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

Prochant

Senior Consultant

Senior Consultant and Director of Transition 

Mystic Metrics LLC

Mystic Metrics is a revolutionary social education network that brings back “spirit” to business.  Its sole purpose is to pull together some of my best friends in an effort to help raise universal consciousness, and nurture anyone looking to find and become their very best self.

Owner

Brightree

-Manage the successful implementation of the Brightree product solution from initiation, planning and execution, through Go-Live and transition to service/support. 
-Serve as the primary point of contact for project during the deployment 
-Coordinate resources to ensure that both external and internal customer needs are satisfied 
-Identify unique business requirements and coordinate projects with extended services, as needed.

Senior Project Manager

Gateway Behavioral Health Services

Direct Billing and Reimbursement activities for 60 + individual programs, including but not limited to: 

~Preparation of monthly programmatic reports and invoices for government grants and other private contracts. ~Regular submission of Medicaid, Medicare, and Commercial insurance claims. ~Payment posting and Account Reconciliation. ~Management of denied and rejected claims. ~Individual & facility level contract negotiation and facility enrollment. ~Monitoring of held accounts receivable balances 


Analyze revenue and reimbursement trends, compile and present reports to Executive Leadership Team and Program Managers

~Collection rates ~ AR Trends ~Profitability ~ Revenue Trends by Department ~Revenue by Service Type ~Ad Hoc Reports

Direct Business Operations/Front End Processes at six mental health outpatient facilities, including but not limited to:

•	EMR implementation documentation and training
•	Identifying and assisting with implementation of Best Practices in Customer Service (including planning and direct supervision of a centralized registration and scheduling desk)
•	Identifying and remove barriers to access to care
•	Continuous development of companywide processes to support a healthy Revenue Cycle
•	Hosting interdepartmental training on new processes and procedures

Director of Reimbursement

Responsible for driving success and opportunities across the assigned account(s):

• Maintained entries in the CRM system to cover all regularly scheduled contacts & opportunities
• Coordinated product and solution sales opportunities with the technical sales team 
• Built strong client relations with users through senior client executives.
• Developed strategic selling plans for all opportunities.
• Prepared outlines for data projects and prepared quotes for customers
• Generated forecasting reports for accounts.

Technical Account Manager

Innovative Pharmacy Solutions

Billing Specialist

“The most important single ingredient in the formula of success is knowing how to get along with people.” —Theodore Roosevelt

With a 20-year track record in healthcare RCM and revenue operations, I've mastered the ecosystem from ground-level services to the strategic orchestration of sales operations. My expertise lies in driving financial performance and leveraging technology to power operational efficiencies.

Presently, I am immersed in the sales operations sector, focusing on the innovative technologies that underpin it. 

My passion for tech-driven solutions translates into my entrepreneurial endeavor, Mystic Metrics, which aims to democratize holistic care through accessible, minimally regulated platforms.

I am keen to connect with professionals and organizations that resonate with my commitment to progress and impactful healthcare delivery. Let's join forces to shape the future of healthcare.

taplio

The Battle

Heather Davis

Rachel Schools

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