Ben Peck

Payment Transformation Advisor @CareFirst BlueCross BlueShield

Baltimore, MD, US

Design value-based payment program for Medicaid and Dual Special Needs Plan (DSNP) lines of business. o Analyze opportunity. o Design model including methodology for attributing patients to providers as well as formula for sharing savings and losses with providers. o Present business case and receive approval from leadership for new payment program. o Partner with IT team to facilitate the implementation of new attribution and reporting, including developing business requirements for new IT capabilities.• Conduct evaluation of return on investment (ROI) for CareFirst’s value-based contracts in its commercial line of business. • Negotiate value-based contracts with large health systems and niche providers focused on high risk Medicare and Medicaid members.• Business owner for government programs member attribution. o Responsible for assuring that attribution algorithms function as expected and that downstream users, including finance, quality, and provider facing teams, receive reliable member attribution data.

University of California, Berkeley

BA

Rutgers, The State University of New Jersey-New Brunswick

Doctor of Philosophy (PhD)

University of California, Berkeley

Bachelor's degree