Jesse Roach
Summary
Goal-driven clinical leader with significant patient care and government experience. Well versed in clinical quality and quality measurement, health equity, data and outcomes and value based care.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Chief Medical Officer
CVS Health, CVS Kidney Care
06.2022 - 01.2023
- Oversees all clinical activities including, Data and Outcome Measurement, Value Based Care, and Chronic Kidney Disease Management
- Improved patient outcomes and delivery of care through improved clinical quality processes.
- Led diverse team of medical and administrative professionals in day-to-day clinic activities such as patient care, new business development and patient relations
- Developed Quality Measurement Strategy for all aspects of CVS Kidney Care, including clinical and equity outcomes HEDIS measures and other CMS programs including CMMI models
- Represented CVS Kidney Care to outside stakeholders, including patient and professional groups
- Developed CVS Kidney Care government strategy with CVS Government Affairs and articulated these goals to members of Congress and their staffs
Senior Medical Director Health Equity
CVS Health, CVS Kidney Care
08.2021 - 01.2023
- Developed Health Equity Strategy for CVS Kidney Care including data strategy to measure Race and Ethnicity Data
- Developed a framework using both patient level and neighborhood level data to collect Social Determinants of Health (SDOH) information and integrate it into our clinical and value based care programs
- Developed interventions to address equity and social risk including food and transportation interventions
- Coordinated with enterprise Health Equity team
- Coordinated a Health Equity Challenge to award a prize for innovation Health equity for kidney disease
Chief Medical Officer for Quality Measurement
Centers for Medicare and Medicaid Services
09.2020 - 08.2021
- Center for Clinical Standards and Quality
- Coordinated Quality Measurement strategy for CMS, including working with other CMS components and HHS agencies
- Oversaw quality measurement portfolio including hospital value-based purchasing systems and physician-based quality measurement
- Developed Quality Strategy for all CMMI Models as part of CMMI Quality Vertical
- Led measure development across CMS programs and developed quality measurement priorities
- Led CMS efforts in measurement of Social Determinants of Health, and development of Health Equity Measures.
Medical Officer
Centers For Medicare And Medicaid Services
07.2016 - 08.2021
- As the only CMS nephrologist worked closely with senior program managers on medical and scientific issues related to chronic kidney disease, kidney transplantation and dialysis
- Developed measures for use in the ESRD Quality Incentive Program (ESRD QIP) and Dialysis Facility Compare website
- Oversaw the development and administration of Value Based Purchasing
- Programs in the Division of Quality Measurement
- Worked with CMMI to provide subject measure expertise in the development of the CKCC and ETC payment models for chronic kidney disease and dialysis
- Coordinated Agency COVID response for dialysis patients with CDC, ASPR and FDA
- Measure development work included convening Technical Expert Panels, Quality Measure testing and analysis, presentation to Consensus Bodies and quality measure and value-based program maintenance
- Led for CMS Kidney Health Affinity Group which coordinates policy related to kidney health across agency components and with other HHS agencies including NIH, FDA, HRSA and CDC
- Represented CMS as national meetings and interfaced with outside entities including patient organizations, professional organizations, and industry groups to develop quality measures and payment policy related to kidney disease
Senior Medical Officer Advisor
Department Of Health And Human Services
10.2014 - 07.2016
- Office of Science and Data Policy
- Provided clinical expertise for policy analyses and reviews related to the HHS science agencies, with a special emphasis on FDA policies, programs and initiatives
- Reviewed reports, legislation, regulations, Executive Orders, and policy statements produced by HHS and other agencies for science policy implications and alignment with HHS priorities
- Provided input and contributed to research projects and analyses, including research related to opioids, combating antibiotic resistant bacteria, clinical trials, medical product development and innovation, medical product safety, the cost of prescription drugs, emergency preparedness, and other priority topics
- Served as CMS representative to HHS Advancing Kidney Health Initiative and assisted in rollout
Medical Officer
US Food And Drug Administration
11.2014 - 07.2016
- Office of Generic Drugs, Division of Clinical Review
- Duties, Accomplishments and Related Skills:
- Reviewed Abbreviated New Drug Applications and Investigational New Drug Applications
Assistant Professor
University of Wisconsin School of Medicine and Public Health
07.2010 - 06.2015
- Pediatric and Adult Nephrologist
- Departments of Pediatrics and Internal Medicine
- Duties, Accomplishments and Related Skills:
- Provided direct patient care including treatment of chronic and acute kidney disease as well as treatment on End Stage Renal Disease
- Developed organizational policies about patient care, specifically care transition between pediatrics and adulthood, and interdisciplinary care between medical and surgical specialties
- Medical Director of the Multidisciplinary Pediatric Kidney Stone Clinic
- Established an Adult Pediatric transition clinic to improve outcomes for adolescent patients
- Research in Health Policy, specifically access to care and disparity issues regarding referral to renal transplant as well as permanent hemodialysis access
- Education- Resident and medical student education which included serving on the adult nephrology fellowship education committee.
Education
Adult Nephrology Fellowship University of Michigan
6.2010
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Pediatric Nephrology Fellowship University of Michigan
6.2010
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Chief Medical Resident Medical University of SC
6.2006
Medicine - undefined
Pediatric Residency Medical University of SC
6.2005
M.D - undefined
Medical University of SC
2001
B.S - Biology and Economics
Duke University
1997
Skills
Clinical Quality
Health Equity
Quality Measurement
Nephrology
Data Strategy
Social Determinants of Health
Government Affairs
Value Based Care
Public Speaking
Additional Information
- Nephrology Division Fellowship Teaching Award
- 2015 Award for Review Excellence, Office of Bioeqivalence
- 2019 HHS Secretary's Award for Distinguished Service
Certification
American Board of Internal Medicine, Internal Medicine, 2005 American Board of Pediatrics, General Pediatrics, 2009 American Board of Pediatrics, Pediatric Nephrology, 2016
LICENSURE
Medical License, Wisconsin, Expires 10/2023
Publications
PRESENTATIONS
1. “Accounting for Race and Ethnicity in an ESRD Prospective Payment System.” Oral Presentation at the American Society of Nephrology meeting, November 2009
2. “Costs and Payments to Dialysis Centers for Pediatric Patients.” Poster Presentation at American Society of Pediatric Nephrology Annual Meeting, May 2009.
BIBLIOGRAPHY
1. Stephen Salerno, Claudia Dahlerus, Joseph Messana, Karen Wisniewski, Lan Tong 1, Richard A Hirth 1, Jordan Affholter, Garrett Gremel, YiFan Wu, Ji Zhu, Jesse Roach, Elena Balovlenkov Rn, Joel Andress, Yi Li. “Evaluating national trends in outcomes after implementation of a star rating system: Results from dialysis facility compare.” Health Services Research. 2021 Feb;56(1):123-131.
2. J Roach, M Turenne, R Hirth, J Wheeler, K Sleeman, J Messana. “Using Race as a Case- Mix Adjustment Factor in a Renal Dialysis Payment System: Potential and Pitfalls.” American Journal of Kidney Diseases. 56 (5), pp928-936, November 2010.
3. H William Schnaper, Kathryn Schubert, Sharon A Perlman, Stephanie L Clark, David S Hains, Jesse L Roach, Amy L Skversky, John David Spencer, Tamar Springel, Sarah J Swartz, Victoria F Norwood, Lisa M Satlin. “Training the next generation of pediatric nephrology advocates: the John E. Lewy Foundation Advocacy Scholars Program.” Journal of Pediatrics. 2015 Feb;166(2):218-9
4. Roach JL, Jacobs, EA. “Grateful Patient Philanthropy: Is What's Good for the Goose Good for the Gander?” J Gen Intern Med. 2013 May;28(5):608.
Timeline
Chief Medical Officer
CVS Health, CVS Kidney Care
06.2022 - 01.2023
Senior Medical Director Health Equity
CVS Health, CVS Kidney Care
08.2021 - 01.2023
Chief Medical Officer for Quality Measurement
Centers for Medicare and Medicaid Services
09.2020 - 08.2021
Medical Officer
Centers For Medicare And Medicaid Services
07.2016 - 08.2021
Medical Officer
US Food And Drug Administration
11.2014 - 07.2016
Senior Medical Officer Advisor
Department Of Health And Human Services
10.2014 - 07.2016
Assistant Professor
University of Wisconsin School of Medicine and Public Health
07.2010 - 06.2015
Adult Nephrology Fellowship University of Michigan
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Pediatric Nephrology Fellowship University of Michigan
undefined
Chief Medical Resident Medical University of SC
Medicine - undefined
Pediatric Residency Medical University of SC
M.D - undefined
Medical University of SC
B.S - Biology and Economics
Duke University
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