L. Gregory Pawlson, MD, MPH, FACS

Senior Medical Consultant

L. Gregory Pawlson, MD, MPH, FACS, brings over 40 years of clinical, patient safety, insurance benefits, and reimbursement experience to Saxton & Stump. He assists physicians, hospitals, post-acute care, long-term care and senior living facilities, and other healthcare 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. He also provides clinical care for experts and support to the litigation team, helping them to understand both clinical issues and healthcare delivery issues.

Dr. Pawlson has held high-profile positions in academic medicine, public policy/governmental organizations, and the payer community. He was the Executive Director for Quality Innovation for BlueCross BlueShield Association, Washington, DC. Prior to BCBSA, Dr. Pawlson was Executive Vice President of the National Committee for Quality Assurance (NCQA) where, for over a decade, he led the development of its research, measurement, and contracting activities and oversaw the ongoing development of the widely used HEDIS clinical performance measures. He also worked on the development of assessment programs for the Patient Centered Medical Homes and ACOs and as liaison for NCQA to physician groups including the AMA-led Physician Consortium for Practice Improvement, the American College of Physicians, the American Academy of Family Physicians, and the American Academy of Pediatrics.

Earlier in his career, Dr. Pawlson spent nearly 20 years in Academic Medicine. He served as Senior Associate Vice President for Health Affairs and Medical Director for Quality and Utilization Management for the faculty practice at The George Washington University Medical Center. Prior to that, he served as chairman of the University’s Department of Healthcare Sciences (clinical primary care and public health) and as director of the Institute for Health Policy, Outcomes, and Human Values. He is currently a clinical professor with the School of Medicine and Health Sciences and an adjunct professor with the School of Public Health and Health Services and the School of Nursing at George Washington University.

During his time in academic medicine, he also served as a Robert Wood Johnson Policy Fellow on the staff of the U.S. Senate Finance Committee and as a Fellow in the Center for the Study of Change in Academic Medicine at the American Association of Medical Colleges.

Dr. Pawlson is a former President and Chairman of the Board of the American Geriatrics Society and has served on the Boards of the Society of General Internal Medicine, the American College of Medical Quality, the American Board of Medical Quality, the Bon Secours Health System, the U.S. Soldiers and Airman’s Home, and as Chair of the Advisory Group for the Agency for Healthcare Research and Quality’s (AHRQ) Innovations Exchange. He currently serves on the Board of SE Healthcare, Saxton & Stump’s strategic partner. Through his work with SE, he creates assessment tools, implementation strategies, and performance tracking measures to assist the provider community in thriving in today’s increasingly value-driven and changing reimbursement environment.

Dr. Pawlson has also served on review and advisory panels for AHRQ, NIH, various agencies within CMS, the Commonwealth, RWJ, Andrus, and other foundations. He is the author of over 100 peer-reviewed articles and numerous other publications. He has participated in a number of media presentations and has organized and chaired many national conferences.

Dr. Pawlson is board certified in internal medicine and is a Fellow of the American College of Physicians, the American Geriatrics Society, the Gerontological Society of America, and the American College of Preventive Medicine. He is also a member of the American Medical Association, Academy for Health Services Research and Policy, and Society of General Internal Medicine. He did his internship and residency at Stanford University and was an endocrine fellow and Robert Wood Johnson Clinical Scholar while obtaining an M.P.H. in Community Medicine.

EDUCATION

University of Washington, M.P.H. in Community Medicine, 1976

University of Pittsburgh, M.D., with distinction, 1969

The Pennsylvania State University, B.S. in Chemistry, cum laude, 1965

MEMBERSHIPS

American College of Physicians, Fellow

American Geriatrics Society, Fellow

The Gerontological Society of America, Fellow

American College of Preventive Medicine, Fellow

American Medical Association

Academy for Health Services Research and Policy

Society of General Internal Medicine

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