Seldon Health Advisors

Value Based Care and Risk Management

Jonathan Meyers is a seasoned Healthcare Management and Actuarial Executive with an extensive 30-year background in health and managed care sectors. He stands out as a strategic leader in managing risk across the healthcare continuum, adept at delivering innovative solutions for Medicare, Medicaid, ACO and Commercial plan members.

Jonathan's leadership extends to formulating strategies that elevate healthcare enterprises of varying scales, enhancing both patient and provider experiences and outcomes. His expertise encompasses a broad spectrum of healthcare dynamics, making him a pivotal figure in advancing healthcare delivery systems.

Jonathan has been on all sides of the healthcare system starting out with United HealthCare followed by leadership positions at Horizon BCBS of New Jersey, InnovaCare Health (MMM of Puerto Rico), Towers and Milliman Employee Benefits Practices, Heritage Medical Systems and most recently Rubicon Founders' HarmonyCares.

Services

Designing, operationalizing, and executing programs to optimize healthcare risk and patient outcomes through an emphasis in the following key competencies:

  1. Strategic Negotiations and Leadership: Demonstrated exceptional negotiation skills with key stakeholders such as CMS, CMMI, Congress, and State/Territory Administrations, steering pivotal discussions and presentations.
  2. Collaborative Clinical Program Development: Forged strategic partnerships with physicians to design and implement clinical programs and networks, resulting in marked improvements in patient outcomes.
  3. Innovation in Machine Learning: Pioneered the design of machine learning tools for over two decades, securing a competitive edge and enhancing returns for risk partners through advanced analytics.
  4. Risk and Value-Based Care Expertise: Spearheaded the design, negotiation, and implementation of comprehensive risk and value-based care models, optimizing engagements from both provider and payer perspectives.
  5. Stakeholder Negotiations: Negotiated with health systems, payers, and providers to align objectives and foster collaborative care delivery models.
  6. Private Equity Contributions: Played a crucial role in Private Equity transactions, contributing strategic insight on both the buy and sell sides, showcasing financial acumen and market foresight.
  7. Market Leadership through Strategic Planning: Directed a primary MA plan bid strategy, achieving market leadership and profitability through meticulous planning and execution.
  8. Medicaid Program Efficiency: Advised local Administrations on redesigning Medicaid funding programs, enhancing the efficiency and sustainability of healthcare funding.
  9. Pharmacy Program Innovation: Collaborated with PharmDs to develop Formularies and Pharmacy programs, promoting optimal medication protocols and enhancing patient care.
  10. Team Leadership and Development: Built and led high-performing Operational, Data, Analytics, Reporting, and Actuarial teams, driving significant return on investment through mentorship and strategic guidance.
  11. Foundational Team Building: Orchestrated the formation of teams for critical new Federal and Local healthcare programs, including Medicare Part D, Risk Adjustment, STARs, ACO and innovative Medicaid funding mechanisms.

Affiliates

I am also partnered with and have access to long-term executives across the healthcare continuum with extensive hands-on subject matter expertise through my relationship with ProNexus.

Member Board Advisor

ProNexus Advisory

Get in touch

If you're interested in hearing more about how Seldon Health can support your vision and goals, let's connect.

You can reach Seldon Health via email at: hari [at] seldon.health