Tom Bone

Tom Bone Email and Phone Number

Vice President, Managed Care at New Health Consulting @
Tom Bone's Location
Providence, Rhode Island, United States, United States
Tom Bone's Contact Details

Tom Bone personal email

About Tom Bone

Accomplished Healthcare Executive with achievements in both the public and private sector with an emphasis in managed care.

Tom Bone's Current Company Details
New Health Consulting

New Health Consulting

Vice President, Managed Care at New Health Consulting
Tom Bone Work Experience Details
  • New Health Consulting
    Vice President, Managed Care
    New Health Consulting 2018 - Present
    Pittsburgh, Pennsylvania
    Responsible for health care operations engagements with New Health Consulting, focusing on care coordination and community outreach serving commercial, Medicare and Medicaid populations.
  • New Seabury
    Consultant
    New Seabury 2017 - Present
    Mashpee, Massachusetts
    New Seabury, a Carl Ichan managed Cape Cod Resort, requires architectural oversight of over 1,500 homes and properties. Consulting as the Architectural Review Committee Administrator, assists homeowners in the planning, construction, and renovation of properties.
  • Optum Insight
    Vice President, Population Health
    Optum Insight 2014 - 2017
    Lincoln, Ri
    Optum Insight works with health care organizations to measure and better understand health outcomes. As Vice President for Population Health, I am responsible for increasing the awareness of, and utilization of, Patient Reported Outcomes in the Provider and Payer sector, specifically the SF-12 and SF-36 patient surveys currently well established in the Life Sciences sector.
  • Department Of Healthcare Services
    Chief, Statewide Programs, Systems Of Care Division
    Department Of Healthcare Services 2013 - 2014
    DHCS, Medi-Cal, is California’s Medicaid program. The Systems of Care Division cares for vulnerable populations with chronic conditions. As Chief of the Division’s Statewide Programs, I managed four programs targeting children and adults suffering from genetic handicaps. Managing to Division restructuring:• Reorganizing program processes.• Consolidating multiple procurements.• Realigning staff.
  • Aps Healthcare
    Executive Director
    Aps Healthcare Nov 2010 - Sep 2012
    Sacramento, California
    Responsible for start-up and P & L of two Medi-Cal Complex Care Management contracts covering 55,000 chronically ill Seniors and Persons with Disabilities, many of who suffer from behavioral health co-morbidities:- Employ field-based Care Manager model across state- Focus on members' psycho-social, as well as medical, needs- Support field staff with multi-disciplinary telephonic team- Initial outcomes indicate reduced ER and readmissions for highest risk members- Success of start up lead directly to similar contract with a major Medi-Cal HMO as well as additional State contract extensions.
  • Unitedhealthcare
    Executive Director
    Unitedhealthcare Mar 2005 - Nov 2010
    Omaha, Nebraska
    As Executive Director, responsible for P & L of a Medicaid Managed Care Plan (HMO) providing at-risk care for over 36,000 medically indigent individuals in the three most populated counties, encompassing Omaha and Lincoln:- Revised medical managment model, achieving 17% reduction in high risk admits- Achieved NCQA "Excellent" rating- Increased membership in non-marketing state by 18%
  • Qualifacts
    Senior Vice President
    Qualifacts Oct 2002 - Mar 2005
    California
    As SVP for Operations (California) provided oversight and guidance necessary to start up the West Coast office of an Applications Service Provider offering an enterprise-wide healthcare management software system to the Califonia public sector:- Led the Sacramento County System Design engagement- Led the Nevada County System Design engagement- Provided management oversight at Seattle development office
  • Birch And Davis Health Management Corportion
    Principal
    Birch And Davis Health Management Corportion Jul 1997 - Oct 2002
    Larkspur, California
    As a Principle for B&D, a healthcare consulting and management enterprise focused on the public sector, expanded the B&D presence in the California market- Developed and conducted regional feasibility analysis for a public sector health purchasing coopertive- Developed innovative Medi-Cal (Medicaid) long-term care delivery model under two engagements at the county level
  • Electronic Data Systems (Eds)
    Director Of Product And Services
    Electronic Data Systems (Eds) Feb 1994 - Jul 1997
    Plano, Texas
    Responsible for the development and implementation of managed care products and services nationwide as a member of the EDS Industry Group's Center of Expertise- Managed the development of a suite of Utilization Management/Quality Management tools and services enhancing the EDS Decision Support offering
  • Department Of Medical Assistance Services
    Director Of Managed Care
    Department Of Medical Assistance Services Jun 1991 - Feb 1994
    Richmond, Va
    Designed and implemented first Medicaid managed care program for Virginia Medicaid- After start up, program legislatively mandated for statewide rollout.
  • Php Healthcare Corporation
    Regional Project Manager
    Php Healthcare Corporation Jan 1986 - Jun 1991
    Alexandria, Virginia
    Regional PM for multiple PRIMUS locations in Northern Virginia- Responsible for start up of beta PRIMUS, a primary care program for military and dependents- Subsequent nationwide growth exceed 26 progams- Managed the 3-month build-out and implementation of five clinics in California

Tom Bone Skills

Provider Relations Medicaid U.s. Health Insurance Portability And Accountability Act Insurance Medicare Behavioral Health Hipaa Business Analysis Utilization Management Healthcare Ehr Organizational Development Emr Healthcare Information Technology Change Management Managed Care Management Design Population Health Medicaid Managed Care Disease Management Healthcare Consulting Hospitals

Tom Bone Education Details

Frequently Asked Questions about Tom Bone

What company does Tom Bone work for?

Tom Bone works for New Health Consulting

What is Tom Bone's role at the current company?

Tom Bone's current role is Vice President, Managed Care at New Health Consulting.

What is Tom Bone's email address?

Tom Bone's email address is to****@****ail.com

What schools did Tom Bone attend?

Tom Bone attended The George Washington University, The George Washington University.

What skills is Tom Bone known for?

Tom Bone has skills like Provider Relations, Medicaid, U.s. Health Insurance Portability And Accountability Act, Insurance, Medicare, Behavioral Health, Hipaa, Business Analysis, Utilization Management, Healthcare, Ehr, Organizational Development.

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