A founding member of the board of directors of DMAA, Michael Quilty created Matrix Medical Network in 2001 to manage the sickest Medicare Advantage and Special Needs plan members.
Matrix Medical Network
By itself, the higher but more appropriate risk-based reimbursement for these members earned through these assessments would provide a very positive return on investment to Medicare Advantage plans. But it is the combination of these higher revenues along with substantially reduced hospitalizations (30% to 50% reduction in acute care readmissions for SNF patients, for example) that credits Matrix as the highest-return vendor in the industry, according to DMPC.
Previously, Quilty was vice president of business development for Integrated Healthcare Networks and director of business development at Pfizer Health Solutions.