Countdown to the PHA Forum 2015: Meet Peter Goldbach MD

by Gregg A. Masters, MPH

In the full court press for the pursuit and implementation of the many moving parts associated with fulfilling the triple aim, it’s advisable to dial into and take heed from those who’ve been at the table – both in terms of strategy and hands on implementation.Peter Goldbach headshot

Today we hear from one of those accomplished physician thought leaders and key executives with a holistic view of the complex ecosystem of American healthcare delivery and finance.

Peter Goldbach, MD is the Chief Medical Officer of Health Dialog, ‘a total population healthcare services provider that offers risk-bearing entities (health plans, employers and providers) an integrated suite of services driven by powerful analytics.’.

Dr. Goldbach’s journey into the healthcare ecosystem includes a ‘Zeitgeist’ fueled via both medical administration as well as the core granularity associated with operating a primary care and fellowship fueled pulmonary practice, plus powerful insights forged from hands on the forward leaning Blue Cross Blue Shield of Massachusetts ‘pay for performance‘ initiative into value based contracting.

Sourced from Dr. Goldbach’s Health Dialog bio, he brings…:

…more than 30 years of medical experience to Health Dialog’s management team, including 15 years in medical administration and 17 years maintaining a primary care and pulmonary disease practice.

He is also the Chief Medical Officer for Health Dialog’s sister company RediClinic, a retail clinic service provider. Prior to joining Health Dialog and RediClinic, Dr. Goldbach served as President and Chief Executive Officer of Med-Vantage Inc., a healthcare informatics and engagement company.

Earlier in his career, he served as Medical Director for Blue Cross Blue Shield of Massachusetts, where he provided medical direction for the company’s “Pay for Performance” and eHealth programs, and held CEO, trustee, and medical staff president positions with two Boston-area community hospitals. Dr. Goldbach received undergraduate and master’s degrees from UCLA before earning his medical degree from SUNY Downstate Medical Center College of Medicine. He completed his Internal Medicine internship and residency at George Washington University Hospital, and his Pulmonary Disease fellowship at Cedars-Sinai Medical Center a teaching affiliate of the UCLA School of Medicine.

Peter, his colleagues and many industry peers will be attending and participating in the PHA Forum 2015 (see keynote line-up here) in the Nation’s Capitol from November 2nd-4th, 2015. The PHA Forum is the go-to gathering of the best and brightest minds in the emerging if not re-engineered population health management space.

For some of Peter’s earlier work on ‘shared decision making‘ courtesy of our friends at the American Journal of Managed Care see: ‘Peter Goldbach, MD, Talks About Shared Decision Making Practices‘, and via the World Healthcare Congress, here.

Hope to see you in D.C!

==//==

This post is sponsored by the Population Health Alliance (PHA).

 

 

Countdown to PHA Forum 2015: Meet Sam Glick @OliverWyman

by Gregg A. Masters, MPH

‘Population health’, ‘accountable care‘, ‘personalized or precision medicine’, or more recently ‘consumer centric healthcare’ – a veritable potpourri of themes du jour or perhaps decades – and the responsible stewardship of U.S. healthcare assets are in a heightened state of dynamic tension. Some with limited ‘event horizons‘ may claim that this contemporary experience of acrimony if not industry disequilibrium, drifting and unrelenting internecine warfare centered on ‘health policy’ (i.e., the American healthcare delivery and financing ecosystem) can be laid at the doorstep of the consideration, passage and now implementation phase of the Affordable Care Act.

PHAForum_keynotesYet for those of us who have been at the strategy table and at the implementation helm for multiple decades, know the truth is a considerably more complex series of questions and answers than the pandemic of sound byte slams via ideological prisms.

So today in our series titled ‘Countdown to the Population Health Alliance (PHA) Forum 2015‘ we dive into that conversation with a seasoned executive and thought leader in the innovation space.PHA Forum 2015_OliverWyman_Consumer_Power

For timely context and consideration of the state of the healthcare ecosystem and our chat with Sam, check out Oliver Wyman’s thoughtful report: ‘The Patient to Consumer Revolution: How High Tech, Transparent Marketplaces and Consumer Power are Transforming U.S. Healthcare‘.

The broadcast will be live and via on demand replay thereafter at PopHealth Week at 1PM PT/4PM ET. Our special guest is Sam Glick, Partner in Oliver Wyman’s Health and Life Sciences practice, and the San Francisco Office Leader. Sam will keynote at the PHA Forum onSafely Navigating the Consumer Healthcare Evolution‘.

His indicated interests include: consumer-centric healthcare, working with leading providers, health plans, employers, ‘enablement companies’, retailers, and venture capital firms to find innovative, engaging ways to bend [the cost] trend.

Sam is an author of several recent Oliver Wyman points of view, including ‘A Billion-Dollar Decision: Charting a New Course for US Healthcare Benefits and ‘Private Exchanges Change the Game. Sam also leads many of Oliver Wyman’s healthcare commercialization research and intellectual capital development efforts.

According to bio copy on the Oliver Wyman site:

‘Sam has been invited to speak at a number of events for healthcare senior executives and board members, including the American Hospital Association (AHA) Leadership Summit, the AHA Center for Healthcare Governance Symposium, the Council on Employee Benefits Annual Conference, the Accountable Care Congress, the Integrated Healthcare Association annual board retreat, the CAPG Healthcare Conference, the Leadership Institute roundtable, and the UnitedHealth Group Smart Circle series. He is quoted regularly in both the industry and popular press.’

Join us for an informative conversation with an industry visionary. We invite you to check out the agenda for the PHA Forum 2015 and consider joining us in the Nation’s Capital for the go-to industry gathering of population health thought leaders, executives and stakeholders on November 2nd – 4th, 2015.

If you are tasked with innovation in service delivery (and financing) strategy at your health system, health plan, physician network, MSO or ACO, please follow us on twitter via @PopHealthWeek and do consider subscribing to PopHealth Week.

==##==

Disclosure: this post is sponsored by PHA.

Former HHS Secretary The Honorable Tommy Thompson on the Affordable Care Act, Prevention and Wellness


On the Wednesday, September 2nd, 2015 at 12 Noon Pacific/3PM Eastern our special guest is the Honorable Tommy Thompson.

Tommy Thompson served as Governor of Wisconsin from 1987
to 2001, and is the longest serving Governor in State history. From 2001 to 2005 he served as the Secretary of Health and Human Service (HHS) under President George W. Bush. After his time in the Bush Administration he served as a partner with the law firm Akin-Gump and the Chairman of Deloitte’s Global healthcare practice. He has also served on the Board of 22 organizations.Tommy_Thompson_headshot

Governor Thompson has a wealth of knowledge regarding health care, Medicare, and prevention.

While Secretary, he launched initiatives to increase funding for the National Institutes of Health, reorganized the Centers for Medicare & Medicaid Services to encourage greater responsiveness and efficiency, and clear the backlog of waivers and state plan amendments. He approved 1,400 state plans and waiver requests and thereby provided health insurance to 1.8 million lower-income Americans. In the aftermath of 9-11 he also worked on strengthening the nation’s preparedness for a bio-terrorism attack, by stockpiling smallpox vaccines and investing heavily in state and local public health infrastructure.

With the continued drone is some camps of calls to ‘repeal and replace’ the Affordable Care Act, including the most recent ‘The Day One Patient Freedom Plan‘, proffered by current sitting Governor and Republican Presidential Candidate Scott Walker, Thompson a moderate Republican voice weighs in on the realities of health reform in the U.S.

Join us for what will be a fascinating journey into the heart and mind of this seasoned politician and healthcare policy giant. We’ll explore his thoughts on the Affordable Care Act, Prevention and Wellness and more.

 

 

Month End Wrap Up and Re-cap: ACOs, Population Health and Stuff

By Fred Goldstein, MS and Gregg Masters, MPH

This week join PopHealth Week hosts Gregg Masters, Doug Goldstein and Fred Goldstein for our month end review. This month’s cFarzad Mostashari MD Health Datapaloozaommentary will touch upon what we learned from our first two ACO guests, Farzad Mostashari of physician led ACO management company Aledade and Gerry Meklaus of Accenture (more on tap for September as the interest level in un-bundling the model types and sharing this experience to date has been quite substantial). phw_aledade

We also discuss a recent interview of Ronald Bayer where he had some pretty strong thoughts on Precision Medicine versus Population Health- see: ‘Precision Medicine a Threat to Population HealthIs it a binary choice and might there be a need for some definitional guidance?

And as is typical Doug (@efuturist) is gallavanting around the world and we’ll get an update from him on his travels, connections and insights from ‘Digital Health España‘ aka Digitalhealth.es. Innovation is NOT limited to the domestic conversation. Doug will fill us in on his discoveries to date.

Katherine Schneider MD | Population Health Colloquium | Delaware Valley ACO
For some insights from the largest ACO in the Delaware Valley, check out Doug’s interview with Katherine Schneider, MD,  President and CEO of Delaware Valley ACO.

And for a developing resource in the digital health space courtesy of Health Innovation Media, check out DigitalHealth.domains an emerging digital health library of sorts.

 

 

 

 

Meet Gerry Meklaus Managing Director, Accenture

by Gregg A. Masters, MPH

Before there was ‘accountable care’, the current full court press towards innovation – whether digital health app, platform or service delivery model, an emerging culture of transformation or the attendant pursuit of the triple aim, not to mention the most recent obsession with ‘retail as cure’ for that which ails healthcare, the best and the brightest minds (both clinical and administrative guided by thoughtful health policy wonks) convened in the grand theater of ‘managed care’ or managed competition.

The model and industry writ large (both public and private sectors), variably expressed as HMO, PPOs and derivative strains of contracting models stimulating the development of IPAs, PHOs, PPMC’s, MSOs and DPOs (direct purchasing organizations) had a run from the mid 70s until its abandonment as the official vehicle to restrain the rising cost and variable quality of healthcare in the late 90s. What followed was somewhat of a meandering decade of incremental tweaks here and there to an otherwise burning platform of fee-for-service healthcare delivery and financing.

In 2015 with healthcare costs now approaching 20% of the U.S. Gross Domestic Product and the viability of the entire U.S. Government at risk to projected costs increases and unfunded liabilities of the Medicare and Medicaid programs (estimated at $64 trillion), business as usual fee-for-service medicine is no longer an option and the many cathedrals of medicine built by ‘do more to earn more’ largesse are clearly at risk in the shifting sands of value based care.

While the ‘value’ v. volume agenda has been around for a while via risk based contracting including case rates, bundled payment and even capitation – both global and professional only versions – their penetration of mainstream medicine was relatively modest – until now. That is if you can believe the growing prevalence and penetration of risk bearing ACOs arrangements, a tapestry of bundled payment participation via Federal programs and a less transparent portfolio of privately negotiated ‘value based arrangements’.value based care meklaus

Into this theater steps one of the trophy consulting companies with both wide (global) and deep (extensive client penetration into the health plan, provider and IDN communities) aka Accenture Health (follow via @AccentureHealth).

Developing the narrative with a ‘value tutorial’ of sorts is Gerry Meklaus, the Managing Director of Accenture North America for Clinical & Health Management Services. We speak with Gerry Wednesday at 12 Noon Pacific/3PM Eastern at Pophealth Week where my colleague and co-founder Fred Goldstein, President of Accountable Health, LLC will engage Gerry in the value conversation and the many touch points between a value framework for ACOs and population health strategies of provider organizations.

Key terms to un-bundle and digest are the ‘Big Three’: 1) to ‘improve outcomes’ via emerging best practices, the reduction in variation and effective engagement of the patient in shared decision making, 2) the effective lowering of costs from a ‘total cost of care’ perspective (not just niche wins – if you will), and 3) the well known challenge to de-silo the many silos in the healthcare ecosystem driving fragmentation, redundancy and a less that patient centered experience.

Join us as we gain insight into the challenges and successes in the market to date!

==##==

Originally posted to ACOwatch.com.

 

Another Milestone Marker in Favor of the ACO Model? Meet Farzad Mostashari, MD

by Gregg A. Masters, MPH


I awoke this morning to an email from a PR rep who supports outbound news for one of the emerging ACO management companies enabling physician led participation in the Medicare Shared Savings Program (MSSP) aka Aledade (@AledadeACO).

I then copy, pasted and tweeted the headline: ‘Aledade Creating New Medicare Accountable Care Organizations in Seven States.

I usually ignore ‘PRs’, yet this announcAledade newsement is material as it lends support via a growing body of evidence on the viability of the ACO model and its enabling ‘consciousness’ if not ‘sentiment shift’ in the prevailing market narrative.

While some still slam the ACA – and by proxy it’s ACO ‘workhorse’ – via relentless yet ‘diminishing returnsimpact of the ‘government takeover‘ fear mongering fueled by strategically sourced oppositional research, there is a building steady body of evidence supporting both the model and the broader context of efficacy of the competitive dynamics the ACA has unleashed on the stewards of our at risk (some say collapsing) healthcare economy.

Ergo my tweet:

Aledade news tweet

Ever since the Senate Finance Committee took up the debate and relentless series of ‘amendments‘ proffered by the ‘Rs’ trying to ‘improve‘ the proposed legislation that eventually emerged as the Patient Protection and Affordable Care Act (I NEVER use the pejorative term ‘Obamacare’), I’ve been a voice in the narrative of trying to get the facts of competitive market dynamics into the post political conversation around reforming our complex healthcare economy.

This is no easy task as the complexity of both the political process and objective reporting of how legislation becomes law including its contextual historical narrative is addressed in ‘A Legislative History of the Affordable Care Act: How Legislative Procedure Shapes Legislative History.

A challenge recognized upfront via admittedly ‘apolitical’ or ideologically agnostic ‘law librarians’ (yeah, you know those agenda driven bullies):

“Using the health care legislation passed in 2010 as a model to show how legislative procedure shapes legislative history, this article posits that legislative procedure has changed, making the traditional model of the legislative process used by law librarians and other researchers insufficient to capture the history of modern legislation. To prove this point, it follows the process through which the health care legislation was created and describes the information resources generated. The article concludes by listing resources that will give law librarians and other researchers a grounding in modern legislative procedure and help them navigate the difficulties presented by modern lawmaking.”

Since social media was starting to pick up in 2009 – 2010 time-frame, and given the angst associated with the public’s consumption of the ACA, I started ACO Watch and latter the hashtag #healthreform to track tweets associated with ACA consideration.

None-the-less, 5 years later the disinformation campaign persists though some of the pieces of the ACA are starting to show some promise of the law’s original intent. ACOs often referred to as a flawed model, perhaps an ACO lite if you will or too little too late to make a difference, the emerging datasets (both government and private market tea leaves) are building a case that the law is working.

Tomorrow on PopHealth Week, join my colleague, co-host and co-founder Fred Goldstein as we chat with Aledade Founder and CEO Farzard Mostashari, MD. This month we’re conducting a series on Population Health and ACOs talking to leadership from each ACO type: physician led, hospital sponsored and health plan enabled.

Listen here! We’re live 12 Noon Pacific/3 PM Eastern, and on demand thereafter.

Original posted on ACOwatch.com.

Population Health and ACOs: A Deep Dive Into Model Type and Results To Date

by Gregg A. Masters

As we continue our journey into population health and it’s relationship to and ACO Watch @ACOwatch @ACOalliancesynergies with all forms of innovation enabling the broad brush outcomes of the ‘triple aim’, better health outcomes, improved user experience and lower per capita costs, we shift our focus to the accountable care industry and ACOs in particular.

The month of August we’ll chat with executives from each of the following types of ACOs: physician led, hospital sponsored and health plan enabled.

On the first broadcast at 12 Noon Pacific/3PM Eastern we’ll provide an overview of the space and touch on the history and origins of ACOs, the motivations of the Affordable Care Act (ACA), then pivot to the pros and cons of the various models in the market and to the extent we can compare and contrast results, we’ll offer up data posted to the public domain.

Join Fred Goldstein @fsgoldstein and Gregg Masters @2healthguru for this exploration into an timely and relevant topic.

 

 

Population Health and Primary Care Leadership

by Fred Goldstein and Gregg Masters

In July we focused on Primary Care and Population Health and we had quite the line up.  From some extremely well known experts to hard working physicians in the trenches ‘walking the talk’ of innovation via transformative primary care leadership for over a decade.phw_hinman

We started with Roy Hinman, MD of Island Doctors in St. Augustine Florida.  Island Doctors has been serving global risk Humana Medicare Advantage since 1998 and now manages approximately 18,000 patients! Roy focused on keeping it simple, building out a network of like minded partners, leveraging mid level practitioners at the ‘top of their license’ in the care team, aligning financial incentives, grasping and developing core competencies in clinical risk management and a hospital agnostic approach to prudent utilization of institutional healthcare resources.

We then moved to direct practice pioneer with the CEO and Founder of iorahealth (@iorahealth), Rushika Fernandopulle, MD (@rushika1).  Rushika decided to ‘rebuild primary care from the ground up’ and created a care team model in some respects similar to Roy’s that ‘dis-engages’ from  a volume based, fee-for-service compensation plan. Iorahealth has been experiencing strong growth in the traditional mrushika poseembership or retainer model direct practice milieu where there is no intermediary between the patient and the medical practice. Yet, continuing to innovate in non-traditional direct practice terms iora health as also engaged in the direct employer space via global contracts with Humana. Rushika believes that establishing a dis-intermediated and  thus ‘direct relationship’ with the patient via a coordinated care team is their ‘secret sauce’ and key market differentiator.

Week three’s guest was Jay Lee, MD (@FamilyDocWonk)of MemorialCare Medical Group (@MemoricalCareMG), a historically proactive physician organization based Jay Lee MD @FamilyDocWonk | HiMSS SoCal with Douglas Goldstein @eFuturistin Long Beach, California with a service area reaching into south Orange County established to provide advanced comprehensive, effective and efficient healthcare.  Jay’s primary role is as the Associate Medical Director of Practice Transformation at MemorialCare Medical Group and Director of Health Policy at the Long Beach Memorial Family Medicine Residency Program. He also serves as the President of the California Academy of Family Physicians (@cafp_familydocs). Jay brought some unique insights into physician acceptance of population paul_grundy headshothealth and training of residents, stating that changing the culture and aligning  both docs and payment incentives were mission critical to success in the transition from one-off episodic care to a population level world view.

The fourth week featured the “Grandfather” of the Patient Centered Medical Home, Paul Grundy, MD, MPH (@Paul_PCPCC & @IBMhealthcare), Global Director of Healthcare Transformation IBM, President PCPCC, Ambassador for Healthcare Denmark.  Paul discussed the history of the PCMH and stated that the original concept was based not on being the ‘primary care home’ for the patient per se, but the home for the data about the patient which would allow for better management of the patients condition.  In fact the original PCMH was the transplant surgeons who needed to be sure that they had all the data and could coordinate all of the patient’s healthcare needs.

So what did we learn?

Fee-for-service payments and its inescapable production oriented ‘do more, to earn more’ incentive basis is a hindrance to implementing population health, and perhaps contrary to emerging ‘conventional wisdom’ that tipping point may not be so close (the best intentions of Secretary Burwell et al at CMS).

Many experts say we are near a tipping point in the approach to medicine and population health, that as soon as we implement just a bit more value based payment methods, we will reach it.  Unfortunately and given the weight of historical inertia, they may be wrong (again?).

In our discussions, there was real and evidence based concern that to do population health requires getting completely away from FFS payments.  Rushika takes none, and Roy claimed to only have a handful of patients on this burning platform. They both stated that FFS payments were a problem and hindered behavior change, as well as not allowing for the justification of many population health approaches. Interestingly at MemorialCare Medical Group , Jay stated they still measure physician productivity using RVU’s; so any work that does not have a billing code (think pop health related activities) has ‘no measure or worth’ (my words).  The point that stuck out most for me is that if MemorialCare Medical Group has 60 to 70% capitated business, yet they still measure using FFS related codes, making it hard to justify population health services, when do we reach the tipping point?

Paul on the other hand felt that we would incrementally reach the inevitable pivot and felt that the recent CMS announcements regarding the more rapid shift to value based payments would be the impetus. Although he felt there were examples of successful capitated contracts he did bring up the fact that this type of payment can lead to an underutilization of appropriate services, while clearly FFS can lead to an over-utilization.

Bringing Joy into Practice

Both Rushika and Jay independently discussed the need to bring “joy” back into the physician experience, a common theme first posited by senior leadership at ACO management company Lumeris as ‘the triple aim, plus 1’ , where the plus 1 is ‘physician satisfaction’. They talked of the drudgery of having to practice in the current system driven by fee-for-service payments, and the well know productivity formula of 30+ patients a day with an average per patient visit in the 7- 8 minute range. Both felt that practices that introduced a patient centered model, focused on relationships and had global payments allowed doctors to practice in a manner that aligned better with why they had called them to medicine in the first place.

Keeping it Simple

Rushika and Roy discussed how they have very simple systems to manage patients, in fact Rushika felt that EMR’s which had been built upon the FFS model and the need to create a bill, were a hindrance and he did not use one. iora health had instead developed their system from scratch.  Roy too discussed how his practice focused on the ‘low hanging fruit’ and that by having no copays for office visits, seeing all walk-ins that day, managing cholesterol, weight and other simple things, they were able to drastically reduce hospitalizations and ER visits.  As Roy said and I’m paraphrasing, you don’t need 15 consultants and a big IT system to do this.

Paul stated that IBM had also gone to a no co-pay model for primary care visits for their employees and wanted to be sure their employees had a relationship with their PCP.

Utilizing your staff based upon their expertise

All of the guests had created systems or discussed having specific roles for each team member in particular to maximize the physician by having them focus on

The Role of Technology

While not all of the guests discussed technology, it was clear from Paul and his work both with providers and one of the strongest IT companies in the world that technology and in particular advanced data analytics combined with mobile will lead to a sea change in health and health care. Moving us to the realm of personalized medicine, providing specific services to a specific person to maintain and or improve their health.

What a fantastic month of guests!

Next month, we’re dedicating our series on ACOs, and diving into one of each entity type: 1) physician led, 2) hospital sponsored and 3) health plan enabled to contrast and compare structural characteristics and the relative market success (or failures) reported to date.

Join us!

Primary Care Innovation and Population Health: A Conversation with Jay Lee, MD @FamilyDocWonk

by Fred Goldstein and Gregg Masters

In our continuing series on innovation in primary care and population health join PopHealth Week co-hosts Fred Goldstein and Gregg Masters Wednesday, July 15th 2015 at 3 PM Eastern/12 PM Pacific for another deep dive into the role of primary care.

Our special guest is Jay Lee, MD, (@FamilyDocWonk) Associate Medical Director of Practice Transformation at MemorialCare Medical Group and Director of Health Policy at the Long Beach Memorial Family Medicine Residency Program. Dr. Lee was also recently honored by his peers and elected as incoming President at California Academy of Family Physicians (cafp_familydocs).Jay Lee MD @FamilyDocWonk | HiMSS SoCal with Douglas Goldstein @eFuturist

Dr. Lee is an innovative Primary Care Physician. As Associate Medical Director of Practice Transformation at MemorialCare Medical Group, Dr. Lee is responsible for leading implementation of the Patient-Centered Medical Home (PCMH) model in practice locations from Long Beach to San Clemente.

As Director of Health Policy, his role is to educate residents and medical students about the policy world that lives “upstream” from the world of patient care and how to integrate this understanding into clinical practice so that the health and well-being of patients and communities are optimized.

So join us on Wednesday July 15 on PopHealth Week to hear from Dr. Lee.

For a recent interview with Dr. Lee courtesy of our colleague Douglas Goldstein (@efuturist) click here.

 

 

PopHealth Week Explores Full Risk Medicare Advantage with Roy Hinman MD, Founder of Island Doctors, a Pioneering Primary Care Physician

by Fred Goldstein and Gregg Masters

On the Wednesday July 1st, 2015 broadcast at 9 AM Pacific and 12 Noon Eastern PopHealth Week pivots to a progressive physician operation in North Florida innovating via Medicare Advantage risk arrangements with major health plans, including Humana.

PopHealth Week’s guest on July 1 is Roy Hinman, MD the founder and CEO of Island Doctors which employs more than 50 people within 14 offices in Florida stretching from Jacksonville to Interlachen and New Smyrna Beach. He opened his first family practice office in 1991 on Anastasia Island in St. Augustine, Florida.PopHealthWeek-logo-TWTTR-sq

Dr. Hinman is a ‘back to basics’ pioneer and began to take full risk Medicare Advantage in 1998. Since then, Dr. Hinman’s practice has grown to approximately 16,000 capitated Medicare Advantage patients in Florida. He anticipates having 20 offices by the end of 2015 to meet the demand. In addition to his owned offices, they also manage a network of 32 affiliated providers.

With innovative programs targeting diabetes, COPD, cholesterol, smoking and weight loss, he understands keeping patients healthy and how to manage capitated contracts.  His comments may surprise you.

phw_hinmanHere’s some of Dr. Hinman’s bio.

Dr. Hinman was raised in Tulsa, Oklahoma. He is a graduate of Oklahoma Military Academy, received his Bachelor’s Degree in Psychology from Tulsa University, and his Master’s Degree in Human Resource Management from Pepperdine University in Malibu, California. He completed medical school at Universidad Technologica de Santiago in Santo Domingo, The Dominican Republic. He served his family practice residency with the University of Florida Medical Program at the University Medical Center in Jacksonville, Florida and worked as an emergency room physician at Bradford County Hospital in Starke, Florida and at Ed Fraser Memorial Hospital in Macclenny, Florida.

Commissioned as a Second Lieutenant in the U.S. Armored Cavalry in 1975 at Oklahoma State University, Colonel Hinman ultimately retired from the U.S. Army Reserve in 2014 as a Medical Corps officer, after 37 years of military duty in the United States, Germany, Korea, Kuwait, Nicaragua, Panama, Saudi Arabia, Ecuador, the Dominican Republic, and Iraq where he served three combat tours. He recently served as the Territorial Surgeon of the U.S. Virgin Islands.

Dr. Hinman is Board-Certified in Family Practice and is a member of the Florida Medical Association, the American Association of Family Practitioners, the Florida Association of Family Practitioners, the St. Johns County Medical Society and the American Academy of Anti-Aging, and has full Family Practice admitting privileges at Flagler Hospital in St. Augustine, Florida where he has been an active staff member since 1991.

So join PopHealth Week’s guest, Dr. Roy Hinman and gain valuable insights into how he has been doing what many have, and or will be trying in the not to distant future, full risk capitation.