by Jasmine Batchelor
February 8, 2019
National Medical Director, Network Performance Evaluation and Improvement,
Rajesh (Raj) Davda is the National Medical Director for Network Performance at Cigna. He received his B.S. and M.D. from Texas A&M University. He completed his residency in internal medicine and fellowship in nephrology, hypertension, and transplantation at the University of Florida. In 2011, he received his MBA from Southern Methodist University. Raj has over 25 years of experience in practice at academic centers, staff model HMOs, and private practice including medical director of two kidney transplant programs and president of his practice group.
Prior to joining Cigna, Raj was extensively involved in improving quality for end stage renal disease and kidney transplant patients. Raj’s experience includes quality improvement at the local dialysis units earning multiple commendations including diamond quality award from Fresenius Medical Services recognizing the top 1% of facilities, improving patient safety, and eliminating dialysis access infections. Raj has served on the Quality and Physician Management committee for the western United States for Fresenius Medical Services from 2010 – 2012. Raj’s experience in interventional nephrology includes developing quality assurance plan at local hospital meeting American Society of Diagnostic and Interventional Nephrology requirements, reducing radiation exposure during fluoroscopy and developing best practices for reducing acute kidney injury with use of intravenous contrast agent. As medical director of a local kidney transplant program, Raj was effective in improving quality processes resulting in improvement in patient and allograft survival as well as reducing the average length of stay.
After joining Cigna in 2012, Raj has continued his experience in quality improvement at the national level. Raj’s efforts include redesigning and implementation of quality measures for Cigna’s Collaborative Accountable Care, designing quality measures for specialty care including bundled care in orthopedics, cardiology, obstetrics, gynecology, and gastroenterology, and redesigning the quality program for Cigna’s hospital collaborative care program. Raj has continued his interest in nephrology by developing alternative payment models in the area of dialysis with national dialysis vendors and improving the rate of pre-emptive kidney transplants within Cigna’s network. Most recently, Raj is the clinical lead for Cigna’s population health analytics program which seeks to integrate clinical and claims data for quality improvement.
Since 2014, Raj has been actively participating through AHIP on core measures collaborative to reduce and align measures and align across multiple payers including CMS. Raj has served in workgroups for ACO/PCMH measures, gastroenterology, and hepatitis C. Raj has also chaired the cardiovascular core measures group working closely with the American College of Cardiology. Raj has also served on PCORI projects, speaking engagement at AHIP Summit and Institute of Medicine on quality, information technology, and transition of care. In addition, he has extensive experience in quality improvement and population health analytics. Raj’s extensive experience in clinical performance measurement and implementation and hospital performance, in private practice and from health payer prespective, would make him uniquely qualified to serve on the clinician or hospital workgroup.