Introducing Central Pennsylvania’s Reimbursement Experts

Saxton & Stump is pleased to introduce a new reimbursement team, bringing a combined 80 years of experience working with health plans and health care delivery systems to the firm. As the level of reimbursement health care providers receive for their services is based more and more on the quality and value of those services, it’s critical to have a team on your side who understands what it takes to negotiate higher reimbursement from payors.

Learn more about Saxton & Stump’s team of reimbursement experts:

Pawlson,GregL. Gregory Pawlson, MD, MPH, FACS has over 40 years of clinical, patient safety, insurance benefits and reimbursement experience. Dr. Pawlson has held high-profile positions in academic medicine, public policy/governmental organizations and the payer community. Early in his career, he served as Executive Director for Quality Innovation for BlueCross BlueShield Association. He assists physicians, hospitals, post-acute care, long term care and senior living facilities and other health care organizations in developing and implementing changes in care delivery that will enable providers to adapt to changing health information technology, reimbursement and demands for information related to quality of care.

Blurred background Patient waiting for see doctor abstract backgroundRichard K. Hammer, MD is a board certified physician with more than 20 years of experience in health care delivery and the business of medicine. He has experience creating and implementing practical solutions for health plans, employers groups, integrated medical systems, private physician groups and insurers. Dr. Hammer served as Vice President of Clinical Market Development for Capital BlueCross where he developed and led a market facing team of physician medical directors focused on accountable care, physician engagement, health plan customers and broker/consultant relations. He also headed a consulting firm that focused on helping clients build, implement and manage programs to maximize the relationships between providers, payers and purchasers.

Brian K. Donovan has 20 years of experience working with health plans and health care delivery systems. He has a significant Donovan_Brian_Headshotlevel of experience designing and executing value-based programs, including risk and non-risk-based financial models along with high performance and narrow networks for large, clinically integrated health care systems and physician groups. Brian is skilled in utilizing the quadruple aim concept, which targets improving efficiency, achieving quality outcomes, and enhancing both the patient and physician outcome. Brian most recently served as Vice President, Network Development and Contracting for Centene Corporation.  He also led the nationally focused, value based hospital contracting division within Catholic Health Initiatives.

For more information, please contact Brian K. Donovan at bkd@saxtonstump.com or (717) 556-1059.