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Care Coordination

Improving Health Care and Lowering Costs

In 2011, the Illinois General Assembly passed legislation mandating that 50 percent of Medicaid recipients be in a “Care Coordination Program” by 2015. Since then, the Illinois Department of Health Care and Family Services (HFS) has been working on implementation of this law through the Care Coordination Innovations Project.

This webinar provides information about care coordination, including the Care Coordination Innovations Project, the impact of these projects on health, housing, and human service providers, and what impact these projects will have on the Illinois Medicaid program’s long-term fiscal health. The webinar panelists represented a wide range of provider sectors, including: hospital, pharmacy, primary and behavioral health care, housing and human services. Panelists were also joined by Senator Heather Steans who will shared her thoughts on care coordination as it relates to the Illinois Medicaid program’s fiscal health.


Stephanie Luther
Stephanie Luther, MD
Senior Medical Director
Heartland Health Outreach

Dr. Luther joined HHO in March 2009. She graduated from Rush Medical College and completed a combined residency in internal medicine and pediatrics at Rush Medical Center. Prior to coming to HHO, she served as Associate Program Director of Combined Internal Medicine and Pediatrics Residency Program at Rush University Medical Center; as staff attending physician and medical director at Lifetime Medical Associates at Rush University Medical Center; and as Director, Rush University Office of Community and Global Health.  Currently, Dr. Luther serves as Senior Medical Director of HHO, overseeing a health-care home model of primary care integrated with mental health and oral health services that specialize in Healthcare for the Homeless and Ryan White Care for people living with HIV.  She is especially interested in expanding that model into larger, coordinated care networks.  In her spare time, she loves to travel, scuba dive, and have fun with her 3 year old daughter and husband.

Mark Ishaug
Mark Ishaug
Chief Executive Officer

Mark Ishaug serves as the Chief Executive Officer of Thresholds, Chicago’s oldest and largest provider of comprehensive services for people with severe mental illness. Mark’s 25 years of leadership in healthcare advocacy and service provision have included success in building public/private partnerships and dismantling stigma and discrimination among vulnerable populations. As mental health services are now bolstered by more effective community interventions in addition to the life-changing medications, Ishaug’s work is focused on bringing mental health policy in line with established best practices in the field. 

Scott Ziomek
Scott A. Ziomek
Director, External Affairs
Northwestern Memorial HealthCare

Scott Ziomek joined Northwestern Memorial HealthCare (NMHC) in November 2010 as Director, External Affairs. In this role, he is responsible for the hospital’s advocacy and lobbying activities at the local, state, and federal, levels of government.  He has a keen knowledge and understanding of healthcare issues and the impact they have on hospitals. Prior to his position at NMHC, Scott served as Vice President, Government Relations at Metropolitan Chicago Healthcare. He also serves on the Board of the Campaign for Better Health Care and is active on a number of task forces and committees at the Illinois Hospital Association.  Scott received both his Master of Public Administration and Bachelor of Arts, Political Science degrees from the University of Illinois at Chicago.

Sarah Grebasch
Sarah Grebasch
Associate Director of Development and Evaluation
Heartland Human Care Services

Sarah Grebasch has worked in the human service field for the past 6 years in different capacities with an emphasis in housing.  With a current focus on development and evaluation of housing programs and supportive services, she has experience working as a program manager and coordinator for a transitional housing program, as a case manager for residential and permanent housing with short term supports programs, and as an advocate for survivors of violence in a health care setting.

Denise Scarpelli
Denise Scarpelli, PharmD
Market Pharmacy Director Chicago

Denise Scarpelli received a Doctorate in Pharmacy from University of Chicago College of Pharmacy in 1996. She has worked for 19 years in many positions within the Pharmacy Operations of Walgreens. In her current role, Denise oversees all the Pharmacy Operations in the Chicagoland area and works on collaborative relationships with healthcare providers within the market.

Heather Steans
Heather Steans
Illinois State Senator
Illinois General Assembly

Heather Steans has represented Illinois’ 7th Senate District for four years. She graduated from Princeton with a B.A. in Urban Studies and received her M.A. in public policy from Harvard’s John F. Kennedy School of Government. Steans’ professional career has focused on government finance, economic development and education reform.  She is the former budget director of the Wisconsin Department of Industry, Labor and Human Relations, and served as a strategic planner with the Chicago Public Schools. Currently Steans chairs an Appropriations Committee, Vice Chairs the Environment Committee, co-chairs the bipartisan, bicameral Medicaid Advisory Committee, and serves on the Public Health and Human Services committees. Steans passed Medicaid reform legislation to address the state’s $2.7 billion shortfall, ensuring ongoing solvency of the Medicaid program.   In addition she has enacted significant nursing home reform legislation, bills to improve the environment by reducing mercury waste and creating commercial composting capabilities, and sponsored bills to create civil unions and repeal the death penalty.  Steans has received numerous awards, including the Legislator of the Year Award from AARP, the Richard Phelan Profile in Courage Award from Planned Parenthood, the Legislative Recovery Award from Trilogy and the Saving Lives Award from Roosevelt University. Heather and her husband Leo Smith have lived with their three children in the Edgewater neighborhood of Chicago for 18 years.


Nadeen Israel
Nadeen Israel
Policy Associate
Heartland Alliance for Human Needs and Human Rights

Nadeen has worked for Heartland Alliance since 2009, and her current focus is health care policy. In this position, Nadeen advocates for a health care system that fosters innovative, cost-effective, and integrated models of coordinated care and addresses the needs of vulnerable populations. Nadeen holds a Masters in Social Work from the School of Social Service Administration at the University of Chicago, and a B.S. in Business Administration from the School of Business at the University of Illinois at Urbana-Champaign. 

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