Visionera

DME Services: Health Plan Contracting, Rate Negotiation, Strategic Planning, Expansions, Alternative Payment Models / Value-Based Care, Accreditation

President

Dell Medical School at The University of Texas at Austin

Turning University Research into real-world solutions.  Identifying and mentoring promising med tech innovations and propelling them toward real-world impact. Commercialization Strategies. Business Development.

Texas Health Catalyst Advisor

Soundview Medical Supply

Chief Operating Officer

Prospect Medical Systems

Provider Contracting Manager, South California

TenderHeart Health Outcomes

Transformed corporate strategy, introduced large exclusive MCO contracts, and improved revenue cycle. Oversaw 90+ payer relationships and contracts. Played a significant role in PE acquisition.

Capitation
●Exploded patient volume by 62% and increased EBITDA by 50% in 4 years after securing exclusive contracts.
●Negotiated multimillion-dollar contracts with 3 Managed Medicaid Plans. Secured exclusive contracts with 75% of the state’s Medicaid patients, gaining 30% of the Managed Care market.
●Became the only provider with a demonstrated successful capitation model in Texas, capturing twice the market share as the next largest competitor. 
●Reduced hospital readmissions for targeted diagnoses by 59%, saving Managed Care plan $15M annually.
●Became State’s Capitation Standard after testifying as recognized capitation SME.
●Appointed to Capitation Advisory Boards in multiple Managed Medicaid programs.
●Conducted customer onboarding presentations to 900+ nurses at insurance company.

Operational Optimization
●Differentiated company from other providers by optimizing product delivery to better align with payors.
●Inducted 12K new patients during exponential growth phase by hiring new staff and automating the process.
●Reorganized departments and streamlined processes, reducing hold times and customer fulfillment lead times.
●Consolidated operations by closing 9 branches and migrating to drop shipping.

Chief Operations Officer

Promoted to oversee customer and compliance operations impacting 10K home medical supplies customers in Texas monthly. Implemented processes and systems to improve the company’s reputation. Built strong relationships with Managed Care Organizations and the State’s Health and Human Services Commission to get approval to construct first capitation program in Texas.

Capitation
●Pioneered a “value over volume” differentiated capitation payment model that drove meaningful economic savings for managed care organizations (MCO) partners through appropriate product utilization and better patient outcomes.
●Reduced hospital admissions by 43% after creating a program to align managed care payments with clinical outcomes.
●Successfully transitioned 6K patients to capitation from other providers, with less than 1% opting to stay with the previous provider.

Operational Optimization
●Increased collection ratio from 92% to 97% by improving revenue cycle processes and billing and collections.

Vice President of Operations, Patient Care

Manager of Process Improvement

Authorization Manager

Specializing in creating strategic payer partnerships that drive revenue and improve patient outcomes for DME businesses. Experienced in navigating complex reimbursement landscapes, negotiating favorable contracts, and implementing value-based care initiatives. Proven track record of building strong relationships with payers, providers, and regulatory agencies. 

Passionate about transforming healthcare through collaboration and data-driven insights. Let's connect and explore how Visionera can empower your DME business to thrive.

Heather Davis

Blue Goose Partners

Automating the nuance of healthcare for digital health, ecommerce, and telehealth companies and provider organizations to differentiate and grow their businesses.

Partner

Pregnancy & Newborn

General Manager, Insurance Programs - Consultant

HealthyDiscount.me

HealthyDiscount.me is the go-to resource for connecting health brands to health-conscious consumers looking to uncover retail savings on the latest health products and services. We specialize in leveraging our health insurance ID verification system to connect brands with consumers, delivering meaningful savings to consumers and growing revenue for brands along with brand loyalty.

Director of Business Development

Babylist

Maternity Partners is now Babylist Health - https://health.babylist.com/

Led the transition for Babylist to become a healthcare entity - from acronyms, payment models, tech advisory, business models, and more to a full-scale healthcare provider in a few months.

https://www.businesswire.com/news/home/20230110005289/en/Babylist-Enters-the-Healthcare-Industry-Following-Its-First-Strategic-Acquisition

Over the years as we started our family, the disconnect between experience and receiving care was the most evident in starting a family.  I am very proud to have Maternity Partners acquired by Babylist, the #1 pregnancy platform to continue the vision of eliminating the friction and disconnect between starting a family and pregnancy care.  

In general - We covered the entire ecosystem, 100,000 pregnancy claims reviewed, bundled payment algorithms, developed ecommerce websites, evaluated insurance contracts, and started a credentialed DME Supplier division.  

Reach out with inquiries as we are always happy to share what we have learned.

Healthcare Consultant - Strategy & Operations

Maternity Partners

We offer moms free insurance covered items delivered in a branded subscription box for providers, health plans, and employers.  We help new moms and their families navigate their care at the most precious time in our lives - the beginning of a family.  We verify insurance coverage, providing insights into all the items and services that are covered in a simple manner for mom.  From breast pumps, to breastfeeding, birth classes, and postpartum support.  We even offer great retail options and support for the entire family. Our goal is to continue to grow with our families to offer everything they need through our platform as their trusted care advocate.

Founder & CEO

Classic Learning Initiatives

Co-founder of the Classic Learning Tests serving colleges, high schools, and homeschool students as a better assessment of their educational formation compared to the SAT and ACT.  

100% online, served thousands of students, and hundreds of colleges and secondary schools.

Co-Founder, CEO

Continuum Health

As a physician enablement company, Continuum Health deliver solutions to provider groups, helping foster self-sufficiency by maximizing fee-for-service reimbursement, transitioning them to value-based programs, and preparing them to participate in clinically-integrated networks.

Vice President

Remedy Partners

Remedy Partners enables the dramatic improvement of the quality and efficiency of healthcare delivery by developing and managing episodic payment programs in partnership with leading healthcare organizations. Remedy empowers payers, employers and at-risk providers to organize and finance healthcare delivery through the bundled payment model that connects financial and performance accountability for clinically-defined episodes of care.

Market Leader - Northeast Operations

University of Maryland Baltimore Washington Medical Center

UM BWMC is a 307-bed medical center is an acute-care facility that is part of the University of Maryland Medical System.

Director Strategic Planning & Service Line Development

MED3000, a McKesson Company

A tremendous opportunity to work with an innovative company and great people.

MED3OOO offers hospitals and healthcare providers a multitude of physician services and technology support.  Services include turn key practice management, revenue cycle management services, physician integration strategies, and network development.  MED3OOO offers technology solutions for EHR/PM systems, the M3IQ data warehouse, population health management, hosting solutions and other proprietary revenue cycle enhancement software.

taplio

The Battle

Heather Davis

David Wagner

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