Medical Advantage Welcomes Director of Statewide Provider Network

by | Oct 7, 2014

Contact: Bill Riley|briley@medadvgrp.com

ANN ARBOR, Michigan, October 7, 2015 – Medical Advantage is pleased to welcome Linda Mackensen, RN, to the organization. Linda will lead efforts to strengthen the overall performance of the Consortium of Independent Physician Associations (CIPA) in the Blue Cross Blue Shield of Michigan (BCBSM) Physician Group Incentive Program (PGIP).

Mackensen joins Medical Advantage from The Physician Alliance (TPA), a physician-owned organization representing more than 2,100 physicians in Southeast Michigan, where she was the director of practice transformation services. Her responsibilities included overseeing the operations and implementation of the Patient-Centered Medical Home (PCMH) the PCMH−Neighborhood and specialty fee uplift programs for 1,400 PGIP physicians.

“Linda’s endless energy and knowledge of PGIP/PCMH will enable us to achieve one of our primary goals of creating value for our clients by improving CIPA’s results,” said Paul MacLellan, Medical Advantage’s CEO.

Prior to joining TPA, Linda served as a field operations manager for BCBSM’s PGIP and PCMH program. In this role, she managed a statewide team and acted as a liaison between BCBSM and more than 40 physician organizations and clinical leaders throughout Michigan in support of primary care practice redesign and healthcare transformation.

“Adding an experienced leader like Linda to oversee CIPA is a critical step in enhancing Medical Advantage,” said MacLellan. “She will support our efforts to prepare for an intense effort to raise our PCMH designation levels and Healthcare Effectiveness Data and Information Set (HEDIS) and Evidence-Based Care Report (EBCR) scores in 2015.”

In addition, Mackensen’s nursing career encompasses more than 14 years in direct patient care. Plus, she has held leadership roles in the health insurance industry serving in a variety of capacities, including provider relations, hospital and physician contracting, quality improvement and physician incentive programs.

She holds associate’s degrees in liberal arts and nursing from Tompkins Cortland Community College in Dryden, New York, and a bachelor’s degree in healthcare administration from Concordia University in Ann Arbor, Mich.

In a PCMH, the patient’s physician (primary care, internist or pediatrician) leads their care team. All of the patient’s health records (including visits with specialists, test results and prescriptions ordered by other physicians) are maintained and tracked centrally within the PCMH. Patients have 24-hour access to their PCMH, a benefit that can keep patients out of the emergency room.

About Medical Advantage

Medical Advantage simplifies the delivery of efficient, high-quality healthcare for medical practices, health centers, physician organizations, hospitals and health systems. Medical Advantage helps doctors navigate the shifting healthcare landscape by providing the resources needed to deliver better patient care in the new value-based healthcare economy. Medical Advantage has two decades of expertise managing physician organizations and ACOs. Its ACO clients have demonstrated success in improving quality measures and reducing costs of care in Medicare’s Shared Savings Plan. Medical Advantage manages the Consortium of Independent Physician Associations as well as Professional Medical Corporation.  To learn more, visit www.medicaladvantage.com.

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