Areas of Expertise
Want to understand how prescriptions are processed and paid for? Need to figure out pharmacy cost structures or reimbursement for consultative services? I understand everything pharmacy whether product or service oriented.
Value based care
How does pay for performance work? What does it mean when you read that healthcare is moving toward pay for performance and value based care? How can you develop a business strategy around these concepts? Ask me to discuss these topics and more.
Chronic care and population health
I have successfully helped thousands of patients Acheive asthma and diabetes control metrics through coaching and medication management. I have developed clinical programs implemented for insurance clients to care for high risk patients.
- Investor Overview
- Invests $5,000 per company
- Other Investments
- Invested in don it on device for compression stockings and innovative pharmacy delivery models that integrate into medical practices.
- Health Sectors
- Healthcare Delivery, Pharmaceuticals, Payers
- Markets, Health Indications, Health Issues
Director of Clinical Operations
Physicians Pharmacy Alliance (PPA) | September 2013 - Current
Support and develop 14 clinical pharmacists to execute clinical excellence everyday within a delivery based pharmacy model that serves over 13,000 medicaid and dual eligible members in 5 states. Created and implemented multiple clinical programs for managed Medicaid insurance organizations to ensure they met HEDIS goals for each performance year. One such program involved improving adherence to asthma medications for over 1000 members as part of a HEDIS quality initiative. Another program I played an integral role in included effectively executing a comprehensive diabetes monitoring and coaching plan to help a managed care client meet a goal A1c for a large portion of their medicaid population. Worked closely with our internal IT to create/implement new clinical software applications to help support clinical pharmacist activities and enhance pharmaceutical patient care. Collaborated with our internal analytics department to create numerous workload, quality, and clinical reports to measure and strengthen the value of our clinical pharmacist services. Developed a pharmacist led hospital discharge program that supported our most vulnerable population by collaborating with primary care physicians and lowering overall healthcare costs for hundreds of patients each month as a result of reduced re-admissions.