Greg is a healthcare strategy and innovation leader who creates and manages integrated frameworks of payer, policy and advocacy strategies to maximize market access, patient access, product differentiation and reimbursement. He develops and executes complex healthcare programs across the care continuum to improve outcomes, decrease costs, enhance patient, caregiver and provider satisfaction. He has experience working in consulting (VBHC, LLC), medical device (Medtronic) advanced imaging and diagnostics (Siemens), biotech & pharmaceutical (Wyeth and Pfizer), IT and post-acute care organizations, telehealth and remote patient monitoring.
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Oct 2017 - Present
Market Access, Reimbursement and Health Policy consulting organization that creates strategies and implements new value propositions, business models and partnerships for organizations participating in value-based healthcare. • Develop and execute reimbursement and pricing strategies, evidence generation to support value proposition, public/private payer policy and contracting, HUB Services and market operations. • Lead development, submission and execution of plan to obtain reimbursement codes • Identified product advantages in the context of market requirements and turn into impactful value propositions and value stories for payers, patients and health systems
Jul 2015 - Jul 2017
Senior Director Value Based Health Outcomes and Reimbursement
Responsible for developing and executing the overall U.S. reimbursement strategy for existing and future products and services related to the Americas Region Integrated Health Solutions and Patient Monitoring Services businesses. This includes coding, coverage, and payment strategies as well as economic data creation, and influencing health policy to shape future value based healthcare. Maintain high-level relationships with third party payers, creates strategic reimbursement plans, provides input to clinical trial design to meet payer needs, creates economic analyses, leads advocacy and coalition work, serves as the principle spokesperson for the Americas Region with Medicare, and advances internal stakeholders’ knowledge and comfort level with reimbursement.
Aug 2013 - Jul 2015
Director of Policy & Reimbursement
Lead US policy and reimbursement development, monitoring and implementation processes. Develop strategies to impact decisions and work closely with business leaders to ensure an accurate understanding and incorporation into business planning and execution.
Jul 2012 - Dec 2012
Director, Global Commercial Development, Neuroscience
Developed and executed CMS policy and payer engagement strategy for first in class, complex Alzheimer's disease biologic with anticipated revenue of $250M to $1B Co-chaired Joint Policy Workgroup with Alliance partner to develop go-to-market operational strategy for patients' treatment pathway through US healthcare system including: • Infusion capacity and infrastructure • Magnetic resonance imaging (MRI) capacity and infrastructure • Diagnostic development and reimbursement strategy • Physician office and hospital outpatient department change management (Medicare Part B) • Payer coding tactics and strategy • Public affairs strategies • Local and national coverage decisions • Medicare Advantage • Quality measures analysis and development • 340B program impact strategy • Commercial payers • Accountable care organizations (ACOs) & other Healthcare reform changes • Health Information Technology impacts and strategy
Jul 2006 - Jul 2012
Pfizer, Inc. (formerly Wyeth Pharmaceuticals)
Director US Public Policy
Ability to both “connect-the-dots” between what is achievable in a given Policy development time frame, and what is feasible. Provide the reality-check that commercial stakeholders don’t always want to hear, but appreciate and accept. Developed and implemented Public Policy, Medicare Part A and Medicare Part B access, coverage, coding and reimbursement strategies for inline and pipeline drugs and biologics Direct experience with the following therapeutic areas: • Alzheimer's Disease • Hemophilia A & B • Oncology • Transplants and Immunosuppressant • Rheumatoid Arthritis • Musculoskeletal disorders • Pain Lead Health Information Technology (HIT) policy initiatives • Electronic Health Records (EHR) • Electronic Medical Records (EMR) • Personal Health Records (PHR) • Clinical Decision Support • Quality Measure integration • Electronic Prescribing and Electronic Prior Authorizations (provided Federal Policy expertise)
Jan 2005 - Jun 2006
Healthcare Operations Improvement
Recruited by the small start-up, long-term care company to identify funding sources for acquisitions of similar and senior housing entities. Evaluated properties, including financial analysis and due diligence. Developed strategic business plans. Identified alliances and vendor relationships to facilitate start-up operations, as well as legal counsel for transaction, investment, and funding activities.
Jan 2001 - Dec 2004
LW Consulting (formerly ZA Consulting)
Led a team of 15+ consultants and administrative staff members, developing employees into positions of increased responsibility while raising morale, productivity, and profitability. Managed a $4M budget. Oversaw product development, pricing, and marketing initiatives. Analyzed market changes to predict product needs and requirements. Maintained client relations by customizing solutions to clients needs, generating referral business. Established short- and long-term objectives to ensure project goals were met.
Jan 1999 - Dec 2000
MDI Technologies (formerly Achieve Healthcare Technologies)
Financial Industry Market Leader
Aligned product design with targeted market needs, overseeing full lifecycle development from concept to launch. Determined market needs and established new product definition, functions, and bundled services. Created product concept documents for all unmet market requirements. Conducted focus group studies to evaluate market potential. Attended trade shows and industry seminars, as well as participated in site visits and external advisory boards. Coordinated with fulfillment teams in maximizes sales orders. Worked with industry experts, programmers, testers, support, and training staff.
Jan 1996 - Dec 1999
Mariner Post Acute
Director of Reimbursement
Managed financial reporting for Medicare reimbursement services. Clarified healthcare data with industry experts such as the American Health Care Association (AHCA). Delivered presentations nationwide on Prospective Payment Systems (PPS).