John Iacuone, MD, MBA, LLC

Advisor at AdvisoryCloud
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Location
Dallas, Texas, United States, US
Languages
  • English -

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Experience

    • United States
    • Business Consulting and Services
    • 500 - 600 Employee
    • Advisor
      • May 2020 - Present
    • Healthcare Consultant
      • Jan 2020 - Present

      Provide consulting for Practice Transformation increasing efficiency/effectiveness to be successful value based care contracts, MIPPS etc. Provide healthcare Industry consulting on strategy, marketing, pricing and placement of products in healthcare industry. Provide consulting to healthcare providers including hospital systems, physician groups, healthcare tools/products and payers to achieve triple aim, efficiency, effectiveness in their respective healthcare fields. Past CMO of large healtsystem, CMO Regional Health Plan, Successful Entrepreneur as President and CCO in building a value based company, populations management tools, value based risk contracting with payers to achieve "triple aim" selling to large healthcare company. Show less

    • United Kingdom
    • Medical Practices
    • Chief Medical Officer
      • Apr 2019 - Present

      Motivve Health is a leader in IT, AI population healthcare management for prevention of chronic condition development, maintain healthy lifestyles, closing gaps in care while reducing current and future healthcare costs. This is accomplished by a novel smartphone application that engages the patient through game playing and rewards to engage in their own health care, while increasing their health literacy. Traditionally, common patient engagement practices have failed to achieve meaningful engagement and/or improvement in the prevention and management of health care issues plaguing our country. Motivve is changing the paradigm by placing the power in the populations hands via an entertains learning environment that meaningfully rewards behavior change towards a health lifestyle. Show less

    • President and Chief Clinical Officer VCCN
      • 2014 - 2018

      Led a team that developed an oncology specific population analytic tool, Carelytics™, to determine savings opportunity for a payer to provide value, and providers to manage risk-bearing contract and developed an oncology specific symptom care coordination tools, and infrastructure to operationalize risk contracts. • Formed 150-member Oncology IPA in Philadelphia. • Secured three value-based payer contracts of three years each for 50% of shared savings and PMPM for practice transformation goals and care coordination of all patients under management. • Reduced ED and avoidable admissions by >50% for payers and patients through practice transformation efforts having everyone in practice to practice at height of license, reducing waste. • Established a first to market specialty specific dashboard to select high performing providers for the IPA to monitor key performance indicators in near real time to achieve contracted cost and quality targets. Vantage Cancer Care Network retains all the intellectual property for Carelytics™. • Oversaw a team that developed a practice transformation, change management product which re-engineered workflow resulting in removing low value activities with high value activities and standardization of practice activities to thrive in a Value Based Care re-imbursement environment. Show less

    • Chief Medical Officer (CMO)
      • 2011 - 2014

      Provided leadership to 12 cost centers, 170 FTE’s and $30M annual budget. Led the implementation and education of the medical staff for ICD-10 coding. • Co-Chaired the re-admission reduction quality initiative for Heart Failure, Acute Myocardial Infarct, and Pneumonia resulting in all Lovelace Hospitals exceeding CMS requirement avoiding over $2M in potential penalties. • Initiated and established a new VP for Case Management at the system level resulting in a system wide integration and standardization of Care Management practice, policies and procedures to reduce variation and improve quality outcomes and patient satisfaction. • Secured a $5M value-based contract with largest cardiology group in New Mexico over five years with increasing performance targets each year for quality outcomes, productivity and reduction of waste. • Negotiated capitation narrow networks for bone marrow transplant and pediatric CV surgery resulting in >$11M reduction in spend and fixing costs for actuarial analyst premium determinations. • Reduced UM staff by 5% utilizing analytics to reduce prior authorization for select specialists. • Reduced ED Medicaid utilization and cost by contracting with PCPs for same day appointments from ED for non-emergent symptoms. Show less

    • Executive Director and Chief Medical Officer
      • 2006 - 2011

      Directed the financial performance, philanthropy, growth of service lines, and management for the employed specialty medical groups growth and performance. • Led an executive team to turn around a $1.5M loss in 2006 to a profitable service line in 2007 with continuous financial performance resulting in $18M net revenue in 2011. • Recruited pediatric sub-specialists resulting in four new service lines in nephrology, endocrinology, psychiatry, and neurology and doubling the size of employed specialists bottom line performance of $8.3M to the hospitals performance in 2010. • Collaborated with the VP of Nursing and Six Sigma team to integrate our medical team into the process which resulted in a $4.3M operating expense reduction and a $13.5M capital expenditure. Received recognition and presentation at the National Association of Children’s Hospitals in 2009. • Established a specialty clinic in the neighboring county, improved access to care and increased market share that supported both employed and independent specialist in 2011. • Implemented the first pediatric hospitalist program and the only employed model in the Lee Memorial Hospital System resulting in acceptance by community physicians allowing our hospitalist team to manage 100% admissions, including newborns in less than six months after implementation of the program. • Oversaw teams that received grants totaling more than $1.5M. Led an effort to build a new $220M children’s hospital that broke ground for construction in 2014. Show less

Education

  • Indiana University School of Medicine
    Doctor of Medicine (MD), Medicine
  • Texas Tech University
    Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
    2005 - 2007
  • University of Louisville
    Biology/Biological Sciences, General

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