Presenter: Karen Blount

Karen is Chief Medical Officer for TOG, LLC. She is a managed care leader with experience in network development, contracting and population health. She has extensive experience leading women and children’s health across the continuum and possesses a transitional leadership style with strong team-building and reorganization skills. She has a strong clinical background, excellent relations with multi-disciplinary professional colleagues, and a strong commitment to leadership development and outcome evaluation of leadership transitions.

Prior to her consulting career, Ms. Blount held a number of positions at hospitals located in New York and Pennsylvania. As Vice President of Healthcare Services at HealthNow New York, Inc. in Buffalo, she was responsible for Operational Management of Pharmacy, Case Management, Utilization, Disease Management, Health &Wellness Programs, Behavioral Health, Quality and Regulatory Departments, Medical Directors, Provider Services, Healthcare Services Analytics, Network Contracting and Pricing, and Oversight of a Joint Venture with Kaleida Health to develop an IPA and Insured Tailored Network Product. She delivered all provider contracts below budget while maintaining adequate network and provider relationships, expanded Patient Centered Medical Home Practices from 5% to 33% of overall network; created quality incentives for both hospitals and physicians with improved outcomes; developed strategy and implemented a 500 member physician IPA; delivered $159 million savings over a three year period in the areas of Utilization Management, Case, Disease Management and Pharmacy; and developed strategy and implemented product to sell Care Management and Wellness services nationally.

Value Based Payment 101


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