Kevin Maher Email and Phone Number
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My goal is to find career opportunities to design, test, implement, and systematize innovative value-based care contract concepts to more effectively scale value/risk-based contract concepts in order to support the growing need to comply with more complex based value-based contract requirements to control the total cost of care and improve quality performance. I have a long track record of increasing role accountabilities and accomplishments in my consulting and product/program design in the value-based care space across commercial, Medicare, Medicaid, and Special Needs Populations. I believe that the greatest opportunities to improve patient experience and reducing total cost of care and quality exists at the interface of payor and provider functions, leveraging population health data, network management, evidence based protocols, payment alignment and benefit design to incentivize the right patient behaviors and care coordination to ensure the treatment plan is executed as planned. I also continue to be very interested in the consumer engagement experience relative to health and wellness solutions that seek to provide a multi-channel experience aimed at supporting the consumer's role in assuming accountability for their own health -- a trend that is accelerating as government and employers continue to roll back health benefits and increase out of pocket costs.Specialties: Value based care, care transformation, product management, strategy and operational consulting and patient engagement
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Ready To Make A Difference After A 1 And 2 Year Long SabbaticalTo Be DeterminedDenver, Co, Us -
Healthcare Start-Ups - Value Based Care -- Board AdvisorSeeking New Board Advisor Opportunities Oct 2022 - Present
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Ready To Make A Difference After A 1/2 Year Long SabbaticalTo Be Determined Jan 2023 - PresentCedarburg, Wi, UsI have been in the value-based care space since the beginning of the Obamacare legislation. I have led the development and operational management of value-based contracts, and clinical models including PCMH models, ACO models and Episodes of care models across multiple payors and have led initiatives parterning with with Medicare FFS value based care models including Medicare FFS ACO models and the CPC+ multi-payor intitiatives in New Jersey and Louisiana. -
Vice President Healthcare Value TransformationBlue Cross And Blue Shield Of Louisiana May 2017 - Jan 2022Baton Rouge, La, UsAccountable for accelerating the pace and impact of care delivery transformation to improve health outcomes while reducing total cost of care throughout Louisiana thru the use of innovation test and learn pilots, performance improvement coaching and monitoring, EMR integration and the application of predictive analytics. -
President And FounderKevin Maher And Associates - A Consulting Firm Focused On Population Health Start-Up Companies Sep 2016 - Jan 2022A consulting organization focused on helping early stage population health start-up companies define and build their product solutions and value propositions, defining, scaling and optimizing the business and operational model and supporting and minimal viable product/program execution with alpha and beta clients.
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Vp - National Care Management Operations And Clinical InnovationsEvolent Health Jul 2012 - Aug 2016Arlington, Va, Us• National accountabilities: 1) Leadership of all care management operations including all RN, SW and RD staff and non-clinical support staff, 2) All clinical training, policy and procedure development and work force management, and; 3) National Support Model development focused on building and providing operational tools to our market based clinical operations team leaders; 4) Lead of care management innovations and program development• Achieving nearly 50% engagement rates across all programs and nearly 80% of staff meeting annual case load targets• Led the design and implementation of multiple population health programs that are provider led and market based including: Complex care, catastrophic care, palliative care, transition care, emergent care, behavioral care and condition care programs. In addition, led the design of a multi-disciplinary hybrid embedded and remote operational delivery model that engaged both the physician and the patient in the care management process.• Led design, implementation and clinical operations of our 1st client, a $4B,10 hospital system in the Maryland-DC area and played a key leadership role in re-engineering operations at the IUH health plan. -
Director Of Clinical InnovationsHorizon Blue Cross Blue Shield Of New Jersey Nov 2010 - Apr 2012Newark, Nj, Us• As the design and operations leader of a unique start-up aimed at reinventing the NJ delivery system, my team designed, contracted and launched N.J.s first ACO, Medical Home models for primary care and oncology, an orthopedic episode of care program and an inpatient shared savings program. To date, our models have nearly 200,000 members and 500 MDs.• Responsible for the design of the model that enabled NJ to win one of the seven CMMI multi-payor PCMH contracts.• Responsible for defining Horizon’s evolving accountable care delivery technology strategy. The technology strategy centers on five core capabilities: 1) An advanced patient registry tool; 2) A patient longitudinal record and care plan; 3) Clinical information exchange; 4) a physician learning center; and 5) A consumer solution center;• Developed multiple capabilities to scale our accountable care delivery models: A PCMH/ACO playbook that provides a guide for how to implement high leverage population health processes; multiple, quality dependent, total cost of care payment models; and a partnership with Duke School of Nursing to create a care coordinator training program;• Year one outcomes from our accountable care delivery programs are yielding approximately a 12% difference in total cost of care compared to a network control group. -
Vp, Product And Outcomes ManagementMckesson Health Solutions Jun 1996 - Oct 2010Nashville, Tn, Us• Responsible for conceiving and developing a market making “consumer health hub” for the Federal Employees Program. The Health Hub is a centralized data and communications solution, including a full suite of integrated consumer services;• Responsible for managing outcomes for our clients including economic, clinical, operational and humanistic measures;• Developed sixteen new disease management conditions, a patient registry reporting product, new population based reporting package and a community based case/disease management capability and a pay for performance product; -
ManagerDeloitte Consulting 1993 - 1996Worldwide, Oo• Managed the development of detailed consulting methodologies for DTCG’s new service line, “Total Health Management” a population based approach to medical management;• Managed a re-engineering project with a focus on access and emergency services processes for a multi-hospital system;• Managed a hospital merger assessment and planning project which resulted in the creation of a third company.; • Managed a reengineering project for a health system including med/surg nursing, non-clinical and access processes. -
PrincipalBooz & Company 1990 - 1993New York, Ny, Us• Managed the implementation of a patient focused care re-engineering project for a three facility, 600 bed healthcare system - resulted in $3MM to $5MM reduction in annual operating expenses;• Co-managed a cost reduction strategy project for a 1000 bed provider based integrated delivery system;• Managed the planning, design and implementation of a maternal/child patient focused unit for a 600 bed delivery system-resulted in a 15% to 20% reduction in annual operating expenses; -
Director - Utilization ManagementUniversity Of Chicago Hospitals 1989 - 1993Chicago, Il, Us• Implemented a cost accounting and case mix system (Transition Systems Inc.)• Developed and implemented on-going, senior management financial and clinical performance report series• Facilitated teams in the development of 10 clinical pathways-resulted in 10% to 20% decrease in LOS -
Senior ConsultantPrice Waterhouse Management Consultants 1986 - 1989GbSenior Consultant responsible for financial feasibility studies, IDN departmental productivity and supply management projects.
Kevin Maher Skills
Kevin Maher Education Details
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Tulane UniversityHealth Care Administration
Frequently Asked Questions about Kevin Maher
What company does Kevin Maher work for?
Kevin Maher works for To Be Determined
What is Kevin Maher's role at the current company?
Kevin Maher's current role is Ready to make a difference after a 1 and 2 year long Sabbatical.
What is Kevin Maher's email address?
Kevin Maher's email address is ke****@****sla.com
What is Kevin Maher's direct phone number?
Kevin Maher's direct phone number is +172023*****
What schools did Kevin Maher attend?
Kevin Maher attended Tulane University.
What are some of Kevin Maher's interests?
Kevin Maher has interest in Snow Skiing, Fishing, Black Belt In Tae Kwon Do.
What skills is Kevin Maher known for?
Kevin Maher has skills like Healthcare, Healthcare Management, Healthcare Information Technology, Leadership, Strategy, Program Management, Disease Management, Strategic Planning, Process Improvement, Managed Care, Medicare, Product Management.
Who are Kevin Maher's colleagues?
Kevin Maher's colleagues are Wendy Zurca, Reid Alexander Barnard, Nick Nellos, Beverly Stryker, Greg Lee, Linda Neyhart, Joy Beachum.
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