Managed Care Medical Expert Witness

Expert Witness No. 1605

Education

University Of California, BS, Business Administration

San Jose State University, California, MBA, Business Administration

Experience

1987 - Present, President, Private Corporation

Expert witness in numerous lawsuits regarding managed care, hospitals, nursing homes, renal dialysis clinics etc.

Expert witness work regarding over-charging by hospitals and hospital emergency rooms

Testimony regarding physician and nursing staffing patterns in both acute care and long term care facilities

Expert litigation support in various Medicaid and Medicare disputes

Testimony regarding hospital compliance with various state and federal rules and regulations

Depositions regarding the operation of Medicaid managed care plans in a major southwestern state

Provider defense in Medicare billing cases

Executive Director of a statewide healthcare association

Executive Director of a regional hospital association

Assisted major California hospitals in vastly improving their Medi-Cal reimbursement rates that they receive from the State of California

Negotiated with the State Medicaid Director regarding the establishment of a multi-county Medicaid Managed Care program involving large community based hospitals

Implemented Multi-Hospital shared services program

1982 - 1987, President, Castle Consulting Group Inc.

Developed several IPA's, negotiated contracts and served as acting CEO of program

Marketing Director of major medical group

Acting CEO of a large East Coast HMO

Established IPA's and served as an Acting CEO under the Arizona Medicaid program

Assisted Hospitals in establishing Home Health Care subsidiaries

Hospital and Nursing Home reimbursement studies

Major reimbursement study of five states' healthcare costs

Implemented Hospital Medicaid reimbursement programs in twenty five states

1976 - 1982, Management Consultant, Deloitte & Touche

In charge of the Southwestern Healthcare Consulting Practice

Hospital Medicare and Medicaid reimbursement studies

Operational audit of a major Midwestern Hospital

Hospital accounting and cost system installations

Medicaid Fraud and Abuse system installations

Health Systems Agency needs methodology studies

1973 - 1976, Executive Vice President, California Association Of Health Facilities

CEO of  a thousand member nursing home association

Increased membership by twenty-five percent

Directed legal, legislative, marketing, membership, information systems and operational programs

Close working relations with Board and members

Regular appearances before the Congress and the State Legislature

Increased Medi-Cal reimbursement rates by thirty five percent
1970 - 1973, Deputy Director, Department Of Consumer Affairs, State Of California

Administrator of a state agency consisting of forty-three boards which license and regulate approximately one million Californians

Supervised three thousand employees

Established California Auto Repair Regulatory Agency

Regular contact with key legislators and federal officials

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