Mai Pham, MD, MPH

Vice President, Provider Alignment Solutions, Anthem

Mai Pham, MD, MPH

Vice President, Provider Alignment Solutions, Anthem

Biography

Dr. Pham is a founding official at the Center for Medicare & Medicaid Innovation (CMMI), where she recently served as chief innovation officer and was responsible for implementation of the alternative payment model provisions of the Medicare Access and CHIP Reauthorization Act and other multi-organizational initiatives.

As vice president of Provider Alignment Solutions, Dr. Pham will be responsible for developing and refining Anthem’s provider payment models that reduce the cost of care while rewarding improvements in quality and access. She will also establish a team to develop new products and networks built on a foundation of value-based care, and oversee Anthem’s Enhanced Personal Health Care initiative, a program that focuses on patient-centered care.

“Dr. Pham is widely recognized as an expert in Accountable Care Organizations and was the architect of several transformational value-based care programs while at CMMI. Her expertise and passion for collaborating with doctors to lower costs while improving the quality of health care makes her the perfect fit for this position,” said Colin Drozdowski, Anthem’s Senior Vice President of Provider Solutions. “We look forward to Dr. Pham’s contributions as Anthem continues to enhance our industry-leading provider solutions efforts.”

Dr. Pham’s earlier work at CMMI included responsibility as the director of the Seamless Care Models Groups, overseeing the design and testing of models on ACOs and advanced primary care, including the Pioneer and Next Generation ACO Models and Comprehensive Primary Care Initiative. Previously, Dr. Pham was senior health researcher and co-director of research at the Center for Studying Health System Change and Mathematica, an independent health policy organization. A general internist, Dr. Pham has published extensively on payment policy issues including care fragmentation and coordination, and also practiced for several years at safety net clinics in the Washington DC area.

Dr. Pham received her undergraduate degree from Harvard University, her medical degree from Temple University and her master’s degree in public health from Johns Hopkins, where she was also a Robert Wood Johnson Clinical Scholar.

 

All session by Mai Pham, MD, MPH