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Scott Breidbart
Chief Medical Officer at Affinity Health Plan
Professional Background
Scott Breidbart is a distinguished Senior Physician Executive in the realm of managed care, renowned for his exceptional expertise in medical analytics, disease management, and provider relations. His career spans extensive knowledge and experiences within both commercial and government insurance programs. Scott boasts a rich history of direct patient care, with ten years of experience solidified by his board certification.
Throughout his career, Scott has consistently demonstrated remarkable leadership and innovation in clinical environments. His specialties include clinical leadership, medical policy, care management, population health, value-based payment models, medical analytics, and utilization management. Each of these areas reflects his commitment to improving healthcare outcomes and driving efficiency in healthcare delivery systems.
Education and Achievements
Scott's educational journey is equally impressive, commencing with a comprehensive Bachelor of Arts degree in Mathematics from Yale University, a prestigious institution known for its rigorous academic standards. He furthered his education by earning his Doctor of Medicine degree from the esteemed Columbia University Vagelos College of Physicians and Surgeons, a titan in the field of medical education. This foundation nurtured his passion for medicine and shaped his future endeavors in the healthcare industry.
To complement his medical training, Scott pursued an MBA from the Lubin School of Business at Pace University. This combination of medical and business education offers him a unique perspective on healthcare management and operation, allowing him to integrate clinical excellence with innovative business strategies effectively.
Professional Experience
Scott has held notably significant positions throughout his career. As the Chief Medical Officer at Affinity Health Plan, he played a crucial role in guiding medical strategy and clinical operations, ensuring exemplary care for populations served. His previous experiences also include serving as the Chief Medical Officer at Solera Health, where he applied his extensive background in healthcare analytics to drive improved health outcomes.
In addition, Scott held the role of Chief Clinical Officer at EmblemHealth, where he efficiently managed quality controls and spearheaded clinical policy initiatives. His tenure as Chief Medical Officer at Empire Blue Cross Blue Shield further exemplifies his capability in managing complex medical and healthcare operations.
Before these leadership roles, Scott was the Vice President of Quality and Medical Policy, and Vice President of Medical Integration at Health Net, demonstrating an ascent through key corporate hierarchies that reflects his dedication, skill, and ability to influence the large-scale policy and operational aspects of managed care. Furthermore, he served as Medical Director at Health Net, further enhancing his groundwork in medical oversight and healthcare delivery systems.
Notable Achievements
Scott’s profound contributions to the healthcare industry are underscored by his expertise in various high-impact areas. His active engagement in medical analytics has facilitated improved healthcare strategies across multiple organizations, helping to uncover trends and insights that steer quality improvement initiatives. His focus on disease management not only improves patient outcomes but is also pivotal in decreasing healthcare costs and optimizing resource use.
In the area of provider relations, Scott has successfully cultivated partnerships that enhance collaboration across clinical networks, ensuring that healthcare providers adhere to best practices and protocols that promote health equity and comprehensive care for patients.
With a vision that emphasizes value-based payment models, Scott has been at the forefront of transformative approaches that align reimbursement systems with improved patient care outcomes. This has characterized his management style, shifting focus towards patient-centered care—a vital necessity in today’s evolving healthcare landscape.
Through his adept management of utilization strategies, Scott has contributed significantly to the effectiveness and efficiency of care delivery, ensuring that resources are allocated wisely and that patient care remains paramount.
In summary, Scott Breidbart’s extensive background as a Senior Physician Executive, paired with his solid educational foundation and impressive track record of leadership roles, distinguishes him as an influential figure in the managed care sector. His specialties in clinical leadership, medical policy, care management, and medical analytics, among others, highlight his commitment to advancing healthcare and improving patient outcomes through innovative strategies and unwavering dedication.