Bethany Holmes Email & Phone Number

United States

San Francisco, California, US

Working to grow Direct Primary Care by connecting DPC practices with employers and other large purchasers. -Leading strategy and business development for novel business line Hint Connect -De novo national primary care network development

-Led Provider Performance Management function through major organizational and strategic redesign-Accountable for performance management 40+ hospitals, providers and Accountable Care Organizations (ACOs) managing the care of >650,000 Commercial, Medicare Advantage and Medicaid (MassHealth) members-Lead team of Provider Group Managers to manage.

-Led team of Contract Managers to achieve unit cost targets for major hospital, physician group and Accountable Care Organization negotiations worth over $400M -Led provider contracting and network strategy in Rhode Island, including implementing state-led innovations such as Alternative Payment Methodologies and Patient Centered Medical Homes.

-Managed team of analysts and consultants responsible for understanding and reporting performance metrics for 20+ alternative payment contracts across MA and RI-Advised Accountable Care Organization provider leadership to identify trends and pinpoint areas of opportunity for cost and quality improvement-Delivered accurate and timely monthly claims and.

Louisville, Kentucky, US

-Managed Medicare Advantage Targeted Contracting to achieve $10M in annual savings (2013) and optimal Medicare network performance through physician profiling and reporting-Led build of behavioral health network in expansion states (IL and VA) through management of internal resources and vendor (Beacon Health) -Drove contract innovation initiatives using.

Louisville, Kentucky, US

-Supported telemedicine initiatives including operationalizing telemedicine pilot and product development, consumer research, business case development and consumer experience recommendations -Led an influential Infusion Rapid Research Project for senior leadership on attracting and retaining top talent. The project let to increased emphasis on internal.

Boston, Massachusetts, US

-Developed published guide for parents with children with severe health issues to help navigate the Internet for health information. Guide distributed by the Harvard School of Public Health, the MA Department of Public Health, and area hospitals-Conducted literature review, administered survey and led parent focus group on the utilization and evaluation of.

-Researched and wrote a literature review on the state of research of medical debt and bankruptcy -Analyzed 20 years of Massachusetts hospital system data to inform research on provider networks in MA

Louisville, Kentucky, US

-Led project management on Humana’s Bike Sharing initiative in Central Park-Assisted in crafting Business Plan and Participating Organization Guidelines for Wellness Week, a public-private partnership between Humana and the Pan-American Health Organization, NYC Department of Health and Mental Hygiene, NY Academy of Medicine-Led a team to create a health.

-Researched and analyzed hospitals’ strategic plans for the report’s stakeholder analysis-Identified and analyzed areas of medical care cost expansion using BISHCA reports in Vermont-Wrote findings in report submitted to Vermont legislature

-Planned and organized fundraising events for 300+ guests, raising over $1,000,000 in donations-Wrote copy and updated CHI website and monthly bulletin-Managed and scheduled volunteers and tutored underserved children with hearing loss

-Taught 300+ students in a low‐income area of Spain, grades 2‐6-Taught language teachers English as part of Spain’s “bilingual classroom” initiative-Planned lessons and activities relating to the English language and American culture

Master Of Science (Ms), Health Policy And Management

Cross Registered For Classes In Healthcare Innovation

Ba, History Of Art And Architecture