Health Services Management Expert #200315

Professor, Southwestern US

I have 40 years of experience in the field of health services management, with specific knowledge of health care human resources, physician practice patterns and information systems management. I have published on such topics as health services organization and delivery. I have testified on physician malpractice.

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  Actuarial Healthcare Expert #001819

President and Consulting Actuary, Southeastern US

I have 30 years of experience, and specialize in the field of managed care with specific knowledge in the areas of actuarial, financial and underwriting. I have published on such topics as health insurance claim reserves, managed care financial reporting and health insurance underwriting. I have testified 9 times on topics such as underwriting, financial reporting and managed care.

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  Managed Care Program Evaluation Expert #001189

President, Mid-Atlantic US

I have 25 years of experience, and specialize in the field of health economics with specific knowledge in the areas of provider reimbursement, health antitrust and managed care. I have published on such topics as physician and hospital reimbursement, payment to non-participant providers and comparative health plan payment rates. I have testified 10 times on topics such as class certification, health antitrust and provider payment issues. I am relatively unique in having academic and research experience and publications relating to provider payment, affordability of insurance and other health finance topics as well as hands on consulting experience related to evaluation and design of provider payment experience.

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  Reimbursement, Coverage Expert #22663C

President and Chief Executive Officer, Northeastern US

I have 15 years of experience, and specialize in the field of reimbursement with specific knowledge in the areas of drugs, medical devices and medical/in vitro diagnostics. I have published on such topics as 800 medical policies on all specialties on the internet, clinical practice guidelines on 13 diseases for CME credit and a number of papers on cardiovascular topics. I have testified on reimbursement law suits, qui tam provisions of the False Claims Act and technology assessment in determining coverage and reimbursement.

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  Rate Setting, Reserves Expert #20A32A

President, Mid-Atlantic US

I have 12 years of experience, and specialize in the field of health actuarial with specific knowledge in the areas of managed care contratcting, hospital reimbursement and IBNR reserves. I have published on such topics as US health care reform, health data and payment methodologies. I have testified on max charge audit violation.

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  Health Insurance Expert #20E59F

Associate Professor, Northeastern US

I have 30 years of experience, and specialize in the field of health care administration with specific knowledge in the areas of insurance and managed care, business planning and physician practice management. I have published on such topics as HIPAA preparedness and unintended consequences, insurance, human resource case study on staffing and scheduling and impact of special interest groups on health reform, and aspects of teaching health care administrative students.

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  Quality Assurance Expert #210531

Professor, Health Management and Policy, Midwestern US

I have 25 years of experience in the field of health care management, with specific knowledge of quality assessment and improvement, quality assurance, and performance assessment of healthcare organizations. I have published on such topics as quality assessment, quality improvement and hospital performance assessment.

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  Healthcare Operations Expert #20753A

Northeastern US

I have 25 years of experience and specialize in the field of healthcare management, with specific knowledge of contract management, corporate compliance and healthcare regulations. I have testified on breach of contract and employee termination disputes.

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  Hailey Court, Bad Faith Expert #000B2F

President, Southeastern US

I have 25 years of experience, and specialize in the field of health and life insurance with specific knowledge in the areas of managed healthcare, agent responsibilities and ethics. I have published on such topics as managed healthcare. I have testified on post claims underwriting and denial of claims.

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  Spinal Cord Injury, Disability Expert #2234AA

Rehabilitation Consultant, Canada

I have 20 years of experience, and specialize in the field of disability case management with specific knowledge in the areas of brain injury, spinal cord injury and orthopedic injuries. I have published on such topics as brain injury and glutathione. I make good things happen and create positive changes that effect people's lives.

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  Medicaid Managed Care Expert #2000C9

Pharmacy Director, Southwestern US

I have 12 years of experience and specialize in the field of Medicaid managed care pharmacy, with specific knowledge of Medicare Part D, Medi-Cal and dual-eligibles. I have published on such topics as Medicaid pharmacy issues and pharmacy-related clinical issues. Most of my job involves population-based pharmacy for 330,000 members with Medi-Cal, Medicare or Healthy Families coverage. My staff and I develop drug formularies, prior authorization criteria, guidelines, preferred drug lists, and evaluate potential drug request denials.

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  Materials Management Expert #194A54

Executive, Materials Management, Mid-Atlantic US

I have 30 years of experience, and specialize in the field of materials management with specific knowledge in the areas of vendors, products and contracts. I have published on such topics as health care materials management, contract review and implementation and cost reductions. During a very brief period of time, I organized, coordinated and implemented the delivery of over 1,000 hospital beds at nine different locations in a nearly transparent manner.

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  Medical Coding, Reimbursement Expert #206663

Northeastern US

I have 30 years of experience and specialize in the field of healthcare management, with specific knowledge of medical coding, reimbursement and teaching medical courses.

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  Medical Economics Expert #21E5A7

President, Northeastern US

I have 20 years of experience, and specialize in the field of managed care, with specific knowledge in the areas of actuarial, finance, and medical economics. I have published on such topics as health care reform. I have testified on provider contract disputes with managed care companies, disputes with reinsurers, and PBM's. My first job was as a left handed baseball pitcher for the Texas Ranger's organization.

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  Managed Care Expert #20933D

Health Care Director, Midwestern US

I have 18 years of experience and specialize in the field of managed care, with specific knowledge of contracting, health care reimbursement and networks.

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  Contracts, Billing, Coding Expert #2227E4

Operations Management Consultant

I have 12 years of experience, and specialize in the field of managed care with specific knowledge in the areas of accounts receivables, contracts and billing and coding.

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  Business Development Expert #02E9F4

Principal, Northeastern US

I have 23 years of experience, and specialize in the field of managed health care with specific knowledge in the areas of finance, strategic planning and business development.

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