Advancing Healthcare

Advance Health provides industry leading managed care prospective health solutions. Our combination of proprietary mobile workflow technology and highly experienced, dedicated care providers yields outstanding program results and better outcomes for our clients and their health plan members.

We offer truly customized prospective member engagement solutions tailored for each of our clients' unique needs. Advance Health was created to leverage best-in-class technology for greater efficiency, data security and automation. We also want to bring better health care to managed care members by engaging them when and where they are most comfortable, using the best available member specific information and workflow technology.

Our Providers

One of the most important aspects of our member engagement programs is our Nurse Practitioners. Their professional support helps members feel more comfortable and find value in the programs designed to advance their care. Our model recognizes that importance and is unique in several ways. First, we collaborate with each plan to identify specific needs, Then, we select NPs who have the experience and expertise to meet those needs.

Each NP is client based and 99% of our network is local NPs. We believe this model best serves our clients and their members because the NPs are part of the fabric of each community. They know the area, the providers and social services and can collaborate with them more efficiently than non-local providers who are typically outsourced and travel extensively.

We utilize a rigorous credentialing verification protocol to ensure the highest standards in care. Our NPs are required to hold national certification (AANP/ANCC) in Family, Adult, or Geriatric care.

karenbolton.jpgKaren Bolton RN, MS, FNP-C

Texas
7+ years of experience

taraLichty-morton.jpgTara Lichty-Morton

Iowa and Nebraska
20+ years of experience

karenlamberton.jpgKaren Lamberton

Tennessee
30+ years of experience

marciastreiff.jpgMarcia Streiff

Kansas
14+ years of experience

danalynch.jpgDana Lynch 

Iowa and Nebraska
11+ years of experience

ryaneriddle.jpgRyane Riddle

Missouri
11+ years of experience

amberriley.jpgAmber Riley

Indiana
3+ years of experience 

mingchao.jpgMing Chao       

Texas 
7+ years of experience

samanthajiabia.jpgSamantha Collinson

Missouri
9+ years of experience 

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ADVANCED TRAINING

Our NPs are trained, managed and supported by fellow clinicians with many years of experience. In fact, our network of NPs averages over nine years of experience caring for vulnerable populations and coordinating care in community-based settings. Our rigorous program includes ongoing training and testing in CMS compliant documentation, customer service, elder care, client-specific HRA protocol, and screening/diagnostic procedures.

ryaneriddle.jpgRyane Riddle

Missouri
11+ years of experience

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Advanced Technology

Advance Health is leading the industry as the first company to completely capture assessments electronically through our proprietary iOS iPad and HTML5 applications. While others are still attempting to incorporate electronic capture or are in the infancy of their programs, Advance Health has already moved on to the next generation.

Our HTML5 application provides client level customization with built-in intelligence that triggers questions based on data input from a member’s response or exam results and provides customized recommendations and care plans specifically for that member.

In addition, with our Validate, Confirm, Delete technology, NPs are forced to address conditions identified during previous assessments and via claims data. NPs must verify the condition with documentation, delete the condition as resolved (or no longer present), or provide detail required for network providers to follow-up to validate conditions.

Our solution is the fastest in the industry, providing submission, coding and compliance for health plans and providers to help eliminate gaps in member engagement / care.

 

The Advance Health technology advantage:

  • Validate, Confirm, Delete Technology
  • Client level customization
  • Fastest time for submission, coding and compliance
  • Response triggered questions and care plans
  • Scheduling and call center sophistication to improve program results

 

Our advanced technology solutions also extend throughout our scheduling and call center operations. Using the most sophisticated software, we are able to maximize an NP’s productivity without having to sacrifice quality. This ensures more members are engaged to complete each plan’s goals.

Leadership Team

The team at Advance Health has designed and implemented member engagement strategies for some of the country’s largest and most successful payers and risk management vendors. In addition, our Board of Directors provides sound guidance as early innovators in managed care, serving at the helm of national health plans representing over $5B in revenues. Members of the Advance Health leadership team are active in the healthcare community, promoting innovative ways to improve quality of care and dedicated to the long term success of our clients and the managed care industry.

Brian J. Wise, J.D. - Chief Executive Officer

Brian Wise is a seasoned managed care executive with extensive experience in government programs. Prior to founding Advance Health, Brian was the Chief Operating Officer of Amerigroup’s Virginia health plan overseeing a $120M business unit.  Brian led provider relations, product development, compliance and appeals for Coventry Health Care of Nebraska successfully launching Medicare Advantage and Commercial expansions during his tenure.  He also served as in-house counsel for Coventry Health Care in the corporate headquarters. Brian served as an associate at Epstein Becker & Green, one of the preeminent health care law firms in the country, and continues to advise health care investors and startups.   Mr. Wise received his J.D. from the University of Virginia and undergraduate degrees in History and Political Science from Duke University.

Marc L. Wise - President

Marc Wise has over 20 years of experience building business service organizations in the health care space. Before joining Advance Health, Marc served as Senior Vice President of Business Development at Verisk Health. He came to Verisk Health as part of their acquisition of Health Risk Partners, a company focused on risk adjustment services and revenue optimization solutions in the Medicare and Medicaid markets. During his five years with HRP, Marc helped grow revenues by more than 100 times.  Prior to HRP & Verisk Health, Marc served as Chief Operating Officer for FedMed, Inc., a provider of network whitespace outsourcing based in Rockville, MD; Senior Vice President for NCO Group, Inc., a global business process outsource solutions company; and DiMark, Inc, a preeminent health care and insurance direct marketing company. Marc holds a Bachelor of Business Administration from Delaware Valley College.

Catherine L. Wisner, PhD, FNP-BC - Chief Clinical Officer

Cathy Wisner is a Certified Family Nurse Practitioner with a PhD in Health Services Research, Policy and Administration.  She received her MS in Nursing from Vanderbilt University and her PhD from the University of Minnesota.  Prior to joining Advance Health, Dr. Wisner served as the Chief of Clinical Operations for Health Right, Inc. and Director of Quality Management for Amerigroup.  Cathy was formerly the Senior Health Fellow in the Office of the US Surgeon General, and served as Vice President of Operations and Clinical Quality for MinuteClinic, Inc.;  helping it grow from a small regional company to a major division of CVS/CareMark with over 500 NPs under management.   Dr. Wisner is well versed in healthcare policy, and has authored several publications in peer-reviewed journals.

Kevin J. Kearns, MD - Chief Medical Officer

Kevin Kearns, M.D. is a Board Certified Internist with a diverse background in medical management, clinical practice, managed care and academic medicine.  Prior to joining Advance Health, Dr. Kearns served as Corporate Vice President and Senior Medical Director at Universal American, where he developed and implemented medical management strategies to enhance the Healthy Collaboration Model for the Medicare Advantage membership. Previously, Dr. Kearns held senior positions at UPMC Health Plan and Coventry Health Care of Delaware.   Dr. Kearns received his undergraduate degree in Biology from St. Joseph University and completed medical school at the Pennsylvania State University College of Medicine. Dr. Kearns completed his internship in Internal Medicine at the University of Maryland and his residency at Thomas Jefferson University Hospital.

Mete J. Sahin - Chief Financial Officer

Mete Sahin has an extensive career leading healthcare companies, focusing on financial operations. Prior to Advance Health, Mr. Sahin  was a consultant with ACMM Consulting, LLC beginning in 2013 and prior to that, he served as the  CFO of XLHealth, Medicare Advantage health plans from 2007 through 2013. During this period, XLHealth grew from $600 million to $3 billion in Revenues, and demonstrated a significant turnaround in earnings.  XLHealth was acquired by UnitedHealth Group in 2012. Between 2001 and 2005, Mr. Sahin was the CFO of UnitedHealth Group's dental and vision companies, as well as CFO of its national Medicaid health plans. In his role, he was a key executive directing the the reorganization of UnitedHealth's Medicaid business and merger of its Dental and Vision companies. Prior to joining UnitedHealth Group through a merger,  Mr. Sahin was the VP Finance/Controller of Lifemark. He earned his Masters degree from University of Surrey in England, and Bachelors degree from University of Southern California in Los Angeles.

Alicia Palmer - General Counsel

Alicia Palmer is a licensed attorney with more than 20 years of experience of providing legal counsel to health care companies.  Prior to joining Advance Health, Ms. Palmer served as Aetna’s VP and Chief Medicare Counsel, where she led a team of attorneys and legal professionals that were responsible for providing legal counsel to all of Aetna’s Medicare business.  Prior to joining Aetna, Ms. Palmer was a Vice President and Senior Attorney at Coventry Health Care, Inc. for 11 years.  Alicia served as an associate at Crowell & Moring and Michaels & Bonner, and started her legal career as an associate general counsel for Blue Cross and Blue Shield of the National Capital Area.  In addition to her significant Medicare Advantage experience, Ms. Palmer has counseled clients throughout her twenty years of legal practice on various government programs, pharmacy and pharmaceutical business, and federal and state health care laws.  Ms. Palmer received her Bachelor of Science degree in Human Resource Management from Indiana University of Pennsylvania and her Juris Doctor degree from the American University, Washington College of Law.

David Pierre - Chief Operating Officer

David Pierre is an experienced healthcare and information technology executive responsible for complete delivery of Advance Health’s business operations.  Prior to joining Advance Health in 2016, David was Vice President at Cerner Corporation, responsible for Pediatrics.  David co-founded and led the Bear Institute for Health Innovation in Washington DC at Children’s National, the first pediatric healthcare technology institute in the world.  During his 10 years at Cerner, he led an increasing number of Cerner’s business units including full P&L responsibilities for the Hospital Operations unit.  He was responsible for launching five new solutions into the marketplace for Cerner focused on optimizing efficiency for providers and improving quality of care.  In addition, David acquired, integrated, and led Clairvia, a world leader of healthcare resource management solutions.  David holds a bachelor’s degree with honors in psychology from Southern Methodist University and an MBA in finance and strategic management from the University of Chicago Booth School of Business.

Compliance

Our solutions are built around compliance and all steps are taken to ensure publicly funded payors receive accurate, compliant revenue. Advance Health knows the vulnerabilities and utilizes enterprise management software to clock, measure and report on our assessment activities. We know the exact amount of time spent on each section of an assessment, where it was performed and 100% of our assessments go through a rigorous Quality Assurance process.

The Advantage of 100% electronic capture:

  • We know our assessments average 68 minutes because we can track time spent on every section
  • Our software tracks where each assessment takes place
  • When time spent on an assessment section or the whole assessment falls below certain thresholds, the assessment is flagged for additional follow up

Let us know how we can help

We welcome your inquiries and look forward to supporting your care management, quality improvement, and risk-based reimbursement initiatives.