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Sam Basta

Senior Medical Director, Clinical Integration, Sentara Healthcare/Optima Health Plans

Virginia United States

$495 / HOUR ?

Medical Director at a Payer

  • summary

    Sam Basta, MD, is a physician executive and future care delivery strategist. His areas of expertise include care delivery innovation, population health management and value-based healthcare. His experience includes providing clinical leadership from conception to implementation for a transformation of care initiative at Sentara Healthcare (2009-present), a $4B integrated delivery system with projects spanning patient-centered medical home/primary care redesign, chronic care coordination across the care continuum, advanced care planning, clinical analytics, knowledge management, and accountable care organization/clinically integrated network pilot. He served as a senior medical director at a 450K-member regional health plan (2006-2008), where he developed/implemented pay-for-performance programs and primary care embedded case management. He was also responsible for utilization and medical management. Dr. Basta was Chief Quality Officer at Eastern Virginia Medical School (2004-2005), where he organized innovative clinical programs including one of the first point-of-care-testing anticoagulation clinics. He is a board-certified internist who practiced inpatient and outpatient medicine for 10 years as a member of an academic group practice. Dr. Basta is Founder at Healthcare Innovation by Design, (HIxD), a global network of 7600+ healthcare delivery and experience innovators including clinicians, designers, architects, engineers and IT professionals. His areas of clinical expertise include evidence-based medicine and healthcare quality improvement. He received his MD from University of Alexandria Medical School and holds a Master's in Medical Management from Tulane University.

  • Payer Type

    Managed Care Organization (MCO)

  • Decision-maker

    I make decisions about coverage and/or formulary

  • Years of Experience

    6 - 10 yrs.

  • Lives Managed

    1K - 500K

  • Healthcare Plans

    Private plans

  • Insurance Companies

    Health Net

  • work history

    Senior Medical Director, Clinical Integration at Sentara Healthcare/Optima Health Plans (since Jan 2012)

    Medical Director, Transformation of Care at Sentara Healthcare (Sep 2009 - Jan 2012)

  • Topics

    Case Managment, Disease Management, Health Education, Health Information Exchange, Health Insurance, Healthcare Consulting, Healthcare Industry, Healthcare Information Technology, Healthcare Management, Inpatient, Medicare, Patient Safety, Physician Relations, Quality Improvement, Strategy, Utilization Management

  • Other Expertise

    Academic Medical Centers, Accountable Care Organizations (ACO), Integrated Delivery Systems, Outpatient Care, Population Health Management, Care Delivery Innovation, Value-Based Purchasing, Clinical Integration, Accountable Care Pay-for-Performance, Quality Improvement, Patient-Centered Medical Homes

    Strategic Leadership, Clinical integration, Healthcare, Accountable Care, Healthcare Innovation, Population Health, Leadership Development, Performance Improvement, Prevention, Start-ups, Diabetes, Patient Advocacy, Patient Education, Executive Management, Health Promotion, Case Management