Pierantonio Russo Md, Fcpp, Faap, Sts Email and Phone Number
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Pierantonio Russo Md, Fcpp, Faap, Sts personal email
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).
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Corporate Chief Medical OfficerEversana Aug 2020 - PresentChicago, Il, Us -
Chief Medical OfficerEversana Mar 2022 - PresentChicago, Il, Us -
Consultant Medical InformaticsEversana Oct 2020 - Mar 2022Chicago, Il, Us -
Chief Medical OfficerEversana Jun 2019 - Oct 2020Chicago, Il, Us -
Advisory Board MemberAegle Health Partners-Stop Loss-Reinsurance Jul 2020 - Present
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Advisor Board MemberDatycs-Www.Datycs.Com Oct 2018 - PresentAutomated clinical and administrative data extraction from EHR and Charts, using Natural Language Processing (NLP)
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Chief Medical Officer And Chief Clinical Transformation OfficerPopulation Health Management- Spring Hills Oct 2020 - Mar 2022
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Health Care Consultant And Interim Cmo Managed Care, Medical Informatics, Quality, End Of LifeOne Home Care Solution Jan 2019 - Jun 2019Fully Capitated Post Acute Care Company (Infusion; DME, Home Health)
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Chief Medical OfficerUpward Health (Formerly Behavecare) Nov 2017 - Jun 2019Behave 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.
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ConsultantHarvard Pilgrim Health Care And Lecturer Population Medicine, Harvard Medical School Nov 2017 - Dec 2017
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Vice President Health Services And Sr Medical DirectorHarvard Pilgrim Health Care Jun 2016 - Nov 2017Canton, Massachusetts, UsClinical 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. -
Medical DirectorIndependence Blue Cross Nov 2007 - Mar 2016Philadelphia, Pa, UsChair 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/ -
Chief Cardiac Surgery, Pediatric Cardiac Surgery, Codirector Adult Cicu; Unos Tansplant SurgeonUniversity Missouri, School Of Medicine (Mu) Oct 2001 - Sep 20072001-2007 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)
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Full Time Associate Professor Of Surgery And PediatricsThomas Jefferson Medical College Jan 1999 - Jun 2001ResponsibilitiesDirector 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
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Chief Ped Cardiac Surgery;Director Cardiac Icu;Director Unos Approved Heart Transplant ProgramTemple University And St Christopher'S Hospital For Children Feb 1988 - Nov 1998ResponsibilitiesClinical, 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
Pierantonio Russo Md, Fcpp, Faap, Sts Education Details
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University Of Pennsylvania School Of MedicineHealth/Health Care Administration/Management -
Mayo Clinic Graduate School Of Biomedical SciencesComplex Congenital Heart Disease -
Medical School, Bologna University Bologna, Italy, 1972-1978 Degree: Md (110/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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