Visionera

DME Services: Health Plan Contracting, Rate Negotiation, Strategic Planning, Expansions, Alternative Payment Models / Value-Based Care, Accreditation

President

Dell Medical School at The University of Texas at Austin

Turning University Research into real-world solutions.  Identifying and mentoring promising med tech innovations and propelling them toward real-world impact. Commercialization Strategies. Business Development.

Texas Health Catalyst Advisor

Soundview Medical Supply

Chief Operating Officer

Prospect Medical Systems

Provider Contracting Manager, South California

TenderHeart Health Outcomes

Transformed corporate strategy, introduced large exclusive MCO contracts, and improved revenue cycle. Oversaw 90+ payer relationships and contracts. Played a significant role in PE acquisition.

Capitation
●Exploded patient volume by 62% and increased EBITDA by 50% in 4 years after securing exclusive contracts.
●Negotiated multimillion-dollar contracts with 3 Managed Medicaid Plans. Secured exclusive contracts with 75% of the state’s Medicaid patients, gaining 30% of the Managed Care market.
●Became the only provider with a demonstrated successful capitation model in Texas, capturing twice the market share as the next largest competitor. 
●Reduced hospital readmissions for targeted diagnoses by 59%, saving Managed Care plan $15M annually.
●Became State’s Capitation Standard after testifying as recognized capitation SME.
●Appointed to Capitation Advisory Boards in multiple Managed Medicaid programs.
●Conducted customer onboarding presentations to 900+ nurses at insurance company.

Operational Optimization
●Differentiated company from other providers by optimizing product delivery to better align with payors.
●Inducted 12K new patients during exponential growth phase by hiring new staff and automating the process.
●Reorganized departments and streamlined processes, reducing hold times and customer fulfillment lead times.
●Consolidated operations by closing 9 branches and migrating to drop shipping.

Chief Operations Officer

Promoted to oversee customer and compliance operations impacting 10K home medical supplies customers in Texas monthly. Implemented processes and systems to improve the company’s reputation. Built strong relationships with Managed Care Organizations and the State’s Health and Human Services Commission to get approval to construct first capitation program in Texas.

Capitation
●Pioneered a “value over volume” differentiated capitation payment model that drove meaningful economic savings for managed care organizations (MCO) partners through appropriate product utilization and better patient outcomes.
●Reduced hospital admissions by 43% after creating a program to align managed care payments with clinical outcomes.
●Successfully transitioned 6K patients to capitation from other providers, with less than 1% opting to stay with the previous provider.

Operational Optimization
●Increased collection ratio from 92% to 97% by improving revenue cycle processes and billing and collections.

Vice President of Operations, Patient Care

Manager of Process Improvement

Authorization Manager

Specializing in creating strategic payer partnerships that drive revenue and improve patient outcomes for DME businesses. Experienced in navigating complex reimbursement landscapes, negotiating favorable contracts, and implementing value-based care initiatives. Proven track record of building strong relationships with payers, providers, and regulatory agencies. 

Passionate about transforming healthcare through collaboration and data-driven insights. Let's connect and explore how Visionera can empower your DME business to thrive.

Heather Davis

ResMed

Head of DME Operations

Helius Medical Technologies, Inc.

Director Commerical Operations | Director Reimbursement Operations

BRIGHT MEDICAL TECHNOLOGY INC

Developed and implemented the operations for the DME/HME department.  Provided leadership and facilitated development of strategic and business plans, growing company from 2 to personally supervising 40 staff members.  Responsible for the quality improvement processes aimed at driving the highest level of performance.  Present unique benefits of DME products and services to physicians, developed working relationships with physicians and established key contacts in territory.  Managed all HR functions, including hiring, training, benefits and payroll. 

Recognized for exceeding corporate expectations and goals by:
* Obtaining 15+ contracts and preferred status with many insurance companies.
* Implementing an entire organizational structure
* Solving problem of pre-existing compliance issues and bringing everything up to Medicare standards.
 * Developing a competitive benefits package

Reduced costs and increased efficiency by:
* Completely automating and streamlining processes to increase accuracy of claims electronically.

Increased revenue 400% during tenure by:
* Adding additional product lines such as nutritionals, womb care, catheters, compression stockings, diabetic products, etc while getting the proper training, licensing and regulations working directly with the compliance team to meet state regulations.
* Implementing a drop shipping method, allowing to service any patients in the Pennsylvania. 
 * Negotiating contract for BMT’s brand name products for purchasing as well as negotiating Brand reimbursements with insurance contracts as a Preferred (Sole) Provider. 
* Improving gross collections and net profits continued growth up to and including the highest month being August 2020

Ensured smooth operations by 
* Training all aspects of the DME portion of the business as well documenting procedures for every position.
* Supervised the implementation of the conversion from Medact to Bright Tree and built system according to BMT’s needs.

Director, Operations 

HOLY REDEEMER HOSPITAL & MEDICAL CENTER

Provided accounts receivables analysis while implementing a plan to reduce AR and cash acceleration.
* Reduced Accounts Receivables by 75% in 3 months.
* Increased efficiencies and improved services by streamlining office processes 
* Ensured compliance by creating Policies and Procedures for handling Patient Account Receivable, collections, and refund process.
* Implemented and oversaw the transition of billing to University of Pennsylvania.

Consultant for a Multi -Physician Practice Group

I am a solution-driven professional with an entrepreneurial spirit and comprehensive background working with leadership to maximize profit margins and improve cash flow within competitive marketplaces. Experience includes redesigning and reengineering organizations, in-depth understanding of revenue cycles and effectively negotiating with vendors to achieve favorable contracts.

I have been recognized as an outstanding leader with demonstrated success building and managing teams that achieve business goals and expansion through strategic planning.  Excellent communicator and relationship builder who creates internal and external networks. Advanced computer and project planning abilities. Visionary that can build a unique business model oriented in achieving long-term success in a short timeframe.



taplio

The Battle

Heather Davis

Michele Greco-Homnick

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