Frank L Brown, Jr, MD, FACP, FRSM Expert Witness
Curriculum Vitae

Contact Information

  • Company: American Academy of Communication, a division of The Howard Yale Company
  • Phone: (843) 949-0927
  • Cell: (804) 897-7980
  • Fax: 843-837-7778
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Specialties & Experience

General Specialties: Fraud and Medical Management

Specialty Focus: Clinical Mergers & Acquisitions, Dosing Errors, Expert Referral, Health Disparities, Medical Necessity, Physician Credentialing, Strategic Report Writing

Education: MD, Yale University School of Medicine; MBA, Virginia Commonwealth University; BS, Pharmacy, Howard University College of Pharmacy

Years in Practice: > 35

Additional Information

I am a Physician Executive with current licensure in Kentucky, North Carolina, Pennsylvania, and Virginia. My board certifications are in the specialties of Internal Medicine and Emergency Medicine. With over 35 years of experience in the national health insurance industry (Anthem, Cigna, Oxford, United, and Wellpoint), my areas of expertise include: (1) Value-based care (>10 ACO's managed); (2) Appeals (> 500 including face-to-face customer interviews); (3) Boards of directorship representation (AHA, NMSS, United Way); (4) Clinical Mergers and Acquisitions (Oxford/Oaktree, Anthem/Trigon}; (5) Commercial acting representing Cigna (ATL, LA, NY, Philadelphia markets); (6) Executive leadership (CHIE designation, Vice President, Sr. Medical Director); (7) Fraud & abuse (>100 cases); (8) Medical necessity review (>50,000 chart reviews); (9) Medical innovation (6 patents; 2 trademarks); (10) Quality management (Malcolm Baldrige, NCQA); (11) Physician credentialing (>20,000 file reviews); (12) Wellness program implementation; (13) Sales (> 300 sales presentations); (14) Executive physician coaching; and (15) Medical Correspondent My training in pharmacy, medicine, and business was received at Howard University, Yale University and Virginia Commonwealth University, respectively. Elected Fellowships include the American Colleges of Physicians; Emergency Physicians; Clinical Pharmacology; as well as the Royal Societies of Medicine; and Arts, Manufactures & Commerce. I have been awarded 6 patents in the United States for the design of systems to improve patient health engagement and health system management. In addition to Senate Subcommittee testimony, I have done plaintiff and defense work in the District of Columbia, Philadelphia and Savannah. My current areas of focus include clinical mergers & acquisitions, dosing errors, healthcare fraud, medical necessity, physician Credentialing, and strategic report writing..