How Plans are Supporting Provider Partners to Achieve Value-Based Care Goals

How Plans are Supporting Provider Partners to Achieve Value-Based Care Success

Panelists

 


 

Amy Pearlman

Amy Pearlman, MSW, LICSW
Vice President, Clinical Provider Strategy
Beacon Health Options

The Vice President, Clinical Provider Strategy for Beacon Health Options, Amy Pearlman oversees a national team of clinical staff who seek to engage providers in collaboration to improve Clinical and Quality outcomes for those who receive Behavioral Health care through the analysis of trends in aggregate data patterns. Ms. Pearlman also plays a leadership role in developing trainings, including Beacon’s national opioid strategy initiative in response to the current opioid crisis.

Ms. Pearlman began her tenure in Behavioral Health Managed Care in 2002 as a Regional Network Manager with the Massachusetts Behavioral Health Partnership (MBHP) in Boston Massachusetts, then rising to the position of Network Management Director. Following a brief hiatus from Managed Care to manage a large Behavioral Health Mobile Crisis Unit serving the South Shore of Massachusetts, Ms. Pearlman joined Beacon Health Strategies prior to the merger with Value Options to manage Clinical and Business Integration departments. She then transitioned to Provider Strategy, taking on a leadership position for the department for the newly integrated Beacon Health Options. Ms. Pearlman believes passionately in taking a collaborative approach with providers to improve healthcare outcomes, and is a staunch advocate of evidenced based outcomes utilizing the analysis of aggregate data. She developed an inaugural program at Beacon designed to engage providers through field based clinicians who partner to improve outcomes. Ms. Pearlman serves as the clinical lead for telehealth, leads Beacon’s work on a strategy for Opioid Use Disorders, and participates in the ongoing refinement of clinical and quality measures for success through Value Based Payment arrangements.

A quintessential social worker, Ms. Pearlman has a strong desire to improve healthcare outcomes and believes that the best way to support the largest number of people is through her work in the managed care industry. She has transitioned between provider and payer settings over the course of her career to develop her clinical skills and maximize her empathy of provider experience, with the mission of aligning perspectives around a shared focus and goal to improve healthcare for individuals and families. Her clinical expertise is in crisis intervention, community based care, and clinical program design.

Ms. Pearlman received a Bachelor of Arts degree in Psychology and Spanish language and literature from Brandeis University and a Master of Social Work from Smith College School for Social Work, where she later served an adjunct professor.

Melinda Walter

Melinda Walter, MHA, CPC
Director, Provider Network
Independent Health

Melinda Walter is the Director, Provider Network at Independent Health, a local not-for-profit Health Insurance Company in the Buffalo region of Western New York. In her role, Melinda works with providers on contracting and reimbursement, including value-based payment arrangements. She received her master's degree in Health Administration from D'Youville College and maintains a certified professional coding credential. She enjoys spending time with her family skiing, being outdoors and especially cooking with her children.

Mackenzie DeBoer

Mackenzie DeBoer
Senior Clinical Transformational Consultant
Geneia

Mackenzie is senior clinical transformational consultant at Geneia, where she partners with and advises clients on their population health and care management practices.

A clinical professional with extensive experience in the medical field, Mackenzie’s career is highlighted by clinical innovation, clinical operations expertise, and leading quality clinical outcomes that include developing population-health-management strategies, omni-channel digital patient outreach and end-to-end patient journey strategies, and automated patient specific journeys with ROI dashboards.

Prior to Geneia she served as director of quality and care coordination at Paladina Health, having advanced in care coordination roles of increasing responsibility over several years. She previously worked for the University of Colorado Hospital as a registered nurse and advanced care partner, and in an earlier role as patient care coordinator at Belmar Family Medicine. Mackenzie holds a Master of Public Health from the Colorado School of Public Health. She earned a Bachelor of Nursing from the University of Colorado, and a Bachelor of Science from the University of Michigan. She enjoys taking advantage of what her home state of Colorado has to offer – mountain biking, skiing, camping, music and much more.