Pierantonio Russo Md, Fcpp, Faap, Sts

Pierantonio Russo Md, Fcpp, Faap, Sts Email and Phone Number

Corporate Chief Medical Officer EVERSANA @ EVERSANA
Pierantonio Russo Md, Fcpp, Faap, Sts's Location
United States, United States
Pierantonio Russo Md, Fcpp, Faap, Sts's Contact Details

Pierantonio Russo Md, Fcpp, Faap, Sts work email

Pierantonio Russo Md, Fcpp, Faap, Sts personal email

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About Pierantonio Russo Md, Fcpp, Faap, Sts

Expertise: Health Care Analytics; Health Economics; VB reimbursement; Managed Care; Health Care Innovation; Population Medicine; Health Care Quality; Clinical Programs Development. Cardiovascular Medicine and Surgery, Heart Transplantation and Congenital Heart Disease.I am a CT surgeon and health care executive. I have practiced cardiac and heart transplant surgery for more than 20 years and more recently I have held executive positions in the areas of data and analytics, predictive modeling using ML, health economics and reimbursement, health insurance and population medicine. After leaving the Mayo Clinic, from 1988 to 2007, I held academic, clinical and administrative leadership positions as Chief of Cardiac Surgery, Pediatric Cardiac Surgery and Heart Transplantation at several Academic Hospitals in the USA, including Temple University, St Christopher’s Hospital, Thomas Jefferson Medical College and the University of Missouri. From 2007 to March 2016, I was Medical Director at Independence Blue Cross (IBC), Philadelphia, where I worked with the data analytic team to design predictive and prescriptive analytics that guided the appropriate utilization of remote monitoring, digital solutions and telemedicine for IBC members with advanced HF. From 6/2016 to 11/2017 I was Vice President of Health Services at Harvard Pilgrim Health Care in Boston, and responsible for managing utilization management, providers network, medical cost and medical policies, advanced disease management programs, including practice integration of behavioral health with primary care, across four markets (MA, ME, NH, CT). In Boston, I was also Council Chair and Board member of the Massachusetts Health Care Quality Partners (http://www.mhqp.org/). My teaching experience spans over 20 years plus. I held full-time academic positions in surgery and pediatrics at Temple Medical School, Thomas Jefferson Medical College, the Allegheny University (PA) and the University of Missouri (MO). I taught for the Wharton School of Business (International program), a course on “Managing Performance of HSO” and was on the Harvard Medical School Faculty as Lecturer in Population Medicine. Recently I was also CMO at Behave Care/ Upward Health) and at Springs Hills Population Health (NJ). I hold a Certificate in Health Care Innovation-Health and Health Care Administration Management (UPENN) and a Certificate in Digital Medicine. In Nov 2017, I received the Health Hero Award, in recognition of contributions to the health and welfare of the community ((www.bostonglobe.com/lifestyle).

Pierantonio Russo Md, Fcpp, Faap, Sts's Current Company Details
EVERSANA

Eversana

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Corporate Chief Medical Officer EVERSANA
Pierantonio Russo Md, Fcpp, Faap, Sts Work Experience Details
  • Eversana
    Corporate Chief Medical Officer
    Eversana Aug 2020 - Present
    Chicago, Il, Us
  • Eversana
    Chief Medical Officer
    Eversana Mar 2022 - Present
    Chicago, Il, Us
  • Eversana
    Consultant Medical Informatics
    Eversana Oct 2020 - Mar 2022
    Chicago, Il, Us
  • Eversana
    Chief Medical Officer
    Eversana Jun 2019 - Oct 2020
    Chicago, Il, Us
  • Aegle Health Partners-Stop Loss-Reinsurance
    Advisory Board Member
    Aegle Health Partners-Stop Loss-Reinsurance Jul 2020 - Present
  • Datycs-Www.Datycs.Com
    Advisor Board Member
    Datycs-Www.Datycs.Com Oct 2018 - Present
    Automated clinical and administrative data extraction from EHR and Charts, using Natural Language Processing (NLP)
  • Population Health Management- Spring Hills
    Chief Medical Officer And Chief Clinical Transformation Officer
    Population Health Management- Spring Hills Oct 2020 - Mar 2022
  • One  Home Care Solution
    Health Care Consultant And Interim Cmo Managed Care, Medical Informatics, Quality, End Of Life
    One Home Care Solution Jan 2019 - Jun 2019
    Fully Capitated Post Acute Care Company (Infusion; DME, Home Health)
  • Upward Health (Formerly Behavecare)
    Chief Medical Officer
    Upward Health (Formerly Behavecare) Nov 2017 - Jun 2019
    Behave Care is a Technology and Telemedicine Enabled, Integrated, Health Care Organization that manages the health care provided to high risk, high need, individuals, including those with behavioral health and substance use disorders, by adressing all impactable determinants of health outcomes (personal, social and access to clinical care). BehaveCare's clients are Health Plans and Accountable Care Organizations.
  • Harvard Pilgrim Health Care And Lecturer Population Medicine, Harvard Medical School
    Consultant
    Harvard Pilgrim Health Care And Lecturer Population Medicine, Harvard Medical School Nov 2017 - Dec 2017
  • Harvard Pilgrim Health Care
    Vice President Health Services And Sr Medical Director
    Harvard Pilgrim Health Care Jun 2016 - Nov 2017
    Canton, Massachusetts, Us
    Clinical leader across business areas in the HPHC markets in MA, NH, CT and ME• Responsible for medical cost management• Oversight Appropriate Utilization of Clinical Services (all HPHC markets) • Strategic Initiatives with Partners Providers• Develop and Implement Bundled Payments. • UM Function Direct Oversight• Medical Policy Direct Oversight• Medicare LOB Medical Management Direct Oversight • Provider Network Direct Oversight• 18 Reports, including 7 medical directorsLecturer Population Medicine, Harvard Medical SchoolCouncil Chair and Board MemberMHQP-The Massachusetts Health Quality Partners (MHQP) http://www.mhqp.org/The Massachusetts Health Quality Partners (MHQP) is a nationally recognized, non-profit coalition of physicians, hospitals, health plans, purchasers, patient and public representatives, academics, and government agencies. MHQP has a well established track record as the trusted leader in Massachusetts for objective, independent health care quality measurement and reporting.
  • Independence Blue Cross
    Medical Director
    Independence Blue Cross Nov 2007 - Mar 2016
    Philadelphia, Pa, Us
    Chair Advisory Committee, Medical and Surgical Policies; Chair Cardiac Surgery Committee, PHCQA (Pennsylvania Health Care Quality Alliance);Manager, Medical Directors Support Unit (Referral and Coordination of Medical Reviews);Utilization Management and Appeals (Commercial and Medicare); ALJ hearings;Post Service appeals (claims review-surgical cases); Match Specialist reviews for appeals (cardiovascular disease and transplantation);Quality of Care case reviews; Physicians credentialing; Value Based Reimbursement Initiatives;Wellness Presentations to National Employers Group; Active Member Social Media CommitteeActionable analytics: Use of Health Plans Data to support Maintenance of Certification Activities for General Surgeons (MOC4) (IBC-ACS-MLH); Likelihood of Hospitalization and Rehospitalization for Heart Failure, predictive models; Designed and Supervised an “Enhanced Disease Management Program" for high risk members with Heart Failure” (Patient Navigation, Transitional Care, Medication Management, Remote Electronic Monitoring): 2000 members enrolled; 300 participating cardiologists; delegated nursing staff embedded in eight hospitals. Supports Contract Department in designing bundled reimbursement models for alternative specialized sites of care (Short Stay Units) Network Activities, Supports and Reviews Pay for Performance Initiatives with providers Case reviews for the Fraud and Abuse Department (CFID)Advisor Pharmacy Policies and guest participant P&T Committeeibxinsights.com/author/pierantonio-russo-m-d/
  • University Missouri, School Of Medicine (Mu)
    Chief Cardiac Surgery, Pediatric Cardiac Surgery, Codirector Adult Cicu; Unos Tansplant Surgeon
    University Missouri, School Of Medicine (Mu) Oct 2001 - Sep 2007
    2001-2007 Chief Pediatric Cardiac Surgery-2001-2007 Chief Division Cardiac Surgery-2003-2007Attending Cardiac Surgeon-University Hospital and Truman VAH Surgical Director Cardiac Care Unit, University Hospital Associate Professor of SurgeryUNOS Qualified Heart Transplant Program Director ECMO ProgramResponsibilitiesBuilding a Cardiac Surgery program with emphasis in the repair of complex congenital heart malformations in infants and adultIntroducing ECMO for pediatric and adult indicationsResponsible for divisional and CICU clinical and financial activities, quality outcomes; equipment/supplies acquisition.Directly responsible for the financial activities of the Division of Cardiothoracic Surgery (income, expenses, billing, salaries, contracts with third party payers through the Faculty practice plan).Hire of medical and non-medical direct reports.Direct Reports included: 3 senior cardiothoracic surgeons; 2 ABTS candidate cardiac surgical fellows, 5 physician extenders (PA-Nurse Clinicians), one general surgical resident and 4 perfusionists.Member of 7 Hospital Management CommitteesTraining CT Residents ABTS candidatesBasic Science Research (see grants)
  • Thomas Jefferson Medical College
    Full Time Associate Professor Of Surgery And Pediatrics
    Thomas Jefferson Medical College Jan 1999 - Jun 2001
    ResponsibilitiesDirector of Special Research Grant-Common Wealth of Pennsylvania ($ 500,000) to study the effect of hypothermia and cardiopulmonary bypass in a neonatal cardiac surgery model
  • Temple University And St Christopher'S Hospital For Children
    Chief Ped Cardiac Surgery;Director Cardiac Icu;Director Unos Approved Heart Transplant Program
    Temple University And St Christopher'S Hospital For Children Feb 1988 - Nov 1998
    ResponsibilitiesClinical, administrative, financial and quality activities of:• Hospital Division of Cardiac Surgery• Hospital Cardiac Service Line• Hospital Cardiac ICUBuilding and Directing the Pediatric Heart Transplant ProgramEstablishing a Cardiac ECMO ProgramOrganizing, Funding and Directing the Basic Research Laboratory for the Heart InstituteTeaching of CT fellows and Cardiology fellowsSupervision of CT fellows and Cardiology Fellows during Research Lab RotationHiring of medical and non-medical direct reports.Media Relation and MarketingDirect reports included• 2 pediatric cardiac surgeons,• 1 pediatric cardiac anesthesiologist/intensivist,• 1 advanced practical nurse,• 4 physician assistants,• 2 perfusionists,• 4 nurse clinicians,• 1 heart transplant coordinator,• 2 ABTS candidates (CT residents),• 1 general surgery resident,• 2 physiologists,• 1 lab technician.

Pierantonio Russo Md, Fcpp, Faap, Sts Skills

Healthcare Managed Care Medicare Health Insurance Disease Management Healthcare Consulting Leadership Hospitals Healthcare Management Utilization Management Medicaid Hipaa Management Healthcare Information Technology Health Policy Strategic Planning Insurance Clinical Research Provider Relations Project Management Business Strategy Medicine Business Process Improvement Claim Team Building Healthcare Information Technology Process Improvement Working With Physicians Clinical Data Management Research Physicians Ehr Emr Electronic Medical Record U.s. Health Insurance Portability And Accountability Act Informatics Medical Education Medical Writing

Pierantonio Russo Md, Fcpp, Faap, Sts Education Details

  • University Of Pennsylvania School Of Medicine
    University Of Pennsylvania School Of Medicine
    Health/Health Care Administration/Management
  • Mayo Clinic Graduate School Of Biomedical Sciences
    Mayo Clinic Graduate School Of Biomedical Sciences
    Complex Congenital Heart Disease
  • Medical School, Bologna University Bologna, Italy, 1972-1978 Degree: Md (110/
    Medical School, Bologna University Bologna, Italy, 1972-1978 Degree: Md (110/
    Medicine
  • Mayo Clinic Alix School Of Medicine
    Mayo Clinic Alix School Of Medicine

Frequently Asked Questions about Pierantonio Russo Md, Fcpp, Faap, Sts

What company does Pierantonio Russo Md, Fcpp, Faap, Sts work for?

Pierantonio Russo Md, Fcpp, Faap, Sts works for Eversana

What is Pierantonio Russo Md, Fcpp, Faap, Sts's role at the current company?

Pierantonio Russo Md, Fcpp, Faap, Sts's current role is Corporate Chief Medical Officer EVERSANA.

What is Pierantonio Russo Md, Fcpp, Faap, Sts's email address?

Pierantonio Russo Md, Fcpp, Faap, Sts's email address is pi****@****ibx.com

What schools did Pierantonio Russo Md, Fcpp, Faap, Sts attend?

Pierantonio Russo Md, Fcpp, Faap, Sts attended University Of Pennsylvania School Of Medicine, Mayo Clinic Graduate School Of Biomedical Sciences, Medical School, Bologna University Bologna, Italy, 1972-1978 Degree: Md (110/, Mayo Clinic Alix School Of Medicine.

What skills is Pierantonio Russo Md, Fcpp, Faap, Sts known for?

Pierantonio Russo Md, Fcpp, Faap, Sts has skills like Healthcare, Managed Care, Medicare, Health Insurance, Disease Management, Healthcare Consulting, Leadership, Hospitals, Healthcare Management, Utilization Management, Medicaid, Hipaa.

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