Industry Expertise

Practice Focus

Biography

Francis has worked in the health care industry since 2003. He has experience with all types of managed care organizations, including HMOs, delegated IPAs, and health plans. Francis provides operational advisory services for regional and national Medicare and Medicaid plans specifically related to claims auditing, revenue recovery, contracting, and business process redesign. He also consults with self-funded employers on managing their health care expenses through various cost containment strategies.

Selected Publications

  • "Converting Claim Audit Findings into Cost Savings" (Self Funding Magazine, September 2014)
  • "Are Self-Funding Health Plans on the Rise Because of Health Care Reform?" (California Healthcare News, February 2013)
  • "Keeping Costs Down on Self-Funded Health Care Plans" (California Healthcare News, April 2011)

Selected Speaking Engagements

  • Health Care Expenses: Bending the Cost Curve
    (Moss Adams webcast, August 2014)
  • Self Funded Plans: Do They Deliver on the Promise?
    (Western Pension & Benefits Council, January 2013)
  • Reducing Costs through Best Practices in Claims Auditing and Recovery
    (California Association of Health Plans Seminar, April 2012)

Education

  • BS, biochemistry, University of California, Los Angeles
  • MPH, health administration, University of California, Los Angeles