by Stephani Simmons
March 31, 2017
President and CEO,
Trusted Health Plan
Thomas Duncan attended Florida A & M University, School of Business, graduating Magna Cum Laude with an MBA. He began his healthcare career at a small community based hospital in Detroit, Michigan. Using analytics and metrics he built a stellar interdisciplinary team which created two profit centers for the hospital; a multi-specialty clinic serving over 10,000 patients and a 68 bed mental health unit. The mental health unit became licensed and JACHO certified within 9 months serving almost exclusively uninsured patients. Building on his success in team building serving the uninsured he then developed a company to serve the “underinsured.” Through analysis of patient utilization patterns with and without care management and personal coaching, Thomas developed an initial approach to changing patients’ health behaviors utilizing partnerships with their providers. His next entrepreneurial venture was Care Compensation Specialists which specialized in Medicaid, TANF, ABAD, and SSI enrollment. This venture was immediately successful and resulted in a sale to Accretive Health (ticker AH) via a stock swap in July, 2007. He managed Medicaid revenue of just under $1B for over 45 hospitals and delivered over $700 million in reimbursements previously uncovered.
Thomas M. Duncan is convinced that Medicaid based Managed Care Organizations not
only have the opportunity but the responsibility to substantively improve the health
outcomes of each of its members. Through years of experience Duncan has developed
a model for managed care organizations to drive results by changing health behaviors
using analytics, metrics and community based, personal outreach. In 2011, Mr. Duncan
developed Trusted Health Plan.
Trusted Health Plan from its inception has been infused with the idea that we can only
make a difference if we are located where our enrollees live, interacting and increasing
awareness about the benefits of prevention and health lifestyles. To that end, all
Trusted’s programs are modeled after an enrollee-centered care concept that focuses
on interactions with the enrollees in an effort to change behavior. Trusted Health Plan
began serving approximately 30,000 members in Washington, DC on July 1st, 2013.