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Healthcare Management Solutions - CARD -

ABOUT

Clifford R. Frank, MHSA

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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.  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:

  • Connecticut Children’s Medical Center

  • Cosan Group RPM and CCM providers

  • Medical Life, Inc

  • Shore Medical Center

  • Shore Quality Partners ACO

  • Borland-Groover Clinic

  • Compass Medical Group

  • Archway Bundled Payment

  • Lovelace Medical Center and Medical Group

  • University of Miami

  • Centivo Health Plans

  • Palos Medical Center

  • Chicago Health Colleagues ACO

  • Avera Health Plan

  • Parkland Health Plan

  • Fletcher-Allen University of Vermont

  • Vermont Managed Care

  • FirstCare Health Plans

  • Porter Hospital

  • St. Thomas Healthcare

  • Integris Health of Oklahoma

  • Kindred

  • Montana Health Coop

  • Vermont Health Coop

  • Rush System for Health

  • Mon Valley Hospital

  • Princeton Medical Center

  • Overlake Medical Center

  • Marathon Health

  • Scott and White Clinic

  • Sarasota Memorial Hospital

  • Methodist Medical Group

  • 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.

With the notable exception of the Healthcare Management Solutions Turnaround Team's work, most of the company's other 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.

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