Study Group: Experts on Pay-for-Performance Plans
Council Members in this Study Group: 195
This study group may include physicians, care providers, and researchers specializing in internal medicine, cardiology, oncology, dermatology, emergency medicine, family medicine, neurology, obstetrics-gynecology, psychiatry, radiology, nursing, optometry, genetics, and mental health. It may also include experts knowledgeable on diagnostic labs, disease management, medical devices, long term care, surgery centers, health management, pharma, and biotechnology, among others.
Contact Gerson Lehrman Group to survey or consult with members of this Study Group
Leading institutions connect with members of this Study Group through GLG
Leading Experts in this Study Group
- Carrie Harris-Muller
Chief Administrative Officer
KAISER FOUNDATION HOSPITALS INC
Carrie Harris-Muller is the Chief Administrative Officer of Kaiser Permanente in the Mid-Atlantic States. Previously, Ms. Harris-Muller served as the Regional Vice President of HealthPlan Administration and Contracting. She has held several executive...
- Kent Marquardt
EVP & CFO
PREMERA BLUE CROSSKent Marquardt is Executive Vice President and CFO of Premera Blue Cross.
Dea BelaziPharmacy Consultant
Dea Belazi, PharmD, MPH, PAHMDea Belazi, PharmD, MPH, PAHM, is currently a Consultant working with health plans and pharmaceutical companies. Dr. Belazi is also a Consulting Practice Leader for Wolters Kluwer Health- Managed Care Group. Previously, he was the Senior Director of Pharmacy...
Bruce FriedPartner
SONNENSCHEIN, NATH & ROSENTHAL, LLP
Bruce Merlin Fried is a Partner in the Washington, DC office of Sonnenschein, Nath & Rosenthal. He is a health care law and policy expert who counsels and represents health plans and insurers, physician organizations, hospital groups, health care information...
Frederic GoldsteinPresident and Chief Operating Officer
U.S. Preventive Medicine, Inc.Frederic Goldstein, MS, is the President and Chief Operating Officer of U.S. Preventive Medicine, since January 2008. Mr. Goldstein joined USPM when Specialty Disease Management Services which he founded and served as President was acquired by USPM in...
GLG NewsSM Analyses by this Study Group's Leading Experts(?)
Opinions and analyses expressed in GLG News are solely those of the author. See the Terms of Use for details.
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Healthways A Market Downturn and Results
August 26, 2008
Healthways' Guidance Not So Healthy | www.forbes.com
Healthways reported lower than expected earnings in its current quarter and analysts are pointing to a tightening in the healthcare markets and the fact that Healthways products are expensive. Does this really make sense?
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Genetic Testing Will Move to Mainstream Acceptance
April 29, 2008
Experts see boost to genetic testing from US bill | www.reuters.com
The passage of this bill by the Senate and the likely passage by the house are both good for consumers as well as the companies that conduct genetic testing.
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DOJ Joining Suit against OH MDs and Hospital
April 7, 2008
DoJ joins whistle-blower suit against OH MDs, hospital | www.fiercehealthcare.com
The DOJ joins in when they have reviewed materials and believe it likely that there is a case with some civil or criminal violations.
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Medicaid Health Plans Under the Microscope - Amerigroup Sued by District of Columbia
April 4, 2008
Amerigroup Medicaid Rates Questioned, Suit Filed | biz.yahoo.com
Amerigroup is but one example of the increased scrutiny being paid to Medicaid Health Plans following the FBI raid of Wellcare last year. Expect this to continue and have some volatility on Medicaid health plan performance. Some of this scrutiny may uncover material issues, or impact contracting and rates on a go forward basis.
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Physician Ranking Systems Going Mainstream With National Focus
April 4, 2008
Uniform Doctor Ratings Sought | online.wsj.com
Doctor Rating systems are here to stay and will play a greater role in contracting and patient decision making. Those that seek to disbelieve or dismiss these efforts may find themselves on the wrong end of this debate. Even physician groups such as the American College of Surgeons and the American College of Cardiology are now supportive. There are some provider types that can benefit from this due to their operations and systems.
Members in this Study Group include these company types:
- Managed Care Health Insurer, For-Profit
- Office Based Private Practice or Clinic
- Managed Care Health Insurer, Non-Profit
- Academic Medical Center/Hospital or Clinic
- Blue Cross/Blue Shield Non-Profit Health Insurer
- Consultancy, Healthcare-Focused
- Other Health Insurer, For-Profit
- Integrated Healthcare Delivery Network (IDN)
- Third Party Administrator
Members in this Study Group often have these job titles:
- Director
- Physician - Attending Physician
- Medical Director
- Owner
- Consultant
- Pharmacist - RPh/PharmD
- President
- Chief Executive Officer
- Operations Executive
- Manager
- Chief Medical Officer
Related Study Groups
| Study Group Name | No. Members |
|---|---|
| Medicare Experts | 493 |
| Managed Care Experts | 669 |
| Economic Experts on Managed Care | 714 |
| Managed Care Pricing Trends Experts | 281 |
| Formulary Design Experts | 250 |
| Generic Drug Economic Experts | 766 |
| Economic Experts on Formulary Designs (US) | 51 |
| Claims Processing Software Users | 47 |
GLG Live Meetings with this Study Group's Leading Experts (?)
July 31, 2007 | Boston
GLGi: Managed Care FormularyJuly 30, 2007 | New York
GLGi: Managed Care FormularyGLG Webcasts & Teleconferences
Leading Experts in Experts on Pay-for-Performance Plans have not participated in any GLG webcasts.