Health Data Decisions is a Massachusetts-based health data analytics firm founded in 2008.
We offer strategic analytics and data solutions for health plans, health IT vendors, and regulatory bodies. Our client base spans across the continental US, as well as Puerto Rico and Hawaii. HDD brings broad expertise in data management, performance measurement and analytics, medical economics and risk adjustment. We have a strong focus on HEDIS® program optimization and analytics, as well as CMS Stars, risk adjustment, outcomes measurement and regulatory reporting. Our consultants have an average of 15 years of health care data analytics and management experience.
 

Put another way, HDD ‘gets it done.’ We know our stuff better than the stuff does. We come in, cut to the core, fix what’s broken, check to see if anything else could be improved, then show you how we did what we did.

OUR CORE 

COMPETENCIES

Quality Program Management, Analytics and Rate Optimization

CMS Stars Analytics and Program Oversight

Risk Adjustment

Medical Economics, Outcome Studies and Program Evaluation

Advanced Analytic Services and Predictive Modeling

Strategic management of your data assets is crucial to success, whether you are a payer, provider, vendor, researcher or regulatory body.
Performance measurement, risk adjustment and outcome studies all succeed or fail depending on the quality of your data assets.
We never ‘kick the ball somewhere else’.  We leverage your data assets to solve problems, not divert or delay them.
We provide transparency to our solutions, so your company can move forward once we are gone.
We believe that data should be an asset, not an anchor. We turn complex data feeds into structured, powerful assets for your entire organization.

staged

projects

Each of our customers is different, as are their issues, problems and opportunities. We partner with you to create solutions tailored to your specific challenges and goals. We collaborate with your team on key decision points throughout your project and equip you to maintain our solutions after the project is complete.

 Secure

Technical Model

We work with your data in your systems directly. We do not require our clients to create data extracts or transmit data to external data warehouses. 
This model maximizes the effectiveness of our consultants and minimizes expenses and risks for our customers.

Strong Client Relationships

We value each client relationship as a partnership. Every member of our team is dedicated to your success. We develop collaborative solutions which remain in place after our engagements, and work closely with your team to transfer the knowledge necessary for future maintenance and scaling.

Cross-Domain Effectiveness

We scale in a different way. Our team is highly skilled and adaptable and each of our consultants is an expert in several subject matter areas. When we need an additional expert to assess a specialized problem, we supplement our project teams dynamically. We tackle problems that often span multiple domains, and create solutions with far-reaching, downstream effects in mind.

Management Team

​Michael Blumental

CEO and Founder


Mike founded HDD in 2008 with the goal of helping health plans and software vendors maximize the value of healthcare data to improve clinical and financial performance. Mike has dedicated his career to the effective use of healthcare data and technology. He has broad experience leading projects in health technology, data strategy, reporting and analytics, software design and implementation, and healthcare quality measurement. As CEO, Mike is focused on collaborating with health plans, providers, federal and state agencies and analytic/technology vendors to improve quality of care, refine performance measurement and drive revenue growth. Mike also supports several client projects providing strategy and execution to improve HEDIS® and Stars rates.


Prior to founding HDD, Mike worked with several New England area health plans, state Medicaid and human service agencies and health analytic vendors in several roles including data analytics, account management and client implementation. Mike founded and leads the Linkedin HEDIS® Improvement Forum with over 2,500 participants. He is also certified in Critical Outcomes Reporting Analysis by the Disease Management Purchasing Consortium, a distinction held by less than 200 professionals globally.


Mike has a B.A. in Economics from Bentley University and an M.B.A. from Bentley University. Mike is a frequent speaker in the RISE Quality series of conferences, and is recognized as a thought leader in HEDIS® data management and chart review.
 

John Hoff

Principal, Analytic Development

Chief Security Officer


John is a medical economist who leads the health economics and outcomes research practice at Health Data Decisions.  He brings broad expertise in clinical outcome studies, program evaluation, statistical programming and predictive modeling.  John has worked closely with many health plans to develop and implement reliable study designs for medical home and population health analytics, custom predictive models, actuarial and underwriting reporting systems, behavioral markers for human capital research, and performance measure engine design and development. As Chief Security Officer, John oversees all IT, security and compliance activities.  John has worked extensively in payment model design including bundled and global payments.  Most recently he has developed cutting-edge payment models focusing on primary care.


​Prior to joining the team, John designed payment reform models and developed health outcomes methodologies at Harvard Pilgrim Health Care and established a medical economics practice at Senior Whole Health, a dual eligible payer in Massachusetts.  Prior to that he led a variety of health outcomes teams as Manager of Medical Informatics Consulting at APS Healthcare.


​John has a B.A. in Mathematics and Physics from the University of Montana.

Tom Shankle

Vice President, Business Development and Marketing


As Vice President of Business Development, Tom leads Health Data Decisions' client success, marketing and new customer acquisition initiatives. Tom has experience bringing risk adjustment and HEDIS® solutions to over 55 different health plans across the country.

Prior to joining HDD, Tom managed business development for a variety of leading vendors in the health services market.

Tom has a B.S. from Salisbury University.

Keith Bell

Vice President, Quality


Keith is an expert in quality measurement and HEDIS improvement, and brings a strong foundation in public health. Keith manages HEDIS operations for a variety of health plans and has helped to create innovative programs to increase quality of care and reduce costs. Recently, he developed algorithms to ensure care standards are met in frail elders with a Senior Care Organization.  He also helped improve the capture of risk information for both health plans and vendors. In addition, Keith leads our education and training program and hosts a monthly webinar series on advanced HEDIS® topics.  Keith is a popular speaker who presents frequently at national conferences.


​Prior to joining HDD, Keith led HEDIS® and clinical quality initiatives at Harvard Pilgrim Healthcare, Neighborhood Health Plan, Boston Medical Center HealthNet Plan, and was most recently the health care quality and HEDIS® product manager for McKesson Care and Analytics. He also served as the elected chair of the New England HEDIS® coalition. Keith’s background includes vendor management, health care software development, managed care, and direct care environments. He is skilled in product and program development, management and evaluation with extensive knowledge of health care services, business analytics, quality measurement, HEDIS, accreditation standards, quality improvement, and government sponsored programs. Keith has extensive experience developing quality and process improvement initiatives and has solid technical skills to meet rigorous client data requests.

Keith has a B.A. in Biology from Boston University and an M.P.H. in Social and Behavioral Sciences from Boston University School of Public Health.

David Douglass

Director, Research and Metrics


David brings over 20 years of experience in economic forecasting and policy research for state government and health plans. David is an expert in data visualization, forecasting and prediction strategies, ARIMA and logistic regression models, as well as neural networks. Using extensive knowledge of industry standards and regulations, statistics, and data analytics, he develops solutions which promote the integration of risk and quality programs across all operational areas. David is our risk adjustment thought leader for HEDIS® and Stars projects, and leads advanced analytic programs for Federal and State governments and national non-profit organizations across the healthcare industry.


Before joining HDD, David analyzed and optimized risk models for Martins Point Health Care’s MA plan, helping to achieve a 5 Star rating. David also worked to integrate data from a wide number sources to distill into actionable results at Anthem Blue Cross and Blue Shield and the City of Portland, Maine Healthcare for the Homeless program. In addition, he provided economic forecasting and policy research for the Maine Governor’s office.
 

David has a B.A. in Philosophy from Colby College and a M.S. in Public Policy and Management from the University of Southern Maine.

Liz Carr

Director, Consulting Services


Liz manages analytics consulting services supporting multiple clients with HEDIS® and quality measurement projects, business requirement documentation, and reporting needs. Liz is an expert in framework and algorithm design for STARS and HEDIS® products, as well as process management and improvement for HEDIS® chart review.  Liz also brings extensive experience with ICD-10 software conversions and analytic programming in SQL.


Before joining HDD, Liz was an analyst and scrum master at McKesson. She worked closely with the software development team on financial and quality software products.


Liz has a B.A. in Neuroscience from Johns Hopkins University.

Patrick McGrath

Director, Client Delivery


Patrick leads client delivery operations for Health Data Decisions. He conducts analytic projects including performance measurement and quality analytics, as well as projects in HEDIS®, patient-centered medical homes, and medical economics studies.


Patrick has extensive history working with healthcare data. He joined HDD from Coastal Medical in Rhode Island, one of the largest ACOs in the state, where he managed analytical work for risk-based contract reporting and CMS Shared Savings submissions. Prior to Coastal Medical, Patrick worked at Blue Cross Blue Shield of Rhode Island where he was responsible for making data driven recommendations to senior management for initiatives such as increasing member engagement.  In addition, he developed and maintained coding for a rating application used by the Underwriting and Actuarial departments.
 

Patrick has a B.S. in Computer Science from Bridgewater State University and an M.B.A. from the University of Rhode Island.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA)

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(781) 718-2118

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