Mr. Driscoll currently serves as Executive Chairman of the Board for ArroHealth. Prior to this role, Mr. Driscoll was most recently President and CEO of Socios Mayores en Salud, a Medicare Advantage HMO in Puerto Rico. He was successful in bringing this company from virtual insolvency to achieve profitability while doubling the membership. He has also served as Executive Chairman of the Board of Vista Healthplans and as the President and Chief Executive Officer of Private Healthcare Systems (PHCS). His background includes board senior management accountability, as well as a decade of consulting on a national basis in health care cost management, managed care, strategic planning, and plan/product design. Mr. Driscoll served as Chairman of the Board of the American Association of Preferred Provider Organizations (AAPPO) from 2002-2004 and remained a member of the board through 2006. He also served on the Board of the America’s Health Insurance Plans (AHIP), the national trade association of the health insurance industry. In addition, Mr. Driscoll was on the Board of the Council for Affordable Quality Health Care (CAQH). Mr. Driscoll was also a member of the Commonwealth of Massachusetts Managed Care Oversight Board. Mr. Driscoll is a graduate of Boston College and completed the Northeastern University Advanced Management Program. Because of his extensive insight into the health care market, he has been widely quoted in the press and as an industry resource. He was profiled in Managed Healthcare Executive Magazine’s Visionaries section and was featured as the publication’s cover story. Mr. Driscoll has been a frequent speaker at industry events and conferences, discussing issues impacting the managed care industry.
Managing Director, Sandbox Industries
Mr. Downs is a Managing Director for Sandbox Industries. He is a member of the Sandbox healthcare team and is passionate about helping Sandbox portfolio companies grow. Prior to joining Sandbox he worked at Highland Capital Partners and Morgan Stanley. He received his BA from BYU and MBA from Stanford. Sandbox Industries provides the investment management services for the BCBS Venture Funds.
Managing Partner, HLM Ventures
Mr. Grua is a Managing Partner of HLM Ventures. His venture investment activity has been focused on health services, medical technologies, and health care information technologies. Prior to joining HLM in 1992, Mr. Grua was a Managing Director at Alex, Brown & Sons, where he directed research in health care services and managed care. Previously, he was a research analyst at William Blair Company and a strategy consultant at Booz, Allen & Hamilton. He received an AB degree from Bowdoin College and an M.B.A. from Columbia University.
Chief Executive Officer
Mr. Moller has more than 20 years of experience in the healthcare industry, having led private and public growth companies in a variety of sectors, including PBM as well as Medicaid, Commercial and Medicare managed care.
Prior to joining ArroHealth in 2011, Mr. Moller served as interim Medicare CEO at Centene Corporation (NYSE: CNC), where he managed the national Medicare business unit, achieving a profitable business turnaround amid significant revenue growth. Before Centene, he was Health Plan President of all operating regions of Fidelis SeniorCare, a growth equity-backed Medicare Special Needs Plan. There, he achieved a financial turnaround, taking the company from chronic losses to profitability. Prior to Fidelis, he served as Chief Operating Officer of the Express Scripts Insurance company (NASDAQ: ESRX), where he launched and grew the PBM’s national Prescription Drug Plan (PDP), now a multi-billion dollar business. He was also Vice President of Product Development at Express Scripts and head of the company’s consumer-directed unit. Earlier in his career, Mr. Moller held the position of Chief Marketing Officer at consumer-directed pioneer, HealthMarkets Inc., and at regional operating units of Oxford Health Plans, where he started his career.
Mr. Moller holds a B.A. from Boston College and an M.B.A. from Harvard Business School.
Managing Director, Trident Capital
Mr. Multani is a Managing Director at Trident Capital and co-heads the firm’s health care technology practice. Since joining Trident in 2002, he has worked on investments across a variety of sectors. Mr. Multani currently serves on the Board of Directors of Acclaris, HealthMEDX, Imagine Health, ArroHealth and Teladoc. He is a former director of Resolution Health and board observer of Profex and Datatel. Prior to Trident, he worked in Product Management at Sun Microsystems; McCown De Leeuw & Co., a private equity firm specializing in leveraged buyouts, where he focused on investing in the health and fitness industries; and, Morgan Stanley & Co., where he worked in the Mergers & Acquisitions group. Mr. Multani has a BS & BAS from The University of Pennsylvania and an MBA from The Stanford University Graduate School of Business.
Managing Director, Trident Capital
Mr. Reardon is an experienced health care and technology executive who has co-founded or led several successful start-ups as well as led mature divisions of several large organizations. He is a Managing Director of Fund VII, with a focus on health care information technology at Trident Capital. Prior to Trident, Mr. Reardon was President and CEO of CliniComp International, an acute care clinical information system company. Previously, he was an operating partner with JP Morgan Partners, and in that role held interim operating roles or active board roles with seven portfolio companies: FusionOne, Tidal Software, Narus, Determine Software, Above-All Software, Call Vision and NinthHouse Network. He also serves on the Board of Directors of E&C Medical Intelligence.
Before JPMP, Mr. Reardon was Regional Vice President of Strategic Planning and Business Development for the St. Joseph Health System in Northern California. In that role, he acquired or started several businesses that included hospitals, home services, physician networks, and related administrative companies. During that time, he built the St. Joseph Health Foundation, a managed care administrator and practice management company for which he served as president. Mr. Reardon was also the co-founder of Value Health Management, which was acquired by EDS in 1996, and Health Economics Corporation, which was acquired by Equifax in 1990.
He holds a B.S. in History and a B.S. in Economics from Arizona State University and an M.B.A. from the University of California, Los Angeles.
By RaeAnn Grossman What does your risk adjustment team need to think about from application time to bid season? Answers include but are not limited to: Are we changing our formulary and will this impact Rx risk adjustment? Are we narrowing our provider networks and will this impact campaigns or waves? Are we capitating more […]
By RaeAnn Grossman First, have you integrated compliance and risk adjustment? Have you embedded your risk mitigation strategies? Here are a few items that should be on your compliance for risk adjustment checklist: Review coding guidelines quarterly (internally and with vendors) Perform 2LR and 3LR annually Embed claims validation into Medicare Advantage, Commercial, and Medicaid […]