Sanjay Doddamani

Founder and CEO

Guidehealth

Jun 2023 - Current (3 years 4 months)

Guidehealth is an advanced technology-driven health services platform that partners with health systems and clinical networks to bring scale and predictable performance to value-based care. The company augments existing primary care capacity using innovative AI-based protocols, virtually embedded Healthguides™, and a meticulously designed framework to predict those patients most in need of support in and beyond the exam room. This data driven strategic approach is enhanced by Guidehealth’s award winning administrative services, which improves margins and reduces the burden placed on physicians. Guidehealth is physician-led, supported by passionate leaders who operate with empathy and expertise to ensure the delivery of high-quality care ac

Cofounder & Chief Executive Officer

Upstream

May 2021 - Apr 2023 (2 years)

UpStream nurtures the most trusting patient relationships with adequate time for PCPs to deliver high quality care to seniors living with chronic conditions. This is achieved by physically embedding highly skilled prescribing pharmacists and coordination nurses at each office to create the necessary high touch and tech-enabled infrastructure and resources for the whole person care experience. Higher risk patients are provided the choice for home delivery services including dispensing medications in convenience, multi-dose pill packaging.

Patients win through better outcomes, a more personalized experience, and lower spending including out-of-pocket costs. PCPs win through an onsite collaborative care model that ensures higher re

Senior Advisor Center for Medicare and Medicaid Innovation (CMMI)

Centers for Medicare Medicaid Services

Mar 2019 - Feb 2020 (1 year)

Served in CMMI as senior physician advisor within the front office - helping to evaluate and make recommendations to model teams for alternate payment models (APM). Served as senior representative from CMMI to HCP-LAN 2.0 to advance the bold goals for APM adoption with two-sided risk across Medicare and Medicaid including APM measurement. Led an important initiative to inventory quality metrics across CMMI models. Worked across departments within HHS on the scope of sepsis with CMMI director in his role as senior advisor to the Secretary for value based transformation.

Chief Physician Executive

Southwestern Health Resources

Mar 2020 - Apr 2021 (1 year 2 months)

Served as chief physician executive and COO for Southwestern's ACN. Managed the physician network and led teams across operations to optimize network vibrancy, relevance and overall performance during one of the most difficult periods in US healthcare - during the COVID-19 pandemic. Led initiatives (Collaborators) including delivery of vital care packages to seniors (Encompass), access to continued referrals including telemedicine (Cerner/Fibroblast), AI enabled vaccine coordination for high risk individuals (ClosedLoop.AI), advancing financial incentives to physicians and CMS benchmarking analytics (CareJourney), updating prior authorization proce

CMO, Geisinger at Home

Geisinger

Apr 2018 - Feb 2019 (11 months)

CMO, Geisinger at Home: Appointed chief medical officer of Geisinger at Home, a home-based medical care and community based palliative care program serving Central, Northeast and Western regions within Geisinger’s primary service area. With three regional medical directors and several advanced practitioners, direct care nurses and community health assistants alongside a larger integrated team that includes pharmacists, social workers and other resources, the team partners in the care of frail elderly, medically and socially complex patients who are often home-bound.

Associate Director, Echocardiography

Northwell Health

May 2007 - Jun 2009 (2 years 2 months)

Led efforts to maintain ICAEL certification of the lab. Served as chair, heart failure quality improvement committee from 2008-2010.

CMO, Keystone ACO

Geisinger

Nov 2014 - Feb 2019 (4 years 4 months)

The Geisinger led Keystone ACO expanded from under 10,000 beneficiaries in 2014 to almost 80,000 in 2017. Run as a dyad between the COO and CMO, the ACO managed its beneficiaries in a MSSP track 1+ model that includes downside risk. With enhanced business intelligence and data analytics, an expanded care team comprising case-managers and practice transformation managers, we leveraged clinical best practices and facilitated quality improvement of ACO measures, care gaps management, hospital utilization for ambulatory sensitive conditions, and a post-acute network management strategy. Served as senior director in population health, researching and advising executive leaders on key strategic initiatives and directions.

System Chief, Advanced Cardiac Disease

Geisinger

Sep 2012 - Feb 2019 (6 years 6 months)

Served as the physician executive leading all aspects of advanced cardiac disease with direct reports in heart failure and left ventricular assist device program (LVAD). The team of physicians, advanced practitioners, medication therapy management pharmacists, social worker and heart failure nurses across several campuses collaboratively manage advanced illness patients in a multi-disciplinary setting. The Heart Failure Care Improvement Program (HFCIP) is a model for integrated system decisions for heart failure population management including machine learning and the use of sophisticated data analytics and registries for clinical management and assignment of high risk patients to case-management, clinical pharmacists, palliative care, hear

Department Chair, Cardiology

Nassau Health Care Corporation

Jul 2009 - Sep 2012 (3 years 3 months)

Led creation of department of cardiology out of a division of medicine into a service line model as founding chair through a collaborative services agreement between Northwell Health and one of New York’s largest public benefit corporation hospitals (Nassau University Medical Center). Opened immediate access heart failure clinic that was AP led, nursing driven. Dramatically improved AMI mortality over a two year period, cited in NAPH data brief.

Assistant Professor, department of cardiology

MONTEFIORE HEALTH SYSTEM

Nov 2004 - May 2007 (2 years 7 months)

Clinical cardiologist in echocardiography and advanced heart failure, participated in care of left ventricular assist device (LVAD) care and on heart transplant committee.

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Sanjay Doddamani

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