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Vinay Patel, Pharm.D.

Raleigh-Durham, North Carolina Area

I am a clinical pharmacist who has for 10 years focused on population health management to improve multiple chronic care conditions for thousands of patients and infused my creativity at every employer to successfully execute innovative clinical programs. I understand pharmacy, technology, analytics, and have a deep understanding of value based care/ pay for performance reimbursement structures and how to apply those tools to successfully execute strategy within a startup/growth company.

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Areas of Expertise

  • Pharmaceutical reimbursement

    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.

    • Healthcare Delivery
    • Payers
  • 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.

    • Healthcare Delivery
    • Payers
    • Hedis
    • Pay for performance
    • Pharmacology
  • 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.

    • Healthcare Delivery
    • Ambulatory care
    • population health

Investing Profile

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.

My Interests

Health Sectors
Healthcare Delivery, Pharmaceuticals, Payers
Markets, Health Indications, Health Issues
  • Diabetes
  • pharmacy
  • Population health

Experience

  • 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.