- Company: American Academy of Communications, a subsidiary of The Howard Yale Company
- Phone: (843) 949-0927
- Cell: (804) 897-7980
- Fax: 843-837-7778
Specialties & Experience
General Specialties: Medical Management and HMO
Specialty Focus: Credentialing/Privileging, Peer Review, Quality & Patient Safety, Health Disparity, Healthcare Administration, Hospital Negligence, Medical Staff Affairs, Physician Performance Management, Physician Contracts, Value-based Care, Clinical Mergers & Acquisitions, Dosing Errors, and Healthcare Fraud.
Education: MD, Yale University School of Medicine; MBA, Virginia Commonwealth University; BS, Pharmacy, Howard University College of Pharmacy
Years in Practice: > 40
As a Physician Executive with current licensure in Kentucky, North Carolina, Pennsylvania, and Virginia, I currently serve as the Senior Medical Correspondent for station WVGB-FM in Beaufort, South Carolina. In my corresponding capacity, I host daily coronavirus updates, weekly Doctor Vision interviews, and monthly Coronavirus Townhall presentations. With over 35 years of experience in the national health insurance industry, 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) Peer Review; (10) Medical innovation (6 patents; 2 trademarks); (11) Quality management (Malcolm Baldrige, NCQA); (12) Physician credentialing (>20,000 file reviews; >500 hearings); (13) Wellness program implementation; (14) Sales (> 300 sales presentations); (15) Executive physician coaching; and (16) Senior Medical Correspondent My training in pharmacy, medicine, and business was received at Howard University, Yale University and Virginia Commonwealth University, respectively. I am a Fellow of the American College of Physicians, the American College of Emergency Physicians, the American College of Clinical Pharmacology, and the American Academy of Communications. 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, New Jersey, Savannah, Virginia, and West Virginia.