations, where she was responsible for fostering proactive and effective relations between the DMHC and its stakeholders, while serving as primary advisor to the Director on critical issues and providing strategic planning and policy direction on emerging issues and industry trends. Prior to joining the DMHC, Mary served as Deputy Director for the Sales Division at Covered California, where she oversaw the implementation of the Navigator Grant Program, the Outreach and Education Grant Program and the engagement of community partners to educate consumers and small business owners about the health care options available through Covered California.

Prior to joining Covered California, Mary served for 12 years with the Managed Risk Medical Insurance Board in the areas of contract development and monitoring, eligibility and enrollment, and benefits administration of several public health care programs, including the Healthy Families Program.  She also participated in the implementation of the  Pre-Existing Condition Insurance Plan, a federally funded high-risk pool that offered health coverage to medically uninsurable Californians.

Mary holds a bachelor’s degree in Psychology from California State University, Sacramento.


Amy Yao

Senior Vice President and Chief Actuary, Blue Shield of California

Amy Yao, Blue Shield of CaliforniaAmy Yao, is Senior Vice President and Chief Actuary at Blue Shield of California, where she is responsible for pricing and financial risk prediction and management strategies.

She oversees product and provider network analytics to support network contracting and development strategies for Accountable Care Organizations, commercial and Medicare risk revenue management, cost of healthcare trend projections, and claims reserve development. Additionally, she oversees all aspects of the company’s cost of health reporting, providing actionable insight into medical management program development and evaluations. Prior to Blue Shield, Yao was the Vice President of Medicare Pricing at UnitedHealth Group and Director of Pricing at PacifiCare Health Systems.

Yao received her Bachelor of Computer Science from Tsinghua University and her Masters of Applied Mathematics at the University of Connecticut.