The Team

As CMS aggressively moves from volume to value, our team is well prepared to assess, develop and implement value-based care strategies that move your organization forward.

APM Plus Team - Vicki Perry

Vicki Perry

Managing Partner

Former multi-hospital owned health plan CEO for 15 years and 15+ years with a commercial national health system focused on full-risk capitation models.

Expertise includes:

  • Setting strategy and direction that included the successful development of an agnostic reporting and analytics solution that could help providers manage downstream risk efficiently and consistently with the established work streams.

  • Modeling and setting the clinical and technology division to collaborate and accommodate and compliment the client culture and existing business practices.

  • Building and leading conversation and strategy to assist the client’s senior executive teams in collaborative work stream efforts.

  • Ensuring adequate resource at the project management level to enable all parties to efficiently and effectively meet and exceed the projects goals and objectives.

  • 30+ years of experience integrating a variety of PHO models of care.

Tara Canty

Former health system executive with more than 22 years of experience in health care innovation, including the development and operations of a Pioneer ACO, multiple Medicare Advantage and Medicare Risk products, managed Medicaid and Medicare Demonstration Programs.

Qualifications include but are not limited to:

  • Emphasis on the creation of value-based delivery systems and improved patient outcomes.

  • Expertise spans health plan and health system operations, finance, clinical and financial modeling, marketing/sales, clinical programming, project management, lean and Six Sigma process improvement, and strategic planning.

  • Strong understanding of challenges associated with delivery of health care in suburban and rural markets.

APM Plus Team - Tara Canty
APM Plus Team - Kelly Leahy

Kelly Leahy, J.D.

Healthcare Attorney

Partner in the Columbus, Ohio office of Shumaker, Loop & Kendrick, LLP with 25+ years of experience in health care law.

Qualifications include :

  • Advise and create a legal structure for APMs.

  • Advise on key legal issues including Medicare compliance.

  • Create physician compensation models and advise on legal considerations in connection with shared savings distribution formulas.

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Josh Sober, FSA, MAAA

Principal at Oliver Wyman Actuarial Consulting, Inc.

With over 15 years actuarial consulting services experience.

Qualifications include:

  • Analysis of accountable care contract provisions from both the payer and provider perspective.

  • Review of health plan system liabilities under the CMS Bundled Payment for Care Improvement initiative.

  • Strategy and analysis of risk adjustment design alternatives.

  • Development of liability estimates for health insurers offering coverage under the ACA including review of liability for risk transfer, reinsurance, risk corridors, and cost-sharing reduction subsidies.

Glenn Giese, FSA, MAAA

Senior Principal at Oliver Wyman Actuarial Consulting, Inc.

Expert with 30 years of health care experience specializing in actuarial and strategic consultant to health plans and providers.

Qualifications include:

  • Strategy, actuarial modeling and certification of Medicare plans.

  • Feasibility studies, assistance with applications to CMS, product design and implementation of start-up plans.

  • Strategy and pricing of Financial Alignment Demonstration plans for dual eligible beneficiaries.

  • Negotiation and analysis of provider alternative payment models and incentive and capitation arrangements including PMPM and percentage of revenue capitation, shared savings, and other models.

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Greg Watson

Founder & CEO of Watson Policy Analysis, a Medicare-focused data analytics consultancy firm.

Qualifications include, but not limited to:

  • More than 11 years of experience in the modeling, replication, and other analyses related to Medicare data.

  • 20+ years of experience in the management, integration, and interpretation of large datasets to enable business work streams utilize data to measure performance and improve outcomes.

  • Expert analytical skills with complex data sets including: Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS,) Long-Term Care Hospital Prospective Payment System (LTCH-PPS,) Physician Fee Schedules, Inpatient Rehabilitation, and Skilled Nursing Facility.

  • Experienced analysis of cost and demographic outliers that impact patterns/cost of care.

Virginia Burchett, MPH

Partner and Founder Virginia Burchett Consulting

Healthcare professional with experience in population health, wellness and value-based solutions with over 25 years experience in operations and transformation through innovation and process improvement.

Qualifications include:

  • Lead implementation and physician on boarding consultant for Strategic Health Care.

  • Achievement of savings of close to $1.5 million over a three year period for a large healthcare system located in the state of Maryland.

  • Hospital and clinical operations strategic planner, project manager with budgets exceeding $10 million.

  • Detailed knowledge of all medical specialties, health systems, regulatory state and government agencies and operations.

APM Plus Team - Virginia Burchett
APM Plus Team - David Oliver

David Oliver

IT Solutions Engineer

Solutions Engineer for multi-hospital owned health plan, Six Sigma Black Belt.

Qualifications include but not limited to:

  • Data Management and aggregation of claims, clinical and social-economic data from diverse systems.

  • System development of member engagement and care management strategies and efforts.

  • Quality measures and analytics that enable actionable reporting and bench-marking to improve outcomes and cost of care for “at risk” populations.

  • Interoperability solutions and protocols to connect the bidirectional transfer of relevant and actionable data across multiple EHRs and provider locations.

Kenneth Osborne

Vice President of Operations and Customer Service at CivicHealth

As VP of Account Management, Kenneth Osborne brings over 20 years of account management expertise to the organization.

With a background in both software sales, project management and project implementation, he brings the following expertise to our clients:

  • Software Business Analysis expertise to work with our clients to determine gaps in technology processes and work flows to make recommendations for addressing these gaps to achieve improved patient care and patient outcomes.

  • Project Management both directly and in a management role with other team members to insure project objectives are met, timelines are achieved and overall project goals are realized.

  • Integrating technology and work flow processes with current processes within an organization to maximize the use of technology to improve outcomes but also insuring that the “personal touch” required in patient care is not lost.

  • 18+ years of software training, project management, and implementation services along with 10+ years of business needs analysis and client sales provides for a comprehensive expertise to aid our clients in defining, selecting and implementing the best software solutions for their needs as well as a successful rollout of new workflow processes.

APM Plus Team - Ken Osborne
APM Plus Team - Ken Osborne

Kenneth Becker

President of Becker Healthcare and Public Affairs

President of Becker Healthcare and Public Affairs, a strategic healthcare and public affairs consulting firm, based in Washington D.C., with over 25 years of experience:

  • Senior government affairs and development officer for a large multi-state health care system.

  • In June of 2014, Becker Public Affairs partnered with The JMG Group LLC to work with community-based health care organizations to develop effective systems of care that meet the needs of DoD and VA patients; allow for easy referrals from VA and TRICARE prime contractors to community based providers; and ensures seamless communications and data transfers in compliance with VA and TRICARE program requirements.

  • From 1994 to 2010, Becker served as the national grassroots director for the American Hospital Association. There he developed and implemented AHA’s advocacy campaign “Real Pain for Real People” focused on the Balanced Budget Act of 1997 and “Giveback I and II” campaign which was highlighted in the Wall Street Journal and Modern Healthcare as a model advocacy program.

Gabriela Islas, MBA

Marketing and Client Services Specialist

Marketing, sales and advertising professional experienced in business development, marketing strategy planning and implementation, and branding.

Qualifications include, but not limited to:

  • Project management

  • Branding and content strategy

  • Customer experience improvement

  • Multicultural marketing

  • Territory management and medical sales

APM Plus Team - Gabriela Islas
APM Plus Team - Paul Lee

Paul Lee

Partner and founder of Strategic Health Care

Senior Partner and Founder of the Washington, DC based company, Strategic Health Care with over 22 years serving as an advocate and advisor on matters of interest to over 50 clients nationally.

Significant knowledge in current regulatory matters affecting providers and health systems nationally including:

  • Advanced Payment Models and risk share strategies for providers.

  • The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and its potential affect on provider reimbursements.

  • Centers for Medicare and Medicaid (CMS) policy at national and state levels.

  • Building and leading conversation and strategy with senior executive teams to facilitate the development of client-specific strategies.

  • Significant relationships and influence with many members of Congress and senior congressional staff who seek his views and advice on health policy matters.

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