Jay Fisher, C3 Partners

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Dylan Fuller  has over 20 years' experience in healthcare strategy, organizational transformation, c-level advisory coaching, and enterprise software architecture. Dylan has led large transformation programs (1000+ team members) and has designed and implemented governance models from clients sized from small businesses to Fortune x. As Partner, Dylan is part of C3's executive team responsible for the overall software and solutions portfolio.

 C3 Partners provides industry leading compliance software for CMS regulations, including MIPS, Advanced APM and Meaningful Use.  Our team of experts also consults with medical groups to optimize reimbursement under Medicare programs.  

I am a Healthcare Actuary with more than 20 years of experience working with healthcare provider organizations, health insurers, CMS, and a variety of other organizations.

I have significant experience working with many healthcare providers in the design, evaluation, audit, and performance monitoring of various population-based / value based reimbursement agreements. This includes advice on the risk management aspects of value based reimbursement, including modeling the expected risk and developing appropriate risk mitigation techniques. I have negotiated and evaluated these agreements for provider clients in all markets (commercial, Medicare, and Medicaid) with all the national health plans and many regional carriers. I am presently assisting several healthcare providers with an innovative and unique solution for sharing risk with self insured employers in the direct to employer market.

I am also working with a number of health systems and Accountable Care Organizations (ACOs) to design and implement models which distribute surpluses from shared risk / shared savings agreements (i.e., value based reimbursement agreements) to the system's network providers. These models are typically designed to incentivize and reward those network providers with the greatest opportunity to manage the cost of care.

I currently assist multiple heathcare provider clients with identifying the opportunities to manage care more efficiently. For example, through benchmarking actual experience for the healthcare provider's attributed population against well managed utilization and cost targets.

I have extensive Medicare Advantage expertise developed from assisting health plans with CMS regulatory filings. In this Medicare Advantage space I assist clients with the development and certification of their bids, feasibility studies, healthcare utilization and cost benchmarking, and reserve estimation amongst other things. 

Milliman is one of the leading experts in healthcare financing and delivery. We advise clients on a wide range of issues—from assessing the impact of healthcare reform on organizations or populations to streamlining operations while advancing the quality of patient care. Our consulting work is supported by a powerful toolkit of data analytics solutions and informed by the most trusted, comprehensive set of cost guidelines in the industry.  

Vice President of Provider Networks for Aledade’s Mid-Atlantic Region. In this capacity, I am responsible for strategy, network growth, and revenue for physician-led Accountable Care Organizations (ACOs).

Previously, was Director of the Office of Programs & Engagement in the Office of the National Coordinator for Health Information Technology (ONC) at the U.S. Department of Health and Human Services (HHS). The Office of Programs & Engagement is responsible for leading the national adoption of interoperable health IT, including implementing programs to support delivery system reform in states and communities. This work is done through an accelerated rapid-cycle learning process which includes peer-to-peer learning, workforce education, technical assistance development, & resource disseminating, including a focus on educating all members of the community to promote active engagement of patients and their families throughout the care delivery process. These programs are working jointly with health care providers and consumers to adopt, optimize, and use interoperable health IT.

Prior to the AHA, I was with the National Quality Forum (NQF) as a program designer and subject matter expert for technical assistance and outreach related to electronic clinical quality measures and other health informatics standards used in various hospital and ambulatory quality and payment reporting programs.

I was also with the American Hospital Association (AHA) responsible for health services research related to healthcare policy and translational research on health IT. Additionally, I was responsible for program designer for web, data warehousing, and social media.

Prior to AHA, I was Founder and Managing Director of Reviving Styles, an IT start-up firm. Reviving Styles was a web development and digital strategy agency focused on helping healthcare organizations and physician groups manage their online presence and engage patients and professional audiences. 

 At a time when it’s getting harder for primary care physicians to deliver quality, personalized care to the communities they serve, Aledade offers a new model that puts primary care doctors back where they should be: quarterbacking their patients’ health care. We do this by partnering with primary care physicians to build and lead Accountable Care Organizations (ACOs) that enable them to focus on what’s best for their patients’ health. 

William T. Oravecz is Managing Partner and Chief Consultant of WTO Associates LLC. Bill currently serves as Executive Director, Strategic Planning & Client Experience and Corporate Compliance Officer for Stone Health Innovations. 

Bill’s professional experience is backed by 20+ years of Clinical, Healthcare Technology and Information Systems Implementation experience through a variety of senior management positions with non-profit healthcare provider organizations (Trinity Health of New England/Saint Francis Care), healthcare technology strategy consulting (Saisystems Health, Santa Rosa Consulting’s Strategic Advisory Group) and IT solutions consulting and business process outsourcing (BPO) firms (CDI Corporation, CTG Inc.). 

As a member of the Healthcare Information Management Systems Society (HIMSS), Bill has been a Reviewer / Mentor / Moderator / Ambassador with the Global Conference Education Committee since 2011. Bill has also been a Scientific Program Committee Reviewer for the American Medical Informatics Association (AMIA) since 2017. He was also listed in “17 Informatics Experts Worth Listening To” by Masters in Health Informatics/AMIA.

Bill is certified in CMS Quality Payment Programs (QPP)/MACRA-MIPS (CMHP), HIPAA Security Professional (CHSP) and Administration (CHSA), and Good Clinical Practice (GCP) and Regulatory Compliance for Pharmaceuticals and Medical Devices. He holds an Executive MBA degree from the University of Connecticut School of Business with a concentration in Finance and a ScM Clinical Scientist degree from the University of Chicago Pritzker School of Medicine and Division of Biological Sciences.

WTO Associates is a strategic technology, clinical program and business management firm serving healthcare providers, organizations and their patients to simplify the transformation to value-based care and population health management. Based on its 5 Core Disciplines - Strategic Innovation, Value Driven, Clinical Leadership, Patient Engagement, Outcome Centric, WTO Associates brings a meaningful and simplified approach to the implementation and management of Value-based Clinical Programs and Healthcare IT solutions that strengthen healthcare provider organizations and enhance patient experience.