Tom Bone Email & Phone Number

Mashpee, Ma, Us

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.

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.

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.

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.

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.

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%

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

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

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

Richmond, Va

Designed and implemented first Medicaid managed care program for Virginia Medicaid- After start up, program legislatively mandated for statewide rollout.

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

Master, Health Care Administration, Ambulatory Care

Master, International Relations, Sino-Soviet World Relations