Gerson Lehrman Group - Intelligently Connecting Institutions and Expertise.

Study Group: Managed Care Experts

Council Members in this Study Group: 669

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.

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Leading institutions connect with members of this Study Group through GLG

Leading Experts in this Study Group

Richard Tarplin

Principal
Tarplin Strategies, LLC
What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

Richard Tarplin is the founder of Tarplin Strategies in Washington, DC, where he provides strategic advice and lobbying services to clients in the financial services and health care sectors. He served for almost 20 years in the US House of Representatives and US Senate and as a senior PresidentialExecutive...

Ronald Kiima, CPA, President , Kiima IncorporatedRonald Kiima, CPA

President
Kiima Incorporated
What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

Ronald A. Kiima is a former SEC Assistant Chief Accountant. Mr. Kiima is currently the President of Kiima Incorporated, a private consulting firm specializing in SEC accounting and disclosure issues, SEC registration statements and periodic reports, SEC investigations and enforcement proceedings,corporate...

22 recent news post(s)
21 recent event(s)
Joseph Delaney, CPCU

Managing Partner
Hilb Rogal and Hobbs of Metropolitan Washington, Inc.
What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

Joseph Delaney is a Managing Partner at Willis HRH of Metropolitan Washington, D.C., a brokerage which places general and specialty insurance (including property/casualty, aviation, and employee benefits) with major underwriters on behalf of its targeted clients (middle-market businesses), as wellas...

1 recent news post(s)
Michael Berman

Assistant Vice President
AON CONSULTING & INSURANCE SERVICES
What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

Michael Berman is the Assistant Vice President at Aon Consulting. He is an experienced group health actuary with over 10 years of broad insurance and consulting experience. Mr. Berman has extensive expertise in the areas of pharmacy, medical, and disability products. His consulting experience has been...

18 recent news post(s)
Carrie Harris-Muller, MBA, MHA

Chief Administrative Officer
KAISER FOUNDATION HOSPITALS INC
What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

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 leadership positions in healthcare, including Cigna...

Bruce Goldberg

President
Pharmacy Benefit Advisors
What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

Bruce Goldberg is the President of Pharmacy Express Services and Pharmacy Benefit Advisors, both based in Omaha, Nebraska. He is a pharmacist and has experience in managed care with PBM contracting and general pharmacy network management. He developed a program which allows generic and therapeuticsubstitution...

1 recent news post(s)
Vikram Singh, MBA

Director in Health and Productivity Practice
Buck Consultants, LLC. (Mellon Consultants)
What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

Vikram Singh, MBA, is the Director in the Health and Productivity Practice at Buck Consultants. His expertise is in the financial and business aspects of pharmacy benefit management. Mr. Singh provides strategic advice in the areas of pharmacy benefit and health care finance, and on mergers and acquisitions...

Larry Day

President
Dialysis Mgmt Inc.
What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

Larry Day is President of Dialysis Management, Inc. He is an expert in the area of renal dialysis and nephrology business management. Mr. Day is knowledgeable on reimbursement and clinical areas. He has over 31 years of experience in this field. Mr. Day has done seminars for over 20 years and has been...

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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.

What are these “Further Adjustments?”

November 11, 2009

GLG Expert Contributor

AHA applauds reform bill, urges further adjustments | www.modernhealthcare.com

Healthcare Reform has passed the House, with some changes from the two versions in the Senate. What are the items that will affect hospitals and what can hospitals expect for margins in the future.

Novartis, Sleeping Giant Wakes-Up in China

November 6, 2009

GLG Expert Contributor

Novartis to invest US$ 1 bn to build largest pharma R&D institute in China | www.pharmabiz.com

Novartis to grow its China presence, late.Novartis has a slow response to market opportunities.GlaxoSmithKline and other big pharma players are perhaps too large to compete in the world's changing markets.

Too Few Questions About Public Option Are Being Asked

October 27, 2009

GLG Expert Contributor

Snowe Rejects Public Option as Senate Democrats Weigh Measure | www.bloomberg.com

There is a nice, warm glow about a "public option" in health care, but what is it? What benefits will it have? How much will it pay providers? Who will actually run it? What is the evidence that any of the goals set for a public plan can actually be met? These and other questions need answers before...

Clarification of Benefits , Allow Cost Comparisions and Speed Claims Payments

September 23, 2009

GLG Expert Contributor

Deficit Plays into Health Reform | www.washingtonpost.com

Health insurance coverage should be defined by specific ICD-9 codes with associated numbers of CPT-4 (service) codes allowed for each diagnosis. This structure would permit : benefit and cost comparisions between insurers, allow patients to understand which health problems are covered, and the number...

Health Care Reform Debate 2009 ~ Blind Rush to Rash Decisions

September 23, 2009

GLG Expert Contributor

Finance Committee Starts Health Care Reform Debate | www.njherald.com

The article covers ongoing debates over many ideas put forth to quickly fix long standing, national, complex matters equally applicable to both government and commercial payors such as (1) expanding & applying appropriate health care administration management oversight  (2) reigning in health careadministration...

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Members in this Study Group include these company types:

  • Managed Care Health Insurer, For-Profit
  • Consultancy, Healthcare-Focused
  • Managed Care Health Insurer, Non-Profit
  • Employee Benefits Consulting
  • Blue Cross/Blue Shield Non-Profit Health Insurer
  • Office Based Private Practice or Clinic
  • Other Health Insurer, For-Profit

Members in this Study Group often have these job titles:

  • Director
  • President
  • Consultant
  • Principal
  • Owner
  • Chief Executive Officer
  • Pharmacist - RPh/PharmD
  • Medical Director
  • Operations Executive

Related Study Groups

Study Group Name No. Members
Economic Experts on Managed Care 714
Medicare Experts 493
Managed Care Pricing Trends Experts 281
Experts on Pay-for-Performance Plans 195
Employee Benefits Experts 371
Formulary Design Experts 250
Generic Drug Economic Experts 766

GLG Live Meetings with this Study Group's Leading Experts (?)

Upcoming Seminars

Leading Experts in Managed Care Experts Study Group have not participated in any upcoming seminars.

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GLG Webcasts

Leading Experts in Managed Care Experts have not participated in any GLG webcasts.

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