Fred Mc Millan M D

Oversee operations management and develop short-term, mid-term, and long-range strategic plans for network with 100K members (300K total covered lives). Monitor performance of network physicians with regard to the cost, clinical appropriateness, and volume of authorizations. Collaborate with team members to develop, implement, manage, monitor, and evaluate effectiveness of programs to achieve preventative care targets. Analyze network-wide and site-specific performance on quality and patient safety measures to identify opportunities for quality improvement and training. Key Achievements: • Drove 20X+ growth in annual profits over 10 years, from $50K to $1M (on revenue growth from $850K to $2.1M). • Secured new IT vendor at lower cost and integrated hardware and PPO software that increased capability and improved efficiency, decreasing overhead/payroll by 75% in first 12 months. • Introduced policies and hired two employees with expertise in provider relations and credentialing, growing provider network and increasing efficiency and ensure NCQA compliance. • Negotiated contract with University of Mississippi Medical Center to have all 450+ physicians become members of MSMA and credentialed providers of MPCN, maintaining credentialed providers at 75+% of licensed physicians in the state and close to 100% of members of MSMA. • Assumed development of fee schedule for 13K+ Current Procedure Technology (CPT) and J (medication) codes, eliminating annual $50K outsourcing fee to third-party, lowering cost of health care delivery by 115% in first 12 months and continued to decrease annual cost for total reduction of 140% over 14 years while decreasing Medicare code fees and maintaining physician satisfaction. • Renegotiated contracts with 80+ hospitals, increasing discounts on patient charges and eventually going to DRGs on all hospital charges, reducing monthly per-member cost to self-insured businesses by an estimated $5.00, and increasing covered lives by 600%.