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Joe Welfeld

Greater New York City Area

Joe is a healthcare executive with extensive experience working with hospitals, managed care organizations, physician groups, and technology vendors. He has broad management and consulting experience on both the strategic and operational levels in Managed Care contracting activities as well as alternate reimbursement models such as Accountable Care (ACO) and Episodes of Care/Bundling. Joe works directly with "C" level executive at clients, helping to develop Physician Alignment and Consumer Engagement strategies as well as regional approaches to technolo...

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Areas of Expertise

  • Healthcare Strategic Initiatives

    Extensive experience in healthcare strategic initiatives involving physicians, technology and mobile health

    • Healthcare Delivery
    • Integrated healthcare systems
    • physician integration
    • Ambulatory Surgery Centers
    • Hospitals
    • Physician Offices
    • Mobile health
  • Healthcare Startups

    Understand key issues facing healthcare organizations as they seek to deploy technology initiatives

    • Healthcare Delivery
    • Telehealth
  • Managed Care

    Extensive experience with alternative reimbursement models including capitation and bundled payments

    • Healthcare Delivery
    • Payers
    • Reimbursement

Reviews

  • JJ
    Joe has been coaching me for about 6 months. During this time, he has proven to be an amazing resource with a wealth of healthcare knowledge. He is a great strategist and has helped me to better assess and clearly define my career goals. Joe's advice has been very helpful for my career development. He has challenged me to push myself beyond my comfort zone and I am more confident because of him. I highly recommend Joe for mentoring, coaching, self-assessment, career development, and resolving general strategic and operational healthcare issues.
    John J. Maher, Esq., CPPO

Investing Profile

Investor Overview
1-3 investments
Invests $10,000 per company

My Interests

Health Sectors
Medical Devices, Digital Health, Biotech, Health IT, Healthcare Delivery, Payers

Experience

  • President

    The Welfeld Group | July 2013 - Current

    Strategy & Business Development Advice for Healthcare Executives and Entrepreneurs: Expertise Includes: - Physician Alignment Strategies - Accountable Care Organizations - Health Information Exchanges - Bundling and Case Rate Development - Technology Initiatives - Patient Engagement Strategies - Managed Care Contract Negotiation - Executive & Management Coaching - Marketing & Public Relations Strategies

  • Adjunct Professor, Health Information Technology: MBA Program - Healthcare Admin

    Baruch College | November 2013 - Current

  • Professor/Mentor - Healthcare Administration & Management

    Empire State College | November 2013 - Current

  • Healthcare MBA Program Advisory Board & Faculty Member

    Dominican College | March 2014 - Current

  • Vice President

    RelayHealth | February 2005 - July 2013

    Responsible for implementation of the RelayHealth Health Information Exchange platform which allows health system clients to engage their physician and patient communities. Assist client executives with HIE and physician alignment strategies by linking regional providers for health data exchange. Works as part of an executive management team on internal strategic priorities, and provides coaching support to developing managers.

  • Regional Vice President

    Hay Group | December 2003 - Current 2004

    Responsible for establishing the healthcare strategy function for the Hay Group's metro New York office. Worked with numerous hospital and physician organizations on strategic initiatives and managed care strategies.

  • Director - Graduate Program in Healthcare Administration

    Long Island University | August 2000 - May 2005

    Responsibilities include strategic planning, marketing, faculty recruiting, and community outreach, as well as teaching, student advising and mentoring. Concurrent activities included consulting with various healthcare organizations on strategy and business development. Created new Certificate Program in non-Profit Management to enhance program offerings.

  • Managed Care Consultant

    Various | January 1999 - February 2005

    Managed care contracting and strategy consulting. Worked with provider organizations to develop and implement Independent Practice Associations (IPA), and Physician Hospital Organizations (PHO) in order to negotiate risk-based capitation and other reimbursement models.

  • President & CEO

    Affiliated Physicians Network, Inc. | March 1997 - August 2000

    Responsible for leading a start-up, physician-owned organization focused on clinical case rates for oncology services. Developed comprehensive case rates supported by actuarial analysis for all stages of breast cancer to be implemented by a network of 75 oncologists in New York, New Jersey and Connecticut.

  • Principle

    McManis Associates | December 1996 - Current 1997

    Responsible for health care consulting projects with primary focus on hospital-physician integration and physician alignment strategies.

  • Regional Vice President and CEO

    Ocean State Physicians Health Plan/United Healthcare | December 1982 - Current 1987

    Responsible for overall management of a start-up physician-owned IPA model managed care organization and positioned it for acquisition by United Healthcare Corporation. During my tenure, Ocean State was recognized #2 in the INC 500 list of the fastest growing privately held corporations in the country.

Education

  • City University of New York-Baruch College - Zicklin School of Business

    MBA | Healthcare Administration | 1970 - 1975

  • The Cooper Union for the Advancement of Science and Art

    BE | Mechanical Engineering | 1970 - 1975