Take Action on Payer Mix Erosion
Sg2 Take-Action Guide_Payer Mix Erosion Health systems nationwide are seeing their proportion of commercial volumes slide. Is there a way to regain lost ground?
Sg2 Take-Action Guide_Payer Mix Erosion Health systems nationwide are seeing their proportion of commercial volumes slide. Is there a way to regain lost ground?
Our multidisciplinary experts—including clinical leaders, strategists and former health care executives—work with leading hospitals and health systems around the globe to provide innovative, actionable business solutions. Read more about our team:
Eric is a member of the Sg2 Executive Committee and managing principal of the Los Angeles office. He brings more than 30 years of experience in the health care industry where he has worked with a broad range of health care provider organizations, including multi-hospital systems, independent hospitals (eg, community, tertiary, academic) and physician groups.
As a trusted advisor, Eric counsels senior executives and boards of directors on difficult problems and issues. His areas of expertise and professional skills include enterprise strategic planning, meeting/process facilitation, transactional assistance (mergers/acquisitions/affiliations), hospital service line planning, valuation and fairness opinion, short- and long-term facility planning, physician/provider manpower needs, physician compensation and contract negotiation, physician/hospital alignment structures, and board education. He is a speaker and facilitator, and he has published numerous articles in various health care publications pertaining to issues on strategic planning, service line development, physician/hospital alignment, and facility planning for hospitals and ambulatory centers. He is active in various health care industry organizations.
Prior to joining Sg2, Eric was a principal for MDS Consulting LLC. He has held previous senior-level positions with other national consulting firms, including The Camden Group and Ernst & Young.
Eric received his bachelor of arts degree from Claremont McKenna College in Claremont, CA.
As the leader of Sg2 Consulting’s Chicago-area practice, Jay advises hospitals, health systems, academic medical centers, medical groups and life sciences companies in several practice areas, including enterprise strategy, value-based care strategy, physician alignment and community health improvement. He is a frequent speaker and author for national organizations and publications, an advisor to not-for-profit organizations, and a leadership and strategy mentor to health administration students.
Prior to Sg2, Jay served in leadership roles for other national consulting firms (including Kaufman Hall, The Camden Group and Tiber Group/Navigant) and has served as a senior executive or advisor for hospitals, health systems, medical groups and innovative start-up organizations.
Jay received master’s degrees in business administration and health services administration from the University of Michigan and a bachelor of arts degree from Dartmouth College.
Jim provides leadership and strategic direction for Sg2 Consulting, overseeing the development of strategies for health systems and medical groups to drive growth and elevate the value of care provided.
Jim’s health care career spans more than 25 years and includes significant nationwide consulting engagements with health systems and physician practices. He has led more than 350 engagements at some of the country’s largest and most respected institutions, focusing on the areas of physician alignment, strategic planning and value-based care initiatives. Additionally, Jim has more than 2 decades and industry leading experience in bundled payments strategy, analytics and physician sharing models. His strengths include a proven track record in physician relations, project management, communication skills, team building and financial analysis.
Jim was a founding member and managing partner of TRG Healthcare Solutions from 2001 to 2014, focusing exclusively on physician alignment, service line strategy and bundled payments. Prior to that, he led the consulting division of GE Medical Systems focused on clinical and operational performance improvement.
A recognized national speaker on hospital-physician alignment models, bundled payments and value-based care strategies, Jim has addressed such organizations as Healthcare Financial Management Association, American College of Healthcare Executives, American College of Cardiovascular Administrators, American Medical Group Association, Vizient National and Regional Collaboratives, The Health Management Academy, and The Society of Thoracic Surgeons.
Jim graduated from the University of Colorado with a degree in finance and lives in Denver with his wife and 2 children.
Amit is an international health care business leader with 15 years of experience in solving key business and clinical questions. He has led health care projects in 10 countries, across Canada and in 30 US states. Amit has been with Sg2 since 2004.
As a lead on Sg2’s Consulting team, Amit manages complex strategic engagements in the United States and Canada with academic medical centers, national health systems, regional health systems/community hospitals, industry clients and the investment community. As a trusted advisor to many health care executives, Amit answers challenging questions related to market relevance, sustainable growth, strategic partnerships, major investments and innovation.
Amit previously led consulting and advisory work at Sunnybrook International, a part of Sunnybrook Health Sciences Centre in Toronto, Canada. His work focused on supporting governments, private investors and health care providers to enhance existing clinical capabilities, build new facilities/infrastructure and deliver education/training. He also was a picture archiving and communication system (PACS) project manager with McKesson Medical Imaging Group in Vancouver, BC, Canada, where he led health care IT implementations for hospitals and health systems in Canada, the US and Europe.
Amit earned an MS in biomedical engineering from Northwestern University and a BS in electrical engineering from The University of Western Ontario. He enjoys playing sports, reading, watching movies, and exploring new places with his family and friends.
As an Sg2 veteran of 11 years, Catherine provides operations oversight and talent management development for the Sg2 Consulting and Intelligence teams, leveraging more than 20 years of health care and professional service experience. Previously, Catherine led consulting engagements as well as thought development for strategic topics, including ambulatory strategy and facilities planning.
Prior to joining Sg2, Catherine led the Leadership Excellence NetworkTM—a membership-based program combining the efforts of high-performing health systems to advance leadership excellence within organizations—at the National Center for Healthcare Leadership. She also served as vice president at Kaufman Hall, a health care financial strategy consulting firm. While there, she led consulting engagements with a focus on growth strategy across the care continuum, ambulatory strategy and service line planning.
Additionally, the breadth of Catherine’s hospital experience includes strategic planning and business development positions at NorthShore University HealthSystem and the University of Pittsburgh Medical Center. She was also a research professional at McKinsey & Company, where she developed financial valuations and managed business research projects.
Catherine holds an MBA in finance and international business from Wright State University, where she also completed her BS in management information systems. In her free time, she enjoys traveling and spending time with her family, especially her 12-year-old daughter, Katalin.
Chris has more than 30 years of experience in health care consulting and has worked with hospitals, health systems, physician practices and suppliers within the industry. His consulting focus has included financial management, strategic planning, marketing/communications plan development and implementation, hospital-physician managed care negotiation, hospital-physician alignment, market growth, program development, facility space planning, and interim service line management. He has led the implementation of more than 250 consulting engagements across the nation and maintains proven abilities in key areas such as physician relations, presentation and communications skills, project management, and proposal development. He has also presented at many society gatherings including the Society of Thoracic Surgeons, Orthopaedic Trauma Association, Healthcare Financial Management Association and state associations.
Chris has worked on every Medicare-sponsored bundled payment initiative, from the Medicare Participating Heart Bypass Demonstration in the 1990s to the current Bundled Payments for Care Improvement (BPCI), BPCI Advanced and Comprehensive Care for Joint Replacement (CJR) initiatives. He led the implementation process for all of Medicare’s Acute Care Episode demonstration sites and is currently working with over 25 BPCI-, BPCI-A– and CJR-affected hospitals. He has also personally written more than 30 unique responses to bundled payment applications and has participated in numerous commercial and private payer bundled efforts.
Before beginning his health care consulting career, Chris spent 12 years in the travel business on both the airline and travel management sides of the equation. He attended the School of Travel Industry Management in the College of Business Administration at the University of Hawai’i, Manoa and graduated with a BS degree in international business from the University of Colorado, Boulder.
David DiLoreto is a principal at Sg2 and a physician executive with 2 decades of experience in health system, physician practice and managed care strategy and operations.
Prior to Sg2, Dr DiLoreto provided health care consulting and advisory services as senior vice president at GE Healthcare. Additionally, he served as corporate CMO at Presence Health in Chicago, IL, and he was simultaneously CEO of both SmartPlan Choice and Medicare Value Partners. He also served as the chief clinical officer at Baptist Health Care in Pensacola, FL.
Furthermore, Dr DiLoreto worked at the Louisiana State University (LSU) School of Medicine in New Orleans where he was a tenured faculty member before founding the university’s faculty group practice in 1995. During his 15-year career as an orbital and ophthalmic plastic surgeon at LSU Healthcare Network, he performed over 5,000 major surgical procedures and received numerous clinical and teaching awards.
Dr DiLoreto is a diplomate of the American Board of Ophthalmology and serves as a director on the boards of health systems, professional societies, national trade associations, and early-stage IT and analytics firms.
After receiving his undergraduate degree from Loyola University New Orleans and medical degree from the University of Florida, Dr DiLoreto completed an ophthalmology residency at California Pacific Medical Center in San Francisco, CA, as well as fellowship training at the University of British Columbia in Vancouver, Canada, and an MBA from Emory University in Atlanta, GA.
