Michael A. Madden, MD is a Medical Director in the
Quality and Medical Performance Management Department of Highmark Blue
Cross/Blue Shield, focusing primarily on better pay for better quality
performance programs for primary care and specialist physicians and hospitals,
and office practice process and quality improvement. He previously worked
as a Medical Director for Gateway Health Plan, a managed care organization
serving the medical assistance population. His focus there was on utilization
management and disease management programs. Prior to joining Gateway,
he was a faculty member of the Family Practice Residency and served as
Executive Director of a multi-specialty physician group at Saint Vincent
Health System in Erie. His career began as a family physician at the
North East Health Care Center, a community health center. Dr. Madden
graduated from the University of Notre Dame, Georgetown University School
of Medicine, did his family practice residency at the Medical College
of Virginia-Fairfax, and completed his Certificate in Medical Management
at Carnegie Mellon University.
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William J. DeMarco MA CMC is the President & Chief
Executive Officer of DeMarco & Associates, Inc., a national, independent
healthcare consulting firm specializing in healthcare delivery system
redesign and transformation.
The firm specializes in research and strategy development, organization
development of successful provider owned enterprises and marketing management
including product design and promotion.
Mr. DeMarco is recognized as a leader in the research, design and implementation
of community based healthplans. Since his involvement in several startup
health plans in Minnesota in the early 1970s Bill and his team of management
consultants clinical specialists and reimbursement analysts have assisted
employers and physicians in developing better relationships with insurers
up to and including developing local solutions to deliver and finance
care. He is currently involved with assisting special needs plan
startups and expansions as well as other Medicare and Medicaid program
development.
Using Health Services Research from its affiliate Pendulum HealthCare
Development Corporation www.pendulumhealth.com DeMarco
and Associates assists both provider and employer clients in addressing
prospective payment approaches in order to build Pay for Performance
models to develop direct employer/provider contracting entities, benchmarking
collaboratives under the new value purchasing legislation as well as
single specialty centers of excellence.
Mr. DeMarco is a well-known author having written or contributed to
over a dozen books on managed care topics. He holds a master’s
degree in organizational development from DePaul University. He a past
faculty member of Loyola Law School’s graduate program and was
recently awarded the Follomer Bronze award from the Healthcare Financial
Management Association for his outstanding service and contributions
to HFMA chapters and members.
As an accomplished speaker on a variety of topics including reimbursement,
marketing and management issues Bill has received high marks for offering
entertaining and insightful workshops and seminars. He is a regular presenter
for such audiences as Medical Group Management Association, HFMA, VHA,
AHA, Quorum, NMHCC and AHIP.
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Michael A Madden 
William J. DeMarco