Patrick H. Conway

Patrick H. Conway (born 1974) is an American physician and an advocate of health system transformation and innovation in the public and private sector. He is a practicing pediatrician formerly serving at the Cincinnati Children's Hospital and Children's National Medical Center. He was the chief medical officer and acting administrator at the Centers for Medicare and Medicaid Services (CMS) leading quality-of-care efforts for the nation.[1] He also served as the Director of the Center for Medicare and Medicaid Innovation, responsible for new national payment models for Medicare and Medicaid focused on better quality and lower costs.[2] He was the President and Chief Executive Officer of Durham-based Blue Cross and Blue Shield of North Carolina.[3]

Patrick H. Conway
Born1974 (age 46–47)
College Station, Texas
EducationBaylor College of Medicine
OccupationPhysician
Spouse(s)Heather Conway

Biography

Conway was born in College Station, Texas in 1974 and was the youngest of the four children. His father was a chemistry professor and his mother was an assistant dean at a business school. He got his bachelor's degree from Texas A&M University, and attended Baylor College of Medicine, followed by his residency at Boston Children's Hospital.[1]

In 2007, Conway came to Washington as a White House fellow and worked for the then Secretary of Health and Human Services, Mike Leavitt.[1] He served as the Deputy Administrator for Innovation and Quality for the Centers for Medicare and Medicaid Services from May 2011 to September 2017 and joined the Blue Cross Blue Shield of North Carolina in October 2017.[4]

Advocacy

Conway is an advocate of value-based healthcare services.[5][6] He introduced new payment models for hospitals and doctors under Medicare and led the efforts to measure the quality of care provided by the healthcare professionals.[1] According to him, healthcare providers should be paid for the outcome of care provided rather than the fee-for-service model.[7] He also helped create Accountable Care Organizations (ACOs) and the Medicare shared savings program.[8] He led the CMS Innovation Center to transform the Medicare program, moving from zero payments in alternative payment models based on value to over 30% of Medicare payments.

Associations and recognition

Conway is a board member of private organizations, Aledade, Intarcia Therapeutics, and Sound Physicians, and is a member of the National Academy of Medicine since 2014.[9] He has received the President's Distinguished Senior Executive Rank and HHS Secretary's Distinguished Service awards.[10] He has published over 100 peer reviewed articles on health care policy, value-based payment, innovation, delivery system transformation, and other healthcare topics.[11]

References
  1. Robert Pear. "Dr. Patrick H. Conway is one of the most powerful doctors in America, steering federal health programs". The New York Times. Retrieved March 29, 2016.
  2. Larry Beresford. "Conway to Head Medicare Innovation Center" (July). The Hospitalist. Retrieved July 7, 2013.
  3. Anna Matthews. "Tie-up brings together health-care players with combined $16 billion in revenue, covering over six million people". The Wall Street Journal. Retrieved March 12, 2019.
  4. Mark Hagland. "Patrick Conway, M.D., CEO of Blue Cross and Blue Shield of North Carolina, was interviewed as part of a general session at the HLTH Conference—looking back on his tenure as CMMI Director, and forward into the future". Healthcare Innovation. Retrieved May 8, 2018.
  5. Susan Morse. "Patrick Conway is leaving CMS to head Blue Cross Blue Shield North Carolina". Healthcare Finance. Healthcare Finance. Retrieved August 8, 2017.
  6. "Dr. Patrick Conway discusses the move to value based care". AJMC. AJMC. Retrieved March 25, 2020.
  7. Steve Lohr. "Inside North Carolina's Big Effort to Transform Health Care". The New York Times. Retrieved August 26, 2019.
  8. Merrill Goozner (February 3, 2018). "Q&A with Dr. Patrick Conway: 'I do believe we need more outcome-oriented measures'". Modern Healthcare. Retrieved February 3, 2018.
  9. "National Academy of Medicine member". The National Academics of Sciences, Engineering and Medicine. Retrieved March 25, 2020.
  10. "Deputy Administrator for Innovation and Quality and Chief Medical Officer, Centers for Medicare and Medicaid Services". Healthcare of Tomorrow. U.S. News. Retrieved March 25, 2020.
  11. "Patrick Conway: NCBI - US National Library of Medicine National Institutes of Health". NCBI - US National Library of Medicine National Institutes of Health.
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