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HMO Experts

The following experts are available as HMO consultants and HMO expert witnesses.  ORC experts are peer-recommended authorities who have been carefully selected and rigorously screened.
    Definition:  HMO - A managed care organization that provides healthcare.

Synonyms:  Health Maintenance Organisation, Health Maintenance Organization

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1 to 25
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HMO Experts
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Expert in Human Capital strategy, Health insurance/managed care organizations
In 23 years of consulting, he has helped hundreds of clients perform competitive benchmarking. Areas benchmarked for employers have been benefit provisions/competitiveness, administrative efficiency of vendor contracts, service to cost, and ROI on human ... See full profile

Virginia (VA), USA

Expert in Provider Relations, Operations, Provider Network Development, Provider Contracting
Expert has been involved in Provider Relations/Network Development and Operations in the Health Insurance Industry as an executive (VP/Manager), both domestic and international and is experienced in all aspects of contract negotiations. See full profile

Pennsylvania (PA), USA

Expert in Commercial Health Insurance Market in China
Expert is Founder and Secretary General of the Expert's Firm, China's first independent forum for high-level info exchange and dialogue on commercial health insurance development. The CCHIF brings together ... See full profile

Beijing, China

Expert in Internal Medicine, Medical Director at HMO, Medical Director at Nursing Home
Expert is board certified in Internal Medicine with a special interest in managed care. He received his MD from Albert Einstein College of Medicine in 1974 and completed his internship in internal medicine and resident training in internal medicine ... See full profile

Georgia (GA), USA

Expert in Global Outsourcing/HR Services; Cloud Based IT/ERP Systems; Shared Services; US Healthcare; Pensions
Expert is a seasoned senior executive with over 25 years of experience in Executive Leadership, P&L Management, Global Business Strategy, M&A, building/leading global operations, Business Delivery & Transformation, Business Services Innovation, Sales ... See full profile

Illinois (IL), USA

Expert in Healthcare Reform, Health Insurance, Health IT, and Healthcare Finance
Expert is President ofExpert's Consulting Firm, a management advisory and operational consulting firm focused on the managed care and healthcare delivery industries. A healthcare economist and published author, Expert's specialty is ... See full profile

Massachusetts (MA), USA

Expert in Health Care Management and Technical Documentation
Expert has worked with physicians, hospital systems, and universities in designing and using new forms of health care. He has written several books on the subject. Primary interest is in a new record system where the patients carry their ... See full profile

Texas (TX), USA

Expert in Pediatrics, Adolescent, & Young Adult & Administrative Medicine, Medical-Legal Issues, Public Health
Strong background since establishing the first student internship program in bioehtics at the Kennedy Bioethics Institute in 1972 - mentor Andre Helligers, then director of the CEnter. Published in medical ethics journals. Hospital ethics committee ... See full profile

California (CA), USA

Expert in Healthcare Industry, Telemedicine, Healthcare Market Research, Best Clinical Practices, Urgent Care.
Expert has over 15 years of experience in clinical medicine. He has served as Medical Director and/or Department Chairman for 7 Emergency Departments nationally, focused on implementation of Clinical Best Practices. He has served as National ... See full profile

Texas (TX), USA

Expert in Accounting, Internal Controls Design, Financial Reporting, Human Resource Plans, and Growth Plans
Expert has a degree in accounting and has applied this training in analysis of source documents and recording of business transactions into end user financial reports. Expert has analyzed business transaction needs and internal and external reporting ... See full profile

Minnesota (MN), USA

Expert in Systems and Processes in Clinical & Regulatory in Pharmaceutical, Healthcare and Health Insurance
Accounting ethics | Expert is a CPA, member of AICPA and NYSSCPA. Expert has global experience with pharmaceuticals, focused on corporate integrity agreements and Physician Payment Sunshine Act, interacting with finance, audit, clinical and regulatory ... See full profile

New Jersey (NJ), USA

Expert in Hospital Administration, Health Care Administration,Patient Safety, Labor Relations, Physician Mgmt.
Expert has successfully served as President and CEO of hospitals and health systems for over 25 years. These organizations include for-profit and non-profit hospitals, urban, suburban and rural facilities, teaching hospitals, trauma centers, acute and ... See full profile

Tennessee (TN), USA

Expert in Population Management, Medical Technology, Evidence Based Medicine, Generational Differences
Expert is board certified in Family Medicine. He recieved his MD in 1975 from the University of Alabama in Birmingham Medical School and completed his family practice residency at the U.S. Naval Hospital in Pensacola, Florida, finishing as Chief ... See full profile

Florida (FL), USA

Expert in Pediatrics, EMR, Medical Management, Managed Care Medicine, Asthma, Web-based Medicine
Expert has had a Board Certified general pediatric practice for 17+ years in private practice. He has been president of company - over 20 physicians in pediatrics and family medicine with additional 10+ mid-level ... See full profile

Massachusetts (MA), USA

Expert in Insurance & Insurance Bad Faith
Expert established his independent consulting frim. His duties included executive and managerial responsibilities, sales, service, compliance with all insurance laws and regulations. The firm are leaders in life, health, disability, flood and property and ... See full profile

New Jersey (NJ), USA

Expert in Property, Casualty Insurance
Expert' experience is the accumulation of 27 years of Property/Casualty insurance litigation as an attorney plus over 12 years working in the Property/Casualty insurance field in underwriting and as an agent/broker. Because of that background he ... See full profile

Texas (TX), USA

Expert in Health Care Organization, Function, Quality Improvement,
Expert is board-certified in family medicine with a subspecialty in pediatrics, teaching and practicing in a multi-specialty, medically underserved ultra-orthodox community health center in the Hudson Valley of New York and two other teaching ... See full profile

New York (NY), USA

Expert in Life and Health Insurance Financial Analysis, Product Development, Ratings Management
Expert developed a wide understanding of health and life insurance companies' business strategies, operations and profitability during her 11 years of experience at rating agencies. She was an active voting member of committees for assigning insurance ... See full profile

Pennsylvania (PA), USA

Expert in Family Medicine
Expert received his MD in 1986 and his MS in Clinical Psychology in 1972 from California State University. He completed residency training in family medicine in 1994. He served as Chief Resident during his final residency year. See full profile

Massachusetts (MA), USA

Expert in Rx Marketing, Rx Benefits, Specialty Pharmacy, Rx Benefits Management, Evidence-Based Rx Use
Since 1989, Expert has provided consulting related to pharmacy benefits, marketing of pharmaceuticals, biotechnology and biological products, pharmaceuticals- related business strategy and new business development. See full profile

California (CA), USA

Expert in Pharmaceutical Medicine, Child & Adolescent Psychiatry; Managed Care & Managed Care Liability
Expert is a Board Certified Child & Adolescent Psychiatrist and has worked for almost 10 years in the pharmaceutical industry. He recieved his training at Stanford University School of Medicine. His expertise include managed care and managed care ... See full profile

Pennsylvania (PA), USA

Expert in Otolaryngology, Facial Plastic Surgery, Accreditation of Outpatient Health Care Facilities
Expert used to have a solo private practice, services for which included all aspects of medical and surgical otolaryngology, adult and pediatric audiology, neuro-otologic testing, hearing aid dispensing, and facial rejuvenation with injectables, chemical ... See full profile

Maryland (MD), USA

Expert in Facilitating Business Growth Through Commercialization of New Medical and Biotechnology Products
Expert has extensive experience supporting clients in pharmaceutical, medical and industrial markets. An electrical engineer by training, and the principal of his own consultancy for more than 12 years, he brings strong ... See full profile

North Carolina (NC), USA

Expert in Pediatrics and Adolescent Medicine
Expert is a Board Certified primary care pediatrician in practice for 24 years, treating children and adolescents from birth through age 21. In addition to his clinical work, he participates in monthly health care surveys and marketing programs, ... See full profile

New York (NY), USA

Expert in Physician CPT Coding, Billing and Chart Reviews, Overpayment, F&A and Qui Tam Rebuttal
He is an expert in health care billing - focusing on coding, charts audits, billing compliance and operations. His expertise will prove invaluable for Revenue Cycle Enhancement, create a Compliance Program and/or provide high ROI Litigation Support ... See full profile

Maryland (MD), USA

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