Lumeris, Inc. — Designed and sold accountable care financial return model. Planning tool helps hospital systems, health plans and other organizations anticipate financial impacts from entering into value-based payment contracts. Marginal analysis of impact across the entire health system allows for scenario planning and sensitivity analysis.
SCIO Health Analytics — Senior consultant and research director charged with expanding client base and improving market position of Care Analytics division. Responsible for designing and improving key product lines including predictive modeling, ID and stratification, outcomes measurement and value based benefit design.
Health Dialog, Inc. — Leader of research team that developed methodologies for reporting financial outcomes to clients across all business units and products. Credible medical cost savings estimates identified by external consultants as the key driver of new sales and client retention. Subject matter expert in savings analysis as well as quality and utilization reporting. Recognized innovation and thought leader within the company.
RTI International — Customized concurrent risk adjustment model for Medicare “Pay for Performance” demonstration. Evaluated multiple regression methodologies and identified new validation techniques. Authored report outlining risk adjustment process and presented process to potential demonstration participants. Created financial simulation allowing participants to enter individual assumptions and analyze impact on potential bonus payments enhancing user experience and increasing participation rate.