Health Care Cost Drivers: Diabetes and Alzheimer’s

Friday, Nov. 13 | 9:30–10:30 a.m.

Nearly half of all Americans suffer from chronic diseases, such as diabetes, hypertension and pulmonary disease, driving 75 percent of annual health spending in the U.S., and an even higher proportion in Medicare and Medicaid. Many of these illnesses could be prevented through lifestyle interventions, such as diet, exercise and not smoking. In addition, for those already affected by the diseases, care management practices can increase compliance with treatment regimes and is shown to reduce devastating and expensive complications. Alzheimer’s, a chronic disease with growing cost implications, only complicates disease management for other co-occurring chronic diseases.




forbesRipley Forbes

Director, Legislative & Policy Advocacy
Partnership for Prevention
Washington, D.C.
Ripley Forbes joined Partnership for Prevention after more than 25 years of experience in the federal government, including 16 as a staff member with Rep Henry A. Waxman’s Subcommittee on Health and the Environment and six in the Clinton administration as senior adviser to the assistant secretary
for health in the Department of Health and Human Services. Forbes’ extensive legislative background includes organizing congressional hearings, managing legislation to authorize agencies and programs of the U.S. Public Health Service, and leading oversight investigations which affected medical device manufacturers and the tobacco industry.
Forbes worked on two Surgeon General’s reports on tobacco, advised the Federal Trade Commission and industry officials on the development of warning labels for cigars, supervised the development of regulations implementing the Synar amendment and supported regulatory efforts to give the FDA jurisdiction over tobacco. Forbes was chosen to serve as a Member of the U.S. delegation that began negotiations leading to preparation of the World Health Organization’s Framework Convention on Tobacco Control. The State Department nominated him as a member of the Framework Convention on Tobacco Control Leadership Bureau because of his work in the area.
After his retirement, Forbes consulted with the Campaign for Tobacco Free Kids on advocacy and negotiating tactics around the Framework Convention on Tobacco Control and directed the government affairs office for the Denver- based American Humane Association. He is a graduate of Emory and George Mason universities and has completed the Program for Senior Managers in Government at the John F. Kennedy School of Government.




Stephen R. Geist, Regional Director

Alzheimer’s Association, California Southland
Geist joined the Alzheimer’s Association in August 2003 as regional director for the Coachella Valley.  His work with seniors began in the health care and senior living industries, where he worked in development, management and marketing. He worked as manager of Education and Training at the American Society on Aging and with the Desert Healthcare Foundation before moving to the Alzheimer’s Association.
Geist’s experience with Alzheimer’s disease and other dementias started with developing and managing retirement housing and assisted living facilities with memory-impaired programs.  He also worked as a consultant with Hearthstone communities in northern Massachusetts, a group conducting research and design of therapeutic residential environments for people with dementia.



kaufmanFrancine Ratner Kaufman, M.D.

Chief Medical Officer and Vice President of Global Clinical,
Medical and Health Affairs for Medtronic Diabetes
Northridge, California
Dr. Francine Ratner Kaufman is the chief medical officer and vice president of Global Clinical, Medical and Health Affairs for Medtronic Diabetes in Northridge, Calif.  She is a distinguished professor emerita of pediatrics and communications at the Keck School of Medicine and the Annenberg School of Communications of the University of Southern California.  From 1998-2009, she was head of the Center for Diabetes, Endocrinology and Metabolism at Children’s Hospital Los Angeles.
Kaufman has published more than 200 scientific articles and authored of 30 books or book chapters. In 2008, she edited the fifth edition of the ADA’s The Medical Management of Type 1 Diabetes.  In 2005 her book, Diabesity, was published by Bantam. She was study chair of the NIH-funded TODAY and HEALTHY trials, and a PI of TrialNet.
Kaufman has served as national president of the American Diabetes Association, chair of the Youth Consultative Section of the International Diabetes Federation and the National Diabetes Education Program andwas elected to the Institute of Medicine.  In 2007, she was co-chair of the Diabetes Work Group for the California Department of Health Services, and has  filmed a documentary for Discovery Health on the global diabetes epidemic. In 2009, she was appointed to the Advisory Council of the National Institutes of Health Diabetes Branch.