COMMITTED TO IMPROVING THE NATION’S HEALTHCARE DELIVERY SYSTEM AND FACILITATING COLLABORATION
Marybeth Regan, PhD... Libertyville, IL 60048 • (312) 497-3000 •
[email protected]
Senior Healthcare Executive and nationally recognized business innovator and healthcare subject matter expert, sales-marketing executive, writer and public speaker. Success in product development includes disease and care management strategies: focused with in-depth understanding of healthcare and experience across diverse healthcare segments (payers, providers, pharmaceuticals / life sciences / devices). Devised solutions and consulted (client facing) with leading organizations. Focus on Population Health and value based methodologies. Consulted with leading organizations including Genentech, Eli Lilly, GlaxoSmithKline, Novartis, Amgen and Pfizer. Demonstrated strengths:
Strategy, Sales and Marketing: Developed and managed a 92 person sales force (for Baxter) and changed focus to increased revenues. Created a sales force concentrating on Payers and Providers for Partner Provider Health (an early version of an ACO). Integrated the acquisition of Auto-Syringe (Insulin Infusion Pumps for Diabetes) for Baxter’s Flint Division to consolidate the two sales forces into one. Held the Chief Marketing position for the Mayo Clinic, Flint Laboratories, Seton Healthcare Services, Partner Provider Health and Baxter. ed marketing and sales for IBM (Watson), Partner Provider Health (PPH), United Healthcare Group, Converge and Deloitte Consulting. International expertise include the UK, Australia, South Africa, , Norway and Israel. Extensive background and Oncology subject matter expert for IBM (Watson), Optum Insight and Deloitte - developed oncology software twice and incorporated with treatment comparison to clinical pathways.
Consulting / Subject Matter Expertise / Product Development: Global Managing Partner for Optum
Accomplishments—Lead for ACO software for Converge Health – a Deloitte acquisition. Project Lead for
Insight. Clients included Integrated Delivery Systems, employer, payer and provider clients such as the Mayo Clinic, Oschner Health System, HealthNet, United Healthcare (UHG), TriCare, HealthPartners and Tennessee Oncology; SME on transparency for Highmark and oncology disease management; defined and implemented an introduction to care and disease management for a nationwide PPO – including oncology and hematology, cardiac, orthopedics, transplants and neurology; implemented three specialty PPO's for cardiovascular care with bundled payments for multiple clients. Negotiated relationship and contract with Health Dialog for their Prevention and Wellness Software. New Opportunities included software – physician referral, ACO Software, Physician Supply and Demand software, Specialty Analytics and Management Software (SAM) for Oncology (Optum Insight and Watson Product Possibilities (IBM). ed devices for diabetes. multi-stakeholder insurance payer organizations for statewide WHIO (Wisconsin Health Information Organization's) data repository creation and first stage of connectivity for Interoperability (contract and operations); $1 million consulting agreement grew to $5.9 over three years. Global Managing Partner for clients such as HealthNet, TriCare (RFP) and HealthPartners (Integrated Delivery System). Led $6.3 Engagement for Highmark incorporating Prevention and Wellness into current clinical pathways (Population Health). Developed global payment for various disease and surgical needs. Closed two contracts for Department of Defense for Tricare: Northern Region for HealthNet for $17.7 billion and $21 for United Healthcare Group.
Leadership Qualities that Build Stakeholder Value
Sales & Marketing Product Development (ACO) Business Transformation Medical Informatics
Population Health Contracting Value Based Payment Models Cost Reduction
Client Relationship Management Program /Process Management Team Building and Leadership Strategic Partnerships
A Career of Driving Process and Innovation for Quality Deloitte Consulting, Chicago, IL SPECIALIST LEADER - SUBJECT MATTER EXPERT
2014 – current
Expert healthcare, marketing and sales for business process management consulting for client engagements in Business and Clinical Transformation Practice. Provided expertise for CIGNA to Value Based Care
Marybeth Regan, PhD
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and Development of Payer/ACO Analytic software for client implementation for Converge Health, a new Deloitte company. Focused on change from FFS to Value Based Payment Models for both Payers and Providers. Client Executive for Converge Health.
IBM, Chicago, IL
2010 – 2013
Healthcare solutions division of $104.5B publicly held (NYSE: IBM) multinational consulting and technology.
HEALTHCARE SUBJECT MATTER EXPERT: BUSINESS SOLUTIONS PROFESSIONAL Consult with senior management executives of healthcare payer, provider and life sciences organizations as Subject Matter Expert (SME) including information/technology strategy, organizational change impact, ease of transformation and opportunities to add business value and profits. Advised Medicare/Medicaid and other payer plans on transformation including Exchanges and ICD-10 solutions for timely compliance, Identify prospects, sell and manage engagements, ed product development for oncology (Watson) software and ongoing . •
ed and promoted for client engagements the implementation of new IBM product Patient Care and Insights.
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Published articles: “Is ICD-10 the Holy Grail of Disease Management,” and “ICD-10: Crunch Time.”
OPTUM INSIGHT (formerly Ingenix Consulting), Minneapolis, MN
2007 – 2010
United Healthcare consulting subsidiary providing information and technology solutions to leading healthcare organizations.
GLOBAL MANAGING PARTNER Provided thought leadership, developed software products and served as project lead and client executive for oncology informatics software. Selected as project lead on multi-stakeholder Wisconsin Health Information Organization's (WHIO) creation of a statewide data repository, including provider engagement strategies and sustainability. Client Executive for WHIO and HealthNet. •
Expanded initial $1M data aggregation / connectivity engagement with WHIO to $5.9M three-year contract.
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Established and revised Genentech’s Access Strategy for their Growth Hormone.
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Served as client executive on major engagements including HealthNet, Tricare, HealthPartners, HealthHelp, HealthPartners, Integrated Medical Solutions, Acacia Medical, Eli Lilly and Tennessee Oncology.
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Developed and sold software solutions focused on benchmarking for specific diseases, physician referral and supply and demand Planning software.
Completed PhD Dissertation
2007 “Disruptive Innovation: The Reluctance of New Technology Acceptance by Physicians;” Focused on EMRs, PHRs, ePrescribing and Telemedicine.
CAPGEMINI/ACCENTURE, Chicago, IL
2005 – 2007 French multinational corporation, headquartered in Paris, ; provider of IT and consulting/outsourcing services. North American healthcare consulting practice was sold to Accenture in 2006.
SENIOR MANAGER Identified prospects, delivered proposals, closed and managed engagements (both IT and strategy) with leading healthcare organizations.
Negotiated contract for large Independent Physician Association (IPA) for Zofran (SKB).
Devised new service delivery model Blue Cross Plan, for large payer healthcare organization, Highmark; encoming Population Health for prevention and wellness; sold and managed $6.3M engagement.
Leveraged expertise in oncology to provide disease management consulting to 2nd Generation Capital.
Spearheaded successful $17.5M RFP to Federal Health and Human Services Agency on interoperability
Reviewed and benchmarked Humana’s care and population health management capabilities and infrastructure.
MAYO COLLABORATIVE SERVICES INC., Rochester, MN Profit arm of not-for-profit Mayo Clinic—world’s largest integrated not-for-profit medical group practice.
VICE PRESIDENT OF MARKETING
2004 – 2005
Marybeth Regan, PhD
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Directed marketing activities for non-profit arm of world renowned healthcare delivery and research organization, managing staff of 75+. Devised innovative sales tactics and delivered targeted presentations to prospects,
Propelled sales +20% in single year.
Drove $50M revenue increase for Mayo Collaborative Services, increasing from $245M to $295M.
Identified Mayo services/products that could be outsourced, including esoteric labs tests, conversion technology and management of clinical trials. ed client with their business processes.
ARTHUR ANDERSEN, Chicago, IL
2000 – 2004
Former “Big Five” ing and consultancy company, currently Accenture.
PRACTICE LEADER / SENIOR MANAGER Recruited to consultancy as Practice Leader focused on developing and implementing e-health strategies for hospitals, payers and other healthcare organizations.
Initiated consulting practice from the ground up focused on clinical trials and health privacy (HIPAA), which generated $1.5M initially year 1in incremental revenue.
Spearheaded Glivec (Leukemia) FDA approval in record time for Oregon Health Sciences University.
Formulated telemedicine and health strategy for Australia government initiative.
PPH (Partner Provider Health, division of TLC, The Laser Center), Boston, MA
1996 – 2000 Specialty Disease Management Company focused on eye care through Independent Physicians Associations of Ophthalmologists and Optometrists.
VICE PRESIDENT, SALES, MARKETING AND PRODUCT DEVELOPMENT
Directed sales, marketing, product development for start-up eye care medical company. (An ACO like company). Devised marketing, network development and sales plan; recruited, trained and led effective sales team.
Delivered initial one-year $1.5M contract for start-up division.
Authored and activated cardiac business plan that resulted in equity investment of $2.5M.
COVENTRY HEALTHCARE (formerly First Health), Downers Grove, IL
1992 – 1996
National PPO, HMO, Workers Compensation, Automobile PPO, TPA).
DIRECTOR OF RISK PRODUCTS
Identified and executed purchase of insurance company; managed t venture for Celtic Insurance.
DIRECTOR OF PRODUCT MANAGEMENT
Introduced population health to clients that increased revenue $3M+ while saving clients +33%. Covered 1.6 Million in first year for transplant, cardiac, maternity, pharmacy and Urology. Developed specialty networks and negotiated contracts (Hospital and Physicians). Lead implementation and client relationships. Additional Healthcare Organization Experience
Baxter International, Deerfield, IL CONSULTING Manager – TRAVENOL MANAGEMENT SERVICES division – t Venture with Bain and Company for Quality Improvement. MANAGER OF SALES AND MARKETING - Pharmaceutical Division. Flint division. Integrated Auto-Syringe (Insulin Infusion Pumps for Diabetes) into product portfolio.
Education PhD—International School of Management, Paris, Dissertation: Disruptive Innovation: The Reluctance of New Technology Acceptance by Physicians. DBA, International Business—International School of Management, Paris, Dissertation: Utilizing the Internet in Disease Management. MS, BSBA, Business and Marketing, Northern Illinois University—DeKalb, IL
Addendum to Resume Professional Affiliations / Certifications / Board Leadership Women Business Leaders of the US Health Care Industry Foundation International School of Management, Paris, —Board Member Commission for Case Manager Certification—Research Committee Healthcare Access Initiative—Board Member University of Chicago, TMJ Association—Board of Directors Healthcare Information and Management Systems Society – Topic Coordinator (seven years) Disease Management Association of America Healthcare Information Technology Standards (HISP)
Academic Experience Adjunct Faculty Member—University of Chicago Adjunct Faculty Member – University of Phoenix
Selected Publications (Authored 20+ articles): Is your “Big Data” strategy like the Flintstones or the Jetsons? (date to be determined) The Eight Dimensions of Care Management – Version 2.0 (date to be determined) Is ICD-10 the Holy Grail for Disease Management, For the Record (2012) ICD-10: Crunch Time, Health Leaders Online (2010) Selling a Physician Practice to a Corporation – Hard Lessons Learned, Health Leaders Online (2010) Oncology Management: Benchmarking for Quality, Health Leaders Online (2008) Collaboration: The Power of Data Aggregation, Health Leaders Online (2008) Regional Health Information Organizations: The Keys to Sustainability, Health Leaders Online (2008 Integrated Information Management: the key to Improving Patient Thru put, Health Leaders Online (2007) Personalized Medicine and Care Management, Health Leaders Online (2007) Patient Throughput: The Forgotten Element in revenue Management, Health Leaders Online (2007) Disruptive Innovation: The Acceptance and Adoption of New Technologies, Health Leaders Online (2007) The Impact of the Laboratory on Disease Management, Disease Management (2006)
Presentations (Delivered over 15 presentations): Keys to overcoming challenges of price transparency in healthcare, Webcast, October, 2015 The Orphan Drug: A Conundrum – Webcast, August, 2015 Risk Based Models: the Good, the Bad and the Ugly – Webcast, July, 2015 The Good, the Bad and the Ugly! Partnerships that work!—Association for Medical Imaging Management (2009) Oncology Benchmarking—Association of Continuing Cancer Centers Annual Meeting (2009) Oncology: Management: Benchmarking for Quality—Texas Association of Health Plans (2008) The Impact of the Laboratory and Disease Management—3rd Disease Management Summit, Boston, MA (2005) HIPAA Regulations and Their Impact on Your Organization—University of Chicago (2002) Determining the Benefits of Carving-In and Carving-Out Diabetes—Managed Diabetes Care, San Diego, CA (1997)