Maryanne Bombaugh MD MSc MBA CPE

Experience

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  Steward (Caritas) Health Care Network

  Jan 2008 - Jan 2013

  Associate Medical Director

  • Led and supported local provider organizations to implement and execute quality plans to improve patient experience. HEDIS measures improved by >90% for selected measures within two years. • Developed formal CME, risk management (RM), and individualized dashboard performance improvement outreach for the network’s ~1200 primary care physicians to improve cost and operational efficiencies, decrease variability in care delivery, and improve quality and safety. Conducted over 170 office and network organization visits to review quality and utilization data with subsequent development of individualized performance improvement plans. Improved quality goals that resulted in millions of dollars of incentive payments to the network and participating clinicians and affiliated practices. • Directly responsible for ambulatory care quality outcomes in 5 geographic regions in MA and NH encompassing >65,000 covered lives. HEDIS quality measures improved nearly 100% in these regions• Helped develop and implement strategies to increase utilization of appropriate services to provide health care value and convenient, high-quality care. Network utilization and referral goals improved over 10%. Achieved efficiencies in systems operations, policies and procedures, reflex testing, and computerized order entry for entire network. • Provided oversight with leadership team for high-cost care management, case management, and referral management programs.• Conducted medical management program activities, including population health management, in a timely and cost-effective manner. • Helped develop data and information tools to ensure compliance with insurer contract requirements, including CMS, were met.• Regularly met with insurers and committees to review and address quality, utilization, referrals, and pertinent operational items.• Provided knowledge and expertise in ongoing legislative and regulatory activity. Show less

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  American Medical Association

  Sept 2009 - now

  • AMA Council on Legislation

    Jun 2019 - now

  • Delegate

    Sept 2015 - now

  • Alternate Delegate

    Sept 2009 - Sept 2015
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  Massachusetts Medical Society

  Jun 2012 - Oct 2022

  The Massachusetts Medical Society, with some 25,000 physicians and student members, is dedicated to educating and advocating for the patients and physicians of Massachusetts. The Society, under the auspices of NEJM Group, publishes the New England Journal of Medicine, a leading global medical journal and web site, and Journal Watch alerts and newsletters covering 13 specialties. The Society is also a leader in continuing medical education providing accredited and certified activities across the globe for physicians and other health care professionals. Founded in 1781, MMS is the oldest continuously operating medical society in the country. For more information please visit www.massmed.org, www.nejm.org, or www.jwatch.org. Show less

  • Immediate Past President

    Jun 2020 - Oct 2022

  • President

    May 2019 - Jun 2020

  • Vice President

    Apr 2017 - Jun 2020

  • Board Chair

    Apr 2019 - May 2020

  • Member Board of Trustees

    Jun 2006 - May 2020

  • Chair, Committee on Legislation

    Jun 2012 - May 2016
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  Coverys

  Jun 2012 - Jun 2021

  • Financial Operations Committee

    Jun 2010 - Jun 2021

  • Board Member

    Jan 2008 - Jun 2021

  • Board Member Audit Committee

    Jan 2008 - Jun 2021

  • Chair Audit Committee

    Jun 2012 - Feb 2015
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  American Congress of Obstetricians and Gynecologists (ACOG)

  Jan 2014 - Oct 2022

  Immediate Past Chair, MA ACOG; Chair MA ACOG; Vice Chair MA ACOG

  Developed and supported education, health care policy, and health initiatives with MA Obstetricians/Gynecologists to improve the quality of care, healthcare support, and preventive health care services for communities in Massachusetts. MA ACOG currently has 770 Fellows, > 220 Junior Fellows, resident physicians and medical students.

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  Reliant Medical Group

  Jan 2014 - Jan 2015

  Executive Medical Director for Population Health; Medical Director for Quality and Safety

  • Helped achieve improvements in clinical integration through collaborative strategies with IT, clinical pharmacy, finance, analytics, and clinical teams. Responsible for the overall quality performance and patient safety for the organization to include leadership and oversight of the medical disclosure processes, peer review, credentialing, and medical professional liability functions • Led the creation and development of the group population health program and risk assessment• Helped lead the organization to become a national leader in population health and total medical expense (TME) management while in fully delegated risk contracts • Responsible for developing innovative analytics reports/ dashboards to implement meaningful reports and analyses of care, quality and medical expense for the organization• Used LEAN methodology to evaluate, assess, design and implement changes in administrative and clinical programs to improve quality of care,patient safety, total medical expense, patient experience, and clinical EHR implementation• Led the achievement by the organization to be recognized as a Level 3 Patient Centered Medical Home (PCMH) in 17 primary care sites in Central MA. This effort relied on integration of clinical practices with clinical pharmacy, nursing, care management, hospital medicine, lab services, behavioral health, EHR IT, analytics services, and patient support services.• Served as the medical liaison with insurers and government regulatory agencies Show less

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  Massachusetts League of Community Health Centers

  Oct 2015 - now

  Physician
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  MASSACHUSETTS COALITION FOR THE PREVENTION OF MEDICAL ERRORS, INC.

  Sept 2020 - now

  • Board Treasurer

    Oct 2022 - now

  • Member Board of Directors

    Sept 2020 - now