Kartheek Koneru

Healthcare | Consultant | Entrepreneur

Minneapolis, MN

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About

Over 10 years of experience working as a consultant across several functional areas (product, growth, operations) and sub sectors of healthcare across different stages of growth. Sample list of organizations include: Bright Health Bind On-Demand Insurance United Health Group Mayo Clinic Digital Health Start Ups HCMC (Level IV Trauma Center) Atlantic Health System Virtua Health System Medtronic

Ask me about
Population health
Value based contracting
Digital Health
Risk management
Patient flow technology
Work experience
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Oct 2018 - Present

Independent Consultant

Advisor / Consultant

Client: Virtua Health System •MSSP Pathways to Success Program: Conducted a deep dive analysis into the new MSSP Pathways to Success Program rule and impact of participating across various tracks •Medicare Advantage: Analyzed MA market, developed considerations for various deal structures with payers, and developed a sample gain share model. •Claims & Financial Analysis: Worked with actuaries to analyze historical Medicare claims data and developed performance scenarios under the new MSSP pathways to success program with the same network. Analyzed the financial impact of participating across MACRA driven QPP programs like MIPS and various APM programs •Population Health Technology & Analytics: Developed a population health technology and analytics implementation strategy within Epic platform (Healthy Planet) •Referral Management in Epic: Worked closely with IT, Epic and small independent practices to develop an MVP to connect providers within the CIN to make referrals to each other, including programmatic development to scale the solution. Client: Bind On-Demand Health Insurance •Direct Contracting: Developed and tested different FFS contracting models that can be deployed via a "self-service" mechanism to scale the contracting process between payers and providers across facilities (IP, OP, etc) and professional side •Dynamic Pricing: Explored and tested ways "dynamic pricing" can be incorporated for providers based on practice patterns, episodes of care, and market averages •Credentialing Plan: Developed a framework for delegated credentialing plan •Prior Authorization: Conducted analyses to identify risk exposure of eliminating all prior authorization requirements to reduce administrative burden for providers Client: Chanl Health (A Digital Health company focusing on Cardiac Rehab) •Leading strategic partnerships with health systems, payers and other technology companies.

Aug 2018 - Present

RTDC Advisors

Co-Founder

RTDC Advisors brings throughput science to hospitals. With a combined experience of over 70 years, our team includes a critical care physician, hospital operations executive, statistician & author, technologist and a nurse. Our process driven solution called Real Time Demand Capacity Management (RTDC) was developed and refined over a 10 year period at the Institute for Healthcare Improvement (IHI) and is rooted in mathematics, fluid dynamics and observations from other industries that have dealt with matching unscheduled demand with fixed capacity. Our proprietary tools and implementation model were developed through rigorous testing and iterations with several leading health systems. This allows us to deploy the process within a week at a hospital of any size. Learn more about how RTDC not only improves throughput but also optimizes any existing technology or command center investments at www.rtdcadvisors.com

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Jun 2016 - Present

Nexben

Investor

Nexben is an advanced digital insurance marketplace that includes payment solutions for employers and insurers within the small group market segment

Apr 2014 - Jul 2018

Innovo Advisors, LLC

Principal

Client: Atlantic Health System •Population Health/ACOs. Led population health technology (Epic-Healthy Planet) strategy & implementation to support MSSP program with ~100K lives and 350K under various commercial contracts •Analytics. Developed a business case, set up governance structures and generated buy-in from senior management to scale an existing clinical and business intelligence (CBI) department •Clinically Integrated Networks. Developed an economic model for CIN that identified various levers/drivers that impact the health system as relevant value based initiatives are being pursed •Care Management. Identified care management process standardization opportunities across centralized and practice based care coordinators in ambulatory practices •Employee Health Plan. Facilitated the development of a self-insured employer consortium with over 75K lives, including vendor selection of a broker and TPA/Carrier Client: Bright Health Plan •Investor Due Diligence. Conducted components of market and financial analyses used in investor due diligence that led to series A investment of ~$80M •Market Analysis. Conducted market analysis to evaluate over 20 states and 100 MSAs to identify the launch market for the health plan •Medical Management. Led the vendor selection process with the medical director for a medical management partner to perform utilization management and complex case management Client: Hazelden Betty Ford •Customer Relationship Management. Led a CRM implementation for a nation-wide behavioral health system and restructured workflows to improve case management and coordination •Budget Management. Developed the overall budget of $50M for EMR implementation •Data Strategy. Led an organization wide data integration strategy to build a foundation for data management, analytics and ultimately care coordination

2013 - May 2014

Hennepin County Medical Center

Performance Improvement Advisor

•LEAN. Assisted the performance excellence department in implementing & scaling various LEAN concepts •Cost Management. Conducted cost variation analysis for high volume surgeries that led to increased awareness among surgeons and ultimately savings to the department •Ambulatory Operations. Managed open-access initiative across primary & specialty clinics aimed at reducing visit types and redesigning scheduling templates to improve access and balancing demand & supply across clinics

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2012 - 2012

Medtronic Vascular

Strategic Marketing

•Value Based Care Assessment. Developed a value based care model and value proposition for Endovascular therapies- a $350M division of Medtronic •Market Research. Conducted meta-analysis of over 15 primary market research reports and interviewed relevant stakeholders to understand drivers of customer acquisition & retention for products grossing over $350M in revenue/year

2011 - 2012

Minnesota Department of Health

Operations Consultant

2010 - 2011

LarsonAllen: CPAs, Consultants & Advisors LLC

Strategy Consultant

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2008 - 2010

Mayo Clinic

Finance

Education

2011 - 2013

Carlson School of Management

MBA, Finance

MBA

2010 - 2013

University of Minnesota Public Health

MHA, Healthcare

MHA

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