As the U.S. healthcare system transitions from consumption- and volume-based paradigms to quality- and value-based care models, each segment of the healthcare system, including health plans, hospitals, government programs, shared-risk organizations, ACOs, integrated care delivery systems, physicians, pharmaceutical, and life sciences companies are now under pressure to deliver high-quality care while being vigilant of financial performance. Providers deal with disparate systems and incomplete data keeping them from delivering the best possible care
The webinar will discuss how comprehensive patient data and analytic insights at the point of care can help providers better care in a more efficient and effective manner, while increasing financial performance.
Webinar participants will learn:
Who should attend:
L. Patrick James, MD, Chief Clinical Officer, Health Plans and Policy, Medical Affairs for Quest Diagnostic
Dr. James assumed this role in June 2014, and in this position, he supports the medical organization of Quest Diagnostics through strong business and medical input. Prior to assuming this role, he served as Senior Medical Director for National Accounts and Senior Managing Director of the Kansas Business overseeing all business functions in a five-state region. Before joining Quest Diagnostics, Dr. James served LabOne as Executive Vice President for Pathology and Laboratory Services. He spent nine years with Health Midwest, a 14 hospital integrated delivery system in Kansas City, as Medical Director of Hospital Integration where he led seven service lines including: lab, pharmacy, radiology, pulmonary, case management, registration and medical records, and rehab. Dr. James’ experience spans Research Medical Center, St. Joseph Hospital in Denver, Colorado, and National Naval Medical Center in Bethesda, Maryland.
Dr. James has been active in civic leadership serving on the boards of the Kansas City and St. Louis Chambers of Commerce, the Civic Council of Greater Kansas City, the Midwest Research Institute, and the Missouri Health Connection. He is also a former Chairman of the Board of the Kansas City Area Life Sciences Institute. Dr. James earned his medical degree with honors from St. Louis University. He performed his internship and residency training in anatomic and clinical pathology with board certification at the National Naval Medical Center and post- graduate training in cytopathology with board certification at Johns Hopkins Hospital. Dr. James has received his extensive leadership development training with the United States Navy and with positions of increasing responsibility in both for profit and not for profit organizations.
Gaurish Chandrashekhar, Director of Revenue Management, Finance Department at Harvard Pilgrim Health Care
In this role, Mr. Chandrashekhar is tasked with developing and leading a team to pursue risk adjustment revenue opportunities for Harvard Pilgrim’s Medicare and Commercial lines of business by deploying effective prospective and retrospective initiatives. He joined Harvard Pilgrim in 2001 as an Analyst and grew through the ranks to the position of Manager, Pricing Applications. In his current role, he reports to the SVP & Controller of Finance. Gaurish graduated from Southern New Hampshire University (previously New Hampshire College) in 1999 with a Masters in Computer Information Systems.
Prior to immigrating to the United States, he completed his Bachelors in Engineering from University of Mumbai in 1994 and his MBA in Finance from ITM, Mumbai in 1998. Outside of his day job, Gaurish is a professional percussionist and actively performs, records and teaches the fine art of Southern Indian drumming. His students have won awards at various national-level competitions. He has conducted lecture demonstrations at institutions such as Berklee College of Music and recorded for Boston Symphony Orchestra’s web project. He was also one of six recipients of the Massachusetts Cultural Council’s 2014-2015 Traditional Arts Apprentice grant program.
Ruben J. Nazario, MD, Medical Director of Clinical Analytics for Inovalon
In this role, Dr. Nazario provides best-practice and evidence-based clinical support and oversight in support of Inovalon’s products and services. Dr. Nazario is extensively involved in the clinical design, implementation, and improvement of Inovalon’s portfolio of healthcare data analytics solutions, clinical data review tools, and clinical data integrity and quality oversight programs.
Prior to joining Inovalon, Dr, Nazario was in clinical practice as a pediatric hospitalist at Inova Children’s Hospital, where he was part of the team of physicians leading the implementation of EPIC‘s electronic medical record across the Inova Health System. He also worked as medical editor for First Consult, Elsevier’s point-of-care clinical decision support tool. Dr. Nazario graduated from the University of Kentucky with a Bachelor of Science degree in Biology, and received his medical degree from the University Of Louisville School Of Medicine. He completed his residency in pediatrics at the Medical College of Virginia/Virginia Commonwealth University.