Value Based Care Expert Witnesses

Manhattan Beach, California

Internal Medicine, Obesity - Hospital Medicine, Skilled Nursing Facility, Long-Term Care, Transitions of Care, Readmissions, Care Coordination, Medical Director, Quality Measures, Value-Based Care, Primary Care, GLP-1 Pharmacotherapy, Medication Management, Polypharmacy, Medical Operations, Standard of Care, Failure to DIagnose, Failure to Treat, Inpatient

Dr. Vivek Gupta, MD, MPH is a board-certified Internal Medicine physician with over 12 years of active clinical experience across hospital medicine, skilled nursing facilities, and outpatient primary care. He completed residency training at Harbor–UCLA Medical Center and earned a Master of Public Health from the University of Southern California. Dr. Gupta has held leadership roles in both clinical and operational settings. He previously worked with Optum, where he participated in value-based care initiatives, quality improvement programs, and population health management strategies within large integrated healthcare systems. His experience includes oversight of chronic disease management, readmission reduction, care coordination, and performance metrics tied to regulatory and payer standards. He currently serves as Chief Executive Officer and Founder of Mindful Wellness, a physician-led medical weight loss practice, and as Chief Operating Officer of Gupta Medical Center, a primar...

Lone Tree, Colorado

Appraisal & Valuation, Business Valuation - Healthcare Valuation, Physician Compensation, FMV, Stark, Anti-Kickback, Physician Strategy, Physician Alignment, Value-Based Care, ACO, CIN, Hospital Strategy, Provider Compensation, APP Compensation, False Claim, Doctor Pay, Healthcare Business Value, Healthcare Appraiser, Commercially Reasonable, Pay for Performance, Economic Damages

Jim leads InHealth’s work related to structuring, implementing, and valuing provider integration models for clinic-based specialties and navigating the transition to participation in advanced value-based contracting models. Jim is a frequent presenter and author on matters pertaining to physician alignment models, provider compensation, and healthcare valuation. He also possesses extensive experience serving as an expert in disputes and investigations involving physician compensation, healthcare business valuation, and other healthcare valuation matters. Jim offers InHealth’s clients guidance in designing provider integration models that ensure alignment with their organization’s operational and financial goals, as well as optimize the organization’s performance in value-based payment programs. He assists organizations in developing the strategies and entities needed for participation in advanced value-based contracting programs, including Value-Based Enterprises, Accountable Care ...

Bluffton, South Carolina

Hospital Administration, HMO - Managed Care, Physician Credentialing, Medical Expert, Drugs, Corporate Practice of Medicine, Healthcare Fraud, Value Based Care, Defamation, Physician Sanctions, Medical Records Review, Medical Management, Pharmacology, Health Literacy, Medical Administration, HIPPA, Patient Safety & Quality, Health Equity, Accountable Care Orgs, HMO

FRANK L BROWN, JR, MD, MBA, FCP, FACP My education has been in pharmacy, medicine, and business at Howard University, Yale University, and Virginia Commonwealth University, respectively. I have served as an Examiner for the Malcolm Baldrige National Quality Award, as well as the National Committee for Quality Assurance. Areas of expertise developed by me include: • Credentialing • Defamation • Health Disparity • Health Equity • Health Literacy • Healthcare Fraud/Qui Tam • HMO & Managed Care • Pharmacology • Pre-authorization • Value-Based Care/ACO Key metrics managed during my career include the conduct of over 5,000 physician credentialing reviews; over 5,000 medical necessity/utilization management reviews; and over 2,000 patient/physician committee and in-person grievance & appeal reviews; and the planning, organizing, development, staffing and monitoring of programs for patient quality of care, and safety. I hold patents for improved emergency patient flow system design a...