Senior Advisor, Innovative Care and Financial Models

Greg brings over 35 years of experience in health and behavioral health care, Greg provides healthcare consultation across a broad spectrum of program, policy, and payment support services.

As the Director of the Division of Program Development and Management for the NYS Department of Health, Greg was responsible for a broad range of Medicaid services planning, policy and operations including the development of new and innovative programs for the State’s over $70 billion dollar Medicaid program. Specifically, Greg managed policy, payment and data support for all NYS Medicaid’s inpatient, clinic, practitioner, transportation and pharmacy services as well as the Department’s program and payment policy for mental health, chemical dependence and developmental disabilities services.  

Greg and his team had leading roles in the nationally-recognized New York State Medicaid Redesign process. This work included the state-wide roll out of the health home care management program for high need, high cost populations and the planning and implementation of significant federal partnership activities including the $8 billion Delivery System Reform Incentive Payment (DSRIP) program. Through 25 carefully organized local provider partnerships, the DSRIP program exceeded its ambitious statewide goal by reducing avoidable hospitalizations across New York State by 26% over five years.  

With a deep commitment to the member served and beginning his career as a frontline counselor in the chemical dependence field, Greg has over 30 years of government operations and management experience. Working at both the State Office of Alcoholism and Substance Abuse Services and most recently at the State Department of Health, Greg’s work has focused on the nexus between innovative program development and value based payment with a particular focus on incubating new member-centric programs and policy.

Senior Advisor

At HSG, Kalin provides consulting and advisory services to providers, payers, non-profit organizations, investment firms and government agencies.  Kalin joined HSG after a decade in New York State government, bringing her extensive background in public policy, specializing in areas including strategic planning, project management, Medicaid redesign, cross-sector initiatives, delivery system reform, and value-based payment.

In her work, Kalin focuses on the strategic alignment of value-based models that lead to profitable and sustainable long-term success for clients and better outcomes for the individuals they serve.  She builds on her professional experience in designing and implementing government payer policy and creating value based payment approaches to design innovative solutions and strategies for clients. Kalin is a frequent speaker at conferences, events, and trainings both nationally and internationally.

Kalin’s previous experience includes more than ten years in senior health policy roles with New York State. Most recently, Kalin served in a dual role as Director of New York’s Medicaid Redesign Project Management Office and Assistant Director for Medical, Dental and Pharmacy policy. Prior to those roles, Kalin designed and implemented stakeholder engagement and project management strategies for New York’s Medicaid Redesign Team. The Medicaid Redesign Team was recognized as a finalist in the Harvard Kennedy School’s Innovations in American Government, and the Public Service Innovation Award from the Citizen’s Budget Commission.

Over her eight years with New York’s Medicaid program, Kalin served on the senior leadership team, responsible for nationally-recognized policy development and implementation strategies to ensure alignment and execution of the Medicaid program’s key priorities. In this role, Kalin worked with other state and national organizations to provide advice and guidance on similar efforts, and was a frequent speaker and panelist at health care and Medicaid conferences events in New York and across the country. 

Kalin served as a principal negotiator on New York's Medicaid Redesign Team 1115 Waiver amendment, which resulted in an $8 billion federal investment, commonly known as New York’s Delivery System Reform Incentive Payment (DSRIP) program, to transform New York's health care delivery system. Upon approval of the award, she served as the state’s liaison with Centers for Medicare and Medicaid Services (CMS) staff, and managed the DSRIP implementation process.

Kalin developed, supported, and managed New York Medicaid’s Value Based Payment workgroup, subcommittees, and clinical advisory groups, was an author of the state’s original VBP Roadmap, and oversaw annual updates to the VBP Roadmap.

Kalin developed the workgroup and stakeholder engagement process for New York’s First 1,000 Days on Medicaid initiative, focused on improving access to care and improved outcomes for children in the first 1,000 days of life and their caregivers. Upon the state’s receipt of the workgroup’s final recommendations, Kalin led the management and implementation effort across the state’s Medicaid program and sister agencies.

As Assistant Director for Medical, Dental and Pharmacy policy, Kalin oversaw the policy team responsible for New York’s Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit, and participated in national collaboratives to improve access to services and improved outcomes for children and their caregivers.

Prior to joining NYS DOH, Kalin worked in New York State’s Governor’s Office as the Assistant Director for the Office of Taxpayer Accountability. In this role, she supported a major policy directive led by the Secretary to the Governor and Director of State Operations and implemented a statewide effort across all state agencies to reduce fraud, waste and abuse in state spending. Prior to that work, Kalin was a program and policy analyst with the Governor’s Health and Human Services team, coordinating multi-agency initiatives across New York’s health and human services agencies.

Senior Advisor, Risk Adjustment

Gabrielena (Gaby) Alcala is passionate about agile project execution to improve processes, make healthcare more patient-centered, and transition organizations to value-based care. As the founder of MAPA Healthcare Consulting, she brings her wealth of experience to help healthcare organizations navigate the complexities of system redesign for optimized patient care. She is recognized for her abilities to learn fast, manage complex projects, work effectively with stakeholders, inspire teams, and consistently produce positive results in challenging environments.

Gaby has worked with leading organizations ranging from start-ups to large corporations for more than 20 years, including Community Care Cooperative (C3), Cityblock Health, Iora Health, Mass General Brigham (formerly Partners HealthCare), BearingPoint (formerly KPMG Consulting), and The World Bank.

Her work spans strategic planning, new business and program development, and operational system re-design. She currently focuses on helping organizations transition to value-based care, leveraging her extensive knowledge and strategic insight from her consulting practice.

Recent accomplishments include:

• Worked with nine Federally Qualified Health Centers (FQHCs) to design and implement a telehealth program that complemented in-person care. Increased the percentage of telehealth video visits by more than 40%.

• Collaborated with senior leaders at Iora Health, C3, Cityblock Health, and OnBelay Health to develop value-based and Medicare Risk Adjustment (RA) strategies.

• Achieved significant RA program improvements, including a 20% increase in accepted claims, a 40% boost in refreshable diagnosis report utilization, and a 10-20% increase in the overall Risk Adjustment Factor (RAF).

• Led a team in creating a referral system, resulting in a 68% reduction in specialist referral processing time.

• Re-designed complex processes for the multimillion-dollar implementation of EPIC Electronic Health Records and successfully implemented and managed an innovative Patient-Reported Outcomes Measurement (PROMs) project at Partners HealthCare.

• Built, coached, and led effective cross-functional teams (e.g., IT, vendors, clinic managers, and others) at several organizations to meet ambitious goals while carefully balancing the projects' needs with the often-competing demands of key stakeholders.

Senior Advisor

Darcie is a highly motivated healthcare executive with over 19 years of international healthcare experience. As a former ER/Trauma registered nurse, Darcie combines strategy, technology, and operational expertise with clinical experience, which is vital to implementing systems that work.

She is a managed care subject matter expert with a proven track record of data-driven strategies and high-impact implementations. Driven by a desire to lead human-centered, care transformation that improves the value of care, while optimizing revenue, Darcie transitioned from clinical nursing into healthcare leadership.

Ms. Goodman has led numerous projects and teams across the country in which she has provided both executive leadership and consulting to launch new and innovative care models, frequently in response to complex healthcare policy changes and newly activated grants and waivers.

Some of Darcie’s past experiences include serving as interim Vice President of Value-Based Operations CommonSpirit Health, where she was responsible for a $590M budget representing over two hundred thousand full-risk managed care lives to develop, oversee and implement the strategic redesign of the governance model, central operations and strategic programming.

She also served as the VP of Clinical Innovation and Strategy for EmblemHealth, working with the CMO to reorganize medical affairs programming across the enterprise for all lines of business (500+ FTEs serving New York and Connecticut). For any large-scale change, a key to her success has been to establish partnerships amongst the executive leadership to ensure alignment in the reduction of inefficiency and creation of revenue opportunities that present within the evolving value-based care landscape.

Darcie is passionate about the design of effective, purpose-built care pathways that connect multi-disciplinary teams to address the unique needs of special and diverse populations. To accomplish this, she uses her honed SME skills to learn, collaborate, and build alongside those who are impacted, to lead from within, and to enhance the skills of the teams she supports while she develops.

Senior Advisor

Luísa is a research analyst at HSG with ten years of experience in health policy implementation and evaluation within health systems. She supports the team with in-depth analytical products, such as market analyses, epidemiological insights, analyzing Medicaid and Medicare data, and best-practice research. Luísa has experience with qualitative and quantitative analysis using national databases to evaluate the effectiveness of health policies, cost savings, and expanded health care coverage. 

Luísa holds a doctorate in public health studies from the University at Albany, during which she evaluated interventions to improve maternal health care. While completing her degree program, she worked at the New York State Department of Health with the evaluation team of the Alzheimer's and caregivers program at the Department of Long-Term Care. During her master’s program, she evaluated Brazil's National health Policy for Workers, conducting five case studies in different regions of the country, while practicing as a speech therapist, lactation specialist, and doula.  

Previously, Luísa worked in different levels of Brazil's public health system, first as a Program Manager for the continuing education of primary health care workers in 16 family care units at the Belo Horizonte's Department of Health, a city with over 3 million residents. Later she was invited to serve as the Deputy Director for the People with Disabilities Bureau at the Ministry of Health, where she coordinated the implementations of 19 centers of excellence throughout the country and joined the Zika Epidemic national task force, among other responsibilities. Before moving to the U.S. with a Brazilian federal grant to complete her studies, she was at the Ministry of Health supporting the implementation of the National Continuing Education Policy. An essential feature of her position was coordinating the execution of contracts between universities and local health systems across the country to support the training of new doctors integrated with the public health system. It was part of the Mais Médicos program (More Doctors Program), which expanded access to health for 60 million Brazilians. 

Currently, Luísa is also a researcher in her home country of Brazil at FIOCRUZ, a prestigious national research institute, studying health policies and social protection policies. She supports the Ministry of Health and multiple states to incorporate WHO Sustainable Development Goals into the government's plan.

Senior Advisor

Jack is a successful healthcare executive with over 25 years of diverse leadership and operations experience, including managed care organizations, health systems, financial firms, and non-profit boards. Jack's analytical approach to developing and implementing healthcare strategy ensures that providers and their patients are empowered to access health, social services, and support with dignity and agency.

Jack’s executive leadership experience includes serving as the Plan President and CEO of Molina Healthcare of NY and Elevance’s Empire BCBS for Medicaid.

At Molina, he was responsible for over $3B in revenue and managed the operations of a staff of over 900 employees. He was integral in developing the company’s growth strategy, including M&A diligence and transaction execution. During this time, he managed the acquisition integration of Senior Whole Health, Affinity Health Plan, and Agewell.

Jack led teams to integrate new VBC programming, meet NYS DOH regulations, and meaningfully engage and positively impact plan members, providers, and community leaders. These partnerships aligned quality, risk, financial, and overall growth strategies.

Additionally, Jack spearheaded efforts to complete a NY DSRIP Innovator relationship with SOMOS. This is the second SOMOS Innovator partnership that Jack helped lead to fruition. SOMOS is a leading physician-driven and owned organization that primarily serves Asian, African-American, and Latino communities.

At Elevance, he was responsible for over $4B in revenue, with a staff of nearly 1,000. As an early adopter and advocate of the NYS DSRIP, he recognized the potential of a holistic approach to VBC vs. risk contracting, reorganizing the Health Plan to embrace VBC as a critical path forward, exceeding financial and operational goals.

He did instrumental work in the design and foundation of Elevance’s Innovator Partnership with SOMOS, with 2,500 physicians and 800 community health providers serving more than 650,000 Medicaid patients. Jack was the recipient of the Anthem Innovation Award for the Community Health Worker program for his work embedding a Community Health Worker programming into VBC strategy Jack also served as Vice President of Provider Solutions, US Eastern Region, leveraging his success as Plan President, with responsibility for >$30b in annual provider reimbursement, leading a staff of 400 located Jack managed unit cost, VBC and risk contracting for the Commercial, Medicare and Medicaid lines of businesses.

As Vice President Payer Strategy and Contracting at the Hospital for Special Surgery, Jack also managed a team that negotiated managed care contracts for all lines of businesses. His interdisciplinary team was charged with development, implementation and management of orthopedic payment bundles for MCOs, CMS and Employer Groups.

Jack believes that successful VBC programs and managed care contracts empower physicians and other key providers to engage their members' needs in collaboration with their key partners, increasing Quality (and related scores), ensuring adequate premiums from regulators, and driving profitability to address the health and social needs of their patients.

Senior Advisor

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