As the director of the Consortium of Independent Physician Association (CIPA) Healthcare Transformation, she leads statewide efforts to strengthen more than 1,000 physicians’ overall performance in quality, cost of care and utilization management. A respected leader, Ms. Mackensen works to enhance physician pay-for-performance outcomes through her extensive knowledge of the Patient-Centered Medical Home (PCMH) and the PCMH-Neighbor (PCMH-N) models of care. From 2006 – 2011, she was responsible for the implementation of one of the largest PCMH programs in the country with the Blue Cross Blue Shield of Michigan (BCBSM) PCMH designation program.