Michael McCabe

About Michael McCabe

Define Medicaid Strategic Plan. Prepare Business and markets for strategic organic/inorganic growth in alignment with winning bid strategy- Strategic growth leader with industry leading best 23-0 record in state medicaid RFP bids- 2020 - Designed and Deployed clinical innovation with 200% increase in preventive care visits and 50% improvement in gaps in care closed for exchange population. Total cost savings between 1-2 Million annually- 20••••23 Designed and deployed clinical innovation with over a million in cost avoidance from proper family caregiver plan of care- 20••••23 redesigned VBP model and contracts for optimal performance - 20••••23 Build medicaid networks, Identified network gaps and deployed solutions - 20••••23 extensive Medicaid, Medicare Health plan remediation, cleanup, resource identification to support and resolve issues.

Experience

1. Managed Care

   Sellers Dorsey

   Feb 2022 — Present · National, US

   Directing Managed Care Strategy for payers and providers nationally. Pre-market RFP development, comprehensive RFP responses, Pre-submission scoring, RFP Orals Preparation, and team readiness. HealthPlan performance analysis, MLR gap analysis & recovery, Network recovery, VBP deployment and mgmt, Technology stablaization (all aspects), and health plan admin performance recovery. Provider risk model development and deployment nationally for 7 provider led programs. Development of entire PLE program, strategy, Master Service Agreement to operatining agreement deisgn and developent.