Paul Portsmore is a CEO and Board Chair at Hello Pediatrics Medical Group, PLLC based in New York City Metropolitan Area, United States, North America. Senior mission-driven Healthcare Executive and Advisor driving change and growth for top healthcare insurance providers for over 20 years. Fuels transformation in product development, value-based reimbursement, health-tech, and population health. Introduces strategies that result in unprecedented revenue, margin, CAGR, and membership growth across the retail, commercial, and government-sponsored space and support affordable care options and population health goals. Proven record of cultivating cutting edge relationships between health systems and payers focused on aligning incentives for the overall health of individuals and populations. Leverages digital technologies and health-tech-enabled interfaces that streamline administrative functions, recovering costs due to inefficient processes while improving the customer experience. Pioneer of some of the fastest-growing payer-side initiatives including value-based reimbursement and health equity programs. Steering a shift in how people think about hospitals and healthcare. Advocates for Population Health by working on the health of the community through value-based risk sharing and reinvesting the savings back into the health systems. Expertise creating retail, commercial, and government-sponsored healthcare insurance products and services, cultivating provider partnerships, and leveraging incentives to achieve cost efficiencies while enhancing quality of care. Robust network of provider relationships. Most recently, as President of City of New York Retiree Services, built product strategy/operational infrastructure to launch Medicare alternative benefit plan for 250K City of NY retirees, representing largest procurement of retiree population in Anthem’s history. Prior to that, as Healthfirst’s Head of Growth, led an $12B P&L for Medicaid, Medicare, and Commercial lines of business. During his eight-year tenure, Paul launched new product lines that contributed to more than doubling health plan revenues. Most recently, developed a diverse portfolio of companies, contributing to their growth either as an advisor, investor or Board Member, advised on growth and M&A opportunities
Current Position: CEO and Board Chair
Company: Hello Pediatrics Medical Group, PLLC
Location: New York City Metropolitan Area, United States, North America
Social: Professional profiles available
Network: Extensive professional connections