MIKE KOETTING

Experience

Healthcare & Strategic Planning Consultant (2016)

·         Subcontractor to Sellers Dorsey for Business Process Re-engineering for HPES and  Nevada Medicaid in installation of new MMIS

·         Illinois Public Health Institute project to develop roadmap for Medicaid MCOs and community based organizations to collaborate in provision of weight loss/diabetes prevention programs

Illinois Department of Healthcare and Family Service, Deputy-Director for Planning & Reform Implementation, (2010 to 2015)

Agency lead for the expansion of Illinois Medicaid as part of the Affordable Care Act (ACA).  Included redesign of eligibility process, replacement of 35-year old eligibility system, and, eventually, enrollment of more than 500K into Medicaid ACA coverage.  Also involved with numerous other HFS initiatives, including conversion to managed care, quality incentives, Cook County waiver, redetermination project, and information system priorities.

Healthcare & Strategic Planning Consultant (2008  to 2010)

·         Strategic planning assistance/Interim Director of Planning, Cook County Health and Hospitals System (December, 2008 to June, 2010)

·         Chicago Civic Federation, overview assessment of Illinois Medicaid Program (Spring, 2009)

·         NationalOpinionResearch Center as part of team strategizing on the development of an electronic health information system in Illinois (Spring-summer, 2009)

The University of Chicago Hospitals, Vice President (1985 to 2008).

Senior hospital executive position revolving around analytic and administrative support.

·         1985 to 1989—V.P. of Planning and Budget—Responsibility for budgeting and decision support

·         1989 to 1998—V.P. of Program Evaluation—Responsibility for decision support, quality improvement, and clinical regulatory compliance

·         1998 to 2006—V.P. and Secretary to the Board of Trustees—Responsibility for Board relations and operations

·         2007 & 2008—VP of Public Policy Planning—Responsible for formulating Medicaid and Medicare strategy options

Throughout served as senior advisor and representative of the institution to government and external groups/agencies.  Also served as “utility infielder/troubleshooter” on a wide variety of issues.  Over the years had reporting responsibility for various areas for 1 to 4 years, including Medical Records, Construction & Renovation, Physical Plant, Organizational Development, Marketing and Government Affairs, in addition to responsibility for large special projects (e.g. move into new Children’s Hospital).  Particularly involved in the development of the Electronic Medical Record at UCMC.  Additionally, for virtually entire tenure, had responsibility for capital budgeting and Housestaff and Medical Staff affairs.

The University of Chicago, Instructor (1991 to 2010).

•     Graduate Program in Health Administration and Policy

•     Pritzker School of Medicine

Taught courses in public health, health administration, medical informatics and the economic and social context of medicine.

Abt Associates Inc., Cambridge, Massachusetts, Project Director (1983 to 1985).

Mix of program evaluation and consulting work.

Principal investigator for evaluation of changes in hospital reimbursement by state Medicaid programs, including a general survey and economic evaluation of state Medicaid programs and detailed case studies of selected states.  Major report to HCFA:

      Selective Contracting for Medicaid Hospital Services in California:  Implementation and Outcome; December, 1984.  With Lois Olinger and Craig Coelen.

Technical assistance consulting for three state Medicaid programs on health financing and reimbursement issues.

Commonwealth Health Care Corporation, Boston, Massachusetts, Director of Finance and Planning (1982-1983).

Responsible for developing a financial model for consortium ofBostonhospitals and neighborhood health centers seeking to contract with Massachusetts Medicaid program to provide prepaid health care to Boston AFDC recipients.

Illinois Health Finance Authority, Chicago, Illinois, Deputy Director and Executive Director (1980-1982).

Chief administrator of staff to Illinois Health Finance Authority, a hospital rate-setting commission, during developmental effort. 

Illinois Department of Public Health, Springfield, Illinois Office of Health Finance (1976-1980).

From 1978 to 1980, Director of Office of Health Finance, which set Medicaid rates for nursing homes and hospitals; undertook economic and financial feasibility; reviewed all requests by six state agencies for changes in rates for purchased health and social services.  1976 to 1978, Senior Analyst with primary responsibility for new Medicaid reimbursement system for nursing homes.

Illinois Economic and Fiscal Commission, Illinois General Assembly, Springfield, Illinois, Analyst (1975-1976)

Project director of an evaluation of the Illinois Medicaid program.  Principal report to legislature:

       Effectiveness and Efficiency of the Illinois Medicaid Program; October, 1976.  With Tom Walsh, Mike Taylor and Robert Roeloff.

Publications

Nursing Home Organization and Efficiency:  Profit-Making Versus Non-Profit. Lexington Books, 1980.

"Emerging Indirect Roles in State Health Financing Regulation," in Preferred ProviderOrganizations, Peter Boland, Editor, Dow Jones-Irwin, 1985.

"IllinoisMedicaid:  A Ten Year Review," with Ralph Muller, in Paying for Health Care:  Public Policy Choices for Illinois,Lawrence Joseph, Editor,University ofIllinois Press, 1992.

“IllinoisMedicaid:  Issues Brief,”ChicagoCivic Federation, 2009.  (Available at www.civicfed.org/articles/civicfed_295.pdf)

"Medicaid Contradictions:  Adding, Subtracting, and Redetermination in Illinois," Journal of Health Politics, Policy and Law, Vol. 41, No. 2; April, 2016

Education

Ph.D. and M.A., Sociology, HarvardUniversity, 1979 and 1975.  Specialization in health care organization and policy.

 Honors B.A., English, St. Louis University, 1968.