Chief Medical Officer at ZeOmega, David J. Sand, MD, MBA has a proven track record of success as a healthcare executive. From the beginning of his career as a solo private practice ENT surgeon to his experience in the government-sponsored arena, Dr. Sand has been involved in the U.S. healthcare system since 1979. He has led organizations in traditional Medicare and Medicaid, as well as Medicare Advantage and Managed Medicaid programs as the chief medical officer in startups, turnaround situations, and larger, well-established health plans. In his broad experience and tenure in healthcare, Dr. Sand assisted organizations in achieving the Quintuple Aim through innovation, sound business practices, and most of all, teamwork. He served as the chief medical officer for Medicare Advantage at Anthem BCBS, as well as multiple health plans across the country.
Both providers and payers face challenges and understanding the requirements and needs of each stakeholder has the potential to lower the temperature of the current rhetoric.
GUIDE — Guiding an Improved Dementia Experience — is the new dementia care model from the CMS and the CMMI (Centers for Medicare and Medicaid Innovation) for beneficiaries covered by traditional fee-for-service (FFS) Medicare and their caregivers. It represents an incremental step forward in managing neurodegenerative diseases effectively.
Transitioning to PDPM models significantly shifted the healthcare industry. By replacing the RUG system, healthcare providers cut waste and more accurately reflect the care each patient received.