Cliff Frank
Healthcare Management Solutions, Inc.
caphelp@msn.com cliffsconfab@gmail.com (904) 874-6134
ABOUT
Clifford R. Frank, MHSA
Professional History
Founder and President, Healthcare Management Solutions, Inc.
Executive Director, Shore Quality Partners ACO
CEO, Vermont Managed Care
CEO, FirstCare Health Plans
VP Managed Care, St. Vincent’s Health System
Product Development Consultant,
Tillinghast
Director of Marketing and Operations, Medical Center Health Plan
Education
MHSA, University of Michigan
BA, University of California, Los Angeles
Professional Associations
MGMA
AAIHDS
Professional Activities
Conference speaker for HIMSS, AAIHDS, NAACOs, and others
Cliff is the President and Founder of Healthcare Management Solutions, Inc., a managed care consulting firm located in Dunedin, Florida, as well as the Co-Founder of Collaborative Provider Solutions, LLC. He has been involved in managed care programs for 30+ years working for payers, hospitals, IPAs, PHOs and Clinically Integrated Networks (CIN). Throughout his career his focus has been on reducing waste and enhancing quality for the benefit of patient care. Creating clinical and financial alignment among providers and payers has been a central theme to his professional work across a variety of settings and organizations. Cliff provides leadership to CINs operating shared savings relationships with payers and Medicare, and routinely consults to organizations on their managed care contracts, strategy, preparation for provider risk transfer, and innovative provider-payer partnerships.
Cliff has been CEO of several provider-sponsored risk-bearing entities including FirstCare Health Plans of Texas, Vermont Managed Care, and Shore Quality Partners. He has also served as hospital VP of managed care, a medical group executive, and other provider based organizations.
Cliff’s consulting and interim executive clients have included:
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Connecticut Children’s Medical Center
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Cosan Group RPM and CCM providers
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Medical Life, Inc
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Shore Medical Center
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Shore Quality Partners ACO
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Borland-Groover Clinic
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Compass Medical Group
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Archway Bundled Payment
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Lovelace Medical Center and Medical Group
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University of Miami
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Centivo Health Plans
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Palos Medical Center
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Chicago Health Colleagues ACO
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Avera Health Plan
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Parkland Health Plan
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Fletcher-Allen University of Vermont
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Vermont Managed Care
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FirstCare Health Plans
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Porter Hospital
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St. Thomas Healthcare
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Integris Health of Oklahoma
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Kindred
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Montana Health Coop
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Vermont Health Coop
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Rush System for Health
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Mon Valley Hospital
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Princeton Medical Center
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Overlake Medical Center
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Marathon Health
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Scott and White Clinic
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Sarasota Memorial Hospital
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Methodist Medical Group
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Ohio State University Hospital and Medical Group
Cliff co-authored a book – “Physician empowerment through Capitation” Aspen, 2000 and has published numerous articles on capitation mechanics, operations, and risk assessment.
Cliff is a frequent speaker at conferences on population health including HIMSS, National Association of Managed Care Physicians, and the National Association of ACOs.
Nicholas R. Dodaro, MD, FACEP
Education and Credentials
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MD, Tulane University School of Medicine
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Emergency Medicine Residency – University of Florida, Jacksonville
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Internal Medicine Internship – Georgetown University, Washington DC
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Fellow, American College of Emergency Physicians (FACEP)
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Board Certified, American Board of Emergency Medicine
Nick is a board-certified physician executive and serial healthcare entrepreneur with 30 years of experience across clinical practice, digital health, payer-provider alignment, and multi-site operations. He has a proven ability to bring practical insight to complex healthcare delivery, compliance, and reimbursement strategies, and he's a board-ready leader with successful exits, post-
acquisition integration expertise, and broad governance exposure in clinical, tech, and startup ventures.
Board and Advisory Experience
• Board Member, Crucialist – Virtual emergency medicine company serving ACOs and value-based care networks across several states.
• Board Member, Credential Genie – Credentialing software company successfully acquired by Qgenda.
• Advisor, Gold Kidney Health Plan – Provided strategic guidance to a startup Medicare Advantage Special Needs Plan.
• Governance exposure includes oversight of business transitions, capital fundraising, compliance, and innovation strategy. Industry and Strategic Expertise
• Multi-site healthcare delivery models (virtual, brick-and-mortar, hybrid)
• Value-based care strategy and payer contracting (commercial, MA, capitated models)
• Healthcare compliance and regulatory oversight (AHCA, CLIA, DEA, Joint Commission)
• Clinical workforce strategy, performance models, and team culture
• Emergency medicine innovation and ER diversion models
• Extensive experience in managing retail and referral-based clinical facilities, including the development and operational oversight of freestanding emergency practices that cater to both direct patient referrals and walk-in patients.
Executive Background
• CEO, Guidewell Emergency Medicine Doctors (GEMD) – Led $70M P&L and 300+ employees; managed 130,000 visits/year; delivered $15M operating income improvement; integrated business post-acquisition.
• Co-Founder & CMO, Medical Life Inc. / Crucial Care – Created first freestanding, value-based emergency practice; grew to 10 locations and 350 employees; delivered $34M/year in validated savings.
• CMO & Co-Founder, Crucialist – Built a virtual emergency medicine practice supporting ACOs and value-based providers.
• CMO & Board Member, Credential Genie – Health IT business with successful acquisition.
• Advisory role in health plan startup and direct involvement in multiple fundraising initiatives.
Ideal Areas of Board Contribution
• Value-based care strategy and payer innovation
• Governance of multi-site and post-acquisition operations
• Digital health enablement and virtual care oversight
• Regulatory strategy and risk management
• Healthcare workforce models and cultural alignment
With the exception of noted collaborations, all of Healthcare Management Solutions' consulting services are provided solely by Cliff, although he will sometimes enlist the services of additional support staff, depending on the project. More information available upon request.