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| Ira Rosenberg is the President of Managed Care Resources. |
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Ira brings a pragmatic approach to clients in the area of managed care. He has over 27 years of significant health care management experience, including:
- Management of HMOs,
- Management of multi-specialty group practices,
- Development of provider networks, and
- Creation of integrated delivery systems.
For eight years, Ira was Vice President for the Humana Health Care Plans in Illinois, a 600,000 member mixed model HMO. In that position, he was responsible for site development, inter-governmental relations and regulatory oversight, development of the corporate infrastructure to support growth, and the negotiation of large group agreements, and the ancillary provider contracting system. He expanded the provider network from 5 hospitals to 75, and from 100 contracted physicians to over 5,000 contracted physicians and group practices. He is an expert in all forms of provider reimbursement, including per diem arrangements, global capitation, and percent of premium arrangements, as well as packaged pricing for various medical procedures.
Ira also has many years of experience on the provider side of health care:
- Managed multi-specialty group practices with significant HMO enrollments.
- Served as Chief Operating Office of a major Chicago hospital.
- Managed the development of an institution-based integrated delivery system, linking together academic medical centers with community hospitals.
- Organized primary care medical practices with an academic faculty practice plan to successfully contract with the major insurers under capitated arrangements.
Ira directed
the project team that managed a provider owned HMO in the Midwest. He recruited a highly experienced team of health care executives to provide hands-on management services to the 100,000 member HMO. The infrastructure was "built from scratch"
that enabled the HMO to be managed independently, rather than be managed by an HMO operated by a third party insurance company. Under his direction, the HMO expanded its managed care strategies, creating new products, improving network relations, renegotiating payer/provider agreements, and creating provider and insurer operational systems.
Ira Rosenberg majored in Political Science at the University of Rhode Island, and received his Masters degree in Health Care Administration from George Washington University.
Ira Rosenberg can be reached at irosenberg@mcres.com.
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