Expert Details
Healthcare Reform, Health Insurance, Health IT, and Healthcare Finance
ID: 730883
Massachusetts, USA
Expert holds a Doctorate and Master's degree from the Wharton School of the University of Pennsylvania, where he studied Health Care Management and Economics. He also holds Bachelor's degrees in Management Science and Writing from the Massachusetts Institute of Technology. Expert is a member of the adjunct faculty of Northeastern University, where he teaches students in the Health Informatics Graduate Program. He additionally serves on the Visiting Faculty of the Employer, where he teaches a post-graduate course on Health IT.
Outside of his consulting and academic work, Expert provides thought leadership through both expert networks and the media. Expert has been featured in over one hundred articles from outlets including JAMA, CNN, Forbes, Fox, Inc., CBS News, NBC News, Reuters, U.S. News and World Report, The Advisory Board, The Christian Science Monitor, Yahoo! Finance, Becker's Hospital Review, Fierce, Healthcare Finance News, HealthLeaders Media, KevinMD, mHIMSS, Modern Healthcare, Minyanville, and Seeking Alpha.
He conducted a survey and focus group to determine levers for improving customer satisfaction, enabling a regional health insurance company to earn a 4-star rating from NCQA.He performed due diligence on a health services supplier to enable an investor to decide whether their profit was derived from legitimate activities or fraud.He helped a regional payer develop a retail strategy for the individual and small group markets, ending a three year trend in declining enrollment.He advised an external consulting firm on mobile health’s current and potential impact on population health management.He examined county-level medical loss ratios, market share, and broker commission agreements to enable a national payer to better understand the determinants of its performance.
Education
| Year | Degree | Subject | Institution |
|---|---|---|---|
| Year: 2011 | Degree: Ph.D. | Subject: Health Care Management & Economics | Institution: The Wharton School of the University of Pennsylvania |
| Year: 2008 | Degree: M.A. | Subject: Health Care Management & Economics | Institution: The Wharton School of the University of Pennsylvania |
| Year: 2006 | Degree: S.B. | Subject: Management Science | Institution: MIT |
| Year: 2006 | Degree: S.B. | Subject: Writing | Institution: MIT |
Work History
| Years | Employer | Title | Department |
|---|---|---|---|
| Years: 2013 to Present | Employer: Undisclosed | Title: Visiting Faculty | Department: Information Systems |
Responsibilities:Expert has taught a course on the management of Health IT to post-graduate (MBA) students at the Employer. The case-based course takes an international perspective. |
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| Years | Employer | Title | Department |
| Years: 2012 to Present | Employer: Undisclosed | Title: President | Department: n/a |
Responsibilities:Developed new business. Served clients in the managed care and healthcare provider industries. Conducted analyses, held interviews, published articles in peer-reviewed journals, and advised leaders about potential strategies. |
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| Years | Employer | Title | Department |
| Years: 2012 to Present | Employer: Undisclosed | Title: Part-Time Lecturer | Department: Health Informatics Graduate Program |
Responsibilities:Expert taught "Emerging Technologies in Healthcare" to masters students pursuing a degree in health informatics. |
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| Years | Employer | Title | Department |
| Years: 2011 to 2012 | Employer: Oliver Wyman | Title: Associate | Department: Health & Life Sciences |
Responsibilities:Expert served as a management consultant in a practice addressing the needs of the health insurance, hospital, and pharmaceutical industries. He helped a regional payer develop a strategy for engaging consumers in the individual market post-reform. He also assessed the implications of healthcare reform for small group sales in four states for a national payer. |
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| Years | Employer | Title | Department |
| Years: 2006 to 2011 | Employer: The Wharton School | Title: Doctoral Student | Department: Health Care Management & Economics |
Responsibilities:Expert provided methodological guidance to Archstone Consulting for the report, “The Biopharmaceutical Sector’s Impact on the U.S. Economy: Analysis at the National, State, and Local Levels”. He also reviewed the literature on the success and failure of firms in order to assist in the legal defense of a medical device firm. He subsequently developed the literature review into a book chapter on the determinants of success and failure in the medical device industry. |
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Additional Experience
| Expert Witness Experience |
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| Expert has consulted for numerous health insurance companies, private equity companies, and consulting firms. His work has primarily dealt with health insurance, healthcare finance, health IT, and healthcare reform. |
Career Accomplishments
| Associations / Societies |
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| American Heart Association |
| Publications and Patents Summary |
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| Featured in over 150 healthcare articles. Published in JAMA. |
Fields of Expertise
electronic medical record, health, health care, health care cost control, health care industry, health care industry quality management, health care management, health care market research, health care marketing, health care plan, health care policy, health care provider, health care quality assurance, health care regulation, health care system, health insurance, health safety, HMO, managed care, medical informatics, medical information system, medical record, medical reimbursement, outcomes research, research, universal health care, public health engineering, concierge medicine, population health management, electronic prescribing, ambulatory care, actuarial health care, medical record review, convalescent care, patient care management, preferred provider organization, Current Procedural Terminology, medical billing, quaternary care, urgent care, primary care, health care claims substantiation research, medication risk assessment survey, alternative medicine, market assessment, disease control, medical research, medical technology, quality assurance, information technology, market research, cost control, marketing, hospital, information system, human health assessment, health assessment, emergency medicine