Hospital/Physician Integration Strategies and Innovation Payment Methods (Health Care Conference)

David A. Gregory
Principal, Healthcare Management Consulting
Baker Tilly Virchow Krause, LLP

David has a varied healthcare economics background ranging from hospital operations management to managed care underwriting / pricing to reimbursement optimization. Currently, he is responsible for directing projects for all client types, including hospitals, health plans and life sciences and technology companies. His practice area specialties include financial analysis and reimbursement modeling; strategic planning and marketing; new technology value analysis and reimbursement assessments; hospital revenue cycle reengineering; health plan medical expense reviews and managed care contract negotiations.

David was previously employed by Prudential Insurance Company of America, responsible for network development for all of Prudential’s managed care products in the Hudson Valley in New York. He also served as Prudential’s regulatory liaison for New York and Connecticut, a senior underwriting consultant for five of Prudential’s largest managed care accounts and the coordinator of Prudential’s managed care feasibility study unit. His previous experience also includes five years of institutional operations management at New York University Medical Center, New York Hospital-Cornell Medical Center-Westchester Division and the Westchester County Medical Center. His responsibilities there included fiscal analysis and operations management.

Specific experience
> Directs financial operations engagements for hospitals and health plans which have resulted in positive economic impacts for clients
> Assists life sciences clients in securing positive coverage determinations from large national carriers and assisting multiple clients in generating over $100 million in new revenue through various market access activities
> Directs numerous projects for life sciences and technology companies that have resulted in peer-reviewed publications and posters as well as reimbursement optimization tools