ABOUT
 

Samuel Shutman

Senior Vice President


Cell: 646-768-0006

Samuel Shutman brings 23 years of operating experience throughout healthcare, including hospitals, IPAs, health plans, and management service organizations. An expert at contracting for population health and other value-based payment models, Mr. Shutman helps clients successfully transition to new payment and care delivery models with an emphasis on designing financially viable managed care contracts and developing provider networks for health plans.

Mr. Shutman draws on his first-hand knowledge to help payers and providers, from integrated health systems to physician practices, achieve their common objectives of improving health outcomes and reducing costs through population health. He was CEO of Pacific Partners Management Services Inc., a MSO for medical groups and IPAs, and led network development for North Shore-LIJ Care Connect Insurance Company Inc.

As Vice President of managed care and business development from 2007 to 2015, he led Bronx Lebanon Hospital Center’s effort to become a New York State-licensed Performing Provider System (PPS) under the Delivery System Reform Incentive Payment (DSRIP) Program. This project included more than 150 organizations in the South Bronx including federally qualified health centers, home care agencies, skilled nursing facilities and IPAs, representing 140,000 lives. The program reduced unnecessary hospitalizations, improved care coordination and connected members to needed services. While there, Mr. Shutman also obtained a grant from New York state to be a Navigator under the Affordable Care Act and developed and co-managed a navigator program in the BLHC emergency department. During his tenure, he built a team of 50 people who dealt with various processes of managed care, including contracting and provider credentialing.

Mr. Shutman also managed contracting for the New York public health system now known as  NYC Health+Hospitals (H+H), where he focused on Medicaid and Medicare member growth as well as managing populations under full financial risk models. He drove revenue growth through contract negotiations and revenue cycle improvement projects for H+H’s Elmhurst and Queens Hospital networks.

He started his career in provider relations at Oxford Health Plans, now part of United Healthcare, and then moved to Heritage, now Health Care Partners, where he recruited primary care physicians and contracted with hospitals.

Fluent in Spanish, Mr. Shutman holds a bachelor of science in Latin American studies from the University of California-Santa Cruz and master of public administration from New York University’s Wagner Graduate School for Public Service.


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